Abstract
Cobalamin (Cbl), or vitamin B12, cannot be synthesized in the human body, and the only possible source for this vitamin is thus the diet. Daily requirements are 1-3 µg [31]. Dietary sources are primarily animal proteins. Liver, mammalian kidneys, and seafood are especially rich in this vitamin. Meat, fish, milk, and dairy foods also contain vitamin B12, but in lesser amounts. Plants however, have no vitamin B12, a finding which accounts for the megaloblastic anemias often observed in strict vegetarians. The principal dietary forms of this vitamin are adenosyl-Cbl and hydroxo-Cbl. Cyano-Cbl prescribed therapeutically and for physiologic properties is a synthetic form; its absorption is similar to that of of adenosylated and hydroxylated forms of the vitamin.
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References
Ardeman S, Chanarin I (1965) Stimulation of gastric intrinsic factor. Br Med J 1:1417–1418
Allen RH (1975) Human vitamin B12 transport proteins. Prog Hematol 9:57–84
Allen RH, Seetharam B, Podell ER, Alpers DH (1978) Effect of proteolytic enzymes on the binding of cobalamin to R protein and intrinsic factor. In vitro evidence that a failure to partially degrade R protein is responsible for cobalamin malabsorption in pancreatic insufficiency. J Clin Invest 61:47–54
Allen RH, Seetharam B, Allen NC, Podell ER, Alpers DH (1978) Correction of cobalamin malabsorption in pancreatic insufficiency with a cobalamin analogue that binds with high affinity to R protein but not to intrinsic factor. In vivo evidence that a failure to partially degrade R protein is responsible for cobalamin malabsorption in pancreatic insufficiency. J Clin Invest 61:1628–1634
Andersen KJ, Lippe von der G (1978) The effect of proteolytic enzyme on the vitamin B12 binding proteins of human gastric juice and saliva. Scand J Gastroenterol 14:833–838
Arvanitakis C (1978) Functional and morphological abnormalities of the small intestinal mucosa in pernicious anemia. A prospective study. Acta Hepatogastroenterol (Stuttgart) 25:313–318
Belaiche J, Zittoun J, Marquet J, Nurit Y, Yvart J (1983) Effet de la ranitidine sur la sécrétion et sur l’absorption de la vitamin B12. Gastroenterol Clin Biol 7:381–384
Belaiche J, Zittoun J, Marquet J, Yvart J, Cattan D (1987) In vitro effect of duodenal juice on R binders cobalamin complexes in subjects with pancreatic insufficiency: correlation with cobalamin absorption. Gut 28:70–74
Bellanger J, Zittoun J, Marquet J, Belaiche J, Cattan D (1985) Etude du débit gastrique des ligands R au cours de diverses pathologies gastroduodénales. Gastroenterol Clin Biol 92 bis(res): 15A
Bitsch V, Christiansen PM, Faber V, Rodbro PV (1966) Gastric secretory patterns before and after vagotomy. Lancet 1:1288–1291
Brugge WR, Goff JS, Allen NC (1980) Development of a dual label Schilling test for pancreatic exocrine function based on the differential absorption of cobalamin bound to intrinsic factor and R protein. Gastroenterology 78:937–949
Carmel R, Herbert V (1967) Correctable intestinal effect of vitamin B12 absorption in pernicious anemia. Ann Intern Med 67:1201–1207
Carmel R, Abramson SB, Renner IG (1983) Characterization of pure human pancreatic juice: cobalamin content, cobalamin binding proteins and activity against human R binders of various secretions. Clin Sci 64:193–205
