Test Code CRTHS Double-Stranded DNA (dsDNA) IgG Antibodies, Crithidia luciliae Immunofluorescence Screen, Serum
Specimen Required
Supplies: Sarstedt Aliquot Tube, 5 mL (T914)
Collection Container/Tube:
Preferred: Serum gel
Acceptable: Red top
Submission Container/Tube: Plastic vial
Specimen Volume: 0.7 mL Serum
Collection Instructions: Centrifuge and aliquot serum into a plastic vial.
Useful For
Evaluation and management of anti-double-stranded DNA IgG antibodies in patients with clinical features of systemic lupus erythematosus (SLE) or at-risk for disease
This test should not be used independently for the diagnosis and management of patients with SLE.
Reflex Tests
| Test ID | Reporting Name | Available Separately | Always Performed |
|---|---|---|---|
| CRTHT | dsDNA Ab IFA Titer, IgG, S | No | No |
Testing Algorithm
If the double-stranded DNA (dsDNA) IgG antibodies Crithidia luciliae immunofluorescence screen is positive, then the dsDNA IgG antibodies Crithidia luciliae immunofluorescence titer will be performed at an additional charge.
Reporting Name
dsDNA Ab IFA Screen, IgG, SSpecimen Type
SerumSpecimen Minimum Volume
See Specimen Required
Specimen Stability Information
| Specimen Type | Temperature | Time |
|---|---|---|
| Serum | Refrigerated (preferred) | 7 days |
| Frozen | 21 days |
Reject Due To
| Gross hemolysis | Reject |
| Gross lipemia | Reject |
| Gross icterus | OK |
| Heat-treated | Reject |
Reference Values
DOUBLE-STRANDED DNA (dsDNA) IgG ANTIBODIES, CRITHIDIA LUCILIAE IMMUNOFLUORESCENCE SCREEN
Negative (<1:10)
Reference values apply to all ages.
DOUBLE-STRANDED DNA (dsDNA) IgG ANTIBODIES, CRITHIDIA LUCILIAE IMMUNOFLUORESCENCE TITER
Negative (<1:10)
Method Description
Crithidia luciliae Immunofluorescence Test Screen:
Patient serum is diluted 1:10 and allowed bind to the kinetoplast of the non-pathogenic hemoflagellate Crithidia luciliae adhered to the slide. The Crithidia luciliae contains a dense, pure concentration of circular double-stranded DNA that provides a unique substrate free from contaminating nuclear antigens like histones or single-stranded DNA. Following binding, unbound diluted patient serum is washed off the slide and fluorescent-conjugated antiserum added to the substrate on the slide and incubated. A second washing step is performed to remove excess conjugate. The substrate is cover slipped and reviewed for fluorescent patterns with a fluorescent microscope. Observation of specific fluorescent patterns on the substrate indicate the presence of autoantibodies in the test sample.(Package insert: Immuno Concepts IgG ANTI-nDNA Fluorescent Test System. Immuno Concepts; Rev 4.0, 2023)
Crithidia luciliae Immunofluorescence Test Titer:
Patient serum with a positive screen at the 1:10 dilution is titered up to 1:640 and allowed to bind to the kinetoplast of the non-pathogenic hemoflagellate Crithidia luciliae adhered to the slide. The Crithidia luciliae contains a dense, pure concentration of circular double-stranded DNA that provides a unique substrate free from contaminating nuclear antigens like histones or single-stranded DNA. Following binding, unbound diluted patient serum is washed off the slide and fluorescent-conjugated antiserum added to the substrate on the slide and incubated. A second washing step is performed to remove excess conjugate. The substrate is cover slipped and reviewed for fluorescent patterns with a fluorescent microscope. Observation of specific fluorescent patterns on the substrate indicate the presence of autoantibodies in the test sample. Positive results are reported with an end point titer up to 1:640. Results higher than 1:640 are reported as greater than 1:640.(Package Insert: Immuno Concepts IgG ANTI-nDNA Fluorescent Test System, Immuno Concepts, Rev 4.0 2023)
Day(s) Performed
Monday through Friday
Report Available
2 to 4 daysSpecimen Retention Time
14 daysPerforming Laboratory
Mayo Clinic Laboratories in Rochester
CPT Code Information
86255
LOINC Code Information
| Test ID | Test Order Name | Order LOINC Value |
|---|---|---|
| CRTHS | dsDNA Ab IFA Screen, IgG, S | 6457-6 |
| Result ID | Test Result Name | Result LOINC Value |
|---|---|---|
| 623426 | dsDNA Ab IFA Screen, IgG, S | 6457-6 |
| 623463 | dsDNA Interpretation | 69048-7 |