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Anti-Nuclear Antibodies (ANA)

Principle

Autoantibodies present in patient serum bind to homologous nuclear antigens in the substrate (HEp-2 cells) and are detected using fluorescein isothiocyanate (FITC)-labeled anti-human immunoglobulin antibody. A positive ANA result is associated with a v

Specimen Requirements

Specimen

Serum

Collection

Collect 2 mL of serum in a red-top tube (no additive) or serum separator tube (gel barrier).

Processing

Allow blood to clot and centrifuge at 1600 rpm for 10 minutes to separate serum.

Storage and Transport

    • 2–10°C: up to 1 week
    • –20°C or below: for longer storage

Serum should not be stored in self-defrosting refrigerators or freezers.

Minimum Volume

300 µL of serum

Method

Indirect Immunofluorescence (IF)

Normal Range

Negative
Positive screens will be titered and results will include titer and pattern.

Turnaround Time

7-10 business days

References

Meroni P L, Schur P.H. ANA screening: an old test with new recommendations. Annals of the Rheumatic Diseases. 2010;69(8):1420–1422.