- Laboratory
- Quest Diagnostics
- Test code
- 34303
- Specimen
- Serum
- Fasting
- Not stated
- LOINC
- 44702-9
- Turnaround
- Set up: Sun, Thurs
Laboratory assay overview
This assay serves as a non-invasive aid for the diagnosis of active proliferative lupus nephritis (LN) and for monitoring disease activity. Autoantibodies to C1q (C1q Ab; IgG isotype) are detected in a number of autoimmune and infectious diseases but are best described in patients with systemic lupus erythematosus (SLE). Several studies suggest that C1q Ab plays a pathogenic role in the development of LN and that serum levels correlate with disease activity [1]. Moreover, C1q Ab results demonstrate fair sensitivity and specificity for active proliferative LN [2]. In addition, C1q Ab levels may begin to rise in advance of a renal flare and absence of C1q Ab suggests that a flare is unlikely [3].
References
1. Bock M, Heijnen I, Trendelenburg M. Anti-C1q antibodies as a follow-up marker in SLE patients. PLoS One. 2015;10(4):e0123572. doi:10.1371/journal.pone.0123572
2. Yin Y, Wu X, Shan G, et al. Diagnostic value of serum anti-C1q antibodies in patients with lupus nephritis: a meta-analysis. Lupus. 2012;21(10):1088-1097. doi:10.1177/0961203312451202
3. Fatemi A, Samadi G, Sayedbonakdar Z, et al. Anti-C1q antibody in patients with lupus nephritic flare: 18-month follow-up and a nested case-control study. Mod Rheumatol. 2016;26(2):233-239. doi:10.3109/14397595.2015.1074649