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Diagnostic thresholds for free light chains in multiple myeloma depend on the assay used

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References

  1. Kyle RA, Rajkumar SV. Criteria for diagnosis, staging, risk stratification, and response assessment of multiple myeloma. Leukemia. 2009;23:3–9.

    Article  PubMed  CAS  Google Scholar 

  2. Rajkumar SV, Kyle RA, Therneau TM, Melton LJ 3rd, Bradwell AR, Clark RJ, et al. Serum free light chain ratio is an independent risk factor for progression in monoclonal gammopathy of undetermined significance. Blood. 2005;106:812–7.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  3. Vermeersch P, Vercammen M, Holvoet A, Vande Broek I, Delforge M, Bossuyt X. Use of interval-specific likelihood ratios improves clinical interpretation of serum FLC results for the diagnosis of malignant plasma cell disorders. Clin Chim Acta. 2009;410:54–8.

    Article  PubMed  CAS  Google Scholar 

  4. Palladini G, Russo P, Bosoni T, Verga L, Sarais G, Lavatelli F, et al. Identification of amyloidogenic light chains requires the combination of serum-free light chains and with immunofixation of serum and urine. Clin Chem. 2009;55:499–504.

    Article  PubMed  CAS  Google Scholar 

  5. Palladini G, Dispenzieri A, Gertz MA, Kumar S, Wechalekar A, Hawkins PN, et al. New criteria for response to treatment in immunoglobulin light chain amyloidosis based on free light chain measurement and cardiac biomarkers: impact on survival outcomes. J Clin Oncol. 2012;30:4541–9.

    Article  PubMed  CAS  Google Scholar 

  6. Bradwell AR, Carr-Smith HD, Mead GP, Tang LX, Showell PJ, Drayson MT, et al. Highly sensitive, automated immunoassay for immunoglobulin free light chains in serum and urine. Clin Chem. 2001;47:673–80.

    PubMed  CAS  Google Scholar 

  7. te Velthuis H, Knop I, Stam P, et al. N Latex FLC – new monoclonal high-performance assays for the determination of free light chain kappa and lambda. Clin Chem Lab Med. 2011;49:1323–32.

    Article  CAS  Google Scholar 

  8. Carr-Smith HD, Jenner EL, Evans JAR, Harding SJ. Analytical issues of serum free light chain assays and the relative performance of polyclonal and monoclonal based reagents. Clin Chem Lab Med. 2016;54:997–1003.

    Article  PubMed  CAS  Google Scholar 

  9. Palladini G, Jaccard A, Milani P, et al. Circulating free light chain measurement in the diagnosis, prognostic assessment and evaluation of response of AL amyloidosis: comparison of Freelite and N latex FLC assays. Clin Chem Lab Med. 2017;55:1734–43.

    Article  PubMed  CAS  Google Scholar 

  10. Rajkumar SV, Dimopoulos MA, Palumbo A, Blade J, Merlini G, Mateos MV, et al. International Myeloma Working Group updated criteria for the diagnosis of multiple myeloma. Lancet. 2014;15:e538–48.

    Article  PubMed  Google Scholar 

  11. Larsen JT, Kumar SK, Dispenzieri A, Kyle RA, Katzmann JA, Rajkumar SV Serum free light chain ratio as a biomarker for high-risk smoldering multiple myeloma. Leukemia. 2013;27:941–6

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Acknowledgements

We thank Siemens and The Binding site for providing the reagents and for performing the assays. We thank Oscar Berlanga and Stephen Harding (both from the Binding Site) and Carola Wagner (from Siemens) for helpful discussions.

Author contribution

XB and MV designed the study and wrote the paper. XB, MV, MR, and DD analyzed the data. MD, KF, and BS take care of the patients with multiple myeloma and revised the manuscript. KP discussed the data and critically reviewed the study and the manuscript.

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Correspondence to Xavier Bossuyt.

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Conflict of interest

MV, KP, and XB received travel fees from The Binding Site. BS received research support from The Binding Site. The remaining authors declare no conflict of interest.

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Bossuyt, X., Delforge, M., Reynders, M. et al. Diagnostic thresholds for free light chains in multiple myeloma depend on the assay used. Leukemia 32, 1815–1818 (2018). https://doi.org/10.1038/s41375-018-0041-0

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  • DOI: https://doi.org/10.1038/s41375-018-0041-0

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