- Bence Jones protein
A Bence Jones protein is a monoclonal
globulin protein found in theblood orurine . Finding this protein in the context of end-organ manifestations such asmalignant bone marrow cancer ,renal failure ,lytic bone disease , oranemia , or large numbers ofplasma cells in thebone marrow of patients can be diagnostic ofmultiple myeloma , in which it is present in 2/3 of cases.cite book |author=Hoffbrand V, Moss P, Pettit J |title=Essential Haematology (Essential) |edition=5th edition |publisher=Blackwell Publishing Professional |location= |year=2006 |pages=218 |isbn=1405136499 |oclc= |doi=]The proteins are
antibody immunoglobulin free light chains (paraprotein s) and are produced byneoplastic plasma cells . They can be kappa (most of the time) or lambda. The light chains can be immunoglobulin fragments or single homogenous immunoglobulins. They are found in urine as they are small and hence easily cleared by the kidneys. The light chains can be detected by heating orelectrophoresis of concentratedurine . Light chains precipitate when heated to 50 - 60 degrees C and redisolve at 90 -100 degrees C. These tests are essential in patients suspected of having Bence Jones proteins in their urine as these proteins don't react with the reagents normally utilized inurinalysis dipsticks. This leads to false negative results in people with Bence Jones proteins in their urine undergoing standard urinalysis. There are various rarer conditions which can produce Bence Jones proteins, such asWaldenström's macroglobulinemia and other malignanices.The Bence Jones protein was described by the English physician
Henry Bence Jones in 1847 and published in 1848. [cite journal |author=Jones HB |title=On a new substance occurring in the urine of a patient with mollities ossium |journal=Phil Trans R Soc Lond |year=1848 |volume=138 |pages=55–62 |doi=10.1098/rstl.1848.0003] The protein was later sequenced by Frank Putnam at the laboratory ofFred Sanger in Cambridge, who was the first to report the entire sequence.References
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