Neuronal IgG AB (Hu, Ri, Yo, Amphiphysin), Immunoblot
- Code
- 000.0000
- Name
- Neuronal IgG AB (Hu, Ri, Yo, Amphiphysin), Immunoblot
- Category
- None
- Department
- Send-Out
- Start Date
- Expiration Date
- Synonyms
- ANNA; Hu Antibody; Ri Antibody; Yo Antibody; PCCA; PCA-1; Purkinje Antibodies
- CPT Codes
- 83516
- Site
- SBMF
- Reference Test
- 44513
Specimen Information
- Type
Gold, SST
- Volume
1.0 ml
- Transport Info
Centrifuge and immediately transfer serum to separate plastic tube
Frozen- Fasting Required?
- False
- Patient Instructions
- Reference Range
Negative
- Methodology
Qualitative Immunoblot
Clinical Significance
Anti-Hu (antineuronal nuclear antibody, type I) is associated with small-cell lung cancer. Anti-Ri (antineuronal nuclear antibody, type II) is associated with neuroblastoma in children and fallopian tube and breast cancer in adults. Anti-Yo (anti-Purkinje cell cytoplasmic antibody) is associated with ovarian and breast cancer.
The presence of one or more of these antibodies supports the clinical diagnosis of paraneoplastic syndrome and leads to a focused search for underlying neoplasm. These markers aid in the discrimination between true paraneoplastic disorders and other inflammatory disorders of the nervous system.
Amphiphysin antibodies are present in about 5% of patients with stiff person syndrome and variably in other paraneoplastic neurological syndrome (PNS) cases. Amphiphysin antibodies are mostly associated with small cell lung cancer (SCLC) and breast tumors.