Macroglobulin

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Macroglobulin

Diagram of IgM structure

Macroglobulin refers to a class of immunoglobulins that are characterized by their large size. The most well-known macroglobulin is IgM, which is a type of antibody found in the blood and lymphatic fluid. IgM is the largest antibody in the human circulatory system and plays a crucial role in the early stages of the immune response.

Structure

Macroglobulins, such as IgM, are pentameric molecules, meaning they are composed of five monomeric units. Each unit consists of two heavy chains and two light chains, forming a Y-shaped structure. The pentameric form of IgM is stabilized by a joining (J) chain, which is a small polypeptide that links the monomers together.

Function

The primary function of macroglobulins like IgM is to bind to antigens and activate the complement system, which is a part of the immune system that enhances the ability of antibodies to clear pathogens. IgM is particularly effective at agglutinating antigens, which means it can clump them together, making it easier for phagocytes to engulf and destroy them.

Clinical Significance

Elevated levels of macroglobulins can be indicative of certain medical conditions. For example, Waldenström's macroglobulinemia is a type of cancer that involves the overproduction of IgM. This condition can lead to symptoms such as hyperviscosity syndrome, where the blood becomes too thick, leading to complications like vision problems, headaches, and bleeding disorders.

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Contributors: Prab R. Tumpati, MD