Circulating heavy IgM in IgM XXXX .

@entity1985 @entity1 @entity8 @entity12159
IgM @entity8 (IgMN) causes @entity1985 and is characterized by IgM mesangial deposits. It is speculated that these deposits are derived from circulating IgM aggregates or immune complexes, either of which would have a molecular weight heavier than that of normal IgM. To test this hypothesis the sera of 11 @entity1 with IgMN, five @entity1 with @entity1985 of other etiologies, and 13 normal controls were analysed for such heavy IgM. The serum samples were passed over a Biogel A5M molecular sieve column and the fractions were tested for IgM concentration by enzyme linked immunosorbent assay (ELISA). The column effluent from the void volume to the IgM peak was divided into four equal regions, and the average IgM concentrations in each region were compared. The IgMN group had significantly higher IgM concentrations than normal controls in the heaviest region (0.81 +/- 0.84 vs. 0.32 +/- 0.17 micrograms/ml; P = 0.01) and in the lightest region (95.8 +/- 59.5 vs. 46.3 +/- 41.2 micrograms/ml; P = 0.02). Although the IgMN group appeared to have about double the IgM levels of the @entity1985 control group in all four regions, this was only significant in the lightest (19S) region. In serum samples from two IgMN @entity1 methods known to break antigen antibody bonds eliminated the heavy IgM; in one case we used gel filtration in @entity12159 and in another ultracentrifugation at pH 2.8. In addition, the heavy IgM in this second @entity1 exhibited complement fixation activity in a sandwich ELISA for IgM-C3 complexes. We conclude that IgMN @entity1 have circulating heavy IgM, which by preliminary studies probably consists of complement fixing IgM immune complexes.
