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Isolation of CD4+ T-cells and Analysis of Circulating T-follicular Helper (cTfh) Cell Subsets from Peripheral Blood Using 6-color Flow Cytometry
Published on: January 7, 2019
Elevated vitamin B₁₂ levels in autoimmune lymphoproliferative syndrome attributable to elevated haptocorrin in
Raffick A R Bowen1, Kennichi C Dowdell, Janet K Dale
1Department of Pathology, Stanford University School of Medicine, Stanford, CA 94305, USA. rbowen@stanfordmed.org
Objective:
Identify the etiology of elevated B(12) in autoimmune lymphoproliferative syndrome (ALPS).
Design:
Peripheral blood of ALPS patients with elevated B(12) and controls were evaluated.
Results:
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.
Conclusion:
Elevated concentrations of B(12) found in ALPS patients were due to increased lymphocyte expression of HC.
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