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Revista Mexicana de Patología Clínica y Medicina de Laboratorio

ISSN 0185-6014 (Print)
Órgano oficial de difusión de la Federación Mexicana de Patología Clínica, AC y de la Asociación Latinoamericana de Patología Clínica/Medicina de Laboratorio
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2004, Number 2

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Rev Mex Patol Clin Med Lab 2004; 51 (2)

Incidence of oligoclonal patterns in adults healthy populations

Osatinsky R, Desimone IV, Garnek L
Full text How to cite this article

Language: Spanish
References: 13
Page: 90-92
PDF size: 33.90 Kb.


Key words:

Hemogram, eritrosedimentation, bun, glucose, urine examination, immunefixation.

ABSTRACT

Examination of the proteins in plasma can provide information reflecting disease states in many different organ systems. Protein electrophoresis separates the globulins from albumin and resolves the major proteins serum into patterns that may by highly specific for some diseases. There is much to be appreciated from visual inspections of an electrophoretogram of proteins, because the human eye is highly efficient at detecting subtle variations in individual proteins as well as alterations in protein patterns. Identification of these patterns is a useful screening method to be followed by more specific confirmatory procedures to identify and quantitate aberrant protein band. There are three gamma globulin patterns: polyclonal, monoclonal and oligoclonal. We studied 2,729 adults healthy populations between 20 and 65 years old, and observed that 14.58% presents oligoclonal patterns confirmed by immunofixation (IF) test. This patterns are almost related to the presence of autoimmune disease, chronic infections, immunecomplexes diseases, chronic hepatitis and some positive HIV patients. The importance to differentiate oligoclonal bands from the monoclonal is that monoclonal bands are almost a malignant disease and the patients diagnostic and prognostic is very different.


REFERENCES

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  2. Ritchie RF, Smith R. Immunofixation III. Application to the study of monoclonal proteins. Clin Chem 1976; 22: 1982-1985.

  3. Keshgegian AA. Oligoclonal banding in serum of hospitalized patients (Letter). Clin Chem 1992; 38: 169.

  4. Johnson AM. Immunofixation electrophoresis and electrofocusin. Serum proteins in clinical medicine. Vol I. Sec 5.1. Ritchie R Ed, 1997.

  5. Johnson AM, Witcher J. Immune-complexes: Deposition and clearance. Serum Proteins in Clinical Medicine. Vol II. Sec 197.05. Ritchie R Ed, 1999.

  6. Richard S, Mossec V et al. Detection of oligoclonal immunoglobulins in cerebrospinal fluid: An immunofixation peroxidase method. Clin Chem 2002; 48 (1): 167-173.

  7. Osatinsky R, Garnek L. ¿A qué se denomina patente oligoclonal? Revista B y PC-Asociación Bioquímica Argentina 1999; 63 (3): 212-220.

  8. Desimone IV, Quian AL, Lencina MN. Oligoclonalidad y cuantificación de inmunoglobulinas séricas en niños nacidos de madres infectadas por HIV. Revista B y PC-Asociación Bioquímica Argentina 1998; 62 (1): 32-37.

  9. Desimone I, Quian A, Lencina M, Osatinsky R. Valor pronóstico del estudio de las proteínas en suero de niños nacidos de madre HIV positivas. Revista B y PC-Asociación Bioquímica Argentina 1999; 63 (3); 221-231.

  10. Desimone I, Lencina M, Osatinsky R, Quian A. Gammapatía oligoclonal en niños con infección por HIV. Rev Mex Patol Clin 2000; 47 (1): 13-16.

  11. Desimone I, Quian A, Cimalando E. Incidencia de la patente de oligoclonalidad en proteinogramas solicitados a pacientes del Hospital Evita. Presentado en las Jornadas XLVIII Aniversario del HIGA EVITA. Del 28 de Agosto al 2 de Septiembre de 2000. (Resumen no publicado).

  12. Osatinsky R, Desimone I, Garnek L. Patente oligoclonal observada en población adulta aparentemente sana. Presentado en el XIV Congreso Latinoamericano de Patología Clínica. Uruguay 26 al 29 de Octubre de 2000. Resumen publicado en las Actas del Congreso.

  13. Osatinsky R, Faimboim H, Desimone I. Presencia de patente oligoclonal en pacientes con hepatitis C (HCV). Presentado como póster en el 65 Congreso Argentino de Bioquímica. Octubre de 2002. Resumen publicado en las Actas del Congreso.




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Rev Mex Patol Clin Med Lab. 2004;51