Free light chain monomers in the diagnosis of multiple sclerosis

J Neuroimmunol. 2010 Dec 15;229(1-2):263-71. doi: 10.1016/j.jneuroim.2010.09.002. Epub 2010 Sep 25.

Abstract

A new procedure of free light chain (FLC) analysis was developed to assist the diagnosis of multiple sclerosis (MS). In this procedure, Western blotting technique was used to analyze monomeric and dimeric FLCs in the cerebrospinal fluid (CSF) and serum of patients with MS and other neurological diseases. The intensity of immunoreactive FLC bands was quantified by a specially developed software. Analysis of the obtained monomer/dimer patterns of κ and λ type FLCs allowed the determination of the diagnostically useful FLC parameters. The combined use of three FLC indices accounting for monomeric FLC-κ level and κ/λ ratio values in the CSF and serum was found to be of promising diagnostic importance for differentiation of MS from other non-MS neurological diseases.

MeSH terms

  • Female
  • Humans
  • Immunoglobulin Light Chains / blood*
  • Immunoglobulin Light Chains / cerebrospinal fluid*
  • Male
  • Multiple Sclerosis* / blood
  • Multiple Sclerosis* / cerebrospinal fluid
  • Multiple Sclerosis* / diagnosis
  • Oligoclonal Bands / blood
  • Oligoclonal Bands / cerebrospinal fluid
  • Statistics, Nonparametric

Substances

  • Immunoglobulin Light Chains
  • Oligoclonal Bands