Test Overview


This test assists in the diagnosis of autoimmune myasthenia gravis (MG)

Test Code:

LRP4 CBA

Synonyms:

LRP4 Ab, LRP4 CBA

Methodology:

In-house fixed cell-based assay (CBA)

Validation:

Laboratory Developed Test (LDT)

Reference Range:

Reported as positive or negative

Performance


Frequency:

Once a week (3-day testing procedure)

Expected Turnaround:

1 - 3 weeks

Sample Report:

Coming Soon

Our offices are only able to receive samples Mon-Fri, so samples must be shipped Mon-Thur. Samples arriving over the weekend may need to be redrawn.

Specimen


Specimen Type:

Serum

Container:

Gel barrier or red-top tube

Preferred Volume:

5 mL

Minimum Volume:

0.5 mL

Rejection Criteria:

Grossly hemolytic, lipemic, or icteric. If the sample arrives at room temperature.

Collection and Processing:

No patient preparation is required for sample collection.

Draw blood in tube(s) with SST activator (5mL gold top or 8.5mL tiger top).
Invert tubes 8 times to ensure complete mixing.

Allow sample 30 minutes to clot (1 hour if red-top tube).
Centrifuge tubes at 1800 - 2200 x g for 10-15 minutes within 2 hours of collection.

Draw off serum (top layer) into aliquot tubes with pipette, ensuring not to take gel or RBC (middle/bottom layers).

Store aliquot tubes in refrigerator (2° C - 8° C) until shipping.

Specimen Handling:

Transport refrigerated (2° C - 8° C)

Specimen Stability:

24 hours at room temperature (15 - 25° C)
1 month refrigerated (2⁰ C - 8⁰ C)
2 weeks frozen (-20⁰ C)
3 months at ultra-low (-70⁰ C)

Up to 4 freeze / thaw cycles

Additional Information


  • This test was developed and its performance determined by Neurocode USA Inc. It has not been cleared or approved by the Food and Drug Administration.
  • Please indicate if patients are on immunomodulating treatments as these may interfere with testing.
  • Causal antibodies cannot be identified in about 10% of MG cases. Therefore, a positive result is specific for the diagnosis of AChR ab myasthenia gravis (MG), but a negative result does not rule out an MG diagnosis.