detection of high molecular weight igg fibronectin complexes in various types of acute myeloid...
DESCRIPTION
Debkumar Ray, Debashis Roy Burman, Indranil Dhar, Soumik Ghosh, Debabrata Nandy. Detection of high molecular weight IgG fibronectin complexes in various types of Acute Myeloid Leukemia - A study in third world country. IAIM, 2015; 2(3): 119-125.TRANSCRIPT
-
IgG fibronectin complexes in various types of Acute Myeloid Leukemia
International Archives of Integrated Medicine, Vol.
Copy right 2015, IAIM, All Rights Reserved.
Original Research Article
Detection of high molecular weight IgG
fibronectin complexes in various types of
Acute Myeloid Leukemia
Debkumar Ray1*
, Debashis Roy Burman
Ghosh1Associate Professor, Department of Biochemistry, Burdwan Medical College, West Bengal, India
2Associate Professor, Department of Oncopathology, Medical College, Kolkata, India
3Assistant Professor, Department of Laboratory Medicine, School of Tropical Medi
4RMO cum Clinical Tutor, Regional Cancer Centre, Medical College, Kolkata, India
5Associate Professor, Department of Radiology, Midnapur Medical College, West Bengal, India
*Corresponding author email:
How to cite this article: Debkumar R
Debabrata Nandy. Detection of high molecular weight IgG fibronectin complexes in various types of
Acute Myeloid Leukemia - A study in third world country
Available online at
Received on: 04-01-2015
Abstract
To detect presence of high molecular weight com
with Acute Myeloid Leukemia was examined by polyethylene glycol (PEG) precipitation, analytical
ultracentrifugation, and immunoaffinity chromatograph
circulating high molecular weight
exclusion chromatography to contain IgG in a high molecular weight form. Exa
immunoaffinity chromatography supported evidence for complex formation between IgG and
fibronectin and further showed that abnormal high molecular weight IgG complexes are a
prominent feature of Acute Myeloid Leukemia
Key words
Acute Myeloid Leukemia, Immune complexes, Fibro
Introduction
It is established that serum of patients with
primary myelofibrosis yields positive results in a
IgG fibronectin complexes in various types of Acute Myeloid Leukemia
International Archives of Integrated Medicine, Vol. 2, Issue 3, March, 2015.
, IAIM, All Rights Reserved.
Detection of high molecular weight IgG
fibronectin complexes in various types of
Acute Myeloid Leukemia - A study in third
world country
, Debashis Roy Burman2, Indranil Dhar
Ghosh4, Debabrata Nandy
5
Associate Professor, Department of Biochemistry, Burdwan Medical College, West Bengal, India
Associate Professor, Department of Oncopathology, Medical College, Kolkata, India
Assistant Professor, Department of Laboratory Medicine, School of Tropical Medi
RMO cum Clinical Tutor, Regional Cancer Centre, Medical College, Kolkata, India
Associate Professor, Department of Radiology, Midnapur Medical College, West Bengal, India
*Corresponding author email: [email protected]
Debkumar Ray, Debashis Roy Burman, Indranil Dhar, Soumik
Detection of high molecular weight IgG fibronectin complexes in various types of
A study in third world country. IAIM, 2015; 2(3): 119-125.
Available online at www.iaimjournal.com
Accepted on:
To detect presence of high molecular weight complexes of IgG and fibronectin, plasma of patients
with Acute Myeloid Leukemia was examined by polyethylene glycol (PEG) precipitation, analytical
ultracentrifugation, and immunoaffinity chromatography. Ultracentrifugation identified a
circulating high molecular weight IgG in all patients. This was precipitated by PEG and was shown by
exclusion chromatography to contain IgG in a high molecular weight form. Exam
ty chromatography supported evidence for complex formation between IgG and
fibronectin and further showed that abnormal high molecular weight IgG complexes are a
ature of Acute Myeloid Leukemia and implicate IgG fibronectin complex formation.
