Table 3.
Potentially complement activating autoantibodies relevant in differential diagnosis of hepatobiliary disorder.
Assay | AIH | PBC | Viral Hepatitis |
---|---|---|---|
Transaminases (AST, ALT) | ++ | (+)a | + |
Cholestasis (AP, GGT) Bilirubin, Lipids | +++ | ++ | (+) |
IgG | ++ | (+)b | + |
IgM | (+)c | ++ | – |
ANA IIF | +(- for AIH type 2) | + | (+)d |
ANA IIF different patterns, e.g. ICAP – AC nomenclaturee |
+ | e.g.AC-3/6/11/12 | (+)d |
ANA IIF pattern ICAP AC-6 nuclear dots | ++f | ||
ANA IIF pattern ICAP, AC-11/AC-12, nuclear membrane | ++g | ||
ANA IIF pattern ICAP AC-3 centromer | ++h | ||
AMA | (+)i | ++j | |
Anti-M2 | – | ++k | |
Anti-SMA/actin | ++l | (+) some cases | (+)l |
Anti-LKM-1l | ++m | – | |
Anti-SLA/LP | ++n | – | |
Anti-LC1o | ++ (for AIH type 2) | – | |
Anti-C4b/C3c | ND | ND | ++ |
overlaps with AIH.
overlaps with AIH.
overlaps with PBC.
non-reactve for AIH-2/unspecifically present in case of infectious, e.g. HEV or toxic processes.
see: www.anapatterns.org.
confirmation by ELISA advised; antigen: sp100.
confirmation by ELISA advised; antigen gp210.
confirmation by ELISA; centromer.
overlaps ith PBC.
Escherica coli infection induces AMA, often unspecifically present [89].
serologimarker for PBC: anti-mitochondrial type 2, confirmation marker.
AIH-type: confirmation by blot, IIF on VSM47 cell line; when acute hepatitis E: often unspecifically present (90).
AIH-type: confirmation by ELISA; blot on cytochrom p450 2 D6, possible also with HCV infection CAVE: diagnostic error.
AIH-1 type 1: serologic marker for AIH-1 (earlier for AIH-3): only ELISA, blot available.
AIH-type 2: in IIF overlap by LKM also isolated; confirm with ELISA.