Absorption of food cobalamins assessed by the double-isotope method in healthy volunteers and in patients with chronic diarrhoea

Scand J Gastroenterol. 1985 May;20(4):500-7. doi: 10.3109/00365528509089687.

Abstract

To make a food preparation containing radioactively labelled cobalamins, rabbits were given repeated injections with 57Co-labelled cyanocobalamin. The liver was removed, homogenized, and fried for 1 min or boiled for 30 min. Of the radioactivity in the fried homogenate 41.7% was recovered in the centrifuged supernatant compared with 50.8% in the boiled homogenate. The radioactivity in the supernatants had a molecular size close to that of free 57Co-labelled cyanocobalamin. Forty-two per cent of the radioactivity in the whole homogenate had been incorporated into 5-deoxyadenosyl-, 10% into methyl-, and 16.5% into hydroxy-cobalamin. To assess the validity of a double-isotope method for measuring the intestinal absorption of doses of the 57Co-labelled liver cobalamins, 51CrCl3 was used as a non-absorbable marker. In 14 healthy volunteers the correlation coefficient between the absorption measured by the double-isotope technique and the faecal excretion test was highly significant (r = 0.96, p less than 0.005), and there was only a small variation in the 57Co/51Cr ratio in successive stool collections. In 11 patients with chronic diarrhoea there was a significant correlation between the absorption measured by the double-isotope technique and the faecal excretion test (r = 0.92, p less than 0.005), but in some patients there was considerable variation in the 57Co/51Cr ratio in successive stool collections.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Animals
  • Chromatography, Gel
  • Chronic Disease
  • Cobalt Radioisotopes*
  • Diagnosis, Differential
  • Diarrhea / diagnosis
  • Diarrhea / metabolism*
  • Food
  • Humans
  • Intestinal Absorption*
  • Intrinsic Factor / metabolism
  • Liver / metabolism
  • Middle Aged
  • Molecular Weight
  • Rabbits
  • Transcobalamins / metabolism
  • Vitamin B 12 / administration & dosage
  • Vitamin B 12 / metabolism*

Substances

  • Cobalt Radioisotopes
  • Transcobalamins
  • Intrinsic Factor
  • Vitamin B 12