Immune complexes, Fibronectin.
serum of patients with
primary myelofibrosis yields positive results in a
variety of assays of immune complexes
4]. Positivity for rheumatoid factor and
nuclear antibody (ANA) is well docume
ISSN: 2394-0026 (P)
ISSN: 2394-0034 (O)
Page 119
Detection of high molecular weight IgG
fibronectin complexes in various types of
A study in third
, Indranil Dhar3, Soumik
Associate Professor, Department of Biochemistry, Burdwan Medical College, West Bengal, India
Associate Professor, Department of Oncopathology, Medical College, Kolkata, India
Assistant Professor, Department of Laboratory Medicine, School of Tropical Medicine, Kolkata, India
RMO cum Clinical Tutor, Regional Cancer Centre, Medical College, Kolkata, India
Associate Professor, Department of Radiology, Midnapur Medical College, West Bengal, India
oy Burman, Indranil Dhar, Soumik Ghosh,
Detection of high molecular weight IgG fibronectin complexes in various types of
125.
Accepted on: 10-03-2015
plexes of IgG and fibronectin, plasma of patients
with Acute Myeloid Leukemia was examined by polyethylene glycol (PEG) precipitation, analytical
trifugation identified abnormal
This was precipitated by PEG and was shown by
mination of plasma by
ty chromatography supported evidence for complex formation between IgG and
fibronectin and further showed that abnormal high molecular weight IgG complexes are a
ectin complex formation.
variety of assays of immune complexes [1, 2, 3,
. Positivity for rheumatoid factor and anti-
) is well documented in
-
IgG fibronectin complexes in various types of Acute Myeloid Leukemia
International Archives of Integrated Medicine, Vol.
Copy right 2015, IAIM, All Rights Reserved.
Myeloproliferative disorders (MPD
Myeloid Leukemia (AML).
composition of any high molecular weight
antigen-antibody complexes is yet
defined, these findings have been attributed to
the presence of high concentrations of
circulating immune complexes.
Increased concentrations of polyethylene glycol
precipitable IgG (PEG IgG) are suggestive of
circulating high molecular weight forms of IgG in
patients with primary myelofibrosis, and their
demonstration in Myeloproliferative disorders
indicates a common underlying patho
[5]. A negative correlation between plasma
concentrations of PEG IgG and fibro
the high PEG precipitability of native plasma
fibronectin compared with purified protein,
suggests that some fibronectin may exist as a
high molecular weight complex with IgG in the
plasma of these patients [5]. The purpose of this
study was to establish the presence of high
molecular weight complexes in the
patients with Acute Myeloid Leukemia and to
determine if these consist of complexed IgG and
fibronectin.
Material and methods
Five patients with Acute Myeloid Leukemia of
different French-American-British (
subtypes as per Table - 1 and five healthy
controls were investigated. The five patients
were selected from a larger group of patients
when they attended Oncology OPD (
Department) of Medical College, Kolkata on the
basis that none had received chemotherapy or
transfusion of blood products in the three
months preceding the study. Plasma of such
patients was evaluated in School of Tropical
Medicine, Kolkata from January
2012.
Polyethylene glycol (PEG) precipitation
Proteins were precipitated from plasma anti
IgG fibronectin complexes in various types of Acute Myeloid Leukemia
International Archives of Integrated Medicine, Vol. 2, Issue 3, March, 2015.
, IAIM, All Rights Reserved.
MPD) and Acute
Though the
composition of any high molecular weight
antibody complexes is yet to be fully
ings have been attributed to
the presence of high concentrations of
trations of polyethylene glycol
precipitable IgG (PEG IgG) are suggestive of
ght forms of IgG in
patients with primary myelofibrosis, and their
stration in Myeloproliferative disorders
indicates a common underlying pathophysiology
. A negative correlation between plasma
concentrations of PEG IgG and fibronectin, and
high PEG precipitability of native plasma
fibronectin compared with purified protein,
nectin may exist as a
high molecular weight complex with IgG in the
. The purpose of this
presence of high
molecular weight complexes in the plasma of
yeloid Leukemia and to
determine if these consist of complexed IgG and
Five patients with Acute Myeloid Leukemia of
British (FAB)
and five healthy
controls were investigated. The five patients
were selected from a larger group of patients
OPD (Out Patient
of Medical College, Kolkata on the
basis that none had received chemotherapy or
fusion of blood products in the three
months preceding the study. Plasma of such
patients was evaluated in School of Tropical
January, 2012 to May,
precipitation
Proteins were precipitated from plasma anti-
coagulated with Ethylenediaminetetraacetic
acid (EDTA) by 2% PEG (molecular weight 6000)
at 4C. The precipitate was washed in 2% PEG,
resuspended in saline, and the precipitated IgG
quantitated by radial immunodiffusion.
