Order Code LABB2GMG Beta-2 Glycoprotein 1 Antibodies, IgG and IgM, Serum
Additional Codes
Mayo Test Code: B2GMG
Epic Order Code: LABB2GMG
Useful For
Evaluating patients with suspected antiphospholipid syndrome by identification of beta-2 glycoprotein 1 IgM and IgG antibodies
First-line test when antiphospholipid syndrome is strongly suspected in conjunction with cardiolipin antibodies (IgG and IgM) and lupus anticoagulant testing
Estimating the risk of thrombosis and/or pregnancy-related morbidity in patients with systemic lupus erythematosus
Profile Information
Test ID | Reporting Name | Available Separately | Always Performed |
---|---|---|---|
GB2GP | Beta 2 GP1 Ab IgG, S | Yes | Yes |
MB2GP | Beta 2 GP1 Ab IgM, S | Yes | Yes |
Reporting Name
Beta 2 GP1 Ab, IgM/IgG, SSpecimen Type
SerumAdditional Testing Requirements
Diagnostic criteria for antiphospholipid syndrome include the presence of at least one of the following: lupus anticoagulant, anticardiolipin, and anti-beta-2 glycoprotein 1 IgG or IgM antibodies. Consider ordering CLPMG / Phospholipid (Cardiolipin) Antibodies, IgG and IgM, Serum and ALUPP / Lupus Anticoagulant Profile, Plasma concurrently with this test.
Specimen Required
Collection Container/Tube:
Preferred: Serum gel
Acceptable: Red top
Submission Container/Tube: Plastic vial
Specimen Volume: 0.5 mL
Collection Instructions: Centrifuge and aliquot serum into a plastic vial.
Specimen Minimum Volume
0.4 mL
Specimen Stability Information
Specimen Type | Temperature | Time | Special Container |
---|---|---|---|
Serum | Refrigerated (preferred) | 21 days | |
Frozen | 21 days |
Reject Due To
Gross hemolysis | Reject |
Gross lipemia | Reject |
Gross icterus | OK |
Heat-treated specimens | Reject |
Reference Values
BETA 2 GLYCOPROTEIN 1 (GP1) ANTIBODIES IgG:
<15.0 SGU (negative)
15.0-39.9 SGU (weakly positive)
40.0-79.9 SGU (positive)
≥ 80.0 SGU (strongly positive)
Results are reported in standard IgG anti-beta 2 GP1 units (SGU).
Reference values apply to all ages.
BETA 2 GLYCOPROTEIN 1 ANTIBODIES IgM:
<15.0 SMU (negative)
15.0-39.9 SMU (weakly positive)
40.0-79.9 SMU (positive)
≥ 80.0 SMU (strongly positive)
Results are reported in standard IgM anti-beta 2 GP1 units (SMU).
Reference values apply to all ages.
Method Description
Purified beta-2 glycoprotein (B2GPI) antigen is bound to the wells of a polystyrene microwell plate under conditions that will preserve the antigen in its native state. Prediluted controls and diluted patient sera are added to separate wells, allowing any B2GPI IgM or IgG antibodies present to bind to the immobilized antigen. Unbound sample is washed away, and an enzyme-labeled antihuman IgM or IgG conjugate is added to each well. A second incubation allows the enzyme-labeled antihuman IgM or IgG to bind to any patient antibodies that have attached to the microwells. After washing away any unbound enzyme-labeled antihuman IgM or IgG, the remaining enzyme activity is measured by adding a chromogenic substrate and measuring the intensity of the color that develops. The assay can be evaluated spectrophotometrically by measuring and comparing the color intensity that develops in the patient wells with that of a 5-point calibration curve. Semiquantitative results are reported in standard IgM and IgG anti-B2GPI units (SMU and SGU, respectively).(Package inserts: QUANTA Lite beta 2 GP1 IgM ELISA. Inova Diagnostics; Revision 16, 09/2018; QUANTA Lite beta 2 GP1 IgG ELISA. Inova Diagnostics; Revision 19, 07/2020)
Day(s) Performed
Monday through Saturday
Performing Laboratory
Mayo Clinic Laboratories in RochesterCPT Code Information
86146 x 2
Method Name
Enzyme-Linked Immunosorbent Assay (ELISA)
Forms
If not ordering electronically, complete, print, and send 1 of the following forms with the specimen:
-General Request (T239)
-Coagulation Test Request (T753)