Anti-Cyclic Citrullinated Peptide
Test Code
CCP
Description
This assay is intended for the semi-quantitative detection of IgG and IgA anti-CCP3 (Cyclic Citrullinated Peptide 3) antibodies in human serum. The presence of these antibodies when considered in conjunction with clinical findings and other laboratory tests is an aid in the diagnosis of RA including RA diagnosed within 2 years of presentation of symptoms.
Rheumatoid arthritis (RA) is a chronic inflammatory disorder that typically affects the small joints in the hands and feet. Unlike the wear-and-tear damage of osteoarthritis, rheumatoid arthritis affects the lining of the joints, causing a painful swelling that can eventually result in bone erosion and joint deformity. It can also affect other parts of the body such as the skin, eyes, lungs and blood vessels. Unlike osteoarthritis (OA) which is age related and the result of wear and tear on the joints, RA is an autoimmune disease in which the body mistakenly attacks its own tissue, namely the lining around the joint leading to inflammation and swelling and ultimately permanent joint damage. It is one of the most common systemic autoimmune diseases, affecting approximately 0.5% of the world population. Since treatment focuses on controlling symptoms and preventing joint damage, early detection is very important.
Collect
Serum separator tube or a red top tube.
Citrated or EDTA plasma also acceptable.
Pediatric Collection
Minimum Volume: 0.5mL serum or plasma
Unacceptable Conditions
Lithium or heparin plasma is unacceptable. Addition of azide or other preservatives may adversely affect results. Specimens that are microbially contaminated, heat treated or have visible particulates will not be accepted. Lipemic or grossly hemolyzed serum should be avoided.
Storage Transport Temp
Frozen. Send serum [or plasma] Priority Overnight via FedEx and in a well insulated container on dry ice.
Stability
Up to 8 hours ambient or 48 hours refrigerated at 2-8°C. Freeze at or below -20°C for longer storage or shipping.
Performed
Tuesdays
Methodology
ELISA
Turnaround Time
7-9 days
Department
Immunology Lab - Diagnostic
Synonyms
ELISA (Anti-Cyclic Citrullinated Peptide)
Study Offerings
RUO
CAP/CLIA
Related Tests
Rheumatology/Arthritis: ANA pattern and titer (ANA), C-reactive protein (CRPLA), Lyme disease Ab (MT), Rheumatoid factor antibody titer (RFQ), Erythrocyte sedimentation rate (ESR), Uric acid (URICX), CD20, pan B cells {Rituxan monitor} (CD20M), Anti-ds-DNA antobody (DNAC), Sjogrens antibody, anti SSA, anti SSB (SSAB/SSBB), Anti-Sci 70 antibodies (SCL70), Anti-neutrophil cytoplasmic Ab (CYNT), Myeloperoxidase Ab (MPOAB), Proteinase 3 Ab (PR3AB)
Reference Interval
Negative <20, Weak Positive 20-39, Moderate Positive 40-59, Strong Positive =>60
CPT Code
86200
New York Approved
FDA Approved or Cleared
FDA
Approved or Cleared