Immunoprecipitation of PEG precipitated IgG
was determined from a plot of immuno
precipitated reference standard IgG
concentrations. Thus values should be regarded
as mg equivalents because enhanced
immunoprecipitation of macromole
complexed proteins leads to underestimation
when concentrations are calculated from a
standard plot derived from
immunoprecipitation of low molecular weight
native proteins.
Table - 1: Demography and FAB s
cases.
FAB
subtype
Age
Case 1 M 5a 26
Case 2 M 5b 34
Case 3 M 3 46
Case 4 M 2 49
Case 5 M 6 56
Exclusion chromatography
A gel column of sepharose 4B was equilibrated
with 50 mM TRIS-HC1 (pH7
with proteins of known molecular weight.
Protein elution was recorded by ultraviolet
absorption at 280 nm. Samples were
centrifuged at 1000 x g for 10 minutes, filtered
through a 2 pm filter to remove any particular
debris, and applied to the gel in filtered,
deaerated TRIS-HC1 buffer.
were analyzed for individual proteins by radial
immunodiffusion in gels containing appropriate
antisera.
Analytical ultracentrifugation
Samples were centrifuged at 100 000
in an MSE Centriscan 75 analytical
ISSN: 2394-0026 (P)
ISSN: 2394-0034 (O)
Page 120
Ethylenediaminetetraacetic
by 2% PEG (molecular weight 6000)
at 4C. The precipitate was washed in 2% PEG,
resuspended in saline, and the precipitated IgG
radial immunodiffusion.
Immunoprecipitation of PEG precipitated IgG
termined from a plot of immuno-
precipitated reference standard IgG
tions. Thus values should be regarded
valents because enhanced
precipitation of macromolecules or
complexed proteins leads to underestimation
centrations are calculated from a
standard plot derived from
immunoprecipitation of low molecular weight
Demography and FAB subtype of study
Age (Years) Sex
Male
Female
Male
Male
Female
A gel column of sepharose 4B was equilibrated
HC1 (pH7-5) and calibrated
with proteins of known molecular weight.
Protein elution was recorded by ultraviolet
absorption at 280 nm. Samples were
for 10 minutes, filtered
filter to remove any particular
and applied to the gel in filtered,
HC1 buffer. The eluted fractions
ed for individual proteins by radial
containing appropriate
Analytical ultracentrifugation
Samples were centrifuged at 100 000 x g at 20C
in an MSE Centriscan 75 analytical
-
IgG fibronectin complexes in various types of Acute Myeloid Leukemia
International Archives of Integrated Medicine, Vol.
Copy right 2015, IAIM, All Rights Reserved.
ultracentrifuge. The analytical cells were scan
ned at four minute intervals against a phos
buffered saline reference solution and
sedimentation was observed by Schlie
Sedimentation coefficients were cal
a minimum of three sedimentation distances per
sample.
Affinity chromatography
Affinity gels were prepared according to the
method of Axen, et al. [6]. Cyanogen bromide
activated sepharose 4B was coupled to sub
strate and uncoupled protein removed by
washing in carbonate buffer. Any remaining
active groups were blocked with molar
ethanolamine (pH90). The gel was then
repeatedly washed in alternating carbonate
buffer and 01 M acetate buffer and s
4C in 1 % azide. Before use gels were packed
into polypropylene columns and equilibrated
with 50 mM TRIS-HC1. Loading and elution of
gels was performed at a constant flow rate and
protein elution monitored by ultraviolet
absorption at 280 nm. Individual proteins were
identified and quantitated by rocket immuno
electrophoresis using precipitating antibodies.
Affinity gels were prepared with gelatin,
arginine, and sheep anti-human fibronectin. A
fibronectin coupled sepharose gel was made
from fresh human plasma fibronectin, prepared
with the gelatin and arginine gels according to
the method of Vuento and Vaheri
Results
Analysis of PEG precipitates by exclusion
chromatography
Fresh PEG precipitates were fractionated by
exclusion chromatography and the IgG content
of each fraction was measured to determine
the molecular weight profil
precipitated IgG. From case 4 is compared with
fractionation of an untreated solution of
IgG fibronectin complexes in various types of Acute Myeloid Leukemia
International Archives of Integrated Medicine, Vol. 2, Issue 3, March, 2015.
