MPO/PR3 (ANCA) Antibodies
Ordering Recommendation
Use to monitor previously established MPO/PR3 antibodies or confirm an IFA ANCA positive test result. Test does not include ANCA testing by IFA. For ANCA testing, refer to the available panel tests. For the workup of suspected vasculitis, refer to ANCA-Associated Vasculitis Profile (ANCA/MPO/PR3) (3003745). For patients with a history of vasculitis, refer to Myeloperoxidase (MPO) Antibody and Serine Proteinase 3 (PR3) Antibody with Reflex to Anti-Neutrophil Cytoplasmic Antibody, IgG by IFA (3003746).
New York DOH Approval Status
Specimen Required
Serum separator tube.
Separate serum from cells ASAP or within 2 hours of collection. Transfer 1 mL serum to an ARUP Standard Transport Tube. (Min: 0.2 mL)
Refrigerated.
Plasma, urine, or other body fluids. Contaminated, hemolyzed, or severely lipemic specimens.
After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 year (avoid repeated freeze/thaw cycles)
Methodology
Semi-Quantitative Multiplex Bead Assay
Performed
Sun-Sat
Reported
1-2 days
Reference Interval
Test Number |
Components |
Reference Interval (AU\mL) |
---|---|---|
Myeloperoxidase (MPO) Ab, IgG | 19 AU/mL or less | |
Serine Proteinase 3 (PR3) Ab, IgG | 19 AU/mL or less |
Interpretive Data
Approximately 90% of patients with a P-ANCA pattern by IFA have antibodies specific for MPO.
Approximately 85% of patients with a C-ANCA pattern by IFA have antibodies specific for PR3.
Component | Interpretation |
---|---|
Myeloperoxidase (MPO) Antibody | Negative 19 AU/mL or less Equivocal 20-25 AU/mL Positive 26 AU/mL or greater |
Serine Proteinase 3 (PR3) Antibody | Negative 19 AU/mL or less Equivocal 20-25 AU/mL Positive 26 AU/mL or greater |
FDA
Note
Hotline History
CPT Codes
83516 x2
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
0050526 | Myeloperoxidase (MPO) Ab, IgG | 6969-0 |
0050527 | Serine Proteinase 3 (PR3) Ab, IgG | 6968-2 |
Aliases
- 3-ANCA
- ANCA Antibodies
- Anticytoplasmic Autoantibodies
- c-ANCA
- MPO
- MPO-ANCA
- Myeloperoxidase Antibodies
- p-ANCA
- PR3
- PR3-ANCA
- Proteinase 3 Antibodies
- Serine Proteinase 3