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Test Name:
Neuronal Nuclear IgG Antibody Titer, by IFA, Serum


  • SBMF No:
    44065
  • Performance Lab Name:
    ARUP Laboratories
  • Test Mnemonic:
    ANNAGIFA
  • ABN:
    Required – Not FDA-Approved
  • CPT Code:
    86256
  • LOINC Code:
    44770-6
  • Ref Lab Test No:
    0050912
  • Also Known As:
    ANNA IgG Titer
  • Spec Type:
    Serum
  • Spec Container:
    Gold top (SST) or red top (serum) tube
  • Pref Vol:
    1.0 mL
  • Min Vol:
    0.5 mL
    Pediatric Collection: 0.15mL
  • Fasting:
    No
  • Spec Collect:
    Routine venipuncture
  • Spec Process:
    Clot 30 minutes
    Promptly centrifuge 15 minutes
    Immediately transfer serum to separate plastic tube and freeze
  • Spec Store Transport:
    Frozen
  • Spec Stability:
    After separation from cells:
    48 hours room temperature (20-30°C)
    2 weeks refrigerated (2-8°C)
    1 year frozen (-20°C) – Do not use frost-free units that undergo repeated freeze/thaw cycles
  • Spec Reject:
    Severely lipemic, contaminated, heat-inactivated, or hemolyzed sample
  • Spec Remarks:
    Separate serum from cells ASAP
  • Methodology:
    Indirect Fluorescent Antibody (IFA)
  • Use:
    For research purposes
    Aid in the diagnosis of paraneoplastic syndromes associated with carcinoma of lung, breast, ovary, thymoma or Hodgkin lymphoma
  • Clinical Significance:
    Refer to:
    ARUP Consult | The Physician's Guide to Laboratory Test Selection and Interpretation
  • Reference Range:
      Neuronal Nuclear IgG Antibody (ANNA) Titer, by IFA, Serum
        Less than 1:10 No antibody detected

      Interpretive Data:
        A titer of greater than or equal to 1:10 indicates antibody was detected to either ANNA-1 (anti-Hu) or ANNA-2 (anti-Ri). An immunoblot assay should be completed for confirmation of ANNA-1 or ANNA-2.

      Note:
        Titers of greater than or equal to 1:10 indicate antibody was detected to either ANNA-1 (anti-Hu) or ANNA-2 (anti-Ri) and will be titered to endpoint. This test is used primarily for titering patient sera that have previously been confirmed as positive for either ANNA-1 or ANNA-2 by immunoblot. Only an immunoblot can differentiate between ANNA-1 and ANNA-2.
  • Additional Test Info:
    This test was developed and its performance characteristics determined by ARUP Laboratories. The U.S. Food and Drug Administration has not approved or cleared this test; however, FDA clearance or approval is not currently required for clinical use. The results are not intended to be used as the sole means for clinical diagnosis or patient management decisions.
  • Day Run:
    Wed
  • Time Reported:
    2-10 days
  • Test Type:
    IMMUNOLOGY