Anti–RNA Polymerase III Antibodies (RP11 + RP155)
Test details
SARDs are a heterogeneous group of disorders characterized by dysregulation of the immune system, that starts to turn against the body’s own tissues. Major SARDs include systemic lupus erythematosus, rheumatoid arthritis, systemic sclerosis and Sjögren’s syndrome. These diseases can affect multiple organs and share common symptoms such as fatigue, fever, joint pain and skin rash. Diagnosis relies on a combination of clinical assessment and specific autoantibody tests. Early diagnosis is crucial to initiate appropriate therapy and slow down disease progression.
Together with anti–Scl-70 and anti-centromere antibodies (ACA), anti–RNA polymerase III autoantibodies are among the main autoantibodies specific for systemic sclerosis (SSc). These antibodies are directed against the 11 kDa (RP11) or 155 kDa (RP155) subunits of RNA polymerase III, a nuclear enzyme involved in the transcription of non-coding RNAs.
Anti–RNA pol III antibodies are closely associated with diffuse cutaneous SSc and show a strong correlation with scleroderma renal crisis.
Thanks to their high diagnostic specificity, anti–RNA polymerase III antibodies are included in the 2013 ACR/EULAR classification criteria for systemic sclerosis, alongside ACA and anti–Scl-70.
Sample type
Serum, EDTA plasma, heparin plasma, citrate plasma
Method
Immunoblot
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
van den Hoogen F, Khanna D, Fransen J, Johnson SR, Baron M, Tyndall A, Matucci-Cerinic M, Naden RP, Medsger TA Jr, Carreira PE, Riemekasten G, Clements PJ, Denton CP, Distler O, Allanore Y, Furst DE, Gabrielli A, Mayes MD, van Laar JM, Seibold JR, Czirjak L, Steen VD, Inanc M, Kowal-Bielecka O, Müller-Ladner U, Valentini G, Veale DJ, Vonk MC, Walker UA, Chung L, Collier DH, Ellen Csuka M, Fessler BJ, Guiducci S, Herrick A, Hsu VM, Jimenez S, Kahaleh B, Merkel PA, Sierakowski S, Silver RM, Simms RW, Varga J, Pope JE. 2013 classification criteria for systemic sclerosis: an American college of rheumatology/European league against rheumatism collaborative initiative. Ann Rheum Dis. 2013 Nov;72(11):1747-55. doi: 10.1136/annrheumdis-2013-204424. PMID: 24092682.
Johnson SR, Fransen J, Khanna D, Baron M, van den Hoogen F, Medsger TA Jr, Peschken CA, Carreira PE, Riemekasten G, Tyndall A, Matucci-Cerinic M, Pope JE. Validation of potential classification criteria for systemic sclerosis. Arthritis Care Res (Hoboken). 2012 Mar;64(3):358-67. doi: 10.1002/acr.20684. PMID: 22052658; PMCID: PMC3376721.
Nikpour M, Stevens WM, Herrick AL, Proudman SM. Epidemiology of systemic sclerosis. Best Pract Res Clin Rheumatol. 2010 Dec;24(6):857-69. doi: 10.1016/j.berh.2010.10.007. PMID: 21665131.
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