Heller P
Ann Clin Lab Sci. 1978 May-Jun;8(3):254-7.
One important factor in the production of the immunologic deficiency in myeloma appears to be the alteration of the surface immunoglobulin by a macromolecular, RNA containing factor released by the tumor. In contrast, the cells of chronic lymphocytic leukemia are not influenced by factors outside the cell and their lack of immunologic reactivity is due to an intrinsic defect. These characteristics may be occasionally important in differential-diagnostic considerations.
骨髓瘤中产生免疫缺陷的一个重要因素似乎是肿瘤释放的一种含RNA的大分子因子对表面免疫球蛋白的改变。相比之下,慢性淋巴细胞白血病细胞不受细胞外因子的影响,其免疫反应性缺乏是由于内在缺陷。这些特征在鉴别诊断时偶尔可能很重要。