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Back to Test Catalogue
Test ID: ARGAB

Acetylcholine Receptor Ganglionic (Alpha 3) Antibody, Serum

Test Overview

Clinical Utility

The G-nAChR autoantibody assay can be used to identify Autoimmune Autonomic Ganglionopathy (AAG) or paraneoplastic AAG in patients with autonomic neuropathy. Identification of paraneoplastic AAG in a patient is important, as there is an association between increased levels of G-nAChR antibodies and small-cell lung cancer (SCLC) or thymoma. Detection of paraneoplastic AAG, followed by resection and/or treatment of the patients’ tumor, can lead to a successful patient recovery. The G-nAChR autoantibody assay can be used as a serological diagnostic tool to differentiate patients suffering from immmunotreatment-responsive AAG from idiopathic autonomic neuropathy. Both conditions can present as acquired Autonomic Nervous System (ANS) dysfunction characterized by diffuse autonomic nervous system failure. The demonstration of AAG can lead to a focused immunological treatment and successful patient recovery. The G-nAChR antibody assay can also identify patients with limited forms of dysmotility, diabetic autonomic neuropathy, or postural tachycardia syndrome.

Method

Radioimmunoassay (RIA)

Result Included

Acetylcholine Receptor Ganglionic (Alpha 3) Antibody

Aliases/Synonyms

a3-AChR Antibody; nAChR Ganglionic Neuronal Antibody

Specimen

Specimen Type

Serum

Containers

Collection Containers

Gold top (clot activator & gel)

Volume

Sample Volume

1.0 mL

Minimum Volume

0.5 mL

Collection & Handling

Handling Information

Store and send frozen.

Stability

Ambient Refrigerated Frozen
2 days 2 days 75 days

Performance & Interpretation

Turnaround Time

17 days

Results

Name
Units
Reference Range
Conversion
  1. Acetylcholine Receptor Ganglionic (Alpha 3) Antibody
    pmol/L
    < 55

    Comment

    Negative:< 55 pmol/L
    Borderline: 55 - 160 pmol/L
    Positive: >160 pmol/L

Referral Location

Out-of-Country

Interface & Setup

HL7 Interface Codes

Order Code Result Name Result Codes Units
ARGAB ACETYLCHOLINE RECEPTOR GANGLIONIC (ALPHA 3) AB 62751 pmol/L

Test Version

Last Updated

2025-11-19