Cattan D, Belaiche J, Yvart et al. (1980) Faut -il utiliser le test de Schilling en double marquage? Gastroenterol Clin Biol 4(1 bis)(res): 193 A
Cattan D, Belaiche J, Zittoun J, Yvart J, Chagnon JP, Nurit Y (1982) Rôle de la carence en facteur intrinsèque dans la malabsorption de la vitamin B12 liée aux protéines dans les achlorhydries. Gastroenterol Biol Clin 6:570–575
Cattan D, Belaiche J, Zittoun J, Yvart J (1982) Effect of folate deficiency on vitamin B12 absorption. Ann Nutr Metab 26:367–73
Chanarin I (1979) The megaloblastic anaemias. Blackwell, Oxford
Cooper BA, White JJ (1968) Absence of intrinsic factor from human portal plasma during 57CoB12 absorption in man. Br J Haematol 14:73–78
Cotter R, Rothenberg SP, Weiss JP (1979) Dissociation of the intrinsic factor vitamin B12 complex by bile: contributing factor to B12 malabsorption in pancreatic insufficiency. Scand J Gastroenterol 14:545–550
Dawson DW, Sawers AH, Sharma RK (1984) Malabsorption of protein bound vitamin B12. Br Med J 288:675–678
Deller DJ, Germar H, Witts LJ (1961) Effect of food on absorption of radioactive vitamin B12. Lancet 1:574–577
Deren JJ, Arora B, Toskes PP, Hansell J, Sibinga MS (1973) Malabsorption of crystalline vitamin B12 in cystic fibrosis. N Engl J Med 288:627–632
Doscherholmen A, Swaim WR (1973) Impaired assimilation of egg Co57 vitamin B12 in patients with hypochlorhydria and achlorhydria and after gastric resection. Gastroenterology 64:913–919
Doscherholmen A, McMahon J, Ripley D (1976) Inhibitory effect of eggs on vitamin B12 absorption test. Br J Haematol 33:261–272
Doscherholmen A, McMahon J, Ripley D (1978) Vitamin B12 assimilation from chicken meat. Am J Clin Nutr 31:825–830
Doscherholmen A, McMahon J, Economom P (1981) Vitamin B12 absorption from fish Proc Soc Exp Biol Med 167:480–484
Ganguli PC, Cullen DR, Irvine WJ (1971) Radioimmunoassay of plasma gastrin in pernicious anemia, achlorhydria and in controls. Lancet 1:155–158
Gueant JL, Parmentier Y, Djali M, Bois F, Nicolas JP (1983) Sequestration of crystalline and endogenous cobalamin by R binder down to the distal ileum in exocrine pancreatic dysfunction. Clin Chim Acta 134:95–106
Gueant JL, Monin B, Gaucher P, Nicolas JP (1984) Biliary excretion of cobalamin analogues in humans. Digestion 30:151–157
Hamborg B, Kittang E, Schjonsby H (1985) The effect of ranitidine on the absorption of food cobalamins. Scand J Gastroenterol 20:756–758
Heyssel RM, Bozian RC, Darby WJ, Bell MC (1966) Vitamin B12 turnover in man. The assimilation of vitamin B12 from natural foodstuffs by man and estimates of minimal daily dietary requirements. Am J Clin Nutr; 18:176–184
Hofstad BE, Kittang E, Schjonsby H (1983) The effect of R protein on the absorption of vitamin B12 in chronic pancreatitis. Scand J Gastroenterol 18(Suppl 86):26A
Hurliman J, Zuber C (1969) Vitamin B12 binders in human body fluids. Antigenic and physicochemical characteristics. Clin Exp Immunol 4:125–140
Hurleman J, Zuber C (1969) Vitamin B12 binders in human body fluids II. Synthesis in vitro. Clin Exp Immunol 4:141–148
Kapadia GR, Mathan VI, Baker SI (1976) Free intrinsic factor in the small intestine in man. Gastroenterology 70:704–706
Kapadia GR, Schafer DE, Donalson RM, Ebersole ER (1979) Evidence for involvement of cyclic nucleotides in intrinsic factor secretion by isolated rabbit gastric mucosa. J Clin Invest 64:1044–1049
