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.

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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
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article

Comparative evaluation of free light chain assays in AL amyloidosis: Performance of Sebia versus Freelite and N-Latex

Carel Pretorius, Peter N. Mollee, Frances Zhao
Practical Laboratory Medicine
Amyloidosis: Diagnosis, Treatment, Outcomes
article

Comparative evaluation of free light chain assays in AL amyloidosis: Performance of Sebia versus Freelite and N-Latex

Carel Pretorius, Peter N. Mollee, Frances Zhao
article en

Abstract

•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.

Practical Laboratory MedicineVol. 49
Griffith University (AU), Queensland Health (AU), The University of Queensland (AU), Princess Alexandra Hospital (AU)
Openalex Percentile: Top 83%
Amyloidosis: Diagnosis, Treatment, Outcomes
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