Anti-Phospholipase A2 Receptor (PLA2R) Antibody, IgG by ELISA
Ordering Recommendation
Useful to diagnose primary membranous nephropathy (PMN) and distinguish from secondary nephrotic syndrome. Semiquantitative measurement of PLA2R antibody levels by ELISA is suggested to monitor response over time in individuals undergoing treatment for membranous nephropathy.
New York DOH Approval Status
Specimen Required
Separate serum from cells ASAP or within 2 hours of collection.
Serum separator tube.
Transfer 1 mL serum to an ARUP standard transport tube. (Min: 0.5 mL)
Refrigerated.
Contaminated, heat-inactivated, grossly hemolyzed, grossly icteric, or grossly lipemic specimens.
After separation from cells: Ambient: 48 hours; Refrigerated: 2 weeks; Frozen: 2 weeks
Methodology
Semi-Quantitative Enzyme-Linked Immunosorbent Assay (ELISA)
Performed
Mon, Wed, Thu, Fri
Reported
1-4 days
Reference Interval
Test Number |
Components |
Reference Interval |
---|---|---|
Anti-Phospholipase A2 Receptor, IgG | < 14 RU/mL |
Interpretive Data
A positive anti-phospholipase A2 receptor (PLA2R) antibody result by ELISA or IFA in conjunction with clinical symptoms and other laboratory findings is suggestive of primary membranous nephropathy (pMN). Absence of circulating anti-PLA2R receptor autoantibodies does not rule out a diagnosis of pMN. Anti-PLA2R antibody titers, due to its high predictive value, can be useful for assessing disease severity and monitoring clinical remission. In patients with pMN undergoing treatment, low antibody titers are associated with disease remission and high titers indicate loss of kidney function and need for an aggressive therapeutic approach.
Component |
Interpretive Data |
---|---|
Anti-Phospholipase A2 Receptor, IgG | Negative: Less than 14 RU/mL Borderline: 14-19 RU/mL Positive: Greater than or equal to 20 RU/mL |
FDA
Note
Hotline History
Hotline History
CPT Codes
83516
Components
Component Test Code* | Component Chart Name | LOINC |
---|---|---|
3016768 | Anti-Phospholipase A2 Receptor, IgG | 73737-9 |
Aliases
- PLA2R