Alterations of peripheral blood B-lymphocyte populations in plasma cell disorders.

Abstract:

:Peripheral blood lymphocytes of patients with multiple myeloma, macroglobulinemia, and monoclonal gammopathy of uncertain significance were analyzed for B cells, and cells bearing kappa light chains and lambda light chains on their surfaces. Compared with controls, the number of B cells were decreased in all three groups. Contrary to other reports, the authors found a B-cell depression of similar magnitude in patients with untreated myeloma and in those with apparently benign monoclonal gammopathy. There was no difference between treated and untreated myeloma patients as a group, or as individuals studied before and after treatment. However, in comparison to control patients, alkylator therapy depressed the leukocyte count, lymphocyte count, and B-cell number both in the myeloma and in the macroglobulinemia groups. All five patients with previously untreated macroglobulinemia had an increased proportion of circulating lymphocytes with surface light chains of the same type as the M protein. Two patients with IgG myeloma-like disorders had increased circulating B cells with monoclonal surface light chains. This study supports the concepts that normal B cells are depressed in plasma cell disorders, and that abnormal B cells, which are apparently monoclonal, do circulate in some cases. Our results are compared with other published data.

journal_name

Cancer

journal_title

Cancer

authors

Dillman RO,Royston I,Meserve BL,Griffiths JC

doi

10.1002/1097-0142(19811115)48:10<2211::aid-cncr282

subject

Has Abstract

pub_date

1981-11-15 00:00:00

pages

2211-7

issue

10

eissn

0008-543X

issn

1097-0142

journal_volume

48

pub_type

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