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. 2019 Sep 18;2:100017. doi: 10.1016/j.jtauto.2019.100017

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 ++
a

overlaps with AIH.

b

overlaps with AIH.

c

overlaps with PBC.

d

non-reactve for AIH-2/unspecifically present in case of infectious, e.g. HEV or toxic processes.

f

confirmation by ELISA advised; antigen: sp100.

g

confirmation by ELISA advised; antigen gp210.

h

confirmation by ELISA; centromer.

i

overlaps ith PBC.

j

Escherica coli infection induces AMA, often unspecifically present [89].

k

serologimarker for PBC: anti-mitochondrial type 2, confirmation marker.

l

AIH-type: confirmation by blot, IIF on VSM47 cell line; when acute hepatitis E: often unspecifically present (90).

m

AIH-type: confirmation by ELISA; blot on cytochrom p450 2 D6, possible also with HCV infection CAVE: diagnostic error.

n

AIH-1 type 1: serologic marker for AIH-1 (earlier for AIH-3): only ELISA, blot available.

o

AIH-type 2: in IIF overlap by LKM also isolated; confirm with ELISA.