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Bence Jones protein

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plasma cells. They can be kappa (most of the time) or lambda. The light chains can be immunoglobulin fragments or single homogeneous immunoglobulins. They are found in urine as a result of decreased kidney filtration capabilities due to
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have been utilised in a number of published studies which have indicated superiority over the urine tests, particularly for patients producing low levels of monoclonal free light chains, as seen in nonsecretory multiple myeloma and
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from the calcium released as the bones are destroyed, dehydration due to polyuria, amyloidosis or from the light chains themselves. The light chains were historically detected by heating a
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Akar H, Seldin DC, Magnani B, et al. (December 2005). "Quantitative serum free light chain assay in the diagnostic evaluation of AL amyloidosis".
375:"Outcome in systemic AL amyloidosis in relation to changes in concentration of circulating free immunoglobulin light chains following chemotherapy" 508: 560: 1081: 424:"Quantitative analysis of serum free light chains. A new marker for the diagnostic evaluation of primary systemic amyloidosis" 959: 291: 207: 61: 1066: 67:
Bence Jones proteins are particularly diagnostic of multiple myeloma in the context of target organ manifestations such as
116: 553: 162: 243:"Serum free light-chain measurements for identifying and monitoring patients with nonsecretory multiple myeloma" 1168: 292:"Nonsecretory plasma cell myeloma--becoming even more rare with serum free light-chain assay: a brief review" 223: 1076: 834: 546: 1127: 1122: 1106: 1150: 1030: 87: 45: 871: 334:"Diagnostic performance of quantitative kappa and lambda free light chain assays in clinical practice" 1091: 1010: 952: 859: 696: 642: 1196: 1071: 896: 891: 654: 506:
Jones HB (1848). "On a new substance occurring in the urine of a patient with mollities ossium".
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Abraham RS, Katzmann JA, Clark RJ, Bradwell AR, Kyle RA, Gertz MA (February 2003).
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Drayson M, Tang LX, Drew R, Mead GP, Carr-Smith H, Bradwell AR (May 2001).
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Bernier, G. M. & Putnam, F. W. (1963). Nature (London), 200, 223±225.
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Katzmann JA, Abraham RS, Dispenzieri A, Lust JA, Kyle RA (May 2005).
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specimen (which causes the protein to precipitate) and nowadays by
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Lachmann HJ, Gallimore R, Gillmore JD, et al. (July 2003).
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The Bence Jones protein was described by the English physician
72: 937: 331: 1040: 108: 49: 421: 198:(5th ed.). Blackwell Publishing Professional. p.  56:. Detection of Bence Jones protein may be suggestive of 372: 240: 189: 462: 1242: 185: 183: 122:amyloid light chain amyloidosis (AL amyloidosis) 509:Philosophical Transactions of the Royal Society 296:Archives of Pathology & Laboratory Medicine 953: 554: 180: 960: 946: 561: 547: 327: 325: 439: 390: 349: 258: 71:, lytic (or "punched out") bone lesions, 505: 25: 568: 322: 289: 115:of concentrated urine. More recently, 1243: 428:American Journal of Clinical Pathology 190:Hoffbrand V, Moss P, Pettit J (2006). 1128:ACys+ABri/Cerebral amyloid angiopathy 1082:ATTR/Transthyretin-related hereditary 941: 542: 163:"What Is a Bence-Jones Protein Test?" 160: 154: 52:, with a molecular weight of 22–24 13: 14: 1272: 194:Essential Haematology (Essential) 30:A crystal of Bence Jones protein. 