Haematologica
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Haematologica, Vol 91, Issue 3, 394-396
Copyright © 2006 by Ferrata Storti Foundation


Comparative Study

Hyperhomocysteinemia and functional cobalamin deficiency due to granulocytosis-induced alterations in the cobalamin-binding protein

LT Vlasveld, GM Bos, AA Ermens, JA Bakker, and J Lindemans

Department of Internal Medicine, Bronovo Hospital, Bronovolaan 5, 2597, AX The Hague, The Netherlands. tomvlasveld@hotmail.com

Serum cobalamin and homocysteine levels were studied in patients with chronic myelogenous leukemia (CML) and in stem cell donors treated with granulocyte-colony stimulating factor (G-CSF). Cytoreductive treatment in patients with CML resulted in a decrease of cobalamin and homocysteine levels. In stem cell donors cobalamin and homocysteine levels increased after G-CSF administration. The increase of homocysteine level was accompanied by a decrease in the serum levels of the cobalamin-binding protein transcobalamin. We hypothesize that the increased homocysteine levels in patients with CML and donors treated with G-CSF may be the result of a functional methylcobalamin deficiency due to decreased transcobalamin levels.





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