화학공학소재연구정보센터
Electrophoresis, Vol.25, No.10-11, 1548-1550, 2004
Conflicting results between electrophoresis methods of serum M-proteins
The quantification of monoclonal immunoglobulins by protein electrophoresis has been helpful in determining the prognosis for the patient. In a 65-year old man with documented IgG lambda monoclonal gammopathy, a discrepancy in the detection and quantification of this M-protein was found when studied by four different electrophoretic methods. On a high-resolution agarose method with acid violet staining a prominent peak was seen in the fast gamma-region. A lower resolution agarose method using an amido black staining showed a small mid-gamma restriction, and no spike was detected by high-resolution or lower resolution capillary zone electrophoresis. The discrepancy was not attributable to a migration in the P-region leading to masking by transferrin or C3 peak, incorrect separation on CZE due to a high isoelectric point (pl > 8.5) or pentamerization of IgM M-proteins. Therefore, other causes for discrepancies should be investigated.