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Order Code SCERA Saccharomyces cerevisiae Antibody, IgA, Serum


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.


Useful For

Measuring IgA anti-Saccharomyces cerevisiae antibodies as a part of a profile to aid in distinguishing between ulcerative colitis and Crohn disease in patients for whom the specific diagnosis is unclear based on endoscopic, pathologic, and imaging evaluations

 

This test is not useful for determining the extent of disease in patients with inflammatory bowel disease or determining the response to disease-specific therapy including surgical resection of diseased intestine

Method Name

Enzyme-Linked Immunosorbent Assay (ELISA)

Reporting Name

Saccharomyces cerevisiae Ab, IgA, S

Specimen Type

Serum

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 specimen Reject

Reference Values

Negative: <20.0 RU/mL

Positive: ≥20.0 RU/mL

Reference values apply to all ages.

Method Description

Immunoglobulin A (IgA) anti-Saccharomyces cerevisiae antibodies (ASCA) are measured by commercial, microtiter enzyme immunoassay. Partially purified and disrupted S cerevisiae is bound to the wells of a polystyrene microtiter plate coated with purified mannan from the cell wall of S cerevisiae. Prediluted controls and diluted patient sera are added to separate wells, allowing any anti-S cerevisiae antibodies (ASCA) IgG or IgA antibodies present to bind to the immobilized antigen. Unbound sample is washed away, and a horseradish peroxidase-conjugated anti-human IgA antibody is added to each well. A second incubation allows the enzyme-labeled anti-human IgA to bind to any patient antibodies, which have become attached to the microtiter wells. After washing away any unbound enzyme labeled anti-human IgA, the remaining enzyme activity is assessed by adding a chromogenic substrate and measuring the intensity of the color that develops. The assay is evaluated by spectrophotometrically measuring and comparing the color intensity that develops in the patient wells with the color in the control wells. Results of the test for IgA ASCA are reported in relative units per milliliter (RU/mL).(Package insert: Anti-Saccharomyces cerevisiae ELISA (IgA). EUROIMMUN Medizinische Labordiagnostika AG; 05/2011)

Day(s) Performed

Tuesday, Thursday

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

86671