Twenty two HIV antibody ELISA reactive serum samples from blood donors
were subjected to Western blot (WB) test, out of which 12 sera were f
ound WB positive, five were WB - indeterminate and five were WB - nega
tive. Electrophoresis on agar gel and polyacrylamide gel (PAG) was don
e in all ELISA reactive sera. Two of the 12 WB-positive and one of the
five WB-indeterminate donors showed presence of monoclonal (M) immuno
globulin component and which was identified as of IgG isotype on immun
oelectophoresis (IEP). Sera with 'M' component demonstrated decreased
levels of IgA and IgM whereas other sera showed polyclonal increase of
immunoglobulins. The paraproteins observed in these patients are poss
ibly a reflection of B-cell overactivation.