Fibronectin (FN) has an active role in the immune response, interactin
g with a number of different cells and components. It has been implica
ted in the formation of cryoprecipitates in rheumatic diseases and is
present in tissues where under pathological conditions immune complexe
s are deposited. Under physiological conditions of pH and ionic streng
th both heavy and light chain of all multiple myeloma and normal IgG s
how affinity to FN. FN binds to both B and T cells and is shown to inh
ibit thrombin and collagen-induced platelet aggregation. We have found
elevated levels of FN in the plasma of multiple myeloma patients test
ed compared to a group of normal subjects. Even though the level of FN
did not correlate with the level of the paraprotein, our findings rai
se the possibility that FN might be implicated in some of the clinical
symptoms of multiple myeloma.