Immunochemical and ultrastructural study of multiple myeloma with a heavy chain protein in the serum.

Abstract:

:A patient with multiple myeloma had antigenically related monoclonal Fc-gamma fragments and complete IgG-kappa molecules in the serum. The urine contained only Fc-gamma fragments in the absence of Bence-Jones protein. The two distinct M-components in the serum showed electrophoretic identity but could be separated by chromatography. The simultaneous presence of complete monoclonal IgG molecules and Fc-gamma fragments, though difficult to detect, could be a frequent occurrence in multiple myeloma, and it could be defined as 'double paraproteinaemia'. A detailed ultrastructural study was performed in this case and showed fibril bundles being released from the malignant plasma cells; such fibrils could be the supramolecular organisation of the neosynthesised heavy chain fragments.

journal_name

J Clin Pathol

authors

Bartoloni C,Flamini G,Gentiloni N,Russo MA,Barone C,Gambassi G,Terranova T

doi

10.1136/jcp.33.10.936

subject

Has Abstract

pub_date

1980-10-01 00:00:00

pages

936-45

issue

10

eissn

0021-9746

issn

1472-4146

journal_volume

33

pub_type

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