The changes in the complement system were studied in 146 cases with immunoglobulin disorders, including 80 with multiple myeloma(30 with IgG, 22 with IgA, 6 with IgD, 20 with Bence Jones protein and 2 with nonsecretory myeloma), 14 with primary macroglobulinemia, 5 with other monoclonal gammopathy, 20 with hypogammaglobulinemia and 27 with polyclonal hypergammaglobulinemia. CH_<50> was determined by modified Mayer's method, β_<1C>/β_<1A> and β_<1E> globulins were by single radial immunodiffusion. C1, C2, C4 and C3-9 hemolytic activities were determined by the use of their respective intermediate cells in the selected cases. The results were as follows. 1) The level of β_<1E> globulin was low in IgG myeloma, primary macroglobulinemia, polyclonal hypergammaglobulinemia and high in IgA, IgD and BJP myelomas and secondary hypogammaglobulinemia. A reciprocal correlation was observed between β_<1E> globulin and IgG or IgM levels. 2) The values of β_<1E> globulin determined by radial immunodiffusion showed a good parallelism to the C4 hemolytic activity. 3) There was no correlation between the C4 activity and CH_<50>. 4) The increase of β_<1E> globulin in the disease states was more remarkable than that of β_<1C>/β_<1A> globulin. It is postulated that complement, particularly C4, may be consumed by IgG and IgM, whether normal or monoclonal, in their catabolic processes. Therefore, high C4 levels in some cases may attribute to the decreased consumption of C4 due to low levels of IgG and IgM.
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