, IAIM, All Rights Reserved.
ultracentrifuge. The analytical cells were scan-
ned at four minute intervals against a phosphate
buffered saline reference solution and
sedimentation was observed by Schlieren optics.
mentation coefficients were calculated from
tion distances per
Affinity gels were prepared according to the
Cyanogen bromide
as coupled to sub-
strate and uncoupled protein removed by
washing in carbonate buffer. Any remaining
active groups were blocked with molar
ethanolamine (pH90). The gel was then
repeatedly washed in alternating carbonate
buffer and 01 M acetate buffer and stored at
4C in 1 % azide. Before use gels were packed
into polypropylene columns and equilibrated
HC1. Loading and elution of
gels was performed at a constant flow rate and
protein elution monitored by ultraviolet
ividual proteins were
identified and quantitated by rocket immuno-
electrophoresis using precipitating antibodies.
Affinity gels were prepared with gelatin,
human fibronectin. A
fibronectin coupled sepharose gel was made
human plasma fibronectin, prepared
with the gelatin and arginine gels according to
the method of Vuento and Vaheri [7].
nalysis of PEG precipitates by exclusion
Fresh PEG precipitates were fractionated by
and the IgG content
of each fraction was measured to determine
the molecular weight profile of PEG
4 is compared with
ated solution of
polyvalent IgG. Compared with fractionation of
the solution of IgG, which showed a single peak
of molecular weight 150 kD, the PEG
precipitated IgG from case 4 contained a broad
high molecular weight band up to 1000 kD.
Similar results were found on studying the PEG
precipitates of the other patients, and to a
lesser extent in two of the normal controls,
though less material was precipitated.
Fractionation of a PEG precipitate of the IgG
solution (BPL) showed minimal PEG
precipitation of IgG (01%) with no high
molecular weight component.
Analytical ultracentrifugation of
untreated plasma
Ultracentrifugation of untreated fresh plasma
from the five patients showed multiple peaks of
high molecular weight material ranging from 8S
to 21S (sedimentation coefficient in plasma).
Ultracentrifugation of plasma from five norm
controls did not show any high molecular
weight components in four subjects and only a
single 9S peak in one.
The plasma of case 3, which contained three
high molecular weight peaks of 14S, 15S, and >
15S was PEG precipitated and the prec
and the supernate analyz
ultracentrifugation. The PEG precipitate con
tained three high molecular weight peaks (15S,
18S, and 33S, sedimentation coefficients in
saline), while the supernatant plasma contained
no high molecular weight material. Sedimenta
tion coefficients in plasma and saline are not
comparable as the higher viscosity of
results in a reduced sedimentation velocity and
hence a lower sedimentation coefficient
Table - 2.
Analysis of PEG precipitates and fresh
untreated plasma by affinity
chromatography
ISSN: 2394-0026 (P)
ISSN: 2394-0034 (O)
Page 121
. Compared with fractionation of
which showed a single peak
of molecular weight 150 kD, the PEG
precipitated IgG from case 4 contained a broad
high molecular weight band up to 1000 kD.
Similar results were found on studying the PEG
precipitates of the other patients, and to a
nt in two of the normal controls,
though less material was precipitated.
Fractionation of a PEG precipitate of the IgG
solution (BPL) showed minimal PEG
precipitation of IgG (01%) with no high
molecular weight component.
Analytical ultracentrifugation of fresh
Ultracentrifugation of untreated fresh plasma
from the five patients showed multiple peaks of
high molecular weight material ranging from 8S
to 21S (sedimentation coefficient in plasma).
Ultracentrifugation of plasma from five normal
controls did not show any high molecular
weight components in four subjects and only a
The plasma of case 3, which contained three
high molecular weight peaks of 14S, 15S, and >
15S was PEG precipitated and the precipitate
e supernate analyzed by
ultracentrifugation. The PEG precipitate con-
tained three high molecular weight peaks (15S,
18S, and 33S, sedimentation coefficients in
saline), while the supernatant plasma contained
no high molecular weight material. Sedimenta-
n coefficients in plasma and saline are not
comparable as the higher viscosity of plasma
results in a reduced sedimentation velocity and
hence a lower sedimentation coefficient as per
nalysis of PEG precipitates and fresh
untreated plasma by affinity
-
IgG fibronectin complexes in various types of Acute Myeloid Leukemia
International Archives of Integrated Medicine, Vol.
Copy right 2015, IAIM, All Rights Reserved.
