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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