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Acetylcholine Receptor Ganglionic (Alpha 3) Antibody, Serum

Test ID: ARGAB

Test

Aliases/Synonyms

a3-AChR Antibody; nAChR Ganglionic Neuronal Antibody

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
  • < 55
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