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Pathological crystallization of human immunoglobulins

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TLDR
A study of monoclonal IgG cryoglobulins overexpressed by two patients with multiple myeloma suggests that, even within the regular immune response to infections, cryoprecipitation of Ig can be possible.
Abstract
Condensation of Igs has been observed in pharmaceutical formulations and in vivo in cases of cryoglobulinemia. We report a study of monoclonal IgG cryoglobulins overexpressed by two patients with multiple myeloma. These cryoglobulins form crystals, and we measured their solubility lines. Depending on the supersaturation, we observed a variety of condensate morphologies consistent with those reported in clinical investigations. Remarkably, the crystallization can occur at quite low concentrations. This suggests that, even within the regular immune response to infections, cryoprecipitation of Ig can be possible.

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Journal ArticleDOI

How I treat cryoglobulinemia

TL;DR: The spectrum of this heterogeneous disease is explored by discussing the disease characteristics of 5 different patients by discussing how cryoglobulinemia affects clinical presentation, treatment, and underlying cause vary.
Journal ArticleDOI

Phase transitions in human IgG solutions

TL;DR: An experimental approach to study IgG solutions in which the phase transitions are hidden below the freezing point of the solution, which provides a foundation for further experimental and theoretical studies of the phase behavior of generic IgGs as well as outliers with large propensity to condense.
Journal ArticleDOI

The Materials Science of Pathological Crystals

TL;DR: In this paper, real-time in situ atomic force microscopy (AFM) has been used to elucidate the effect of urinary substituents on calcium-containing crystals that aggregate to form kidney stones, demonstrating the role of anionic proteins, synthetic polymers and small molecules on crystal growth regulation.
Journal ArticleDOI

Cryoglobulins: An update on detection, mechanisms and clinical contribution.

TL;DR: A protocol for detection and identification of cryoglobulins lack standardization, and a protocol for such detection, characterization and quantification is proposed.
Journal ArticleDOI

Kinetics of liquid–liquid phase separation in protein solutions exhibiting LCST phase behavior studied by time-resolved USAXS and VSANS

TL;DR: The kinetics of the liquid-liquid phase separation and its arrest in protein solutions exhibiting a lower critical solution temperature (LCST) phase behavior using the combination of ultra-small angle X-ray scattering (USAXS) and very- small angle neutron scattering (VSANS) are studied.
References
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Journal ArticleDOI

A clinical staging system for multiple myeloma. Correlation of measured myeloma cell mass with presenting clinical features, response to treatment, and survival

TL;DR: Initial staging can be quantitatively related to followup using tumor cell mass changes calculated from changes in M‐component production, and should lead to improved study design and analysis in large clinical trials of therapy for multiple myeloma.
Journal ArticleDOI

Crystal cataracts: Human genetic cataract caused by protein crystallization

TL;DR: A molecular basis for lens opacity in two genetic cataracts is provided and it is suggested that the opacity occurs because of the spontaneous crystallization of the mutant proteins.
Journal ArticleDOI

Structure of human IgM rheumatoid factor Fab bound to its autoantigen IgG Fc reveals a novel topology of antibody-antigen interaction.

TL;DR: The crystal structure of the Fab fragment of a patient-derived IgM rheumatoid factor complexed with human lgG4 Fc, at 3.2 Å resolution, is reported, which is the first structure of an autoantibody–autoantigen complex.
Journal ArticleDOI

Aeolotopic interactions of globular proteins

TL;DR: This paper shows that this aeolotopic model, which includes the short-range interactions that vary from place to place on the surface of the protein, describes the phase diagram of globular proteins and provides insight into protein aggregation and crystallization.
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