Immunoglobulin free light chain-κ in association with NT-proBNP levels after smoking cessation

Maki Komiyama1,2, Swati Mittal1,3, Hajime Yamakage1

  • 1Clinical Research Institute, National Hospital Organization Kyoto Medical Center, Kyoto, Japan.

Future Science OA
|September 7, 2025
PubMed

Insights

Smoking cessation significantly reduces immunoglobulin free light chain-kappa (FLC-κ) levels, a key inflammatory marker. This reduction is linked to decreased cardiac load and inflammation, improving cardiovascular health.

Area of Science:

  • Cardiology
  • Inflammation Research
  • Public Health

Background:

  • Smoking activates nuclear factor kappa B, increasing inflammation and immunoglobulin free light chain-kappa (FLC-κ) levels.
  • Elevated FLC levels correlate with increased mortality and poorer cardiovascular disease prognoses.
  • FLC-κ is implicated in smoking-induced cardiac and vascular inflammation.

Purpose of the Study:

  • To investigate the impact of smoking cessation (SC) on FLC levels.
  • To analyze changes in inflammatory markers and heart failure indicators post-SC.
  • To establish the relationship between FLC-κ reduction and other biomarkers after quitting smoking.

Main Methods:

  • Enrolled first-visit smokers committed to quitting.
  • Measured clinical parameters, including FLC and inflammatory markers, at baseline and 3 months post-SC.
  • Analyzed correlations between FLC-κ changes and markers like C-reactive protein and NT-proBNP.

Main Results:

  • Body-mass-index (BMI) significantly increased post-SC (p=0.004).
  • Levels of FLC-κ, neutrophil-to-lymphocyte-ratio, and NT-proBNP significantly decreased after SC (p<0.05).
  • FLC-κ changes correlated significantly with C-reactive protein (r=0.349, p=0.002) and NT-proBNP (r=0.332, p=0.005).

Conclusions:

  • Smoking cessation leads to a significant decrease in FLC-κ, a novel cardiovascular risk biomarker.
  • The reduction in FLC-κ is associated with decreased cardiac load (NT-proBNP) and inflammation.
  • These findings highlight the cardiovascular benefits of smoking cessation.
Abstract