Serum free light chain analysis

被引:33
作者
Davids, Matthew S. [1 ,2 ]
Murali, Mandakolathur R. [2 ,3 ]
Kuter, David J. [1 ,2 ]
机构
[1] Massachusetts Gen Hosp, Ctr Hematol, Boston, MA 02114 USA
[2] Massachusetts Gen Hosp, Dept Med, Boston, MA 02114 USA
[3] Massachusetts Gen Hosp, Div Rheumatol Allergy & Immunol, Boston, MA 02114 USA
关键词
INDEPENDENT RISK-FACTOR; MONOCLONAL GAMMOPATHY; PROGRESSION; URINE; RATIO; IMMUNOFIXATION; AMYLOIDOSIS; REDUCTION; SURVIVAL; MARKERS;
D O I
10.1002/ajh.21815
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
In a variety of hematologic malignancies, immunoglobulin light chains (LC) are overproduced clonally and circulate without being linked by disulphide bonds to the immunoglobulin heavy chain. The recent development of a robust assay known as kappa and gamma "free'' LC (FLC) to quantify the levels of these unbound LC in the serum, and thereby determine their ratio, has led to an explosion of studies that demonstrate its utility in a wide range of hematologic disorders. This article summarizes laboratory testing for serum FLC, with a particular focus on clinical applications for the test. Am. J. Hematol. 85:787-790, 2010. (C) 2010 Wiley-Liss, Inc.
引用
收藏
页码:787 / 790
页数:4
相关论文
共 33 条
[1]  
Bradwell AR, 2001, CLIN CHEM, V47, P673
[2]   Serum test for assessment of patients with Bence Jones myeloma [J].
Bradwell, AR ;
Carr-Smith, HD ;
Mead, GP ;
Harvey, TC ;
Drayson, MT .
LANCET, 2003, 361 (9356) :489-491
[3]   THE OPTIMUM URINE COLLECTIONS FOR THE DETECTION AND MONITORING OF BENCE-JONES PROTEINURIA [J].
BRIGDEN, ML ;
NEAL, ED ;
MCNEELY, MDD ;
HOAG, GN .
AMERICAN JOURNAL OF CLINICAL PATHOLOGY, 1990, 93 (05) :689-693
[4]   Extramedullary relapse of multiple myeloma associated with a shift in secretion from intact immunoglobulin to light chains [J].
Dawson, Mark A. ;
Patil, Sushrut ;
Spencer, Andrew .
HAEMATOLOGICA-THE HEMATOLOGY JOURNAL, 2007, 92 (01) :143-144
[5]   Immunoglobulin free light chains and solitary plasmacytoma of bone [J].
Dingli, David ;
Kyle, Robert A. ;
Rajkumar, S. Vincent ;
Nowakowski, Grzegorz S. ;
Larson, Dirk R. ;
Bida, John P. ;
Gertz, Morie A. ;
Therneau, Terry M. ;
Melton, L. Joseph, III ;
Dispenzieri, Angela ;
Katzmann, Jerry A. .
BLOOD, 2006, 108 (06) :1979-1983
[6]   Absolute values of immunoglobulin free light chains are prognostic in patients with primary systemic amyloidosis undergoing peripheral blood stem cell transplantation [J].
Dispenzieri, A ;
Lacy, MQ ;
Katzmann, JA ;
Rajkumar, SV ;
Abraham, RS ;
Hayman, SR ;
Kumar, SK ;
Clark, R ;
Kyle, RA ;
Litzow, MR ;
Inwards, DJ ;
Ansell, SM ;
Micallef, IM ;
Porrata, LF ;
Elliott, MA ;
Johnston, PB ;
Greipp, PR ;
Witzig, TE ;
Zeldenrust, SR ;
Russell, SJ ;
Gastineau, D ;
Gertz, MA .
BLOOD, 2006, 107 (08) :3378-3383
[7]   Immunoglobulin free light chain ratio is an independent risk factor for progression of smoldering (asymptomatic) multiple myeloma [J].
Dispenzieri, Angela ;
Kyle, Robert A. ;
Katzmann, Jerry A. ;
Therneau, Terry M. ;
Larson, Dirk ;
Benson, Joanne ;
Clark, Raynell J. ;
Melton, L. Joseph, III ;
Gertz, Morie A. ;
Kumar, Shaji K. ;
Fonseca, Rafael ;
Jelinek, Diane F. ;
Rajkumar, S. Vincent .
BLOOD, 2008, 111 (02) :785-789
[8]   Prevalence and risk of progression of light-chain monoclonal gammopathy of undetermined significance: a retrospective population-based cohort study [J].
Dispenzieri, Angela ;
Katzmann, Jerry A. ;
Kyle, Robert A. ;
Larson, Dirk R. ;
Melton, L. Joseph, III ;
Colby, Colin L. ;
Therneau, Terry M. ;
Clark, Raynell ;
Kumar, Shaji K. ;
Bradwell, Arthur ;
Fonseca, Rafael ;
Jelinek, D. F. ;
Rajkumar, S. Vincent .
LANCET, 2010, 375 (9727) :1721-1728
[9]   Serum free light-chain measurements for identifying and monitoring patients with nonsecretory multiple myeloma [J].
Drayson, M ;
Tang, LX ;
Drew, R ;
Mead, GP ;
Carr-Smith, H ;
Bradwell, AR .
BLOOD, 2001, 97 (09) :2900-2902
[10]   International uniform response criteria for multiple myeloma [J].
Durie, B. G. M. ;
Harousseau, J-L ;
Miguel, J. S. ;
Blade, J. ;
Barlogie, B. ;
Anderson, K. ;
Gertz, M. ;
Dimopoulos, M. ;
Westin, J. ;
Sonneveld, P. ;
Ludwig, H. ;
Gahrton, G. ;
Beksac, M. ;
Crowley, J. ;
Belch, A. ;
Boccadaro, M. ;
Turesson, I. ;
Joshua, D. ;
Vesole, D. ;
Kyle, R. ;
Alexanian, R. ;
Tricot, G. ;
Attal, M. ;
Merlini, G. ;
Powles, R. ;
Richardson, P. ;
Shimizu, K. ;
Tosi, P. ;
Morgan, G. ;
Rajkumar, S. V. .
LEUKEMIA, 2006, 20 (09) :1467-1473