392:10.1046/j.1365-2141.2003.04433.x 1151:AApoA1+AFib+ALys/Familial renal 1077:AA/Familial Mediterranean fever 967: 499: 456: 136:in 1847 and published in 1848. 62:Waldenström's macroglobulinemia 415: 379:British Journal of Haematology 366: 283: 234: 216: 145: 1: 1197:ACal/Medullary thyroid cancer 1169:Primary cutaneous amyloidosis 1067:Aβ2M/Haemodialysis-associated 139: 117:serum free light chain assays 351:10.1373/clinchem.2004.046870 308:10.5858/2006-130-1212-NPCMEM 7: 1123:Familial amyloid neuropathy 441:10.1309/LYWM-47K2-L8XY-FFB3 88:immunoglobulin light chains 10: 1277: 224:"Bence Jones Protein Test" 127: 46:immunoglobulin light chain 18: 1182: 1159: 1141: 1113: 1099: 1092:Organ-limited amyloidosis 1090: 1049: 975: 915: 860:Hypersegmented neutrophil 850: 820: 811: 781: 767:Hemoglobin precipitation 733: 707: 697:Hereditary stomatocytosis 643:Hereditary elliptocytosis 612: 586: 577: 477:10.1080/13506120500352339 892:Critical green inclusion 683:Sickle cell/drepanocyte 655:Hereditary spherocytosis 260:10.1182/blood.V97.9.2900 624:Membrane abnormalities 290:Shaw GR (August 2006). 103:, sometimes induced by 1133:Aβ/Alzheimer's disease 794:Red cell agglutination 522:10.1098/rstl.1848.0003 94:) and are produced by 75:, or large numbers of 31: 228:TheFreeDictionary.com 29: 1107:AANF/Isolated atrial 1050:Systemic amyloidosis 897:Alder–Reilly anomaly 751:Basophilic stippling 872:Pelger–HuĂ«t anomaly 830:Reactive lymphocyte 756:Pappenheimer bodies 687:Sickle cell disease 35:Bence Jones protein 720:Hypochromic anemia 338:Clinical Chemistry 161:Anderson, Alyssa. 32: 1238: 1237: 1234: 1233: 1209:APro/Prolactinoma 1072:AGel/Finnish type 935: 934: 931: 930: 887:Toxic vacuolation 882:Toxic granulation 813:White blood cells 807: 806: 746:Howell–Jolly body 209:978-1-4051-3649-5 134:Henry Bence Jones 86:The proteins are 1268: 1221:AIAPP/Insulinoma 1097: 1096: 980:forming proteins 962: 955: 948: 939: 938: 902:Jordans' anomaly 818: 817: 735:Inclusion bodies 584: 583: 563: 556: 549: 540: 539: 534: 533: 503: 497: 496: 460: 454: 453: 443: 419: 413: 412: 394: 370: 364: 363: 353: 329: 320: 319: 287: 281: 280: 262: 238: 232: 231: 220: 214: 213: 197: 187: 178: 177: 175: 173: 158: 152: 149: 58:multiple myeloma 37:is a monoclonal 21:Mark Bence-Jones 1276: 1275: 1271: 1270: 1269: 1267: 1266: 1265: 1241: 1240: 1239: 1230: 1226:Type 2 diabetes 1178: 1174:Amyloid purpura 1155: 1137: 1109: 1086: 1045: 971: 966: 936: 927: 911: 846: 803: 777: 729: 703: 608: 579:Red blood cells 573: 567: 537: 504: 500: 461: 457: 420: 416: 371: 367: 330: 323: 288: 284: 239: 235: 222: 221: 217: 210: 188: 181: 171: 169: 159: 155: 150: 146: 142: 130: 113:electrophoresis 24: 17: 16:Urinary protein 12: 11: 5: 1274: 1264: 1263: 1258: 1253: 1236: 1235: 1232: 1231: 1229: 1228: 1223: 1218: 1212: 1211: 1206: 1200: 1199: 1194: 1188: 1186: 1180: 1179: 1177: 1176: 1171: 1165: 1163: 1157: 1156: 1154: 1153: 1147: 1145: 1139: 1138: 1136: 1135: 1130: 1125: 1119: 1117: 1111: 1110: 1105: 1103: 1094: 1088: 1087: 1085: 1084: 1079: 1074: 1069: 1064: 1062:AA amyloidosis 1059: 1057:AL amyloidosis 1053: 1051: 1047: 1046: 1044: 1043: 1038: 1033: 1028: 1023: 1018: 1013: 1004: 999: 994: 989: 983: 981: 973: 972: 965: 964: 957: 950: 942: 933: 932: 929: 928: 926: 925: 919: 917: 913: 912: 910: 909: 904: 899: 894: 889: 884: 879: 874: 869: 868: 867: 856: 854: 848: 847: 845: 844: 843: 842: 840:Russell bodies 832: 826: 824: 815: 809: 808: 805: 804: 802: 801: 796: 791: 785: 783: 779: 778: 776: 775: 774: 773: 765: 764: 763: 758: 753: 748: 742:Developmental 739: 737: 731: 730: 728: 727: 722: 717: 711: 709: 705: 704: 702: 701: 700: 699: 691: 690: 689: 681: 676: 671: 666: 661: 660: 659: 658: 657: 647: 646: 645: 635: 