Nonsecretory myeloma: a study on hypoimmunoglobulinemia

Acta Haematol. 1988;80(3):153-8. doi: 10.1159/000205622.

Abstract

In evaluating hypoimmunoglobulinemia in a patient with nonsecretory myeloma, studies of in vitro immunoglobulin synthesis were performed during a 3-year period. Impaired polyclonal response to mitogen stimulation associated with excessive suppressor activity was demonstrable at diagnosis. Despite successful chemotherapy, serum immunoglobulin levels remained depressed with a persistent impairment in polyclonal immunoglobulin synthesis but without evidence for excessive suppression. In nonsecretory myeloma, as in secretory myeloma, a defective B-cell response to differentiation signals may be a contributory mechanism in the hypoimmunoglobulinemia seen in this disease.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Agammaglobulinemia / immunology*
  • Agammaglobulinemia / pathology
  • Bone Marrow / pathology
  • Bone Marrow / ultrastructure
  • Fluorescent Antibody Technique
  • Humans
  • Immunoglobulin G / biosynthesis
  • Immunoglobulin M / biosynthesis
  • Male
  • Middle Aged
  • Plasmacytoma / immunology*
  • Plasmacytoma / ultrastructure
  • T-Lymphocytes, Regulatory / immunology

Substances

  • Immunoglobulin G
  • Immunoglobulin M