King CE, Liebach J, Toskes PP (1979) Clinically significant vitamin B12 deficiency secondary to malabsorption of protein-bound vitamin B12. Dig Dis Sci 24:397–401
Lindenbaum J, Lieber CS (1976) Effects of chronic ethanol administration in man in the absence of nutritional deficiency. Ann NY Acad Sci 252:228–234
Lindenbaum J, Pezzimenti JF, Shea H (1974) Small intestinal function in vitamin B12 deficiency. Ann Intern Med 80:326–331
Lippe von der G, Andersen KJ, Schjonsby H (1976) Intestinal absorption of vitamin B12 in patients with chronic pancreatic insufficiency and the effect of human duodenal juice on the intestinal uptake of vitamin B12. Scand J Gastroenterol 11:689–695
Mackenzie I J, Donaldson RM (1972) Effect of divalent cations and pH on intrinsic factor mediated attachment of vitamin B12 to intestinal micro-villous membranes. J Clin Invest 51:2465–2471
Mahmud K, Ripley D, Doscherholmen A (1971) Vitamin B12 absorption test: their unreliability in postgastrectoma states. JAMA 261:1167–1171
Marcoullis G, Grasbeck R (1975) Vitamin B12-binding proteins in human gastric mucosa — general pattern and demonstration of intrinsic factor isoproteins typical of mucosa. Scnad J Clin Lab 35:5–11
Marcoullis G, Rothenberg SP (1983) Macromolecules in the assimilation and transport of cobalamins. In: Lindenbaum J (ed) Contemporary issues in clinical nutrition. Churchill Livingston, New York pp 59–119
Marcoullis G, Merivuors H, Grasbeck R (1978) Comparative studies on intrinsic factor and cobalophilin in different parts of the gastrointestinal tract of the pig. Biochem J 173:705–712
Marcoullis G, Parmentier Y, Nicolas JP, Jimenez M, Gerard P (1980) Cobalamin malabsorption due to non-degradation of R proteins in the human intestine. Inhibited cobalamin absorption in exocrine pancreatic dysfunction. J Clin Invest 66:430–440
Marcoullis G, Nicolas JP, Parmentier Y, Jimenez M, Gerard P (1980) A derivative of Rcyanocobalamin binding protein, in the human intestine; a candidate antibacterial molecule. Biochim Biophys Acta 633:289–294
Matuchansky C, Rambaud JC, Modigliani R, Bernier JJ (1974) Vitamin B12 malabsorption in chronic pancreatitis. Gastroenterology 67:406–407
Nicolas JP, Jimenez M, Marcoullis G, Parmentier Y (1981) In vivo evidence that intrinsic factor cobalamin complex traverses the human intestine intact. Biochim Biophys Acta 675:328–333
Nicolas JP, Gueant JL, Gaucher P (1983) Malabsorption de la vitamine B12 et insuffisance pancréatique externe. Gastroenterol Clin Biol 7:307–314
Notis WM (1972) Giardiasis and vitamin B12 malabsorption. Gastroenterology 63:417–428
Okuda K, Kitazaki T, Takamatsu M (1971) Inactivation of vitamin B12 by a binder in rat intestine and the role of intrinsic factor. Digestion 4:35–48
Parmentier Y, Marcoullis G, Nicolas JP (1979) The intraluminal transport of vitamin B12 and the exovrine pancreatic insufficiency. Proc Soc Biol Med 160:396–400
Pathy MS, Kirkman S, Molloy M J (1979) An evaluation of simultaneously administered free and intrinsic factor bound radioactive cyanocobalamin in the diagnosis of pernicious anaemia in the elderly. J Clin Pathol 32:244–250
Rygvold O (1974) Hypovitaminosis B12 following partial gastrectomy by the Billroth II method. Scand J Gastroenterol 9(Suppl 29): 57–64
