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MDA5 and ASYS

BLUF: lineblot is highly prone to FP and FN results. IP is best overall, but ELISA is a faster, acceptable non-IP alternative.

Modality ranked by highest to lower specificity:

  • IP > ELISA » multiplex bead assays » lineblot

Modality ranked by highest to lower sensitivity:

  • ELISA >= IP » multiplex bead assays » lineblot

Reliable test options

Use OMRF or Labcorp ELISA options. Avoid Quest
lab test_name link antibodies test_modality notable_feature
Labcorp anti-synthetase profile https://www.labcorp.com/tests/520193/anti-synthetase-profile-rdl Anti-EJ Ab; Anti-Jo-1 Ab; Anti-OJ Ab; Anti-PL-7 Ab, Anti-PL-12 Ab ELISA and RIPA RIPA has superior sensitivity for detecting anti-OJ
Labcorp MyoMarker® 3 Plus Profile https://www.labcorp.com/tests/520085/myomarker-3-plus-profile-rdl Anti-PM/Sci-100 Ab; Anti-MDA5 Ab (CADM-140); Anti-NXP-2 Ab; Anti-TIF-1gamma Ab; Anti-SAE1 Ab, IgG; Anti-SRP Ab; Anti-U3 RNP (Fibrillarin Ab); Anti-U2 RNP Ab; Anti-Mi-2 Ab; Anti-PL-7 Ab; Anti-PL-12 Ab; Anti-EJ Ab; Anti-OJ Ab; Anti-Ku Ab; Anti-Jo-1 Ab; Anti-U1 RNP Ab; Anti-SS-A 52kD Ab, IgG ELISA and RIPA large MSA and MAA screen; includes RO52 ELISA measurement
QuestMyositis Specific 11 Antibodies Panel https://testdirectory.questdiagnostics.com/test/test-detail/94777/myositis-specific-11-antibodies-panel?cc=MASTERJo-1 Ab, Pl-7 Ab, Pl-12 Ab, EJ Ab, OJ Ab, SRP Ab, Mi-2 Alpha Ab, Mi-2 Beta Ab, MDA5 Ab, TIF1 Gamma Ab, NXP-2 Ab line blot test is line blot only; regard results not orthogonally confirmed with skepticism
QuestExtended Myositis Specific Antibody (MSA) Panel https://testdirectory.questdiagnostics.com/test/test-detail/10257/extended-myositis-specific-antibody-msa-panel?p=r&cc=MASTER

3-Hydroxy-3-Methylglutaryl-Coenzyme A Reductase (HMGCR) Antibody (IgG) Cytosolic 5'-Nucleotidase 1A (cN-1A) Antibody (IgG)| ASYS ab are line blot | test is line blot only for ASYS-Ab; regard results not orthogonally confirmed with skepticism |

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