Myositis Specific 11 Antibodies Panel

Overview

  • EPIC Code:
  • IMO5748
  • Soft Test Code:
  • MYOAB
  • Send Out Test Code:
  • 94777
Included Tests

Jo-1 Ab; PL-7 Ab; PL-12 Ab; EJ Ab; OJ Ab; SRP Ab; Mi-2 Alpha Ab; Mi-2 Alpha Ab; Mi-2 Beta Ab; MDA-5 Ab; TIF-1y Ab; NXP-2 Ab


Clinical Significance

Myositis-specific autoantibodies (MSAs) are highly selective, usually exclusive and are associated with particular clinical phenotypes within the myositis spectrum. Myositis-specific autoantibodies to cytoplasmic enzymes that catalyze the binding of specific amino acids to their cognate tRNA define the anti-synthetase syndrome characterized by myositis and lung inflammation, and include autoantibodies to Jo-1 (antihistidyl-tRNA synthetase), PL-7 (threonyl), PL-12 (alanyl), EJ (glycyl), and OJ (isoleucyl). A further subset of myositis patients is characterized by the presence of autoantibodies directed against the signal recognition particle (SRP). Autoantibodies to Mi-2 (Mi-2/nucleosome remodelling and deacetylase (NuRD) complex) are detected in patients with hallmark dermatomyositis features. Autoantibody to a cytoplasmic 140-kDa protein, melanoma-differentiation associated gene 5 (MDA5), also known as anti-CADM140, identified patients with clinically amyopathic dermatomyositis (CADM) and rapidly progressive lung disease. Autoantibodies to transcriptional intermediary factor 1-gamma (TIF-1 y), a p155/140 nuclear protein involved in cellular differentiation, have been reported in adult and juvenile dermatomyositis; in adults, it is associated with malignancy. Autoantibodies to nuclear matrix protein NXP-2, another 140-kDa protein, is found in juvenile dermatomyositis (JDM). Anti-TIF-1 y and anti-NXP-2, two novel serological subsets in JDM, occur collectively in >40% of children and appear to identify those with more severe disease.


Specimen Collection & Preparation

Specimen Requirements

1.0 mL Serum from a SST Gold Top Tube


Transport And Storage

7 Days Ambient
14 days Refrigerator
28 days Frozen


Collection Instructions

Separate serum from cells within 4 hours of collection

Transfer to a transport tube and ship by overnight courier


Minimum Volume

0.3 mL Serum


Neonatal Volume

Clinical Interpretation

Reference Range:

Jo-1 Ab <11 SI
PL-7 Ab <11 SI
PL-12 Ab <11 SI
EJ Ab <11 SI
OJ Ab <11 SI
SRP Ab <11 SI
Mi-2 Alpha Ab <11 SI
Mi-2 Beta Ab <11 SI
MDA-5 Ab <11 SI
TIF-1Gamma Ab <11 SI
NXP-2 Ab <11 SI


Methodology:
  • Line Blot
Clinical Significance

Myositis-specific autoantibodies (MSAs) are highly selective, usually exclusive and are associated with particular clinical phenotypes within the myositis spectrum. Myositis-specific autoantibodies to cytoplasmic enzymes that catalyze the binding of specific amino acids to their cognate tRNA define the anti-synthetase syndrome characterized by myositis and lung inflammation, and include autoantibodies to Jo-1 (antihistidyl-tRNA synthetase), PL-7 (threonyl), PL-12 (alanyl), EJ (glycyl), and OJ (isoleucyl). A further subset of myositis patients is characterized by the presence of autoantibodies directed against the signal recognition particle (SRP). Autoantibodies to Mi-2 (Mi-2/nucleosome remodelling and deacetylase (NuRD) complex) are detected in patients with hallmark dermatomyositis features. Autoantibody to a cytoplasmic 140-kDa protein, melanoma-differentiation associated gene 5 (MDA5), also known as anti-CADM140, identified patients with clinically amyopathic dermatomyositis (CADM) and rapidly progressive lung disease. Autoantibodies to transcriptional intermediary factor 1-gamma (TIF-1 y), a p155/140 nuclear protein involved in cellular differentiation, have been reported in adult and juvenile dermatomyositis; in adults, it is associated with malignancy. Autoantibodies to nuclear matrix protein NXP-2, another 140-kDa protein, is found in juvenile dermatomyositis (JDM). Anti-TIF-1 y and anti-NXP-2, two novel serological subsets in JDM, occur collectively in >40% of children and appear to identify those with more severe disease.


Production Schedule

Sites Performed
  • Quest - Chantilly
Days Performed
Tuesday
Wednesday
Thursday
Friday
Saturday
Departments
  • Sendouts - Miscellaneous
Turn Around Time

5 to 6 days


Coding & Compliance

CDM

00913333


CPT Coding

84182 (x6), 86235 (x5)