title: Paraproteins associated with low plasma sodium levels.
abstract: The mechanism of the maintenance of low plasma sodium levels seen in certain multiple myeloma cases has been attributed to the cationic nature of pathological immunoglobulins (paraproteins). This hypothesis was tested with equilibrium dialysis and polyacrylamide gel electrophoresis techniques. Citrated plasma samples and affinity chromatography purified paraproteins of three multiple myeloma patients with abnormally low plasma sodium levels were dialysed against 140 mmol/L NaCl solution at pH 7.4 for 24 hours. The electrophoresis of paraproteins was conducted under non-denaturing conditions. Low plasma sodium concentrations observed under the dialysis of the patients' plasma samples were in good agreement with earlier reports. However, the isolated paraproteins did not show any sodium exclusion during the dialysis experiment. The electrophoretic mobility of the paraproteins at pH 7.4 indicated that the isoelectric point of these molecules was below 7.4, so they cannot behave as cations at the pH of the blood. From these data it appears that the maintenance of low plasma sodium levels in certain IgG type myeloma cases cannot be explained by the previously postulated cationic nature of the paraproteins.
authors.affiliation: Department of Clinical Chemistry, Medical University of Pecs, Hungary.
authors.forename: A
authors.initials: A
authors.lastname: Miseta
authors.forename: M
authors.initials: M
authors.lastname: Kellermayer
authors.forename: B
authors.initials: B
authors.lastname: Kollar
authors.forename: P
authors.initials: P
authors.lastname: Bogner
mesh_terms: D000596:Amino Acids / Q000032:analysis; D002846:Chromatography, Affinity; D003956:Dialysis; D004591:Electrophoresis, Polyacrylamide Gel; D006801:Humans; D007074:Immunoglobulin G / Q000302:isolation & purification / Q000378:metabolism*; D009101:Multiple Myeloma / Q000097:blood / Q000276:immunology; D010266:Paraproteins / Q000302:isolation & purification / Q000378:metabolism*; D012016:Reference Values; D012964:Sodium / Q000097:blood*
chemical_list: D000596:Amino Acids; D007074:Immunoglobulin G; D010266:Paraproteins; D012964:Sodium