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Anti Cyclic Citrullinated Peptide Antibody

1430
4.8
NABL, CAP, ISO
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Overview
Interpreting Results
FAQ's
Anti Cyclic Citrullinated Peptide Antibody

Overview of Anti CCP

What is Anti CCP?

Anti cyclic citrullinated peptide antibody (CCP) is an antibody which is found in the patients of rheumatoid arthritis. This test detects the levels of anti CCP antibody in the blood. This test is also known as citrulline antibody test, the anti-citrulline antibody test, CCP antibody test. It helps in differentiating rheumatoid arthritis from other types of arthritis.

Why is Anti CCP done?

  • To diagnose rheumatoid arthritis

  • To differentiate rheumatoid arthritis from other arthritis

  • To evaluate the prognosis of the patient with rheumatoid arthritis


What does Anti CCP Measure?

Anti cyclic citrullinated peptide antibodies are autoantibodies which are produced by the immune system that attack against the cyclic citrullinated peptide. Due to these attacks, inflammatory symptoms are produced in the body which is most commonly seen in rheumatoid arthritis. The Anti CCP antibodies can be present in patients prior to the start of symptoms of rheumatoid arthritis. The presence of positive Anti CCP antibodies in rheumatoid arthritis patients is said to be due to the combination of genetics and environmental factors. These patients have a common sequence of amino acids which is called as shared epitope that is encoded in specific genetic markers called human leukocyte antigens (HLA) which are responsible for producing proteins to control immune responses. The shared epitope attaches to these proteins to produce Anti CCP antibodies.

Preparation for Anti CCP

  • No special preparation required

Sample Type for Anti CCP

The sample type collected for Anti Cyclic Citrullinated Peptide Antibody is: Blood

Interpreting Anti CCP results

Interpretations

Anti CCP antibody test positivity indicates Rheumatoid Arthritis


Answers to Patient Concerns & Frequently Asked Questions (FAQs) about Anti CCP

Frequently Asked Questions about Anti Cyclic Citrullinated Peptide Antibody

Q. How is this test performed?
This test is performed on a blood sample. A syringe with a fine needle is used to withdraw blood sample from a blood vessel in your arm, generally from the inner side of the elbow area. The doctor, nurse or the phlebotomist will tie an elastic band around your arm which will help the blood vessels to swell with blood. This makes it easier to withdraw blood. You may be asked to tightly clench your fist. Once the veins are clearly visible, the area is cleaned with an antiseptic solution. The needle is then inserted into the blood vessel to collect the sample. You may feel a tiny pinprick during the procedure. Blood sample, once collected, is then sent to the laboratory.
Q. Is there any risk associated with this test?
There is no risk associated with the test. However, since this test involves a needle prick to withdraw the blood sample, in very rare cases, a patient may experience increased bleeding, hematoma formation (blood collection under the skin), bruising or infection at the site of needle prick.
Q. Is there any preparation required before the test?
Inform the doctor about the medications you may be taking. No other specific preparations are usually required before this test.
Q. What is Citrulline?
Citrulline is produced in the body naturally. Its production occurs during metabolism of amino acid arginine. In the case of rheumatoid arthritis, the production of citrulline highly increases in the joints. It will change the structure of the protein which can trigger an immune response that produces autoantibodies against proteins in the joints.
Q. What is Rheumatoid arthritis?
Rheumatoid arthritis is a systemic autoimmune disease which is chronic (from a long time). It causes inflammation, stiffness, pain and disastrous changes in joints of the body. It can occur at any age but the usual age is after 40 years. As compared to men, women are more affected. It can progress slow or fast. But, if untreated can cause disability of the joints.
Q. What are other tests advised for rheumatoid arthritis?
Apart from anti CCP antibody test, rheumatoid factor (RF) test, joint X rays, and blood tests are advised. If a patient has positive anti CCP antibody test as well as RF test it indicates that the patient has rheumatoid arthritis. If the patient has a positive anti CCP antibody test but negative RF test it means that the patient is likely to develop rheumatoid arthritis in the future. If anti CCP antibody test is negative but RF test is positive, it can indicate that the patient should be analyzed for other inflammatory conditions as well.
Q. Is Anti CCP antibody test screening test for Rheumatoid arthritis?
No, the screening test for rheumatoid arthritis is the rheumatoid factor. But, once the RF is positive, anti CCP antibody test should be done to differentiate rheumatoid arthritis from other arthritis.
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Provided By

NABL

CAP

ISO

About Dr. Lal Pathlabs

We focus on providing patients quality diagnostic healthcare services in India. Through our network, we offer patients convenient locations for their diagnostic healthcare services and efficient service. With over 3368 diagnostic and related healthcare tests and services offered, we believe we are capable of performing substantially all of the diagnostic healthcare tests and services currently prescribed by physicians in India. Our key competitive strengths are: Business model focused on the patient as a customer and an established consumer healthcare brand associated with quality services, in a market where patients generally choose their diagnostic healthcare service provider. Well-positioned to leverage upon one of the fastest-growing segments of the Indian healthcare industry. A network whose growth yields greater economies of scale, combined with a hub and spoke model that is scalable for further growth. Centralized information technology platform that fully integrates our network and is scalable. Attractive financial performance, financial profile and return on invested capital. Experienced leadership team with strong industry expertise and successful track record. Some of our laboratories have achieved International Organization for Standardization, or ISO, certification for their quality systems. Our National Reference Laboratory has obtained ISO 9001:2008 certification (for the performance of routine and advanced diagnostic pathology testing services, including clinical trials), ISO 15189:2007 (for quality management in medical laboratories), ISO 15189:2012 certification (in the field of medical testing) and ISO 27001:2013 certification (for establishing an effective information management system that maintains and processes information security at our data center).

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