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Original Article

Plural Immunoglobulin Synthesis in a Single Cell: An Ultrastructural Study of Two Cases with Three M-proteins

, , , , , , & show all
Pages 421-429 | Published online: 10 Jul 2009
 

Abstract

Electrophoresis revealed two cases of malignant lymphoma that each contained three M-proteins (IgMλ IgGk - IgGλ and IgMλ IgMk IgGic) in the sera. To determine cellular origin of each M-protein, atypical lymphoid and plasmacytoid cells of both cases were examined by electron microscopy. Atypical lymphoid and plasmacytoid cells possessed rough endoplasmic reticula (RERs) in varying degrees, as seen by conventional electron microscopy, and showed double-stainability for plural antibodies against immunoglobulins following double stainings of immunoelectron microscopy using immunogold staining. Rabbit antibodies against human IgM, IgG, free k-light chain and free λ-light chain were used for the immunoelectron microscopic staining. By the double staining method, plural immunoglobulins, IgM/IgG, IgM/free K, IgM/free λ, IgG/free K, IgG/free λ and free K/free λ, were simultaneously detected in varying degrees in the Golgi area, RERs, and dense bodies of lymphoid and plasmacytoid cells.

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