Table 3.
Synonyms | Antigen associations | Disease association | ||
---|---|---|---|---|
Cytoplasmic patterns | ||||
Fibrillar (AC-15,16,17) | ||||
Linear/actin (AC-15) | Actin-like | Actin, non-muscle myosin | MCTD, chronic active hepatitis, liver cirrhosis, myasthenia gravis, Crohn’s disease, PBC, long-term hemodialysis, rare in SARD other than MCTD | |
Filamentous/microtubules (AC-16) | Vimentin, cytokeratins | Infectious or inflammatory conditions, long-term hemodialysis, alcoholic liver disease, SARD, psoriasis, healthy controls | ||
Segmental (AC-17) | Alpha-actinin, vinculin, tropomyosin | Myasthenia gravis, Crohn’s disease, ulcerative colitis | ||
Speckled (AC-18–20) | ||||
Discrete dots (AC-18) | GW body, processing body, lysosome* | GW182, Su/Ago2, Ge-1 | PBC, SARD, neurological and autoimmune conditions | |
Dense fine speckled (AC-19) | Homogeneous | PL-7, PL-12, ribosomal P proteins | “anti-synthetase syndrome,” PM/DM, SLE, juvenile SLE, neuropsychiatric SLE | |
Fine speckled (AC-20) | Speckled | Jo-1/histidyl-tRNA synthetase | Anti-synthetase syndrome, PM/DM, limited SSc, idiopathic pleural effusion | |
Reticular/AMA (AC-21) | Mitochondrion-like | PDC-E2/M2, BCOADC-E2, OGDC-E2, E1α subunit of PDC, E3BP/protein X | Common in PBC, SSc, rare in other SARD | |
Polar/Golgi-like (AC-22) | Giantin/macrogolgin, golgin-95/GM130, golgin-160, golgin-97, golgin-245 | Rare in SjS, SLE, RA, MCTD, GPA, idiopathic cerebellar ataxia, paraneoplastic cerebellar degeneration, viral infections | ||
Rods and rings (AC-23) | IMPDH2, others | HCV patients post-IFN/ribavirin therapy, rare in SLE, Hashimoto’s and healthy controls |
These disease associations are primarily based on the antigens recognized by antibodies that reveal this particular ANA pattern. Amber background are recommended as competent-level reporting, whereas all others (Olive green) are considered for expert-level reporting.
*no molecular evidence to support this pattern is associated with lysosomal targets.