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

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

iochemical studies and complementation analysis of human cultured fibroblast cells<br />

(Fenton and Rosenberg 1978a). Complementation analysis examines the uptake and<br />

19<br />

conversion of labeled precursors (propionate, CH3THF) by fused and unfused fibroblast<br />

cell lines derived from two patients with cobalamin disorders. In these studies, fused<br />

cells that stimulated the incorporation of labeled precursors complemented each other and<br />

were assigned to different complementation groups. If the fused cells were unable to<br />

stimulate incorporation of the precursors they were assigned to the same<br />

complementation group (Gravel et al. 1975). An assay that has helped to determine if<br />

defects are due to decreased synthesis of one or both cobalamin coenzymes involves<br />

incubating the cultured fibroblasts with labeled HOCbl and measuring the cofactors<br />

formed against control cell lines.<br />

Combined Methylmalonic Aciduria and Homocystinuria<br />

Defects in cellular cobalamin metabolism resulting in both methylmalonic aciduria<br />

and homocystinuria are defined by the complementation groups cblF, cblC, and cblD.<br />

Cultured fibroblasts from patients in these groups were analyzed and shown to have a<br />

deficiency in the conversion of CNCbl or HOCbl to AdoCbl or CH3Cbl cofactors<br />

(Qureshi et al. 1994). The absence of these cofactors renders both MCM and MS<br />

inactive. There are over 100 patients with combined methylmalonic aciduria and<br />

homocystinuria. The cblC complementation group has more than 100 patients, the cblD<br />

group has only two patients who are siblings, and the cblF group has six patients<br />

(Watkins and Rosenblatt 2001).<br />

Individuals with the cblF disorder have impaired MCM and MS activities. The<br />

total intracellular pools of AdoCbl and CH3Cbl are reduced when compared to control<br />

cells. Cultured cells incubated with [ 57 Co]-labeled CNCbl showed an accumulation of

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

Saved successfully!

Ooh no, something went wrong!