An enzyme immunoassay for the quantitative determination of beta-2 microglobulin (B2MG) concentration in serum. Beta-2-microglobulin (Beta2-MG) is expressed by the nucleated cells of the body and on many tumor lines. Human Beta2-MG is a low molecular weight protein (MW 11600) consisting of a single polypeptide chain of 99 amino acids. It is identical to the small chain of the HLA-A, -B, and -C major histocompatibility complex antigens. In structure and amino acid sequence, it resembles the CH3 region of IgG, though it is antigenically distinct. Beta2-MG is eliminated via the kidneys. After filtration through the glomeruli, it is reabsorbed and catabolized by the proximal tubular cells through endocytosis. It is found at low levels in the serum and urine of normal individuals. Typically only trace amounts of Beta2-MG are excreted in the urine and higher rates are interpreted as evidence of tubular dysfunction. Urinary excretion is markedly increased in tubulointerstitial disorders, and where aminoglycosides and anti-inflammatory compounds are present. Beta2-MG is also excreted in increased amounts in the urine of patients with upper urinary tract infections and connective-tissue diseases such as rheumatoid arthritis and Sjogren’s syndrome. Elevated serum concentrations in the presence of normal glomerular filtration rate suggest increased Beta2-MG production or release. In patients with rheumatoid arthritis, systemic lupus erythematosus, sarcoidosis and some viral diseases including cytomegalovirus, non-A and non-B hepatitis and infectious mononucleosis, the Beta2-MG serum level changes in relation to disease activity.