Lab Guide
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Test ID: Beta 2 Microglobulin (B2MG)
Beta 2 Microglobulin (B2MG)
Useful For

To monitor prognosis of certain cancers like multiple myeloma and to assess renal tubular disorders 

Method name and description

Immunoturbidimetric assay performed on the Roche cobas c-systems. Latex‑bound anti‑β2‑microglobulin antibodies react with antigen from the sample to form antigen/antibody complexes which are determined turbidimetrically after agglutination.

Reporting name

Anti‑β2‑microglobulin

Clinical information

B2MG is a low‑molecular‑weight protein rapidly filtered through the renal glomeruli. B2MG serum concentrations are increased in autoimmune diseases, inflammation, in liver disease, in some malignancies such as myeloma, especially hematologic malignancies associated with B-lymphocyte lineage. Furthermore, patients with renal failure have a large increase in circulating serum levels because glomerular filtration is the primary clearance mechanism. 

Specimen type / Specimen volume / Specimen container

Specimen type: Serum, Plasma

Minimum volume of sample: 1 mL

Serum: Plain tube (red or yellow top)

Plasma: Li‑heparin tube

Collection instructions / Special Precautions / Timing of collection

Collect blood by standard venipuncture techniques as per specimen requirements. When processing samples in primary tubes (sample collection systems), follow the instructions of the tube manufacturer.

Storage and transport instructions

Storage: 3 days at 2-8°C

               3 days at 15 – 25°C

               6 months at ‑20 °C (± 5 °C)

Transport: 2-25°C  

Specimen Rejection Criteria

Grossly hemolyzed, icteric and lipemic samples, wrong collection container, insufficient sample.

Biological reference intervals and clinical decision values

0 to 60 years: 0.8 – 2.4 mg/L

>60 years: ≤ 3.0 mg/L

 

Turnaround time / Days and times test performed / Specimen retention time

Daily (24/7)

Turn-around time:

Routine: One working day

Specimen Retention: 4 days