A fibronectin coupled sepharose gel was
prepared and used to affinity purify a polyvalent
sheep anti-human fibronectin anti
resultant purified antibody was itself
activated sepharose for use as a fibronectin
immunoaffinity gel. About half of the purified
fibronectin was retained by this gel and was
eluted with 0-5 molar glycine (pH
was saturable with fibronectin and therefore the
percentage of fibronectin retained decreased
when the initial load was in excess. IgG loaded
on to the gel appeared in the breakthrough with
no elution of IgG during subsequent treatment
of the gel with glycine. Thus the gel was specific
for fibronectin and had no affinity for IgG
Table - 3.
PEG precipitate from two patients was pas
through an uncoupled sepharose gel column to
exclude non-specific adsorption of IgG by
sepharose, and the eluate was loaded on to the
anti-fibronectin antibody immunoaffin
Elution of the column with 0-
yielded demonstrable amounts of IgG in
addition to fibronectin. The column also
retained small quantities of IgG from the PEG
precipitate of a normal control subject. To
determine if the column retained an
untreated plasma, fresh plasma samples from a
patient and a control were applied to the anti
fibronectin antibody column. IgG was retained
from both plasmas but in greater a
the patient plasma as per Table
The plasma of case 5 was examined before and
after plasmapheresis. The disappearance of a
20S component from the plasma was associated
with a reduction in PEG IgG from 477 mg/l to
338 mg/l as per Table - 2.
Discussion
In patients with Acute Myeloid L
concentrations of plasma PEG precipitable IgG
IgG fibronectin complexes in various types of Acute Myeloid Leukemia
International Archives of Integrated Medicine, Vol. 2, Issue 3, March, 2015.
, IAIM, All Rights Reserved.
A fibronectin coupled sepharose gel was
prepared and used to affinity purify a polyvalent
human fibronectin antiserum. The
resultant purified antibody was itself coupled to
activated sepharose for use as a fibronectin
immunoaffinity gel. About half of the purified
this gel and was
5 molar glycine (pH 2-5). The gel
was saturable with fibronectin and therefore the
of fibronectin retained decreased
when the initial load was in excess. IgG loaded
on to the gel appeared in the breakthrough with
no elution of IgG during subsequent treatment
of the gel with glycine. Thus the gel was specific
ffinity for IgG as per
PEG precipitate from two patients was passed
through an uncoupled sepharose gel column to
specific adsorption of IgG by
sepharose, and the eluate was loaded on to the
fibronectin antibody immunoaffinity gel.
-5 molar glycine
yielded demonstrable amounts of IgG in
addition to fibronectin. The column also
retained small quantities of IgG from the PEG
precipitate of a normal control subject. To
determine if the column retained any IgG from
untreated plasma, fresh plasma samples from a
patient and a control were applied to the anti--
fibronectin antibody column. IgG was retained
from both plasmas but in greater amounts from
Table - 2.
was examined before and
after plasmapheresis. The disappearance of a
20S component from the plasma was associated
IgG from 477 mg/l to
yeloid Leukemia, high
concentrations of plasma PEG precipitable IgG
are suggestive of complexed high molecular
weight IgG, possibly in the form of immune
complexed IgG. Examination of plasma PEG
precipitates by exclusion chromatography
confirmed the presence of IgG with a
molecular weight profile. This finding may have
been artefactual, however, as PEG may induce
aggregation of IgG [8, 9]. In view of this, fresh
untreated plasma was examined by analytical
ultracentrifugation and this confirmed th
patients with Acute Myeloid L
abnormal circulating high molecular weight
material in the absence of any artefacts due to
PEG precipitation. Furthermore, PEG
precipitated the high molecular weight
components, leaving a PEG plasma supernate
free of such material.
High concentrations of PEG precipitable
fibronectin and IgG may be due to complex
formation between these two proteins
Fibronectin is capable of binding to a variety of
plasma proteins [10], and complex formation
between fibronectin and aggregated Ig
been suggested by others [11, 12, 13]
evidence for complex formation between
fibronectin and IgG was obtained in our study
by examining plasma and PEG precipitates by
immunoaffinity chromatography. An anti
fibronectin gel retained IgG from
plasma and PEG precipitates, and to a lesser
degree from normal plasma and PEG
precipitates. As the gel had no affinity for IgG its
retention is highly suggest
formation with the retained fibronectin.
