Comparative evaluation of free light chain assays in AL amyloidosis: Performance of Sebia versus Freelite and N-Latex
•Analytical performance of the Sebia free light chain ELISA was evaluated in systemic AL amyloidosis and compared with Freelite and N-Latex assays.•Sebia reported lower involved and difference FLC concentrations than comparator assays, particularly in λ-type disease.•Sebia showed reduced detection rates for abnormal κ/λ ratios compared with N-Latex and Freelite, most pronounced in λ-type disease.•Combining Sebia with serum and urine immunofixation improved detection of amyloidogenic clones.•These findings demonstrate that FLC assays are not interchangeable and require assay-specific interpretation.
Authors
- Carel Pretorius (ORCID: https://orcid.org/0000-0002-7608-3995)
- Peter N. Mollee (ORCID: https://orcid.org/0000-0002-8537-1198)
- Frances Zhao
Institutions
- Griffith University (AU)
- Queensland Health (AU)
- The University of Queensland (AU)
- Princess Alexandra Hospital (AU)
Publication Details
- Journal
- Practical Laboratory Medicine
- Published
- 2026-01-21
- DOI
- https://doi.org/10.1016/j.plabm.2026.e00519
- Primary Topic
- Amyloidosis: Diagnosis, Treatment, Outcomes
- Type
- article
- Field-Weighted Citation Impact
- 0.00