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By F.J. Dixon, Henry G. Kunkel (Eds.)

ISBN-10: 012022416X

ISBN-13: 9780120224166

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1971) van Loghem and Natvig (1970) Natvig and Kunkel (1969); Natvig et al. (1971) Kunkel et al. , 1973). The homozygous state has as yet not been encountered. However, this gene is implicated in some cases of immune deficiencies, where it appears to interact with other abnormal genes to produce disease. , 1970). There are also a number of genes in the population where one genetic type of immunoglobulin is produced at a lower level. , 1970). In the authors’ laboratory we 26 J. B. NATVIG AND H. G .

The only clear exception to this rule is in the case of the heavychain disease syndromes; this point will be discussed in detail in a later section. In all other instances, analogous proteins have been found in the normal pool of the imniunoglobulins. In addition, it has been established that the incidence of a given type of myeloma protein matches very 36 J. B. NATVIG AND H. G . KUNKEL closely the percentage level of this protein in the immunoglobulin pool. This was first established for K and h proteins and has subsequently been found to be true for the heavy-chain classes and the genetic markers (Kunkel, 1968).

Thirty-five such cases have been followed at the Rockefeller Hospital for more than 5 years, and in no instance has serious disease ensued. One individual has been followed for 13 years and more than fifty serum samples have been analyzed. The monoclonal band has remained at exactly the same level over this entire period. Figure 10 shows the earliest and the latest electrophoretic run in the cellulose acetate system on the serum of this individual. In this case the band was of the IgG h type and was associated with considerable suppression of the other immunoglobulins.

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Advances in Immunology, Vol. 16 by F.J. Dixon, Henry G. Kunkel (Eds.)

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