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M Takahashi, T Tsukada, M Kojima, T Koide, T Koike, H Takahashi, C Sakai, M Kashimura and A Shibata
Serum of a 67-year-old male patient with smoldering multiple myeloma was
shown to contain two monoclonal immunoglobulins, IgG and IgA. For the
initial seven months, monoclonal IgG was predominantly elevated. During the
next one year and eight months, however, serum concentration of the
monoclonal IgA increased, with a concomitant decrease of IgG. N- terminal
amino acid sequences of heavy and light chains separated from monoclonal
IgG and IgA were analyzed. Both light chains were lambda- type and showed
identical amino acid sequences of variable regions. The heavy chains also
had the same N-terminal amino acid sequence between IgG and IgA. These
results strongly suggest that two monoclonal proteins, IgG and IgA, in this
patient were produced by B lymphocytes within a clone and that class switch
from IgG to IgA in immunoglobulin production during B cell differentiation
has taken place in the clinical course of this case.
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| Copyright © 1986 by American Society of Hematology Online ISSN: 1528-0020 | |||||||||