Orderable Test Codes

LAB6824 Anti-Angiotensin Type 1 Receptor (AT1R)
LAB6833 Anti-Angiotensin Type 1 Receptor, Kidney

CPT Codes

86316

Synonyms

  • AT1R
  • HLA

Test Includes

Detection of antibodies to Angiotensin II Type I Receptors in human serum and plasma. AT1R is found in most major organs, suggesting the importance of anti-AT1R antibodies as a possible biomarker for solid organ transplants and Antibody Mediated Rejection (AMR).

Performing Laboratory / Facility

UCLA Immunogenetics Center

Performing Section

Immunogenetics

Availability

Monday through Friday, 0800-1700

Turnaround Time

5 days

Methodology

Antibodies to AT1R are identified in an ELISA based platform.

Use

Organ transplant candidates. Angiotensin II type I receptor II (AT1R) is a G protein-coupled receptor that mediates angiotensin effects and causes vasoconstriction in vascular smooth muscle cells, aldosterone secretion by the adrenal cortex and sodium reabsorption in proximal tubules. Binding of antibodies to AT1R mimics angiotensin II binding, results in agonistic activation of AT1R signaling pathways, and contributes to hypertension. Recent studies found a significant association of anti-AT1R antibodies, both pre- and post- transplantation, with graft rejection and failure in kidney and heart transplantation.

Patient Preparation

Draw specimen before hemodialysis of patient

Specimen Type

Blood

Container

Red

Collection Instructions

Deliver to Specimen Processing.

Volume

10 mL blood

Minimum Volume

Adult: 3 mL (1.5 mL serum)
Pediatric: 1 mL (0.5 mL serum)

Stability

Keep blood at room temperature and transport samples as soon as possible after collection.

Shipping and Handling Instructions

Store at room temperature

Causes for Rejection

Specimen grossly hemolyzed
Improper labeling of tubes or requisition

Reference Range

At a serum dilution of 1:40 a result >10 U/ml indicates risk of endothelial cell dysfunction. A sera with AT1R levels >40U/ml can be diluted to determine the titer of the antibody.
Test Information

Orderable Test Codes

LAB6824 Anti-Angiotensin Type 1 Receptor (AT1R)
LAB6833 Anti-Angiotensin Type 1 Receptor, Kidney

CPT Codes

86316

Synonyms

  • AT1R
  • HLA

Test Includes

Detection of antibodies to Angiotensin II Type I Receptors in human serum and plasma. AT1R is found in most major organs, suggesting the importance of anti-AT1R antibodies as a possible biomarker for solid organ transplants and Antibody Mediated Rejection (AMR).

Performing Laboratory / Facility

UCLA Immunogenetics Center

Performing Section

Immunogenetics

Availability

Monday through Friday, 0800-1700

Turnaround Time

5 days

Methodology

Antibodies to AT1R are identified in an ELISA based platform.

Use

Organ transplant candidates. Angiotensin II type I receptor II (AT1R) is a G protein-coupled receptor that mediates angiotensin effects and causes vasoconstriction in vascular smooth muscle cells, aldosterone secretion by the adrenal cortex and sodium reabsorption in proximal tubules. Binding of antibodies to AT1R mimics angiotensin II binding, results in agonistic activation of AT1R signaling pathways, and contributes to hypertension. Recent studies found a significant association of anti-AT1R antibodies, both pre- and post- transplantation, with graft rejection and failure in kidney and heart transplantation.

Patient Preparation

Draw specimen before hemodialysis of patient
Specimen Collection and Handling

Specimen Type

Blood

Container

Red

Collection Instructions

Deliver to Specimen Processing.

Volume

10 mL blood

Minimum Volume

Adult: 3 mL (1.5 mL serum)
Pediatric: 1 mL (0.5 mL serum)

Stability

Keep blood at room temperature and transport samples as soon as possible after collection.

Shipping and Handling Instructions

Store at room temperature

Causes for Rejection

Specimen grossly hemolyzed
Improper labeling of tubes or requisition
Result Interpretation

Reference Range

At a serum dilution of 1:40 a result >10 U/ml indicates risk of endothelial cell dysfunction. A sera with AT1R levels >40U/ml can be diluted to determine the titer of the antibody.