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Diagnostic value of kappa free light chain index in patients with primary progressive multiple sclerosis - a multicentre study. | LitMetric

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Article 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.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10758426PMC
http://dx.doi.org/10.3389/fimmu.2023.1327947DOI Listing

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