The immunoglobulin molecule consists of two types of chains
It contains two heavy chains and two light chains: kappa or
lambda. The kappa and lambda light chains are produced by plasma cells
plasmatic cells. The light chains are produced in excess of the
to the heavy chains, so their excess is released into the
serum in the form of free kappa and lambda light chains. Free
light chains are filtered in the glomeruli and
metabolized in the proximal tubules of the nephron. Kidney damage
increases the half-life of light chains from 2-6 hours to 2-3 days
An increase in the concentration of free light chains in the urine is associated with
The progression of a disease causing excess production of chains
(e.g., multiple myeloma) and the degree of kidney damage. Determination of
quantification of kappa and labda light chains in urine replaces the
classic Bence- Jones protein determination in many
clinical cases.