The cobalamin-binding proteins transcobalamin and haptocorrin in maternal and cord blood sera at birth
The cobalamin-binding proteins transcobalamin and haptocorrin in maternal and cord blood sera at birth
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DOI:
10.1373/clinchem.2005.057810
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发表时间:
2006-02-01
影响因子:
9.3
通讯作者:
Herrmann, W
中科院分区:
文献类型:
--
作者:
Obeid, R;Morkbak, AL;Herrmann, W
Background: Two proteins carry vitamin B-12 in plasma. Transcobalamin (TC) carries similar to 25% of total plasma vitamin B,, and is 6% to 20% saturated with cobalamin. Haptocorrin (HC) binds similar to 80% of total cobalamin and is largely saturated with cobalamin.Methods: We investigated the distribution and the relationship between concentrations of cobalamin, total and holo forms of TC, and HC in blood samples from pregnant women just before delivery (n = 92) and in cord blood samples from their newborn babies. We also investigated the relationship between these proteins and concentrations of methylmalonic acid (MMA), the functional marker of vitamin B-12 status.Results: Concentrations of total serum cobalamin, total HC, holoHC, and percentage of HC saturation were higher in cord blood than in the maternal blood (mean cobalamin, 268 vs 188 pmol/L; total HC, 648 vs 538 pmol/L; holoHC, 441 vs 237 pmol/L; HC saturation, 70% vs 47%). Moreover, total TC was low in cord blood, whereas both holoTC and TC saturation were higher in cord blood than in the maternal blood (mean total TC, 654 vs 1002 pmol/L; holoTC, 118 vs 53 pmol/L; TC saturation, 19.8% vs 5.4%). Higher maternal serum cobalamin was associated with higher cord blood holoTC and TC saturation (P < 0.05). Gestational age was also a significant determinant of baby total TC, TC saturation, total HC, and holoHC.Conclusion: The close correlation between the amounts of holoTC present in cord blood and in maternal serum supports the importance of maternal cobalamin status for ensuring a sufficient supply to the baby. (c) 2006 American Association for Clinical Chemistry