title: Pathogenic potential of human monoclonal immunoglobulin light chains: relationship of in vitro aggregation to in vivo organ deposition.
abstract: The deposition of certain Bence Jones proteins as tubular casts, basement membrane precipitates, or amyloid fibrils results in the human light-chain-associated renal and systemic diseases--myeloma (cast) nephropathy, light-chain deposition disease, and immunocyte-derived (primary or AL) amyloidosis. To determine if light-chain nephrotoxicity or amyloidogenicity is related to the propensity of these components to form high molecular weight aggregates under physiological conditions, we used a size-exclusion chromatographic system to study 40 different Bence Jones proteins. Each samples was tested over a wide range of protein concentration in three different buffers varying in pH, osmolality, and the presence or absence of low concentrations of urea. Thirty-three of the 35 proteins found clinically and/or experimentally to form in vivo pathologic light-chain deposits were shown to undergo high-order self-association and form high molecular weight aggregates. In contrast, of five nonpathologic proteins, one showed polymerization under the chromatographic conditions used. The correlation between the in vivo results achieved by size-exclusion chromatography and that found in vivo provides (i) a rapid diagnostic method to identify potential nephrotoxic or amyloidogenic Bence Jones proteins and (ii) an experimental means to gain new insight into the physicochemical basis of light-chain aggregation and the treatment of those invariably fatal disorders associated with pathologic light-chain deposition.
authors.affiliation: Center for Mechanistic Biology and Biotechnology, Argonne National Laboratory, IL 60439-4833.
authors.forename: E A
authors.initials: EA
authors.lastname: Myatt
authors.forename: F A
authors.initials: FA
authors.lastname: Westholm
authors.forename: D T
authors.initials: DT
authors.lastname: Weiss
authors.forename: A
authors.initials: A
authors.lastname: Solomon
authors.forename: M
authors.initials: M
authors.lastname: Schiffer
authors.forename: F J
authors.initials: FJ
authors.lastname: Stevens
mesh_terms: D001536:Bence Jones Protein / Q000378:metabolism*; D002999:Clone Cells; D006801:Humans; D006863:Hydrogen-Ion Concentration; D007147:Immunoglobulin Light Chains / Q000737:chemistry*; D007674:Kidney Diseases / Q000276:immunology / Q000378:metabolism; D008107:Liver Diseases / Q000276:immunology / Q000378:metabolism; D008970:Molecular Weight; D011485:Protein Binding; D013329:Structure-Activity Relationship
chemical_list: D007147:Immunoglobulin Light Chains; D001536:Bence Jones Protein