Immunoglobulin Free Light Chain Dimers in Human Diseases

Immunoglobulin free light chain (FLC) kappa (κ) and lambda (λ) isotypes exist mainly in monomeric and dimeric forms. Under pathological conditions, the level of FLCs as well as the structure of monomeric and dimeric FLCs and their dimerization properties might be significantly altered. The abnormall...

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Main Authors: Batia Kaplan, Avi Livneh, Ben-Ami Sela
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1100/tsw.2011.65
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author Batia Kaplan
Avi Livneh
Ben-Ami Sela
author_facet Batia Kaplan
Avi Livneh
Ben-Ami Sela
author_sort Batia Kaplan
collection DOAJ
description Immunoglobulin free light chain (FLC) kappa (κ) and lambda (λ) isotypes exist mainly in monomeric and dimeric forms. Under pathological conditions, the level of FLCs as well as the structure of monomeric and dimeric FLCs and their dimerization properties might be significantly altered. The abnormally high fractions of dimeric FLCs were demonstrated in the serum of patients with multiple myeloma (MM) and primary systemic amyloidosis (AL), as well as in the serum of anephric patients. The presence of tetra- and trimolecular complexes formed due to dimer-dimer and dimer-monomer interactions was detected in the myeloma serum. Analysis of the amyloidogenic light chains demonstrated mutations within the dimer interface, thus raising the possibility that these mutations are responsible for amyloidogenicity. Increased κ monomer and dimer levels, as well as a high κ/λ monomer ratio, were typically found in the cerebrospinal fluid from patients with multiple sclerosis (MS). In many MS cases, the elevation of κ FLCs was accompanied by an abnormally high proportion of λ dimers. This review focuses on the disease-related changes of the structure and level of dimeric FLCs, and raises the questions regarding their formation, function, and role in the pathogenesis and diagnosis of human diseases.
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spelling doaj-art-3c2b3cf9262a4e018359ab75ce5d2e4b2025-08-20T02:08:16ZengWileyThe Scientific World Journal1537-744X2011-01-011172673510.1100/tsw.2011.65Immunoglobulin Free Light Chain Dimers in Human DiseasesBatia Kaplan0Avi Livneh1Ben-Ami Sela2Heller Institute of Medical Research, Sheba Medical Center, Tel-Hashomer, IsraelHeller Institute of Medical Research, Sheba Medical Center, Tel-Hashomer, IsraelSackler School of Medicine, Tel-Aviv University, Tel-Aviv, IsraelImmunoglobulin free light chain (FLC) kappa (κ) and lambda (λ) isotypes exist mainly in monomeric and dimeric forms. Under pathological conditions, the level of FLCs as well as the structure of monomeric and dimeric FLCs and their dimerization properties might be significantly altered. The abnormally high fractions of dimeric FLCs were demonstrated in the serum of patients with multiple myeloma (MM) and primary systemic amyloidosis (AL), as well as in the serum of anephric patients. The presence of tetra- and trimolecular complexes formed due to dimer-dimer and dimer-monomer interactions was detected in the myeloma serum. Analysis of the amyloidogenic light chains demonstrated mutations within the dimer interface, thus raising the possibility that these mutations are responsible for amyloidogenicity. Increased κ monomer and dimer levels, as well as a high κ/λ monomer ratio, were typically found in the cerebrospinal fluid from patients with multiple sclerosis (MS). In many MS cases, the elevation of κ FLCs was accompanied by an abnormally high proportion of λ dimers. This review focuses on the disease-related changes of the structure and level of dimeric FLCs, and raises the questions regarding their formation, function, and role in the pathogenesis and diagnosis of human diseases.http://dx.doi.org/10.1100/tsw.2011.65
spellingShingle Batia Kaplan
Avi Livneh
Ben-Ami Sela
Immunoglobulin Free Light Chain Dimers in Human Diseases
The Scientific World Journal
title Immunoglobulin Free Light Chain Dimers in Human Diseases
title_full Immunoglobulin Free Light Chain Dimers in Human Diseases
title_fullStr Immunoglobulin Free Light Chain Dimers in Human Diseases
title_full_unstemmed Immunoglobulin Free Light Chain Dimers in Human Diseases
title_short Immunoglobulin Free Light Chain Dimers in Human Diseases
title_sort immunoglobulin free light chain dimers in human diseases
url http://dx.doi.org/10.1100/tsw.2011.65
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