What does it mean if Kappa Lambda ratio is high?

Asked By: Charolette Samhi | Last Updated: 22nd February, 2020
Category: medical health cancer
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FREE KAPPA/LAMBDA RATIO * . 26--1.65 The ratio of kappa to lambda is an important indicator. When one level (kappa or lambda)is high and the other is low, this is an indication that myeloma is active. If both kappa and lambda are increased, it can show a disease other than myeloma (like kidney disease).

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Also question is, does high kappa light chain mean myeloma?

In myeloma, all the abnormal plasma cells make the same antibody. Therefore, the myeloma can be classified by the type of light and heavy chains produced, such as IgG kappa, IgG lambda, IgA kappa, or IgA lambda, etc. The most common type of heavy chain produced in myeloma is IgG, followed by IgA and then IgD.

Beside above, what does high free kappa light chains mean? Increased kappa free light chains and an increased kappa/lambda ratio may be seen with plasma cell disorders that produce excess monoclonal kappa light chains. Monoclonal gammopathy of undetermined significance (MGUS) is the most common plasma cell disorder and it usually does not cause symptoms.

Keeping this in consideration, what is the normal kappa to lambda ratio?

The exact normal ratio of kappa to lambda, according to a novel polyclonal free light chain assay, ranges from 0.26 to 1.65. Both the kappa and the lambda chains can increase proportionately, maintaining a normal ratio. This is usually indicative of something other than a blood cell dyscrasia, such as kidney disease.

Which is worse kappa or lambda?

Patients with lambda light chain disease have a three times worse prognosis than kappa light chain disease. We report a case of lambda light chain deposition disease in a 35-year-old female who presented with acute renal failure requiring hemodialysis.

38 Related Question Answers Found

What are kappa light chains in myeloma?

The most common type of myeloma is IgG kappa. In IgG kappa myeloma, the myeloma cells produce an immunoglobulin made from two IgG heavy chains bound to two kappa light chains. About 15% of patients have light chain myeloma. In this type of myeloma, the myeloma cells secrete only light chain protein and no heavy chains.

How do I treat myeloma light chain?

The goal of treatment in these patients is to suppress the production of light chains and damage to other organs.

Treatment options include the following :
  • Autologous stem cell transplantation (ASCT)
  • Bortezomib.
  • Immunomodulatory drugs.
  • Kidney transplantation.

What is the difference between kappa and lambda light chain?

The genes encoding the two light chain isotypes are located on separate chromosomes. Kappa gene segments are encoded on chromosome 2 (7) comprising 52 V genes and 5 J genes (8), whereas lambda gene segments are encoded on chromosome 22 (9) comprising 30 V genes and 7 J genes (10).

What are the first signs of multiple myeloma?

Early warning signs of multiple myeloma
  • Bone pain (often in the back or ribs)
  • Unexplained bone fractures (usually in the spine)
  • Fatigue, feeling of weakness.
  • Recurrent infections, fevers.
  • Shortness of breath.
  • Weight loss.
  • Nausea.
  • Constipation.

What is normal kappa light chain?


Normal test results for free light chains are: 3.3 to 19.4 mg/L kappa free light chains. 5.71 to 26.3 mg/L lambda free light chains. 0.26 to 1.65 ratio of kappa/lambda.

What causes light chain myeloma?

Kappa Light Chain Multiple Myeloma Treatment. Multiple myeloma is a rare form of cancer that begins in the bone marrow, when abnormal plasma cells accumulate and crowd out healthy blood cells. Healthy blood cells produce antibodies that help to fight infection. With time, they can also cause bones to weaken and break.

Does high IgM mean cancer?

Patients with Hyper-IgM (HIGM) syndrome are susceptible to recurrent and severe infections and in some types of HIGM syndrome opportunistic infections and an increased risk of cancer as well. The disease is characterized by decreased levels of immunoglobulin G (IgG) in the blood and normal or elevated levels of IgM.

What are light chains in myeloma?

Light chain myeloma sometimes called Bence Jones myeloma
About 20 out of 100 people with myeloma (20%) do not produce complete immunoglobulins. They only produce part of the immunoglobulin called the light chain. There are 2 types of light chains - called kappa and lambda. The light chains can show up in the urine.

What blood tests indicate multiple myeloma?

The following tests may be used to diagnose multiple myeloma: Blood and urine tests. Myeloma cells often secrete the antibody monoclonal immunoglobulin, known as M protein. M protein levels in a patient's blood and urine are used to determine the extent of the disease and to monitor the effectiveness of treatment.

Does M protein mean cancer?


M-protein is an antibody—or part of an antibody—that can show up in tests of your blood and/or urine, and its presence can mean different things. In blood cancers such as myeloma, the 'M' in 'M protein' stands for monoclonal. A monoclonal protein is produced by the abnormal, cancerous or precancerous cells.

What is considered a high M spike?

The higher the M spike on SPEP, the higher the risk of progression to myeloma. A basic cut point is if patients have a M spike greater than 1.5 g/dL, they have a higher risk of progression. The type of Ig seen on immunofixation also dictates the risk of progression to myeloma.

What is considered a high level of M protein?

People with smoldering myeloma have some signs of multiple myeloma, such as any of the following: Plasma cells in the bone marrow between 10% and 60% High level of monoclonal immunoglobulin (M protein) in the blood. High level of light chains in the urine (also called Bence Jones protein)

What is lambda light chain disease?

Light chain deposition disease (LCDD) is a rare blood cell disease which is characterized by deposition of fragments of infection-fighting immunoglobulins, called light chains (LCs), in the body. LCs are normally cleared by the kidneys, but in LCDD, these light chain deposits damage organs and cause disease.

How is multiple myeloma diagnosed?

Multiple Myeloma Diagnosis
Diagnosing multiple myeloma includes blood work, a 24-hour urine collection, a bone marrow biopsy, imaging studies (such as x-rays, MRIs, PET scans) and bone density tests. Your fight with myeloma is a war. In order to win it, you must know your enemy and know it well.

What is IgG Kappa?


The most common monoclonal protein in myeloma is the IgG type. This means that the immunoglobulin is comprised of two IgG heavy chains and two light chains, either two kappa or two lambda. When the abnormal M protein is identified in myeloma, it is most often an IgG kappa type.

How is light chain deposition disease treated?

The goal of treating LCDD is to slow the production of light chains and their damage to organs. Treatment may include chemotherapy with a drug called Bortezomib; autologous stem cell transplantation; immunomodulatory drugs; and/or kidney transplant. If untreated, end-stage renal disease occurs in 70% of cases.

How long a person can live with multiple myeloma?

The SEER(Surveillance, Epidemiology, and End Results) data for multiple myeloma has been published in 2013 by the National Cancer Institute, and the average life expectancy remains at 4 years for the third year in a row. However, some people beat the odds and live 10 to 20 years or more.