Relevância Clínica

AC-15 - Fibrillar Linear

Relevâncias Clínicas - Primeiro nível

Found in patients with AIH type 1, chronic HCV infection, and celiac disease (IgA isotype); rare in SARD.
If AIH type 1 is clinically suspected, it is recommended to confirm reactivity with smooth muscle antibodies (IgG isotype), typically detected by IIFA on rodent tissue (liver, stomach, kidney); anti-smooth muscle antibodies are included in the international criteria for AIH type 1.
F-actin is the main target antigen of anti-smooth muscle antibodies in AIH type 1; autoantibodies to F-actin are of more clinical importance than antibodies to G-actin.
Although anti-F-actin immunoassays are commercially available, technical issues relating to the sensitivity of these immunoassays should be taken into consideration.
High prevalence of IgA and/or IgG type anti-actin antibody has been reported in celiac disease.
Monoclonal antibodies to non-muscle myosin have been reported in chronic lymphocytic leukemia.

Relevâncias Clínicas - Segundo nível

Specific immunoassays for non-muscle myosin are currently not commercially available.