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Paraneoplastic Antibodies Expanded Panel (LHSC), Serum/Plasma

Test ID: PNPA SP

Test

Method

Various

Method Description

Immunoblot
Positive anti Hu, Yo, Ri, amphiphysin, CV2, Ma2, SOX-1, Zic4 and Tr (DNER) by immunoblot will be reflexed to tissue indirect immunofluorescence (TIIF) assay (reported based on immunoblot).
Positive anti-GAD65 by immunoblot will be reflexed to GAD65 ELISA. (Please note that GAD65 immunoblot is not optimal to screen for Anti-GAD65. If interested in testing for Anti-GAD65 specifically, consider alternative test methodology such as GAD65 ELISA.)
Anti-titin and antirecoverin antibodies are determined by immunoblot only.

Platform

Immunoblot: EUROBlotOne

Report Includes

Anti-Amphiphysin; Anti-CV2; Anti-GAD65; Anti-Hu; Anti-Ma2:Ta; Anti-Recoverin; Anti-Ri; Anti-SOX1; Anti-Titin; Anti-Tr (DNER); Anti-Yo; Anti-Zic4

Specimens

Serum; Plasma

Important Note: TEST ID PNPA SP
Non-interfaced clients should specify the Test ID PNPA SP when ordering this test. Not doing so will cause processing delays while ICL ascertains which test you are requesting - please refer to the notes below.
Alternate/Similar Laboratory Services: This laboratory also offers a panel that includes Autoimmune Encephalitis Antibodies and Paraneoplastic Antibodies: Comprehensive Autoimmune Encephalitis Panel (LHSC), Serum.
A similar test is offered by another ICL supplier lab:
Paraneoplastic Autoantibodies Panel (LRC), Serum

Clinical Utility

A clinical diagnosis should not be made solely based on a neural antibody result; results should be interpreted in the context of the patients clinical presentation and other ancillary test findings to ensure accurate diagnosis.

Test Version

25-Jul-2024

Specimen

Specimens

Serum; Plasma

Important Note: TEST ID PNPA SP
Non-interfaced clients should specify the Test ID PNPA SP when ordering this test. Not doing so will cause processing delays while ICL ascertains which test you are requesting - please refer to the notes below.
Alternate/Similar Laboratory Services: This laboratory also offers a panel that includes Autoimmune Encephalitis Antibodies and Paraneoplastic Antibodies: Comprehensive Autoimmune Encephalitis Panel (LHSC), Serum.
A similar test is offered by another ICL supplier lab:
Paraneoplastic Autoantibodies Panel (LRC), Serum

Collection Containers

Preferred

Gold top (clot activator & gel); Red top (no additive)

Acceptable

Lavender top (EDTA); Green top (lithium or sodium heparin); Blue top (3.2% buffered citrate)

Sample Volume

2.0 mL

Minimum Volume

0.5 mL

Pediatric Volume

0.5 mL

Collection & Handling

Handling Information

Store and send cold or frozen.

Stability

Ambient Unacceptable
Refrigerated 14 days
Frozen 30 days

Test Version

25-Jul-2024

Performance / Interpretation

Method

Various

Method Description

Immunoblot
Positive anti Hu, Yo, Ri, amphiphysin, CV2, Ma2, SOX-1, Zic4 and Tr (DNER) by immunoblot will be reflexed to tissue indirect immunofluorescence (TIIF) assay (reported based on immunoblot).
Positive anti-GAD65 by immunoblot will be reflexed to GAD65 ELISA. (Please note that GAD65 immunoblot is not optimal to screen for Anti-GAD65. If interested in testing for Anti-GAD65 specifically, consider alternative test methodology such as GAD65 ELISA.)
Anti-titin and antirecoverin antibodies are determined by immunoblot only.

Platform

Immunoblot: EUROBlotOne

Turnaround Time

17 days

Results

Name Units Reference Range Conversion Factor
Anti-Amphiphysin Immunoblot
  • Negative
Anti-CV2 Immunoblot
  • Negative
Anti-GAD65 Immunoblot
  • Negative
Anti-Hu Immunoblot
  • Negative
Anti-Ma2:Ta Immunoblot
  • Negative
Anti-Recoverin Immunoblot
  • Negative
Anti-Ri Immunoblot
  • Negative
Anti-SOX1 Immunoblot
  • Negative
Anti-Titin Immunoblot
  • Negative
Anti-Tr (DNER) Immunoblot
  • Negative
Anti-Yo Immunoblot
  • Negative
Anti-Zic4 Immunoblot
  • Negative

Test Version

25-Jul-2024

Interface / Setup

HL7 Interface Codes

Order Code Result Codes Units
Multiple 0HL7 codes

Test Version

25-Jul-2024