PubMed · 746290
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M A de Oliveira, W Cossermelli. 1978. [Cryoglobulins].. https://pubmed.ncbi.nlm.nih.gov/746290/
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Cryoglobulins are proteins which appear in the serum of some patients. Their basic characteristic is their power to precipitate at low temperatures. In this work a review is made of the data presented by several authors in regard to the origin, isolation, classification, and precipitation mechanism, as well as of the factors which influence the cryoprecipitability. We also set out the most probable etiopathogenic theories and the possible clinical findings in those patients who have these proteins altered in their serum. Finally we comment on the treatment with special reference to penicillamine.
Studies on a single component human cryoimmunoglobulin (cryo-IgG) (gamma 1 : lambda, Gm 4) were undertaken to gain a better understanding of the conformational stability of macromolecular interfaces essential for self-association of cryo-IgG leading to the formation of visible gel mass. Changes in the gross and localized conformation of cryo-IgG and a monoclonal IgG (gamma 1 : lambda, Gm 4) isolated from a myeloma patient (Hy) (Hy IgG) (gamma 1 : lambda, Gm 4) in alkaline media were determined by analytical ultracentrifugation, fluorescence characteristics, tyrosine ionization and H+ titration. Ultracentrifugal studies revealed that major transition in gross conformation took place at pH 11.4 for cryo-IgG and pH 11.7 for Hy IgG, whereby the number of charges and tyrosine residues exposed to aqueous environment was 110 and 26 for cryo-IgG, and 111 and 48 for Hy IgG, respectively. Beyond this transition pH fragmentation of both the proteins occurred and cryo-IgG lost its capacity for gel formation. Self-association of cryo-IgG was observed upto pH 11.4 in decreasing order with increase in denaturation pH. Cryo-IgG renatured from exposure to higher alkaline pH upto pH 11.4, showed the capability for forming gel, in spite of the irreversible local conformational changes as established by direct and reverse fluorimetric titration and tyrosine ionization studies. Cryo-IgG could be maintained in the optically clear sol phase at pH 10.5, at which pH 12 out of 62 tyrosine residues became exposed to aqueous media. There are distinct differences in the accessibility of tyrosine residues of cryo-IgG and Hy IgG as reflected in their tyrosine ionization profiles.
Raman spectra have been obtained on aqueous solutions of the following human immunoglobulins: IgM-kappa McE, IgG-kappa Ger, IgM-kappa WSm and IgG-lambda Gui. The former two species exhibit the property of cryoprecipitation. Comparison of the spectra shows that all immunoglobulins have similar secondary structures, predominantly of the beta-sheet type. Fab mu and (Fc)5 mu fragments of IgM-kappa McE also yield Raman spectra which indicate closely similar secondary structures. Minor differences among the spectra can be explained by differences in amino acid compositions of the respective proteins.