Rheumatoid factor activity has
some patients with primary myelofibrosis
and the IgG present in the eluates might
theoretically have been IgG which bound
specifically with the sepharose coupled sheep
antibody. No rheumatoid factor activity,
however, was identifiable in the plasmas
examined, though small amounts of IgG
rheumatoid factor and anti
ISSN: 2394-0026 (P)
ISSN: 2394-0034 (O)
Page 122
are suggestive of complexed high molecular
weight IgG, possibly in the form of immune
complexed IgG. Examination of plasma PEG
precipitates by exclusion chromatography
confirmed the presence of IgG with a high
molecular weight profile. This finding may have
been artefactual, however, as PEG may induce
. In view of this, fresh
untreated plasma was examined by analytical
ultracentrifugation and this confirmed that
Myeloid Leukemia have
abnormal circulating high molecular weight
material in the absence of any artefacts due to
PEG precipitation. Furthermore, PEG
precipitated the high molecular weight
components, leaving a PEG plasma supernate
High concentrations of PEG precipitable
fibronectin and IgG may be due to complex
formation between these two proteins [5].
Fibronectin is capable of binding to a variety of
, and complex formation
tween fibronectin and aggregated IgG has
[11, 12, 13]. Further
evidence for complex formation between
fibronectin and IgG was obtained in our study
by examining plasma and PEG precipitates by
ity chromatography. An anti-
fibronectin gel retained IgG from patients
plasma and PEG precipitates, and to a lesser
degree from normal plasma and PEG
precipitates. As the gel had no affinity for IgG its
retention is highly suggestive of complex
formation with the retained fibronectin.
Rheumatoid factor activity has been reported in
some patients with primary myelofibrosis [12]
and the IgG present in the eluates might
theoretically have been IgG which bound
specifically with the sepharose coupled sheep
antibody. No rheumatoid factor activity,
e in the plasmas
examined, though small amounts of IgG
rheumatoid factor and anti-idiotypic antibody
-
IgG fibronectin complexes in various types of Acute Myeloid Leukemia
International Archives of Integrated Medicine, Vol.
Copy right 2015, IAIM, All Rights Reserved.
cant be excluded.
Immune complexes must reach a critical size to
be removed by the reticuloendothelial sys
When antibody affinity is low or there is
excess, the antigen-antibody network is small
and elimination is slow [14]. The size of the
complexes, and hence their cleara
increased by opsonisation by other proteins
for example, complement or rheumatoid fac
[15]. Opsonisation of immune complexes by
fibronectin may be a further means of increas
ing the size of immune complexes. Another
possibility is an auxiliary clearance mechanism
for immune complexes via macrophage
fibronectin receptors [16].
Conclusion
In conclusion, abnormal circulating high
molecular weight IgG is present in the plasma of
patients with Acute Myeloid Leukemia
results of PEG precipitation and analytical
ultracentrifugation suggest that this material is
IgG in a high molecular weight complex form.
Examination of plasma by immunoaffinity
chromatography supports our previous
evidence for complex formation between IgG
and fibronectin. Further studies are necessary
to confirm complex formation between fibro
nectin and IgG and to evaluate the importance
of this phenomenon not only in Acute Myeloid
Leukemia but also in other disorders
characterized by immune complex formation.
References
1. Lewis CM, Pegrum GD.
complexes in myelofibrosis;
guide to management.
1978; 39: 233-9.
2. Cappio FC, Vigliani R,
Camussi G, Campana D,
Idiopathic myelofibrosis;
for immune-complexes in the
IgG fibronectin complexes in various types of Acute Myeloid Leukemia
International Archives of Integrated Medicine, Vol. 2, Issue 3, March, 2015.
, IAIM, All Rights Reserved.
Immune complexes must reach a critical size to
be removed by the reticuloendothelial system.
When antibody affinity is low or there is antigen
antibody network is small
. The size of the
complexes, and hence their clearance, may be
ation by other proteins
for example, complement or rheumatoid factor
of immune complexes by
fibronectin may be a further means of increas-
ing the size of immune complexes. Another
possibility is an auxiliary clearance mechanism
complexes via macrophage
al circulating high
molecular weight IgG is present in the plasma of
nts with Acute Myeloid Leukemia. The
results of PEG precipitation and analytical
ultracentrifugation suggest that this material is
IgG in a high molecular weight complex form.
ation of plasma by immunoaffinity
chromatography supports our previous
evidence for complex formation between IgG
and fibronectin. Further studies are necessary
to confirm complex formation between fibro-
nectin and IgG and to evaluate the importance
s phenomenon not only in Acute Myeloid
eukemia but also in other disorders
ed by immune complex formation.
