Abstract
The transient production of monoclonal components of immunoglobulins (M-components) occurs normally in response to trauma, particular drug treatments, and infection with specific antigens (Haas et cd. 1990; Merlini and Aguzzi 1988). Chronic production can occur with malignancy (B cell, colon, prostate, and breast) and with rheumatoid arthritis, tuberculosis, cirrhosis, and several other chronic inflammatory and infectious processes (Merlini and Aguzzi 1988; Saleun et cd. 1982). However, in approximately 60–90% of persons identified with elevated M-components in community-based surveys, the elevation is chronic and unexplained (Saleun et cd. 1982; Axelsson et cd. 1966; Kyle et cd. 1972). These persons are given a diagnosis of monoclonal gammopathy of unknown significance (MGUS). Although MGUS is itself benign, it can evolve to amyloidosis, myeloma, or macroglobulinemia (Kyle 1993). To better understand the significance and consequences of MGUS, the author conducted a literature review. Two methodological issues that affect the interpretation of the literature are discussed first.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Axelsson U (1986) A 20-year follow-up study of 64 subjects with M-components. Acta Med Scand 219:519–22.
Axelsson U, Bachmann R, Hallen J (1966) Frequency of pathological proteins (M-components) in 6,995 sera from an adult population. Acta Med Scand 179:235–247.
Blade J, Lopez-Guillermo A, Rozman C, Cervantes F, Salgado C, Aguilar JL, Vives-Corrons JL, Montserrat E (1992) Malignant transformation and life expectancy in monoclonal gammopathy of undetermined significance. Br J Haematol 81;391–394.
Bowden M, Crawford J, Cohen HJ, Noyama O (1993) A comparative study of monoclonal gammopathies and immunoglobulin levels in Japanese and United States elderly. J Am Geriatr Soc 41:11–14.
Carter A, Tatarsky I (1980) The physiopathological significance of benign monoclonal gammopathy: a study of 64 cases. Br J Haematol 46:565–574.
Fine JM, Lambin P, Leroux P (1972) Frequency of monoclonal gammopathy (‘M components’) in 13,400 sera from blood donors. Vox Sang 23:336–343.
Fine JM, Lambin P, Muller JY (1979) The evolution of asymptomatic monoclonal gammopathies. Acta Med Scand 205:339–341.
Haas H, Anders S, Bornkamm G, Mannweiler E, Schmitz H, Radl J, Schlaak M. (1990) Do infections induce monoclonal immunoglobulin components? Clin Exp Immunol 81:435–440.
Herrinton LJ, Weiss NS, Olshan AF(1994) Epidemiology of myeloma. In: Malpas JS, Bergsagel DE, and Kyle RA (eds) Myeloma: biology and management. Oxford Medical, Oxford, pp 127–168.
Kleinbaum DG, Kupper LL, Morgenstern H (1982) Epidemiologic research. Lifetime Learning, Belmont, CA, p 161.
Kyle RA (1993) “Benign” monoclonal gammopathy-after 20 to 35 years of follow-up. Mayo Clin Proc 68:26–36.
Kyle RA, Greipp PA (1988) Plasma cell dyscrasias: current status. CRC Crit Rev Oncol Hematol 8:93–152.
Kyle RA, Finkelstein S, Elveback LR, Kurland LT (1972) Incidence of monoclonal proteins in a Minnesota community with a cluster of multiple myeloma. Blood 40:719–724.
Manthorne LA, Dudley RW, Case CD, Turgeon WP, Ritchie RF (1988) A longitudinal study of monoclonal gammopathy of undetermined signficance (MGUS). Clin Res 36:414A.
Merlini G, Aguzzi F (1988) The laboratory investigation of monoclonal components. Haematol 73:79–85.
Papadopoulos NM, Elin RJ, Wilson DM (1982) Incidence of γ-globulin banding in a healthy population by high-resolution electrophoresis. Clin Chem 28:707–708.
Pick AI, Shoenfeld Y, Skvaril F, Schreibman S, Frohlichman R, Weiss H, Pinkhas J. (1977) Asymptomatic (benign) monoclonal gammopathy-a study of 100 patients. Ann Clin Lab Sci 7;335–343.
ei]Ries LAG, Miller BA, Hankey BF, Kosary CL, Harras A, Edwards BK (eds) (1994) SEER cancer statistics review, 1973-1991: tables and graphs. National Cancer Institute, Bethesda, p 301.
Saleun JP, Vicariot M, Deroff P, Morin JF (1982) Monoclonal gammopathies in the adult population of Finistère, France. J Clin Pathol 35:63–68.
Schechter GP, Shoff N, Chan C, McManus CD, Hawley HP (1990) The frequency of monoclonal gammopathy of unknown significance in black and white veterans in a hospital population. In: Obrams GI and Potter M (eds) Epidemiology and biology of multiple myeloma. Springer-Verlag, New York, pp 83–85.
Singh J, Dudley AW, Kulig KA (1990) Increased incidence of monoclonal gammopathy of undetermined significance in blacks and its age-related differences with whites on the basis of a study of 397 men and one woman in a hospital setting. J Lab Clin Med 116:785–789.
Ucci G, Riccardi A, Luoni R, Ascari E (19993) Presenting features of monoclonal gammopathies: an analysis of 684 newly diagnosed cases. J Int Med 234:165–173.
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1996 Springer-Verlag Berlin Heidelberg
About this paper
Cite this paper
Herrinton, L.J. (1996). The Epidemiology of Monoclonal Gammopathy of Unknown Significance: A Review. In: Potter, M., Rose, N.R. (eds) Immunology of Silicones. Current Topics in Microbiology and Immunology, vol 210. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-85226-8_42
Download citation
DOI: https://doi.org/10.1007/978-3-642-85226-8_42
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-85228-2
Online ISBN: 978-3-642-85226-8
eBook Packages: Springer Book Archive