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Diagnostic value of kappa free light chain index in patients with primary progressive multiple sclerosis – a multicentre study

  • Harald Hegen*
  • , Klaus Berek
  • , Paola Cavalla
  • , Mikael Christiansen
  • , Andreja Emeršič
  • , Massimiliano di Filippo
  • , Lorenzo Gaetani
  • , Michaela Hassler
  • , Cyra Leurs
  • , Dejan Milosavljevic
  • , Vincent van Pesch
  • , Thor Petersen
  • , Stefan Presslauer
  • , Igal Rosenstein
  • , Uroš Rot
  • , Christine Schnabl
  • , Charlotte Teunissen
  • , Domizia Vecchio
  • , Marco Vercellino
  • , Florian Deisenhammer
  • *Corresponding author for this work
  • Innsbruck Medical University
  • Azienda Ospedaliera - Universitaria Città della Salute e della Scienza di Torino
  • Aarhus University
  • University of Ljubljana
  • University of Perugia
  • FH Campus Wien
  • Amsterdam UMC
  • Université catholique de Louvain
  • University Hospital of Southern Denmark
  • Klinik Ottakring
  • Sahlgrenska Academy
  • Maggiore della Carità University Hospital

Research output: Contribution to journalArticleAcademicpeer-review

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Abstract

Background: Kappa free light chains (κ-FLC) in the cerebrospinal fluid (CSF) are an emerging biomarker in multiple sclerosis (MS). Objective: To investigate whether κ-FLC index has similar diagnostic value in patients with primary progressive multiple sclerosis (PPMS) compared to oligoclonal bands (OCB). Methods: Patients with PPMS were recruited through 11 MS centres across 7 countries. κ-FLC were measured by immunonephelometry/-turbidimetry. OCB were determined by isoelectric focusing and immunofixation. Results: A total of 174 patients (mean age of 52±11 years, 51% males) were included. κ-FLC index using a cut-off of 6.1 was positive in 161 (93%) and OCB in 153 (88%) patients. Conclusion: κ-FLC index shows similar diagnostic sensitivity than OCB in PPMS.
Original languageEnglish
Article number1327947
JournalFrontiers in immunology
Volume14
DOIs
Publication statusPublished - 2023

Keywords

  • cerebrospinal fluid
  • diagnosis
  • kappa free light chain
  • multiple sclerosis
  • primary progressive
  • sensitivity

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