Pegrum GD. Immune
complexes in myelofibrosis; a possible
guide to management. Br J Haematolol,
R, Novarino A,
Campana D, Gavosto F.
Idiopathic myelofibrosis; a possible role
complexes in the
pathogenesis of bone marrow fibrosis.
Br J Haematolol, 1981;
3. Gordon BR, Coleman M,
NK. Immunological abnormalities in
myelofibrosis with activation of
complement system.
904-10.
4. Vellenga E, Mulder NH,
HO. A study of the cellular and humoral
immune responses in patients with
myelofibrosis. Clin Lab Haematol
4: 239-46.
5. Baglin TP, Simpson AW, Price SM,
Boughton BJ. The composition of
immune-complexes and their
relationship to plasma fibronectin in
chronic myeloproliferative dis
Clin Pathol, 1987; 40:
6. Axen R, Porath J, Emback
coupling of peptides and proteins to
polysaccharides by means of cyanogen
halides. Nature, 1967;
7. Vuento N, Vaheri A. Purification of
fibronectin from human plasma by
affinity chromatography under non
denaturing conditions.
183: 331-7.
8. Cooper KM, Moore M. Critical aspects of
immune complex assays employing
polyethylene glycol.
1983; 60: 289-303.
9. Hack CE. A second look at immune
complex assays.
Repro Meppel, 1984.
10. Yamada KM, Owen K. Fibronectin
adhesive glycoproteins of cell surface
and blood. Nature, 1978;
11. Carter SD, Scott DL, Elson CJ. Fibronectin
binding with immunoglobulin
aggregates and its association with
rheumatic disorders.
25: 353-8.
12. Rondeau E, Solal-Celigny P, Dhermy D,
al. Immune disorders in agnogenic
ISSN: 2394-0026 (P)
ISSN: 2394-0034 (O)
Page 123
pathogenesis of bone marrow fibrosis.
1981; 49: 17-21.
Coleman M, Kohen P, Day
ogical abnormalities in
myelofibrosis with activation of
complement system. Blood, 1981; 58:
Vellenga E, Mulder NH, The TH, Nieweg
HO. A study of the cellular and humoral
immune responses in patients with
Clin Lab Haematol, 1982;
Baglin TP, Simpson AW, Price SM,
Boughton BJ. The composition of
complexes and their
relationship to plasma fibronectin in
chronic myeloproliferative disorders. J
40: 1468-71.
Axen R, Porath J, Emback S. Chemical
coupling of peptides and proteins to
polysaccharides by means of cyanogen
1967; 214: 1302-4.
Vuento N, Vaheri A. Purification of
fibronectin from human plasma by
affinity chromatography under non-
denaturing conditions. Biochem J, 1979;
Cooper KM, Moore M. Critical aspects of
immune complex assays employing
polyethylene glycol. J Immun Methods,
A second look at immune
Amsterdam: Krips
Repro Meppel, 1984.
Yamada KM, Owen K. Fibronectin-
adhesive glycoproteins of cell surface
1978; 275: 179-84.
Carter SD, Scott DL, Elson CJ. Fibronectin
binding with immunoglobulin
aggregates and its association with
rheumatic disorders. Br J Rheum, 1986;
Celigny P, Dhermy D, et
Immune disorders in agnogenic
-
IgG fibronectin complexes in various types of Acute Myeloid Leukemia
International Archives of Integrated Medicine, Vol.
Copy right 2015, IAIM, All Rights Reserved.
myeloid metaplasia: relations to
myelofibrosis. Br J Haematol
467-75.
13. Scott DL, Carter SD, Coppock JS,
Robinson M, Walton KW. Differences
between plasma and sy
fibronectin. Rheumatol Int
54.
14. Mannick M, Arend MP, Hall AP, Gilliland
BC. Studies on antigen
complexes. I. Elimination of soluble
complexes from rabbit circulation.
Med, 1971; 133: 713-39.
15. Van Snick JL, Van Roost E, Markowetz B,
Source of support: Department of Oncology, Medical College, Kolkata, India
Conflict of interest: None declared.
Table 2: Sedimentation coefficients and number of identifiable individual sedimentation peaks
from examination of normal and patient plasmas
ultracentrifugation.
