Kövary P M, Kohn J, Intorp H W, Zimmermann R E
Immun Infekt. 1980;8(4):117-20.
Immunoelectrophoretic studies of patients' sera occasionally reveal a parallel splitting of the IgG precipitation line if the test is performed with polyvalent antihuman antiserum directed not only against the Fc-part of the IgG molecule. This phenomenon has been studied in a patient with discoid lupus erythematosus and another patient with lymphadenopathy of unknown origin. Apparently, this finding was not due to a monoclonal gammopathy: In the cellulose membrane electrophoresis no extragradient could be observed and assays with antisera directed against free and bound light chains showed a regular pattern. The splitting of the IgG precipitate is much rather caused by polyclonal IgG with a high proportion of slowly diffusing heterogenous IgG-x, as has been found in studies using the immunoelectrophoresis as well as the analytical ultracentrifuge. It was not due to Fab fragments.
如果使用不仅针对IgG分子Fc部分的多价抗人抗血清进行检测,对患者血清的免疫电泳研究偶尔会显示IgG沉淀线的平行分裂。在一名盘状红斑狼疮患者和另一名不明原因淋巴结病患者中对这一现象进行了研究。显然,这一发现并非由于单克隆丙种球蛋白病:在纤维素膜电泳中未观察到额外梯度,针对游离和结合轻链的抗血清检测显示出正常模式。IgG沉淀的分裂更可能是由含有高比例缓慢扩散的异质性IgG-x的多克隆IgG引起的,这在使用免疫电泳以及分析超速离心机的研究中已经发现。这不是由于Fab片段所致。