Inositol 1,4,5-Trisphosphate Receptor Type 1 (ITPR1) Antibody, IgG by CBA-IFA With Reflex to Titer, Serum
Ordering Recommendation
Aids in the diagnosis of autoimmune cerebellar ataxia, encephalitis, neuropathy, and myelopathy. May be used to monitor treatment response in individuals who are antibody positive. The presence of ITPR1 antibodies may be associated with cerebellar ataxia, encephalitis with seizures, peripheral neuropathy, and myelopathy. ITPR1 antibody disease may be paraneoplastic, but tumor type is variable (eg, breast, lung, and renal cancers).
New York DOH Approval Status
Specimen Required
Serum separator tube.
Separate serum from cells within 2 hours of collection. Transfer 1 mL serum to an ARUP standard transport tube. (Min: 0.2 mL)
Refrigerated.
CSF or plasma. Contaminated, grossly hemolyzed, icteric, or lipemic specimens.
After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 1 month (Three freeze/thaw cycles are acceptable)
Methodology
Semiquantitative Cell-Based Indirect Fluorescent Antibody
Performed
Wed
Reported
1-8 days
Reference Interval
Less than 1:10
Interpretive Data
Inositol 1, 4, 5-trisphosphate receptor type 1 (ITPR1) antibody is found in a subset of patients with autoimmune cerebellar ataxia, encephalitis, neuropathy, or myelopathy and may occur with or without associated tumor. A negative test result does not rule out a diagnosis of autoimmune cerebellar ataxia or related autoimmune neurologic disorders. Interpretation of any antineural antibody test requires clinical correlation.
This indirect fluorescent antibody assay utilizes ITPR1 transfected cell lines for detection and semiquantification of ITPR1 IgG antibody.
Laboratory Developed Test (LDT)
Note
If ITPR1 antibody IgG is positive, then ITPR1 antibody IgG titer will be added. Additional charges apply.
Hotline History
Hotline History
CPT Codes
86255; if reflexed, add 86256
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
3006032 | ITPR1 Ab IgG CBA-IFA Screen, Serum | 96466-8 |
Aliases
- cerebellar ataxia
- encephalitis
- ITPR 1
- movement disorder
- myelopathy
- neuropathy