630: 622: 620:Poikilocytosis 616: 614: 610: 609: 607: 606: 601: 596: 590: 588: 581: 575: 574: 566: 565: 558: 551: 543: 536: 535: 498: 455: 414: 365: 321: 282: 233: 215: 208: 179: 153: 143: 141: 138: 129: 126: 101:kidney failure 69:kidney failure 15: 9: 6: 4: 3: 2: 1273: 1262: 1259: 1257: 1254: 1252: 1249: 1248: 1246: 1227: 1224: 1222: 1219: 1217: 1214: 1213: 1210: 1207: 1205: 1202: 1201: 1198: 1195: 1193: 1190: 1189: 1187: 1185: 1181: 1175: 1172: 1170: 1167: 1166: 1164: 1162: 1158: 1152: 1149: 1148: 1146: 1144: 1140: 1134: 1131: 1129: 1126: 1124: 1121: 1120: 1118: 1116: 1112: 1108: 1104: 1102: 1098: 1095: 1093: 1089: 1083: 1080: 1078: 1075: 1073: 1070: 1068: 1065: 1063: 1060: 1058: 1055: 1054: 1052: 1048: 1042: 1039: 1037: 1034: 1032: 1029: 1027: 1024: 1022: 1019: 1017: 1014: 1012: 1008: 1005: 1003: 1000: 998: 995: 993: 990: 988: 985: 984: 982: 979: 974: 970: 963: 958: 956: 951: 949: 944: 943: 940: 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286: 278: 274: 270: 266: 261: 256: 253:(9): 2900–2. 252: 248: 244: 237: 229: 225: 219: 211: 205: 201: 196: 195: 186: 184: 168: 164: 157: 148: 144: 137: 135: 125: 123: 118: 114: 110: 106: 105:hypercalcemia 102: 97: 93: 89: 84: 82: 78: 74: 70: 65: 63: 59: 55: 51: 48:found in the 47: 43: 40: 36: 28: 22: 1001: 877:Döhle bodies 865:Arneth count 852:Granulocytes 715:Anisochromia 693:Stomatocyte 604:Microcytosis 599:Macrocytosis 594:Anisocytosis 513: 507: 501: 471:(4): 210–5. 468: 464: 458: 434:(2): 274–8. 431: 427: 417: 385:(1): 78–84. 382: 378: 368: 341: 337: 299: 295: 285: 250: 246: 236: 227: 218: 193: 172:27 September 170:. Retrieved 166: 156: 147: 131: 92:paraproteins 85: 77:plasma cells 66: 34: 33: 1256:Urine tests 1251:Blood tests 969:Amyloidosis 835:Smudge cell 822:Lymphocytes 761:Cabot rings 674:Schistocyte 638:Elliptocyte 628:Acanthocyte 81:bone marrow 1261:Hematology 1245:Categories 907:Left shift 789:Haemoconia 771:Heinz body 669:Echinocyte 650:Spherocyte 570:Blood film 140:References 96:neoplastic 1204:Pituitary 1184:Endocrine 679:Degmacyte 664:Dacrocyte 530:186208792 516:: 55–62. 1216:Pancreas 923:Auer rod 799:Rouleaux 633:Codocyte 572:findings 485:16399645 450:12579999 409:23475887 401:12823348 360:15774572 316:16879026 269:11313287 39:globulin 1192:Thyroid 978:amyloid 976:Common 493:7839338 465:Amyloid 277:8779162 128:History 79:in the 42:protein 1143:Kidney 708:Colour 528:  491:  483:  448:  407:  399:  358:  314:  275:  267:  206:  73:anemia 1115:Brain 1101:Heart 1016:AIAPP 916:Other 782:Other 613:Shape 526:S2CID 489:S2CID 405:S2CID 273:S2CID 247:Blood 167:WebMD 109:urine 60:, or 50:urine 1161:Skin 1041:ABri 1036:ACys 1031:AANF 1026:APro 1021:ACal 997:Aβ2M 992:ATTR 587:Size 481:PMID 446:PMID 397:PMID 356:PMID 312:PMID 265:PMID 204:ISBN 174:2023 1011:APP 518:doi 514:138 473:doi 436:doi 432:119 387:doi 383:122 346:doi 304:doi 300:130 255:doi 200:218 54:kDa 44:or 1247:: 1007:Aβ 1002:AL 987:AA 524:. 512:. 487:. 479:. 469:12 467:. 444:. 430:. 426:. 403:. 395:. 381:. 377:. 354:. 342:51 340:. 336:. 324:^ 310:. 298:. 294:. 271:. 263:. 251:97 249:. 245:. 226:. 202:. 182:^ 165:. 124:. 64:. 1009:/ 961:e 954:t 947:v 562:e 555:t 548:v 532:. 520:: 495:. 475:: 452:. 438:: 411:. 389:: 362:. 348:: 318:. 306:: 279:. 257:: 230:. 212:. 176:. 90:( 23:.

Index

Mark Bence-Jones

globulin
protein
immunoglobulin light chain
urine
kDa
multiple myeloma
Waldenström's macroglobulinemia
kidney failure
anemia
plasma cells
bone marrow
immunoglobulin light chains
paraproteins
neoplastic
kidney failure
hypercalcemia
urine
electrophoresis
serum free light chain assays
amyloid light chain amyloidosis (AL amyloidosis)
Henry Bence Jones
"What Is a Bence-Jones Protein Test?"


Essential Haematology (Essential)
218
ISBN
978-1-4051-3649-5

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