DIAGNOSTIC TEST 959

Ganglionic AChR Antibodies

Diagnostic test for antibodies against Ganglionic AChR2. For suspected autoimmune autonomic neuropathies.

Indication

Suspected autoimmune autonomic neuropathies

Method

The test is performed in serum with Radioimmunoprecipitation (RIA)

Result

The result is reported as negative, borderline or positive with a value.

Reference interval:
<10 pmol/L negative
10-15 pmol/L borderline

Interpretation

Antibodies against nicotinic ganglionic acetylcholine receptors (g-AChR) can cause autoimmune autonomic ganglionopathy (AAG), a rare autoimmune disease affecting the sympathetic and parasympathetic ganglia leading to dysautonomia. The alpha-3 subunit is considered to be the main target antigen. Antibody titers correlates with the severity of symptoms.

References

  • Vernino S, Low PA, Fealey RD, Stewart JD, Farrugia G, Lennon VA. Autoantibodies to ganglionic acetylcholine receptors in autoimmune autonomic neuropathies. N Engl J Med. 2000 Sep 21;343(12):847-55.PMID: 10995864
  • Koike H, Watanabe H, Sobue G. The spectrum of immune-mediated autonomic neuropathies: insights from the clinicopathological features. J Neurol Neurosurg Psychiatry. 2013 Jan;84(1):98-106. PMID: 22906617

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How to order

This test is available worldwide for hospitals, clinics, and physicians.

  1. Print and complete the request form

    Download the request form. Clearly state the name and phone number of the referring hospital, clinic, or physician.
  2. Prepare your samples

    Serum: At least 0.5 mL serum (plain serum tubes without additives).
  3. Send samples and request form

    Within Sweden
    Samples can be sent at room temperature to:
    Envelopes and smaller boxes:
    Wieslab AB, Box 50117, 20211 Malmö, Sweden

    Larger boxes and frozen samples:
    Wieslab AB, Lundavägen 151, 21224 Malmö, Sweden

    International
    Send samples cold to:
    Wieslab AB, Lundavägen 151, 21224 Malmö, Sweden

Read our sampling instructions for more information

Last updated: 2025-08-18