Neurology

Anti-Neuronal Antigen Antibodies

Test details

This assay detects human autoantibodies against neuronal antigens to aid the diagnosis of multiple neurological conditions. It is performed on tissue substrates, allowing identification of antibody reactivities to distinct components of nervous tissue.

 

In paraneoplastic neurological syndromes (PNS), antibody testing is recommended using at least two independent methods. For high-risk phenotypes, testing combines indirect immunofluorescence (IIF) on tissue and immunoblot; for intermediate- and low-risk phenotypes, testing combines IIF on tissue and cell-based assays (transfected cells).

 

Depending on the case, tissues used for IIF include cerebellum, hippocampus, intestine, and/or nerve. In addition, in-house immunohistochemistry (home-made tests) can be performed for further work-up.

Sample type

Serum, EDTA plasma, heparin plasma, citrate plasma, CSF

Method

IFA tissue, IHC*

*only for in-depth analysis

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

Graus F, Vogrig A, Muñiz-Castrillo S, Antoine JG, Desestret V, Dubey D, Giometto B, Irani SR, Joubert B, Leypoldt F, McKeon A, Prüss H, Psimaras D, Thomas L, Titulaer MJ, Vedeler CA, Verschuuren JJ, Dalmau J, Honnorat J. Updated Diagnostic Criteria for Paraneoplastic Neurologic Syndromes. Neurol Neuroimmunol Neuroinflamm. 2021 May 18;8(4):e1014. doi: 10.1212/NXI.0000000000001014. PMID: 34006622; PMCID: PMC8237398.

Graus F. Clinical approach to diagnosis of paraneoplastic neurologic syndromes. Handb Clin Neurol. 2024;200:79-96. doi: 10.1016/B978-0-12-823912-4.00007-4. PMID: 38494298

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