Following the discovery by Warburg that tumor cells have quantitative and qualitative differences from those of normal tissues with regard to their carbohydrate metabolism, many investigators have demonstrated that the method of glycolysis was most satisfactory for the study of the metabolism of the blood cells. Maclean and Weir (1) pointed out the role played by the different blood elements in glycolysis, and showed that the erythrocytes were a vital factor in the sugar consumption of normal blood. Inasmuch as the red blood cells play an important part in the glycolytic activity of normal blood, and since pernicious anemia is a disease primarily involving the red cells (both number and type), a study of the glycolysis of the blood in this malady has been undertaken for further investigation of the metabolism of the red cells.
METHODSBlood sugar determinations were made from the blood of nine patients with pernicious anemia before treatment and at the height of the reticulocyte response, following ventriculin therapy. Red cell, white cell and reticulocyte counts were made on corresponding days.The blood sugar values were calculated according to the micro-method of Folin and Wu (2). All the estimations were made from blood samples obtained before breakfast at 8 A.M. The usual procedure was to withdraw 10 to 15 cc. of blood from the arm vein under sterile precautions, no tourniquet being used in order to avoid stasis. The blood was discharged into a large test tube, mixed with heparin, and kept in a warm room at a temperature of 370 C. Heparin was used as an anti-coagulant as it was shown by Falcon-Lesses (3) to have no appreciable effect on the rate of glycolysis.The blood sugar content was determined immediately after the removal of the specimen from the patient, and then at hourly intervals for 5 hours to estimate the glycolytic activity. The red blood cell and white blood cell counts were made with U. S. Bureau of Standards pipettes and Neubauer-Levy counting chambers. Reticulocyte estimations were made from brilliant cresyl-blue film preparations. 583