Renal impairment in myeloma: negative association with isoelectric point of excreted Bence-Jones protein

J Clin Pathol. 1989 Jan;42(1):59-62. doi: 10.1136/jcp.42.1.59.

Abstract

The isoelectric point (pI) of the major form of Bence-Jones protein excreted by 62 patients with myeloma and six with macroglobulinaemia was measured by combining isoelectric focusing with immunoblotting techniques. The distribution of the pI values for both kappa and lambda type proteins was bimodal, most falling in the ranges 5.0-6.0 and 7.0-7.5. Plasma creatinine and creatinine clearance and the urine excretion of alpha-1-microglobulin and beta-2-microglobulin were measured in 24 of the patients. These patients, who were free of additional factors known to have an association with the development of renal impairment, were followed up for a mean period of 16 months (range three to 28 months). It was found that renal impairment was not related to the pI of the Bence-Jones protein excreted.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Alpha-Globulins / urine
  • Bence Jones Protein / analysis*
  • Creatinine / metabolism
  • Humans
  • Isoelectric Point
  • Kidney Failure, Chronic / complications*
  • Multiple Myeloma / complications
  • Multiple Myeloma / metabolism
  • Multiple Myeloma / urine*
  • Waldenstrom Macroglobulinemia / urine
  • beta 2-Microglobulin / urine

Substances

  • Alpha-Globulins
  • alpha-1-microglobulin
  • beta 2-Microglobulin
  • Bence Jones Protein
  • Creatinine