Human myeloma cell line (KHM-4) established from a patient with multiple myeloma associated with hyperammonemia

Intern Med. 1992 Mar;31(3):339-43. doi: 10.2169/internalmedicine.31.339.

Abstract

A cell line of plasma cells with high ammonia (NH3) production (KHM-4) was established from a patient with multiple myeloma complicated by hyperammonemia and abnormal serum concentrations of amino acids. Surface marker studies of KHM-4 cells showed that the cells were positive for cytoplasmic immunoglobulins (IgA kappa), HLA-DR, and T 10. Secretion of ammonia by the KHM-4 cells was detected by the addition of L-glutamine and L-arginine into the culture medium of amino acid-free RPMI 1640. In the presence of L-glutamine, KHM-4 cells secreted a greater amount of ammonia than the T cell line, CEM. However, production of ammonia by L-arginine was not observed in other cell lines. These observations provide evidence for the existence of a peculiar amino acid metabolism in the myeloma cells causing hyperammonemia and serum amino acid disturbance.

Publication types

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

MeSH terms

  • Ammonia / blood
  • Ammonia / metabolism*
  • Arginine / metabolism
  • Cell Line
  • Female
  • Glutamine / metabolism
  • Humans
  • Immunoglobulin A / metabolism
  • Immunoglobulin kappa-Chains / metabolism
  • Middle Aged
  • Multiple Myeloma / immunology
  • Multiple Myeloma / metabolism*
  • Multiple Myeloma / pathology*
  • Tumor Cells, Cultured / immunology
  • Tumor Cells, Cultured / metabolism
  • Tumor Cells, Cultured / pathology

Substances

  • Immunoglobulin A
  • Immunoglobulin kappa-Chains
  • Glutamine
  • Ammonia
  • Arginine