What is Anti Jo-1 Antibody test? 

Antibodies are proteins produced by the immune system to fight infections and eliminate foreign substances from the body. However, in some individuals, antibodies mistakenly start attacking body’s own cells leading to tissue damage. These antibodies are called autoantibodies, and the condition in which autoantibodies are produced is known as an autoimmune disorder.

Anti Jo-1 antibody is one such antibody which attacks the cytoplasmic histidyl tRNA synthetase (Jo-1) -  a protein present in all nucleated cells of our body. These antibodies are most commonly found in patients with idiopathic inflammatory myopathies - disorders characterised by inflammation of muscles - particularly polymyositis and pulmonary fibrosis.

The anti Jo-1 antibody test is used for the diagnosis of polymyositis and pulmonary fibrosis. It is usually performed as a part of a group of tests called the extractable nuclear antigen (ENA) panel, which checks for the presence of autoantibodies that attack the proteins present in the nucleus of cells.

  1. Why is an Anti Jo-1 Antibody test performed?
  2. How do you prepare for an Anti Jo-1 Antibody test?
  3. How is an Anti Jo-1 Antibody test performed?
  4. Anti Jo-1 Antibody test results and normal range

Your doctor will order an anti-Jo-1 antibody test if you have symptoms suggestive of an autoimmune disorder. Several tests may be done to differentiate between autoimmune disorders and identify the exact disorder depending on the autoantibodies found in your body. 

The following symptoms prompt a doctor to recommend this test:

These are the most typical symptoms of autoimmune disorders. 

The doctor will also order this test to monitor the progression or status of the autoimmune disorder (if already diagnosed). 

Anti Jo-1 antibody is mainly associated with two disorders – polymyositis and pulmonary fibrosis. Polymyositis is a disease which causes inflammation of the muscles as a result of an autoimmune reaction. It presents with the following symptoms:

Pulmonary fibrosis refers to the scarring of lungs and is associated with symptoms such as:

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No specific preparations are required before this test. 

In order to conduct this test, only a small amount of blood is needed. A doctor or laboratory technician will withdraw the blood sample from a vein in your arm by inserting a sterile needle. You may feel no pain from the needle or just a quick sting or pinch.

Some risks associated with taking a blood sample are. 

  • Difficulty in obtaining the sample
  • Excessive bleeding at the site from where the blood is drawn
  • Fainting 
  • Haematoma (accumulation of blood under the skin)
  • Infection at the site where the needle is inserted
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Typically, the immunoglobulin G (IgG) type anti Jo-1 antibody levels are checked in this test. It’s one of the antibodies that are abundantly present in the blood and can hence be easily identified. Results are given in terms of Units.

Normal results:

A value of < 1.0 U is considered negative. Negative test results mean that there are no anti-Jo-1 antibodies present in your blood and the symptoms you are experiencing are not due to an autoimmune disease.

Abnormal results:

A value of ≥ 1.0 U is considered to be an abnormal or positive result. This indicates that you may be suffering from polymyositis or pulmonary fibrosis. Your doctor will conduct more tests to evaluate your condition further and establish the diagnosis.

Disclaimer: All results must be clinically correlated with the patient’s complaints to make a complete and accurate diagnosis. The above information is provided from a purely educational point of view and is in no way a substitute for medical advice by a qualified doctor.

References

  1. Johns Hopkins Medicine [Internet]. The Johns Hopkins University, The Johns Hopkins Hospital, and Johns Hopkins Health System; Polymyositis
  2. American Lung Association [internet]; Symptoms of Pulmonary Fibrosis
  3. Aggarwal A. Role of auto antibody testing. Best Pract Res Clin Rheumatol. 2014
  4. Arthur Kavanaugh, Russel Tomar, John Reveille, Daniel H Solomon and Henry A Homburger. (2000). Guidelines for clinical use of antinuclear antibody test and tests for specific autoantibodies to nuclear antigens. Archives of Pathology & Laboratory Medicines; Jan 2000, Vol. 124. No 1. pp. 71.
  5. Ortega - Hernandez O, Shoenfeld Y. Mixed Connective tissue disease: an overview of clinical manifestations, diagnosis and treatment. Best Pract Res Clin Rheumatol. 2012 Feb;26(1):61-72. PMID: 22424193
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