We have recently shown that antibodies to transcobalamin II (TCII) inh
ibit the in vitro growth of human and murine leukemic cells. This anti
proliferative strategy targets the uptake of cobalamin (cbl), an essen
tial cofactor for two biochemical reactions in humans. To date there h
as been no appropriate cell culture model available to study antagonis
m of cbl as a potential antiproliferative strategy. We have establishe
d cell culture conditions which allow reproducible measurements of cel
l proliferation that is dependent on cbl and its carrier protein, TCII
. This bioassay has allowed us to demonstrate that several monoclonal
antibodies, raised against TCII, are potent inhibitors of cell prolife
ration and that excess cbl abrogates this inhibitory effect. Thus, sup
porting our hypothesis that interference with cbl uptake or metabolism
will result in inhibition of cell proliferation. Furthermore, cbl met
abolism appears to provide a useful target for antiproliferative strat
egies which now involve the use of inactive cbl analogs. In this revie
w, we update our work on the role of targeting TCII and cbl as an anti
proliferative strategy for leukemic cells. We suggest that this strate
gy may provide a novel direction for anti cancer reagents.