Munzarová M, Bílek O, Kubíková-Kourilová A
Neoplasma. 1979;26(1):103-7.
Intention of this study was to prove or exclude in patients with different neoplasms some M components which can escape routine electrophoretic analysis or immunoelectrophoretic analysis with polyvalent antiserum. All serum samples from 606 patients were investigated also with monospecific antisera against heavy chains--alpha, gamma, mu and delta--and in suspicion of abnormality also with antisera against light chains. Patterns similar to those found in cases of heavy chain diseases were absent in all patients. M components of IgD class were not found, as well. As to M components of usual types a relatively high incidence was found in lymphoproliferative malignancies excluded myelomas or Waldenstroöm's macroglobulinemias (5.61% in adults and 2.32% in children). On the basis of results the importance of immunoelectrophoretical analysis with monospecific antisera in all these cases is pointed out; not only in attempt to discover additional subjects of heavy chain diseases but also to detect mild "macroglobulinemic" abnormalities which may not be so far detected on electrophoretical pattern.
本研究的目的是在患有不同肿瘤的患者中证实或排除某些可能逃避常规电泳分析或使用多价抗血清的免疫电泳分析的M成分。对606例患者的所有血清样本也使用了针对重链——α、γ、μ和δ——的单特异性抗血清进行检测,在怀疑有异常的情况下还使用了针对轻链的抗血清。所有患者中均未发现与重链病病例中相似的模式。也未发现IgD类的M成分。至于常见类型的M成分,在排除骨髓瘤或华氏巨球蛋白血症的淋巴增生性恶性肿瘤中发现了相对较高的发生率(成人中为5.61%,儿童中为2.32%)。根据结果指出了在所有这些病例中使用单特异性抗血清进行免疫电泳分析的重要性;不仅是为了试图发现重链病的其他病例,也是为了检测可能尚未在电泳图谱上检测到的轻度“巨球蛋白血症”异常。