Serum or Plasma Free Light Chain Ratio (Free Kappa to Lambda Light Chains)
This test measures the ratio of free kappa and lambda light chains in your blood, which helps diagnose conditions like multiple myeloma or other blood disorders.
["Light chain ratios help identify abnormal protein levels linked to blood cancers or kidney disease."]
Key facts at a glance
- LOINC
- 10099-0
- Short code
- ST Slope L-III
- Synonyms
- ST Slope L-III
- Category
- chemistry
- Sample
- serum
- Container
- Red-top tube (SST)
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- ekg
- Specimen volume
- 5 mL
- Stability
- Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
- Hemolysis max
- 500
- Lipemia max
- 1000
- Icterus max
- 500
- TAT
- 4–24 hours
- Order
- routine
What Is a Light Chain Ratio Test Used For?
Light chain ratios are primarily used to detect and monitor conditions where abnormal amounts of light chains accumulate in the blood. These conditions can include multiple myeloma, a type of cancer that affects plasma cells, or other plasma cell dyscrasias. The test can also help assess kidney function and diagnose conditions like amyloidosis, where misfolded proteins build up in tissues.
How Is the Test Performed?
A blood sample is drawn from a vein, usually in your arm. The sample is then sent to a lab where the free kappa and lambda light chains are measured. The results are expressed as a ratio of these two types of light chains.
Preparation for the Test
No special preparation is needed for this test. You may continue with your normal activities, including eating and drinking as usual, unless instructed otherwise by your healthcare provider.
What Are the Possible Results?
The test results provide a ratio of free kappa to lambda light chains. Elevated ratios may indicate multiple myeloma or other plasma cell disorders. Your healthcare provider will interpret the results in the context of your overall health and medical history.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Short name
Free Light Chain Ratio
Frequently asked questions
Why might my doctor order a light chain ratio test?
What do abnormal light chain ratios mean?
How often will I need this test?
Sources
- 1
- 2Lab Tests OnlineSource
- 3
Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.
This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy