
MPO (p-ANCA)










The MPO (p-ANCA) test is a blood test that helps diagnose and monitor various autoimmune chronic inflammatory disorders and also differentiates between different types of vasculitis like granulomatosis with polyangiitis (GPA) and microscopic polyangiitis (MPA), lupus, rheumatoid arthritis, Wegener's granulomatosis, and Churg-Strauss syndrome. This test facilitates prompt detection of these diseases and helps prevent organ damage by enabling timely treatment.













Understanding MPO (p-ANCA)
MPO antibodies are formed when the immune system mistakenly attacks the myeloperoxidase enzyme, found inside neutrophils. These antibodies are also called p-ANCA (perinuclear anti-neutrophil cytoplasmic antibodies) due to their perinuclear staining pattern observed during immunofluorescence testing.
The MPO (p-ANCA) test measures antibodies against the myeloperoxidase (MPO) enzyme, which is found in neutrophils (a type of white blood cell) that help fight infections. This test helps diagnose autoimmune diseases, such as GPA and other forms of vasculitis, monitor disease activity, guide treatment decisions, and rule out other conditions that cause similar symptoms, such as infections or other autoimmune diseases.
A doctor may advise a MPO (p-ANCA) test when symptoms of autoimmune vasculitis are present. General symptoms may include fever, fatigue, headache, weight loss, aches, etc. Other symptoms depend on the affected body parts.
No special preparation is required for the MPO (p-ANCA) test. Patients should inform their doctor about all medications (e.g., immunosuppressants, steroids, etc.) and supplements (e.g., biotin, etc.) currently being taken, as some may affect test results, potentially requiring dosage adjustments or temporary discontinuation before the test.
Test result ranges are approximate and may differ slightly between labs, depending on the methodology and laboratory guidelines. Self-medication should be avoided, and a doctor should always be consulted to interpret results correctly.
What does MPO (p-ANCA) measure?
The MPO (p-ANCA) is a blood test that measures autoantibodies targeting the myeloperoxidase (MPO) enzyme (located in neutrophils). These autoantibodies are associated with autoimmune vasculitis disorders, particularly granulomatosis with polyangiitis (GPA) and other forms of vasculitis, where the immune system mistakenly attacks small blood vessels. This test helps diagnose these diseases, track disease activity, evaluate treatment response, and predict flare-ups.
Active inflammation is typically indicated by high MPO (p-ANCA) levels, while a decline suggests treatment effectiveness. Results should, however, be interpreted alongside clinical symptoms, as not all individuals with these diseases test positive, and false positives may occur with other conditions, such as infections or inflammatory conditions.





FAQs related to MPO (p-ANCA)
- Chhabra S, Minz RW, Goyal L, Sharma N. Myeloperoxidase-antineutrophil Cytoplasmic Antibodies with Cytoplasmic Fluorescence Pattern. J Lab Physicians. 2010 Jan;2(1):42-3. [Accessed 07 Jul. 2025]. Available from:
- Anti-Myeloperoxidase Antibody (MPO) [Internet]. NHS; 27 Apr. 2022 [Accessed 07 Jul. 2025]. Available from:
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