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Understanding autoantibodies and their associated disorders is crucial for acing the immunology and pathology sections of the USMLE Step 1. This guide categorizes common autoantibodies and their clinical significance.
Autoantibody | Associated Disorder |
---|---|
Anti-postsynaptic ACh receptor | Myasthenia gravis |
Anti-presynaptic voltage-gated calcium channel | Lambert-Eaton myasthenic syndrome |
Autoantibody | Associated Disorder |
---|---|
Antinuclear (ANA) | Nonspecific; often associated with SLE |
Anti-dsDNA, anti-Smith | Systemic lupus erythematosus (SLE) |
Antihistone | Drug-induced lupus |
Anti-U1 RNP (ribonucleoprotein) | Mixed connective tissue disease |
Autoantibody | Associated Disorder |
---|---|
Rheumatoid factor (IgM against IgG Fc) | Rheumatoid arthritis |
Anti-CCP (cyclic citrullinated peptide) | Rheumatoid arthritis (more specific) |
Anti-Ro/SSA, anti-La/SSB | Sjögren syndrome |
Autoantibody | Associated Disorder |
---|---|
Anti-Scl-70 (anti-DNA topoisomerase I) | Diffuse scleroderma |
Anticentromere | Limited scleroderma (CREST syndrome) |
Autoantibody | Associated Disorder |
---|---|
Anti-synthetase (e.g., anti-Jo-1) | Polymyositis, dermatomyositis |
Anti-SRP | Polymyositis, dermatomyositis |
Anti-helicase (anti-Mi-2) | Polymyositis, dermatomyositis |
Autoantibody | Associated Disorder |
---|---|
Antimitochondrial | Primary biliary cholangitis |
Anti-smooth muscle | Autoimmune hepatitis type 1 |
IgA anti-endomysial, IgA anti-tissue transglutaminase | Celiac disease |
Antiparietal cell, anti-intrinsic factor | Pernicious anemia |
Autoantibody | Associated Disorder |
---|---|
MPO-ANCA/p-ANCA | Microscopic polyangiitis, eosinophilic granulomatosis with polyangiitis (Churg-Strauss syndrome), ulcerative colitis |
PR3-ANCA/c-ANCA | Granulomatosis with polyangiitis (Wegener’s) |
Autoantibody | Associated Disorder |
---|---|
Anti-phospholipase A2 receptor | Primary membranous nephropathy |
Anti-hemidesmosome | Bullous pemphigoid |
Anti-desmoglein (anti-desmosome) | Pemphigus vulgaris |
Anti-glomerular basement membrane | Goodpasture syndrome |
Autoantibody | Associated Disorder |
---|---|
Antithyroglobulin, antithyroid peroxidase | Hashimoto thyroiditis |
Anti-TSH receptor | Graves disease |
Anti-glutamic acid decarboxylase, islet cell cytoplasmic antibodies | Type 1 diabetes mellitus |