Two common features in human immunodeficiency virus infection and acquired immunodeficiency syndrome, rheumatoid arthritis, and hematologic malignancies including multiple myeloma are elevated serum levels of  2 -microglobulin ( 2 M) and activation or inhibition of the immune system. We hypothesized that  2 M at high concentrations may have a negative impact on the immune system. In this study, we examined the effects of