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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, S

Specimen Type

Serum

Specimen 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 days

Specimen Retention Time

14 days

Performing 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