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Table 1 M-protein and serum free light-chain levels during IL-1 inhibition

From: The role of interleukin-1 beta in the pathophysiology of Schnitzler’s syndrome

Patient

Sex

Treatment

M-protein

Serum free light-chains

number

  

subtype

g/L

kappa (mg/l)

lambda (mg/l)

Ratio κ / λ

1

M

Anakinra

IgMκ & IgMλ

10.1

14.4

46.8

0.31

None (Day 4 after anakinra withdrawal)

7.7

14.7

53.9

0.27

Canakinumab day 28

10.6

18.6

51.0

0.36

Relapse (post-canakinumab)

9.3

   

2

F

None (pre-anakinra)

IgGκ

6.8

88.3

12.4

7.12

Anakinra

5

59.9

9.4

6.35

None (day 5 after anakinra withdrawal)

4.1

69

13.5

5.11

Canakinumab Day 28

4.3

59.1

11.6

5.09

Relapse (post-canakinumab)

3.7

78.4

12.2

6.43

3

M

None (day 5 after anakinra withdrawal)

IgMκ

2.7

   

Canakinumab day 28

3.5

19.1

19.8

0.96

4

M

Anakinra

IgGκ

2.9

   

None (day 5 after anakinra withdrawal)

2.8

   

Canakinumab day 28

3.2

14

10.3

1.36

Relapse (post-canakinumab)

2.5

   

5

M

Anakinra

IgMκ

4.4

   

None (day 6 after anakinra withdrawal)

4.5

19.4

12.4

1.56

Canakinumab day 28

5

   

Relapse (post-canakinumab)

    

6

M

Anakinra

IgMκ

6.8

25.5

20.6

1.24

None (day 4 after anakinra withdrawal)

6.1

29.2

15.8

1.85

Canakinumab day 28

5.6

29.3

17.9

1.64

Relapse (post-canakinumab)

6.3

   

7

F

Anakinra

IgGκ

n.d.

   

None (day 3 after anakinra withdrawal)

n.d.

15.3

15.1

1.01

Canakinumab day 28

n.d.

   

Relapse (post-canakinumab)

n.d.

   

8

M

Anakinra

IgGκ

n.d.

17

13.5

1.26

None (day 5 after anakinra withdrawal)

n.d.

26.9

18.7

1.44

Canakinumab day 14

p.n.q.

18.4

18.1

1.02

Canakinumab day 28 (relapse)

p.n.q.

23.9

23.2

1.03

  1. Free light-chains in the serum were measured with the Freelight assay, reference values: serum free kappa chains (3.3−19.4 mg/l); serum free kappa chains (5.7−26.3 mg/l); ratio kappa/labda light-chains (0.26−1.65). Abnormal values are indicated in bold. n.d. not detectable; p.n.q. present but not quantifiable