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Immunoglobulin class switch from IgG to IgA in a patient with smoldering multiple myeloma

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.

Volume 67, Issue 6, pp. 1710-1713, 06/01/1986
Copyright © 1986 by The American Society of Hematology


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Proc. Natl. Acad. Sci. USAHome page
P. L. Bergsagel, M. Chesi, E. Nardini, L. A. Brents, S. L. Kirby, and W. M. Kuehl
Promiscuous translocations into immunoglobulin heavy chain switch regions in multiple myeloma
PNAS, November 26, 1996; 93(24): 13931 - 13936.
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  Copyright © 1986 by American Society of Hematology         Online ISSN: 1528-0020