Salmeron M, Debure A, Rambaud JC (1982) Colonisation bactérienne chronique de l’intestin grêle et malabsorption. Gastroenterol Clin Biol 6:788–799
Salmeron M, Bories C, Rambaud JC (1982) Malabsorption tropicale. Gastroenterol Clin Biol 6:892–900
Salmon IL, Silvis SE, Doscherholmen A (1982) Effect of Cimetidine on the absorption of vitamin B12. Scand J Gastroenterol 17:129–131
Schtrumpf E, Vatn MH, Hanssen KF, Myren J (1978) A small dose of somatostatin inhipits the pentagastrin-stimulated gastric secretion of acid, pepsin and intrinsic factor in man. Clin Endocrinol (Coxf) 8:391–395
Scott RB, Kammer RB, Burger WF, Middletone FG (1968) Reduced absorption of vitamin Bi2 in two patients with folic acid deficiency. Ann Intern Med 1:111–114
Sharpe PC, Mills JG, Horton MA, Hunt RH, Vincent SH, Milton-Thompson GJ (1980) Histamine H2 receptors and intrinsic factor secretion. Scand J Gastroenterol 15:377–384
Shearman DJC, Finlayson NDC, Murray-Lyon IM, Samson RR, Girdwood RI (1967) Intrinsic factor secretion in response to pentagastrin. Lancet 2:192–194
Spector JI Juvenile achlorhydric pernicious anaemia with Ig A deficiency (a family study). JAMA 1974 228:334–336
Steinberg WH, Curington W, Toskes PP (1978) Evidence that failure to degrade R-binder is unimportant in the pathogenesis of cobalamin malabsorption in patients with chronic pancreatitis. Clin Res 26(6): 794A
Steinberg WM, King CE, Toskes PP (1980) Malabsorption of protein-bound cobalamin during Cimetidine administration. Dig Dis Sci 25:188–192
Streeter A, Duriappah B, Boyle R, O’Neill BJ, Pheils MJ (1974) Malabsorption of vitamin B12 after vagotomy. Am J Surg 128:340–343
Streeter AM, Goulston KJ, Bathur FA, Hilmer RS, Crane GG, Pheils MT (1982) Cimetidine and malabsorption of cobalamin. Dig Dis Sci 27:13–16
Thompson WG, Wrathell E (1977) The relation between ileal resection and vitamin B12 absorption. Can J Surg 20:461–464
Toskes PP (1980) Current concepts of cobalamin (vitamin B12) absorption and malabsorption. J Clin Gastroenterol 2:287–297
Toskes PP, Deren JJ (1973) Vitamin B12 absorption and malabsorption. Gastroenterology 65:662–683
Toskes PP, Hansell J, Cerda, Deren JJ (1971) Vitamin B12 malabsorption in chronic pancreatic insufficiency: studies suggesting the presence of a pancreatic “intrinsic factor”. N Engl J Med 284:627–632
Toskes PP, Deren JJ, Fruiterman J, Conrad M (1973) Specificity of the correction of vitamin B12 malabsorption by pancreatic extract and its clinical significance. Gastroenterology 65:199–204
Twomey JJ, Jordan PH, Jarrold T, Trubowitz S, Ritz ND, Conn HIO (1969) Syndrome of immunoglobulin deficiency and pernicious anaemia. Am J Med 46:340–350
Wangel AG, Callender ST (1965) The effect of gastrin I and II on the secretion of intrinsic factor. Br J Med 1:1409–1411
Wintrobe MW (1981) Megaloblastic and non-megaloblastic anaemias. In: Clinical hematology. Lea and Febiger, Philadelphia, pp 559–561
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Belaïche, J., Cattan, D. (1989). Cobalamin Absorption and Acquired Forms of Cobalamin Malabsorption. In: Cooper, B.A., Zittoun, J.A. (eds) Folates and Cobalamins. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-74364-1_5
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DOI: https://doi.org/10.1007/978-3-642-74364-1_5
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