Subject Number of peaks
Controls
1 0
2 0
3 1
4 0
5 0
Patients
1 2
2 3
3 3
4 4
5 3
5 2
(following plasmapheresis)
Case 3
Plasma 3
PEG 3
PEG 0
IgG fibronectin complexes in various types of Acute Myeloid Leukemia
International Archives of Integrated Medicine, Vol. 2, Issue 3, March, 2015.
, IAIM, All Rights Reserved.
myeloid metaplasia: relations to
Br J Haematol, 1983; 53:
Scott DL, Carter SD, Coppock JS,
Robinson M, Walton KW. Differences
between plasma and synovial fluid
Rheumatol Int, 1985; 5: 49-
Mannick M, Arend MP, Hall AP, Gilliland
BC. Studies on antigen-antibody
complexes. I. Elimination of soluble
complexes from rabbit circulation. J Exp
39.
Van Snick JL, Van Roost E, Markowetz B,
Cambiaso CL, Masson PL. Enhancement
of IgM rheumatoid factor of in vitro
ingestion by macrophages and in vivo
clearance of aggregated IgG or antigen
antibody complexes.
1978; 8: 279-85.
16. Bevilacqua MPI, Amrani D, Mosesson
MW, Bianoco C. Receptors for cold
insoluble globulin (plasma fibronectin)
on human monocytes.
153: 42-60.
Department of Oncology, Medical College, Kolkata, India
None declared.
Sedimentation coefficients and number of identifiable individual sedimentation peaks
from examination of normal and patient plasmas and PEG precipitates by analytical
Sedimentation coefficients
9S
14S 21S
13S 15S 20S
14S 15S > 15S
8S 9S 10S 17S
9S 11S 20S
9S 11S
14S 15S >15S
15S 18S 33S
ISSN: 2394-0026 (P)
ISSN: 2394-0034 (O)
Page 124
Cambiaso CL, Masson PL. Enhancement
of IgM rheumatoid factor of in vitro
ingestion by macrophages and in vivo
clearance of aggregated IgG or antigen-
antibody complexes. Eur J Immunol,
Amrani D, Mosesson
MW, Bianoco C. Receptors for cold
insoluble globulin (plasma fibronectin)
on human monocytes. J Exp Med, 1981;
Sedimentation coefficients and number of identifiable individual sedimentation peaks
and PEG precipitates by analytical
PEG IgG (mg/l)
86
115
140
207
232
759
547
600
636
477
338
600
600
0
-
IgG fibronectin complexes in various types of Acute Myeloid Leukemia
International Archives of Integrated Medicine, Vol.
Copy right 2015, IAIM, All Rights Reserved.
Table 3: Affinity chromatography of fibronectin and IgG from plasma and PEG precipitates (using
an anti-fibronectin immunoaffinity gel).
from the amount eluted divided by the amount loaded onto the gel. The gel retained purified
fibronectin but not IgG.
Sample Protein
Purified fibronectin Fibronectin
IgG
IgG solution Fibronectin
IgG
Case 1 PEG Fibronectin
precipitate IgG
Case 5 PEG Fibronectin
precipitate IgG
Control PEG Fibronectin
precipitate IgG
Case 5 Fibronectin
plasma IgG
Control Fibronectin
plasma IgG
IgG fibronectin complexes in various types of Acute Myeloid Leukemia
International Archives of Integrated Medicine, Vol. 2, Issue 3, March, 2015.
, IAIM, All Rights Reserved.
Affinity chromatography of fibronectin and IgG from plasma and PEG precipitates (using
fibronectin immunoaffinity gel). The percentage of IgG retained by the gel was calculated
from the amount eluted divided by the amount loaded onto the gel. The gel retained purified
Protein Load Recovery in
glycine
Fibronectin 390 189
0 0
Fibronectin 0 0
2370 0
Fibronectin 1500 131
1440 105
Fibronectin 699 319
623 75
Fibronectin 300 149
147 5
Fibronectin 222 70
20,000 259
Fibronectin 670 241
11,000 34
ISSN: 2394-0026 (P)
ISSN: 2394-0034 (O)
Page 125
Affinity chromatography of fibronectin and IgG from plasma and PEG precipitates (using
The percentage of IgG retained by the gel was calculated
from the amount eluted divided by the amount loaded onto the gel. The gel retained purified
of
Retained
0
0
70
120
3-5
1-3
0-3