Immunoglobulin D-λ/λbiclonal multiple myeloma:A case report

BACKGROUND Immunoglobulin D(IgD)multiple myeloma(MM)is a rare subtype of MM and commonly occurs in younger subjects but at a later stage of the International Staging System(ISS)when admitted.As a special type of IgD myeloma,IgD-λ/λbiclonal MM is rarer.Its serum protein electrophoresis and serum immunofixation electrophoresis(IFE)might find no anomalies even if the bone marrow(BM)examination is performed.Thus,it is easy to miss the diagnosis.CASE SUMMARY A 62-year-old man diagnosed as IgD-λ/λmyeloma(ISS stage III)was admitted with fatigue and weight loss.The physical examination suggested an anemic face,a few moist rales at the left lung base,and mild concave edema in both lower extremities.Laboratory examinations showed the elevated creatinine levels,β2-microglobulin,lactic dehydrogenase,and erythrocyte sedimentation rate,while the decreased neutrophils,granulocytes,and hemoglobin.In the serum protein electrophoresis,there appeared two inconspicuous M-spikes.Serum IFE indicated an over-representation of lambda light chain and yielded two monoclonal bands inλregion,but only one corresponding heavy chain band in the antisera to IgD region.The BM histology and BM cytology both supported the diagnosis of IgD-λ/λmyeloma.CONCLUSION This case highlights the differential clinical manifestations and laboratory findings of IgD-λ/λmyeloma to help minimize the chance of misdiagnosis.

Network analysis reveals context-dependent structural complexity of social calls in serrate-legged small treefrogs

Vocal communication plays an important role in survival,reproduction,and animal social association.Birds and mammals produce com-plex vocal sequence to convey context-dependent information.Vocalizations are conspicuous features of the behavior of most anuran species(frogs and toads),and males usually alter their calling strategies according to ecological context to improve the attractiveness/competitiveness.However,very few studies have focused on the variation of vocal sequence in anurans.In the present study,we used both conventional method and network analysis to investigate the context-dependent vocal repertoire,vocal sequence,and call network structure in serrate-legged small treefrogs Kurixalus odontotarsus.We found that male K.odontotarsus modified their vocal sequence by switching to different call types and increasing repertoire size in the presence of a competitive rival.Specifically,compared with before and after the playback of advertisement calls,males emited fewer advertisement calls,but more aggressive calls,encounter calls,and compound calls during the playback period.Network analysis revealed that the mean degree,mean closeness,and mean betweenness of the call networks significantly decreased during the playback period,which resulted in lower connectivity.in addition,the increased proportion of one-way motifs and average path length also indicated that the connectivity of the call network decreased in competitive context.However,the vocal sequence of K.odontotarsus did not display a clear small-world network structure,regardless of context.Our study presents a paradigm to apply network analysis to vocal sequence in anurans and has important implications for understanding the evolution and function of sequence patterns.