Abstract |
Monoclonal IgM in type II mixed cryoglobulins (MC) preferentially use 51p1-related immunoglobulin VH genes. In normal preimmune B lymphocytes, 51p1-related gene expression is proportional to the germ-line gene dosage, which can be 0-4. To determine whether 51p1-related gene dosage influences the occurrence of type II MC or the VH gene bias in cryoglobulin IgM, we studied 47 patients chronically infected with hepatitis C virus (HCV), 24 MC+, 23 MC-. By Western analysis, 11 cryoprecipitate IgM (46%) were detected by G6 (a marker for 51p1-related gene products), eight (33%) by Staphylococcal Protein A (a VH3 family marker), and five (21%) by neither, indicating a 23-fold bias favouring 51p1-related genes. All 11 MC+, G6+ patients possessed > or = 1 copy of a 51p1-related gene; nine of the 36 others had none. The mean copy number of 51p1-related genes was greater in MC+ than MC- patients, and in MC+, G6+ patients versus the 36 others (P < 0.04), but significant differences were not seen in analyses restricted to patients with > or = 1 copy of a 51p1-related gene. We conclude that when a 51p1-related gene is present, a strong bias favours G6+ IgM in HCV-associated type II MC, but this bias is not greatly increased by a high dosage of 51p1-related genes. Furthermore, patients lacking 51p1-related genes also produce MC, but with G6- IgM.
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Authors | E H Sasso, P Ghillani, L Musset, J C Piette, P Cacoub |
Journal | Clinical and experimental immunology
(Clin Exp Immunol)
Vol. 123
Issue 1
Pg. 88-93
(Jan 2001)
ISSN: 0009-9104 [Print] England |
PMID | 11168003
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
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Chemical References |
- Cryoglobulins
- Genetic Markers
- Immunoglobulin Heavy Chains
- Immunoglobulin M
- Immunoglobulin Variable Region
- cryoglobulin M
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Topics |
- Adolescent
- Adult
- Aged
- Aged, 80 and over
- Cryoglobulins
(analysis, biosynthesis, genetics)
- Female
- Gene Dosage
- Genes, Immunoglobulin
- Genetic Markers
(immunology)
- Genotype
- Hepatitis C, Chronic
(genetics, immunology)
- Humans
- Immunoglobulin Heavy Chains
(biosynthesis, genetics)
- Immunoglobulin M
(analysis, biosynthesis, genetics)
- Immunoglobulin Variable Region
(biosynthesis, genetics)
- Male
- Middle Aged
- Phenotype
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