11.05.2013 Views

B12 METABOLISM IN HUMANS By NICOLE AURORA LEAL A ...

B12 METABOLISM IN HUMANS By NICOLE AURORA LEAL A ...

B12 METABOLISM IN HUMANS By NICOLE AURORA LEAL A ...

SHOW MORE
SHOW LESS

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

folate-dependent reactions including purine and pyrimidine biosynthesis (Wilson et al.<br />

1999).<br />

Cobalamin Absorption and Transport<br />

11<br />

As mentioned above, humans are incapable of de novo cobalamin synthesis, and<br />

require complex precursors in their diet. Suitable precursors (such as HOCbl or CNCbl)<br />

can be obtained by the consumption of beef, liver, poultry, fish, eggs, dairy products, and<br />

vitamin supplements (Stabler 1999). The cobalt of these cobalamin molecules is in the<br />

+3 oxidation state (cob(III)alamin), the form that is recognized for cobalamin absorption<br />

and transport. Once ingested, cobalamin molecules that are bound to food proteins are<br />

released by the combined action of proteases and acid in the stomach (Del Corral and<br />

Carmel 1990). Haptocorrin (a cobalamin carrier protein) binds released cobalamin and<br />

transports it from the stomach to the small intestines. Haptocorrin has a high specificity<br />

for cobalamin and when bound to cobalamin, protects it from damage by acids in the<br />

stomach, until it reaches the small intestines where cobalamin is liberated from<br />

haptocorrin via digestion by pancreatic enzymes. After being released from haptocorrin,<br />

cobalamin is bound by intrinsic factor (IF), a glycoprotein produced by the parietal cells<br />

(gastric glands lining the stomach). The IF-cobalamin complex is resistant to further<br />

digestion in the small intestines because of the carbohydrates on the IF. The<br />

IF-cobalamin complex recognizes the IF-cobalamin receptor (IFCR) on the epithelial<br />

cells of the distal third small intestines (ileum), and is transported into these cells via<br />

receptor-mediated endocytosis. In the epithelial cell, IF is degraded by the acidic<br />

environment of the lysosome, and cobalamin is released. Transcobalamin II (TCII), a<br />

serum-transport protein in the epithelial cells, binds released cobalamin, and transports it<br />

out of the cell and into the bloodstream until it is taken up by other cells. The

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!