Abstract

Identify the etiology of elevated B(12) in autoimmune lymphoproliferative syndrome (ALPS). Peripheral blood of ALPS patients with elevated B(12) and controls were evaluated. Total and holo-haptocorrin (HC) levels were 26- and 23-fold higher in ALPS patients, respectively. No abnormal B(12)-binding proteins were found. Western blot revealed HC in lymphocyte lysates only from ALPS patients. Elevated concentrations of B(12) found in ALPS patients were due to increased lymphocyte expression of HC.

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