Literature DB >> 21406545

Aggregated serum free light chains may prevent adequate removal by high cut-off haemodialysis.

Stephen Harding1, Francois Provot, Jean-Baptise Beuscart, Mark Cook, Arthur R Bradwell, Stephanie Stringer, Darren White, Paul Cockwell, Colin A Hutchison.   

Abstract

Free light chain (FLC) removal by high cut-off haemodialysis has been described as an adjuvant therapy for the management of patients with severe renal failure complicating multiple myeloma. The two cases reported here are the first patients in whom this treatment did not remove FLCs. In both patient's sera, size-exclusion chromatography identified large FLC aggregates, with molecular weights above the cut-off of the dialyser. It is important for clinicians to be aware of FLC aggregates as a reason for failure to remove FLCs by this new modality.

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Year:  2011        PMID: 21406545     DOI: 10.1093/ndt/gfr019

Source DB:  PubMed          Journal:  Nephrol Dial Transplant        ISSN: 0931-0509            Impact factor:   5.992


  5 in total

Review 1.  Novel approaches for reducing free light chains in patients with myeloma kidney.

Authors:  Colin A Hutchison; Joan Bladé; Paul Cockwell; Mark Cook; Mark Drayson; Jean-Paul Fermand; Efstathios Kastritis; Robert Kyle; Nelson Leung; Sonia Pasquali; Christopher Winearls
Journal:  Nat Rev Nephrol       Date:  2012-02-21       Impact factor: 28.314

2.  Comparison of serum free light chain and urine electrophoresis for the detection of the light chain component of monoclonal immunoglobulins in light chain and intact immunoglobulin multiple myeloma.

Authors:  Thomas Dejoie; Michel Attal; Philippe Moreau; Jean-Luc Harousseau; Herve Avet-Loiseau
Journal:  Haematologica       Date:  2015-12-03       Impact factor: 9.941

3.  Diagnostic accuracy of monoclonal antibody based serum immunoglobulin free light chain immunoassays in myeloma cast nephropathy.

Authors:  Colin A Hutchison; Paul Cockwell; Mark Cook
Journal:  BMC Clin Pathol       Date:  2012-08-09

4.  Effectiveness of Haemodiafiltration with Heat Sterilized High-Flux Polyphenylene HF Dialyzer in Reducing Free Light Chains in Patients with Myeloma Cast Nephropathy.

Authors:  Mathieu Rousseau-Gagnon; Mohsen Agharazii; Sacha A De Serres; Simon Desmeules
Journal:  PLoS One       Date:  2015-10-14       Impact factor: 3.240

5.  Removal of free light chains in hemodialysis patients without multiple myeloma: a crossover comparison of three different dialyzers.

Authors:  Gabriele Donati; Maria Ilaria Moretti; Olga Baraldi; Alessandra Spazzoli; Irene Capelli; Giorgia Comai; Antonio Marchetti; Maria Sarma; Rita Mancini; Gaetano La Manna
Journal:  BMC Nephrol       Date:  2016-11-25       Impact factor: 2.388

  5 in total

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