Monoclonal B-cell proliferative disorders and aging

Immunoglobulin VH gene sequence analysis of spontaneous murine immunoglobulin-secreting B-cell tumours with clinical features of human disease

The 5T series of multiple myelomas (MM) and Waldenstrsöm's macroglobulinaemia-like lymphomas (WM), which developed spontaneously in ageing mice of the C57BL/KaLwRij strain, shows clinical and biological features that closely resemble their corresponding human diseases. In order to compare the patterns of somatic mutation in VH genes of mouse tumours with those of human counterparts, we have determined and analysed sequences of immunoglobulin VH genes in five cases of murine MM, two of WM and one of biclonal benign monoclonal gammopathy (BMG). Four of five MM and 2/2 WM cases used VH genes of the large J558 family; one MM used a gene of the VGAM3.8 family, and both clones of the BMG used genes of the 36-60 family. N-region insertions were observed in all cases, but D-segment genes were only identified in 6/9 cases, which were all from the D-SP family and translated in reading frame 3. Compared with human MM, in which the VH genes have been found to be consistently hypermutated (mean% +/- SD = 8.8 +/- 3.2), the degree of somatic mutation in the murine tumours was significantly lower (mean% +/- SD = 2.9 +/- 2.3). There was no significant evidence of clustering of replacement mutations in complementarity determining regions (CDR), a feature considered to be characteristic of antigen-selected sequences. However, one clone of the biclonal BMG case showed intraclonal variation, a feature described in some cases of human BMG. These results indicate that murine VH genes in mature tumours differ from human counterparts in the level and distribution of somatic mutations, but support the concept that BMG may be distinct from MM.

Monoclonal gammopathies in aging mu, kappa-transgenic mice: involvement of the B-1 cell lineage

Monoclonal gammopathies (MG) are monoclonal proliferative disorders of B cells at the differentiation stage of Ig production. They can be detected in the serum, either as transient or as persistent homogenous immunoglobulin (H-Ig) components. The exact phenotype, localization, and cell lineage origin of the precursor cells of MG are unknown, but may be crucial for both the correct diagnosis and for timely efficient treatment of the malignant forms. We used for the first time transgenic (Tg) mice (Sp6; mu/kappa) to study the origin of MG. In the mu, kappa Tg mice a small proportion of B cells can still produce endogenous IgM. These cells are of B-1 cell origin. The MG in Tg mice showed a later onset and a lower frequency than those in littermate control mice, mainly due to a four times lower frequency of benign monoclonal gammopathy. The 10% of B-1 cells that were able to produce endogenous Ig led to the development of MG in a frequency that was half the number of MG found in normal littermates. None of the MG in Tg mice produced an Ig of the Tg origin and therefore it can be concluded that they originated from B-1 cells.

Frequency of clonal dominance in the specific antibody response to DNP-HSA in CBA and C57BL mice reflects their susceptibility to age-associated development of monoclonal gammopathies

The effects of age, genetic background, and neonatal thymectomy on the levels and the heterogeneity of the specific antibody response were investigated in an experimental mouse model. Both intact and neonatally thymectomized (NTx) C57BL/KaLwRij (C57BL) and CBA/BrARij (CBA) mice were immunized at the age of 3 ("young") or 22 months ("old"). Highly sensitive antigen-specific immunoblotting techniques (ABL), in combination with agar-electrophoresis and isoelectric focusing (IEF), were used to investigate total specific antibody levels, the number of responding antigen-specific clonotypes, and the dominance of responding B cell clones in the antibody response against dinitrophenylated human serum albumin. After immunization, the specific antibody levels progressively increased in all experimental groups with the exception of old C57BL mice. All mice responded with a specific polyclonal heterogeneous response. In addition, some mice showed a clonal dominance of antibody-producing cells, as is reflected in the appearance of distinct homogeneous antibody components (H-Ab) in the sera. This clonal dominance was scarce in CBA mice but frequent in C57BL mice. Age at time of immunization and NTx had little if any additive effect on the incidence of H-Ab in either mouse strain. All dominant clones showed different electrophoretic mobility, indicating the proliferation of various clonotypes and not a strain-specific dominance of one clone. In old C57BL mice the specific antibody response was more restricted in heterogeneity, as is illustrated by more visible spectrotype bands in IEF and subsequent ABL. Hence, in old C57BL mice smaller amounts of specific antibodies were produced by fewer clones. Still, the incidence of H-Ab in this group was the same as that in the group of young C57BL mice. This indicates that at old age the responding B cell clones are more prone to becoming clonally dominant in C57BL mice. This tendency correlates with the high incidence of spontaneously developing monoclonal gammopathies in aging C57BL mice.

Development of aging-associated monoclonal gammapathies with antibody activity to the antigen used for immunization of young mice

The influence of immunization with dinitrophenylated human serum albumin (DNP-HSA) at a young age on the development of age-related monoclonal gammapathies (MG) was investigated in a longitudinal study in intact and neonatally thymectomized (NTx) C57BL/KaLwRij and CBA/BrARij mice. Three-month-old mice were immunized four times in monthly intervals with DNP-HSA. Control mice received saline and adjuvant only. Mice immunized with DNP-HSA responded with heterogeneous antibodies, occasionally with some clonal dominance. The antibody levels further declined and were hardly detectable when the mice were 21 months old. Eighteen of 87 experimental mice developed homogeneous antibody components (H-Ab) to DNP-HSA with aging. Their frequencies per individual groups were 5, 22, 24, and 29% for intact CBA, NTx-CBA, NTx-C57BL, and intact C57BL mice, respectively. Some H-Ab had the same mobility and similar spectrotypes as dominant clonal products at the peak of the response. However, the majority of H-Ab appearing at old age were "new" H-Ab. While most of H-Ab in the CBA mice were transient and of a low concentration, the majority of H-Ab in the C57BL mice had all characteristics of a benign monoclonal gammapathy. The results indicate that memory cells of the B cell clones involved in the original specific response may in a susceptible strain become targets for events leading to the development of benign monoclonal gammapathy.