Granulocytes are rich in vitamin B12-binding protein resembling serum alpha-globulin binder. Lymphocytes and erythrocytes contain lesser amounts of the protein, but monocytes have not heretofore been studied. Characterization of our patient’s monocytic B12 binder by gel filtration, radioautography, immunologic studies, and mediation of reticulocyte uptake of vitamin B12 showed it was identical to granulocytic binder. Monocytic B12-binding was low, but, due to the monocytosis in the subject, monocytes accounted for more total binding than did her granulocytes. The serum had markedly elevated B12-binding capacity. However, the elevation was of beta-globulin primarily. The reason for this remains unclear. In vitro incubation of cellular extract with serum did not alter the characteristics of the cellular B12-binding protein.

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