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Malaria (83.6%), yellow fever (10.5%), measles (27.5%), gonorrhea (42.6%), and genital herpes (7.1%) were the most frequently reported prior infection. First, we assessed ��-globulin levels by quartiles (2.17 g/dL) in relation to demographics, socioeconomics, and history of selected prior infections. Using this unadjusted descriptive approach, we found increasing http://www.selleck.cn/products/mi-773-sar405838.html age (P = 0.008) and lower education status (P http://www.selleckchem.com/products/VX-770.html status to be significant (P = 0.0013). Significance of educational status remained upon subanalysis by educational status (postsecondary, secondary, primary, or none; data not shown). Additionally, a personal medical history of syphilis (P = 0.014) was an independent factor associated with higher ��-globulin levels. Although hepatitis B/C infection appeared significant in the multivariate linear regression model, significance did not remain in the proportional-odds model. As results were otherwise similar, we report findings for the linear model only in Table II. We found that three quarters of almost 1000 adult males above the age of 50 years in Accra, Ghana, had polyclonal hypergamma-globulinemia based on current reference range used in most American laboratories. Older age, never smoking, and lower educational status, as well http://www.selleckchem.com/products/Imatinib-Mesylate.html as a personal history of syphilis, were associated with higher ��-globulin levels. Our findings support the hypothesis that gene-environment interactions might play an important role in immune responses causing polyclonal hypergamma-globulinemia, and, which in turn, might be a pathway to MGUS and subsequent hematological malignancies [17]. Our finding of a very high prevalence of polyclonal hypergamma-globulinemia in adult Ghanaian males is in accord with prior smaller studies showing racial/ethnic differences in ��-globulin levels [10, 12, 18].