Anti–Collagen VII Antibodies
Test details
Autoimmune blistering diseases are organ-specific autoimmune conditions characterised by autoantibodies against structural skin proteins. They are divided into four main groups depending on target antigens and clinical presentation: pemphigoid diseases, pemphigus diseases—including epidermolysis bullosa acquisita (EBA)—paraneoplastic pemphigus, and dermatitis herpetiformis (DH).
Diagnosis and differentiation of autoimmune blistering diseases rely on clinical assessment combined with the detection of autoantibodies against specific target antigens.
EBA is a severe cutaneous blistering disease characterized by blister formation and autoantibodies directed against structural skin proteins—particularly type VII collagen. Histologically, eosinophils and neutrophils are observed in addition to subepidermal blisters.
Type VII collagen is a long-chain protein that anchors the basement membrane to the underlying dermal connective tissue. Autoantibodies against type VII collagen are diagnostically and pathogenetically relevant in EBA.
Serological tests support differential diagnosis, the assessment of disease activity and the progression of the disease over time.
Sample type
Serum, EDTA plasma, heparin plasma, citrate plasma
Method
ELISA
Preparation
Fasting for at least 8-12 hours before sampling
Storage conditions
Refer to the Health Service Charter to check storage conditions
Shipping
+2/+8°C
References
Barnadas MA, Rubiales MV, González MJ, Puig L, García P, Baselga E, Pujol R, Alomar A, Gelpí C. Enzyme-linked immunosorbent assay (ELISA) and indirect immunofluorescence testing in a bullous pemphigoid and pemphigoid gestationis. Int J Dermatol. 2008 Dec;47(12):1245-9. doi: 10.1111/j.1365-4632.2008.03824.x. PMID: 19126009.
Bertram F, Bröcker EB, Zillikens D, Schmidt E. Prospective analysis of the incidence of autoimmune bullous disorders in Lower Franconia, Germany. J Dtsch Dermatol Ges. 2009 May;7(5):434-40. English, German. doi: 10.1111/j.1610-0387.2008.06976.x. Epub 2009 Jan 19. PMID: 19170813.
Blöcker IM, Dähnrich C, Probst C, Komorowski L, Saschenbrecker S, Schlumberger W, Stöcker W, Zillikens D, Schmidt E. Epitope mapping of BP230 leading to a novel enzyme-linked immunosorbent assay for autoantibodies in bullous pemphigoid. Br J Dermatol. 2012 May;166(5):964-70. doi: 10.1111/j.1365-2133.2012.10820.x. Epub 2012 Apr 4. PMID: 22242606.
Cunha PR, Barraviera SR. Autoimmune bullous dermatoses. An Bras Dermatol. 2009 Mar-Apr;84(2):111-24. English, Portuguese. doi: 10.1590/s0365-05962009000200003. PMID: 19503978.
Damoiseaux J, van Rijsingen M, Warnemünde N, Dähnrich C, Fechner K, Tervaert JW. Autoantibody detection in bullous pemphigoid: clinical evaluation of the EUROPLUS™ Dermatology Mosaic. J Immunol Methods. 2012 Aug 31;382(1-2):76-80. doi: 10.1016/j.jim.2012.05.007. Epub 2012 May 9. PMID: 22580378.
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