title: Generalized crystal-storing histiocytosis associated with monoclonal gammopathy: molecular analysis of a disorder with rapid clinical course and review of the literature.
abstract: Crystal-storing histiocytosis (CSH) is a rare event in disorders associated with monoclonal gammopathy. The intracellular crystal formation is almost always accompanied by the expression of kappa light chains. However, the exact mechanism for the storage has not been clarified until now. We report a case of generalized CSH in a 73-year-old man who presented with IgA kappa paraproteinemia and paraproteinuria. The initially observed CSH in the bone marrow biopsy was associated with the clinical and pathomorphologic features of a monoclonal gammopathy of undetermined significance. The progression of disease could not be affected by steroid therapy and the patient died of septic shock 7 months after detection of CSH. At the time of autopsy there was evidence for multiple myeloma and generalized CSH. Two-dimensional gel electrophoresis of liver tissue combined with immunoblotting revealed the massive storage of heavy chains of alpha type and light chains of kappa type, each in a monoclonal pattern. Analysis of the stored kappa light chain by nanoelectrospray-ionization mass spectrometry indicated that it belongs to the variable (kappa)I variability subgroup. We identified some unusual amino acid substitutions including Leu59, usually important for hydrophobic interactions within a protein, at a position where it has never been previously described in plasma cell disorders. In conclusion, we present the first case of CSH with molecular identification of the stored kappa subgroup and detection of unusual amino acid substitutions. Our results suggest that conformational alterations induced by amino acid exchanges represent a crucial pathogenic factor in CSH.
authors.affiliation: Pathologisches Institut and the Medizinische Klinik-Klinikum Innenstadt der Ludwig-Maximilians-Universität München, Germany. a.lebeau@lrz.uni-muenchen.de
authors.forename: Annette
authors.initials: A
authors.lastname: Lebeau
authors.forename: Evelyn
authors.initials: E
authors.lastname: Zeindl-Eberhart
authors.forename: Eva-Christina
authors.initials: EC
authors.lastname: Müller
authors.forename: Josef
authors.initials: J
authors.lastname: Müller-Höcker
authors.forename: Peter Roman
authors.initials: PR
authors.lastname: Jungblut
authors.forename: Bertold
authors.initials: B
authors.lastname: Emmerich
authors.forename: Udo
authors.initials: U
authors.lastname: Löhrs
mesh_terms: D000368:Aged; D001706:Biopsy; D001853:Bone Marrow / Q000473:pathology; D017809:Fatal Outcome; D005803:Genes, Immunoglobulin; D006646:Histiocytosis, Langerhans-Cell / Q000150:complications / Q000276:immunology / Q000473:pathology; D006801:Humans; D007070:Immunoglobulin A / Q000235:genetics / Q000276:immunology*; D007145:Immunoglobulin kappa-Chains / Q000235:genetics / Q000276:immunology; D008297:Male; D009101:Multiple Myeloma / Q000473:pathology; D010265:Paraproteinemias / Q000150:complications / Q000276:immunology / Q000473:pathology
chemical_list: D007070:Immunoglobulin A; D007145:Immunoglobulin kappa-Chains