Bence Jones protein
Bence Jones protein
An abnormal 22–24-kD monoclonal of light-chain—usually kappa, less commonly, lambda—immunoglobulin derived from the clonal expansion(s) of plasma cells, which is found in the urine of 50–80% of patients with multiple myeloma and Waldenstrom’s macroglobulinemia. Bence-Jones protein is small enough to be excreted by the kidney.Specimen
24-hour urine.
Comments
False-positive results can occur in connective tissue disease, renal insufficiency and in other malignancies. Immunofixation electrophoresis—or more recently, serum-free light-chain assay—is the preferred method for detecting BJPs. The heat detection method—Bence Jones reaction (see there)—has fallen into disuse.