ARUP's Laboratory Test Directory

Neuronal Antibodies (Hu, Ri, Yo, Amphiphysin) IgG by Immunoblot : 0051090
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Additional Technical Information
  


Mnemonic: NEURONAL

Methodology: Qualitative Immunoblot
Performed: Thu
Reported: 1-8 days
Specimen Required: Collect: Serum separator tube.

Specimen Preparation: Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.5 mL)

Storage/Transport Temperature: Frozen.

Unacceptable Conditions: Plasma. Contaminated, heat-inactivated, hemolyzed, or lipemic specimens.

Stability (collection to initiation of testing): After separation from cells: Ambient: 24 hours; Refrigerated: 2 weeks; Frozen: 1 year

Reference Interval:
Test Number Components Reference Interval
Neuronal Antibody IgG, Immunoblot Anti-Hu Negative
Neuronal Antibody IgG, Immunoblot Anti-Ri Negative
Neuronal Antibody IgG, Immunoblot Anti-Yo Negative
Neuronal Antibody IgG, Immunoblot Amphiphysin Negative

Interpretive Data: 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.

See Compliance Statement D: www.aruplab.com/CS
CPT Code(s): 83516