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Anti-Carbamylated Protein (CarP) Antibody

CPT 83516
Synonyms
  • Anti-CarP antigen antibody
  • RA marker

Test Details

Methodology

Enzyme-linked immunosorbent assay (ELISA)

Result Turnaround Time

7 - 10 days

Turnaround time is defined as the usual number of days from the date of pickup of a specimen for testing to when the result is released to the ordering provider. In some cases, additional time should be allowed for additional confirmatory or additional reflex tests. Testing schedules may vary.

Use

Anti-CarP antibodies may be positive in about 10% of early RA patients who are RF-negative and anti-CCP-negative and may be present years before the onset of RA symptoms.1,2 Anti-CarP is associated with more active disease and higher risk of developing joint erosions.1 Anti-CarP levels especially in combination with RF- and Anti-CCP-positivity may predict joint erosion and radiographic progression.1

Limitations

This test was developed and its performance characteristics determined by Labcorp. It has not been cleared or approved by the Food and Drug Administration.

Specimen Requirements

Specimen

Serum

Volume

1 mL

Minimum Volume

0.5 mL

Container

Red-top tube; serum from red-top tube; serum from a gel tube; or serum gel tube

Collection Instructions

Separate serum from cells within one hour of collection. Transfer to a plastic transport tube before shipping.

Stability Requirements

Temperature

Period

Room temperature

14 days

Refrigerated

14 days

Frozen

14 days

Freeze/thaw cycles

Stable x3

Storage Instructions

Refrigerate or freeze.

Footnotes

1. Truchetet ME, Dublanc S, Barnetche T, et al. Association of the Presence of Anti-Carbamylated Protein Antibodies in Early Arthritis With a Poorer Clinical and Radiologic Outcome: Data From the French ESPOIR Cohort. Arthritis Rheumatol. 2017 Dec;69(12):2292-2302.28853240
2. Brink M, Verheul MK, Rönnelid J,et al. Anti-carbamylated protein antibodies in the pre-symptomatic phase of rheumatoid arthritis, their relationship with multiple anti-citrulline peptide antibodies and association with radiological damage. Arthritis Res Ther. 2015 Feb 7;17(1):25.25889922

LOINC® Map

Order Code Order Code Name Order Loinc Result Code Result Code Name UofM Result LOINC
520311 Anti-CarP Ab 66445-8 520312 Anti-CarP Ab Units 66445-8
Order Code520311
Order Code NameAnti-CarP Ab
Order Loinc66445-8
Result Code520312
Result Code NameAnti-CarP Ab
UofMUnits
Result LOINC66445-8