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Clonality of cold agglutinins in patients with hemolytic anemia: An analysis by high‐resolution two‐dimensional gel electrophoresis

Clonality of cold agglutinins in patients with hemolytic anemia: An analysis by high‐resolution... High‐resolution two‐dimensional gel electrophoresis (2‐DGE) was used to analyse plasma samples and partially purified cold agglutinins (CA) obtained from two selected patients. Both presented an acute hemolytic anemia with CA of high thermal amplitude, normal immunoglobulin levels, no detectable paraproteinemia, and no clinical evidence of a malignant B‐cell disorder. The electrophoretograms of their plasma showed evident alterations of the “normal” protein profile, which were directly related to hemolysis (absence of the spots of haptoglobin and in one case of those of hemopexin), but no monoclonal gammopathy. The electrophoretograms of their purified CA revealed two clearly different spot patterns respectively corresponding to a monoclonal IgM and to polyclonal IgM. These results show that the clonality of CA associated with hemolytic anemia can be easily determined by 2‐DGE. This technique may be very useful to discriminate chronic cold agglutinin disease in the early phase from “parainfectious” CA. © 1992 Wiley‐Liss, Inc. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American Journal of Hematology Wiley

Clonality of cold agglutinins in patients with hemolytic anemia: An analysis by high‐resolution two‐dimensional gel electrophoresis

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References (26)

Publisher
Wiley
Copyright
Copyright © 1992 Wiley‐Liss, Inc., A Wiley Company
ISSN
0361-8609
eISSN
1096-8652
DOI
10.1002/ajh.2830400304
Publisher site
See Article on Publisher Site

Abstract

High‐resolution two‐dimensional gel electrophoresis (2‐DGE) was used to analyse plasma samples and partially purified cold agglutinins (CA) obtained from two selected patients. Both presented an acute hemolytic anemia with CA of high thermal amplitude, normal immunoglobulin levels, no detectable paraproteinemia, and no clinical evidence of a malignant B‐cell disorder. The electrophoretograms of their plasma showed evident alterations of the “normal” protein profile, which were directly related to hemolysis (absence of the spots of haptoglobin and in one case of those of hemopexin), but no monoclonal gammopathy. The electrophoretograms of their purified CA revealed two clearly different spot patterns respectively corresponding to a monoclonal IgM and to polyclonal IgM. These results show that the clonality of CA associated with hemolytic anemia can be easily determined by 2‐DGE. This technique may be very useful to discriminate chronic cold agglutinin disease in the early phase from “parainfectious” CA. © 1992 Wiley‐Liss, Inc.

Journal

American Journal of Hematology – Wiley

Published: Jul 1, 1992

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