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1804  Part XI:  Malignant Lymphoid Diseases                              Chapter 110:  Heavy-Chain Disease           1805




























































                  Figure 110–1.  Structure of various deleted γ-heavy-chain disease (HCD) proteins compared with that of normal chains. *Structure shown is a
                  primary synthetic product synthesized by the HCD cells. Serum protein was modified after synthesis and did not contain any amino acids before the
                  hinge. H , indicates heterogeneous amino acid sequences;  H , unusual and heterogeneous amino acid sequences;  , unusual amino acid sequences;
                  boxes, coding regions; lines, deletions; dashed lines, likely structures for which sequence data are missing; ?, probable missing domain based on
                  molecular weight and partial protein structure analysis; V, variable region; D, diversity segment; J, joining region; H, hinge region; C 1, C 2, C 3, con-
                                                                                                               H
                                                                                                                   H
                                                                                                                      H
                  stant regions of heavy chains. OMM,  WIS,  CHI,  SPA,  ZUC,  CHA,  BUR,  GIF,  LEA,  HI,  HAR,  BAZ,  PAR,  ZAN,  HAL,  VAU,  LEB,  WIN,  UD,
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                  CRA,  YOK,  RIV,  EST. 86
                     83
                              85
                          84
                                                                                           Figure 110–2.  Structure of two genes cod-
                                                                                           ing for γ-heavy-chain-disease proteins com-
                                                                                           pared with that of normal  γ  and  γ  genes.
                                                                                                                3
                                                                                                                      1
                                                                                           Boxes indicate coding regions;   , switch
                                                                                           region;   , inserted noncoding sequence;
                                                                                           lines, intervening (noncoding) sequences; L,
                                                                                           leader region; V, variable region; D, diversity
                                                                                           segment; J, joining region; S, switch region; H,
                                                                                           hinge region; C 1, C 2, C 3, constant regions
                                                                                                      H
                                                                                                             H
                                                                                                          H
                                                                                           of heavy chains; I, inserted sequence; Del,
                                                                                           deleted sequence. OMM,  RIV. 85
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          Kaushansky_chapter 110_p1803-1812.indd   1805                                                                 9/18/15   9:57 AM
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