A method for combining restrictive
proteolysis and immunoassays to specifically detect and quantify
amyloid-genic XFLC in a
biological fluid. This method is accomplished by the use of mAbs that enable the detection and quantification of neoepitopes on dLCCD biomarkers produced after restricted
proteolysis of ZFLC, which is very advantageous for kinetically unstable or
amyloid-genic LFLC. The methods do not depend on FLC primary sequences in variable and constant domains, and can be used to detect and quantify up to 99% of human XFLC. The clinical utility of the
assay includes
early detection in individuals suspected of having
plasma cell disorders (MGUS, SMM, MM, IgM-AL and AL), differentiation from other
amyloidosis such as ATTR, use in companion diagnosis, proving of target conjugation, assessment of
treatment response, detection of MRD, detection of recurrence. Assays, such as MSD, lateral flow,
mass spectrometry, are also implemented that quantify the resulting dLCCD biomarkers and / or can further increase
assay sensitivity.