Abstract:
:High-resolution two-dimensional gel electrophoresis (2-DGE) was used to analyse plasma samples and partially purified cold agglutinins (CA) obtained from two selected patients. Both presented an acute hemolytic anemia with CA of high thermal amplitude, normal immunoglobulin levels, no detectable paraproteinemia, and no clinical evidence of a malignant B-cell disorder. The electrophoretograms of their plasma showed evident alternations of the "normal" protein profile, which were directly related to hemolysis (absence of the spots of haptoglobin and in one case of those of hemopexin), but no monoclonal gammopathy. The electrophoretograms of their purified CA revealed two clearly different spot patterns respectively corresponding to a monoclonal IgM and to polyclonal IgM. These results show that the clonality of CA associated with hemolytic anemia can be easily determined by 2-DGE. This technique may be very useful to discriminate chronic cold agglutinin disease in the early phase from "parainfectious" CA.
journal_name
Am J Hematoljournal_title
American journal of hematologyauthors
Tissot JD,Clément F,Schifferli JA,Frei PC,Hochstrasser DF,Schneider Pdoi
10.1002/ajh.2830400304keywords:
subject
Has Abstractpub_date
1992-07-01 00:00:00pages
171-5issue
3eissn
0361-8609issn
1096-8652journal_volume
40pub_type
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journal_title:American journal of hematology
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pub_type: 杂志文章
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pub_type: 杂志文章,随机对照试验
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