Anti–Glomerular Basement Membrane (GBM) Antibodies
Test details
Anti-GBM disease is a vasculitis affecting glomerular and/or pulmonary capillaries (Goodpasture syndrome – GP). The tissue damage is mediated by anti-GBM antibodies that recognize an antigen located on the glomerular (and alveolar) basement membrane, inducing a marked inflammatory response.
The prevalence of anti-GBM antibodies in patients with renal involvement is about 60%, increasing to 80–90% in patients with pulmonary involvement. Approximately 10% of patients present both antibodies.
If left untreated, GP syndrome has an unfavourable prognosis. Early diagnosis is therefore critical for survival and for the recovery of renal function. The diagnosis can be supported by the detection of anti-GBM antibodies.
As the titre correlates with disease activity, regular quantitative measurements of antibody titres should be performed to monitor the success of the treatment.
Sample type
Serum, EDTA plasma, heparin plasma*, citrate plasma
*immunoblot test only
Method
Immunoblot, ChLIA
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
Bielsa I. Update of systemic vasculitides nomenclature. International Chapel Hill Consensus Conference, 2012. Actas Dermosifiliogr. 2015 Oct;106(8):605-8. English, Spanish. doi: 10.1016/j.ad.2015.04.007. Epub 2015 Jun 17. PMID: 26093996.
Borza DB. Autoepitopes and alloepitopes of type IV collagen: role in the molecular pathogenesis of anti-GBM antibody glomerulonephritis. Nephron Exp Nephrol. 2007;106(2):e37-43. doi: 10.1159/000101791. Epub 2007 Jun 6. PMID: 17570938.
Hellmark T, Segelmark M. Diagnosis and classification of Goodpasture's disease (anti-GBM). J Autoimmun. 2014 Feb-Mar;48-49:108-12. doi: 10.1016/j.jaut.2014.01.024. Epub 2014 Jan 21. PMID: 24456936.
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