a3-AChR Antibody; nAChR Ganglionic Neuronal Antibody
Acetylcholine Receptor Ganglionic (Alpha 3) Antibody, Serum
Test
Aliases/Synonyms
Method
Radioimmunoassay
Report Includes
Acetylcholine Receptor Ganglionic (Alpha 3) Antibody
Specimens
Serum
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.
Test Version
19-Nov-2025
Specimen
Specimens
Serum
Collection Containers
Gold top (clot activator & gel)
Sample Volume
1.0 mL
Minimum Volume
0.5 mL
Collection & Handling
Handling Information
Store and send frozen.
Stability
| Ambient | 2 days |
|---|---|
| Refrigerated | 2 days |
| Frozen | 75 days |
Test Version
19-Nov-2025
Performance / Interpretation
Method
Radioimmunoassay
Turnaround Time
17 days
Results
| Name | Units | Reference Range | Conversion Factor | |
|---|---|---|---|---|
| Acetylcholine Receptor Ganglionic (Alpha 3) Antibody | pmol/L |
|
||
|
Negative:< 55 pmol/L
Borderline: 55 - 160 pmol/L Positive: >160 pmol/L |
||||
Test Version
19-Nov-2025
Interface / Setup
HL7 Interface Codes
| Order Code | Result Codes | Units |
|---|---|---|
| ARGAB | 62751ACETYLCHOLINE RECEPTOR GANGLIONIC (ALPHA 3) AB | pmol/L |
Test Version
19-Nov-2025