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Anti Mitochondrial Antibody

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Details

Anti-Mitochondrial Antibody (AMA) test detects autoantibodies directed against proteins found in the inner mitochondrial membrane, especially the M2 subtype. It is highly specific for Primary Biliary Cholangitis (PBC), a chronic autoimmune liver disease

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🧪 Anti-Mitochondrial Antibody (AMA) Test

Parameter

Details

Full Name

Anti-Mitochondrial Antibody (AMA) Test

Sample Type

Blood (Serum)

Fasting Required

❌ No

Method

Indirect Immunofluorescence (IFA) or ELISA

🔬 What Is It?

The Anti-Mitochondrial Antibody (AMA) test detects autoantibodies directed against proteins found in the inner mitochondrial membrane, especially the M2 subtype.

It is highly specific for Primary Biliary Cholangitis (PBC), a chronic autoimmune liver disease.

🧠 Organs Involved

Organ

Involvement

Liver (bile ducts)

Autoantibodies target the small intrahepatic bile ducts, leading to progressive liver damage

Immune System

Produces AMAs in an autoimmune response against mitochondrial antigens

🎯 Why Is This Test Done?

Clinical Purpose

Details

✅ Diagnose Primary Biliary Cholangitis (PBC)

Present in ~90–95% of patients with PBC

📈 Monitor liver-related autoimmune disease

Tracks progression alongside liver function tests

❓ Investigate unexplained elevated ALP

Especially in middle-aged women with fatigue or pruritus

🔍 Screen for autoimmune liver diseases

Part of extended liver autoantibody panels

🧪 Related Tests Often Ordered Together

Test

Why

Liver Function Test (LFT)

Checks liver enzymes like ALP, ALT, AST, and bilirubin

Antinuclear Antibody (ANA)

Co-existing autoimmune liver diseases may show positive ANA

Anti-Smooth Muscle Antibodies (ASMA)

Helps distinguish autoimmune hepatitis vs PBC

IgM Levels

Often elevated in PBC

AMA-M2 (Subtype Test)

Specific test for AMA-M2, most closely linked with PBC

FibroScan or Liver Biopsy

To assess liver fibrosis or confirm diagnosis

📊 Interpretation

Result

Meaning

Positive AMA

Strong indicator of Primary Biliary Cholangitis (PBC)

Negative AMA

Does not rule out liver disease; further testing may still be needed

🔬 AMA positivity is rare in the general population and highly specific for autoimmune liver disease.

⚠️ Symptoms That May Prompt This Test

  • Chronic fatigue
  • Itchy skin (pruritus)
  • Yellowing of skin or eyes (jaundice)
  • Upper abdominal discomfort
  • Elevated Alkaline Phosphatase (ALP) in blood reports

📌 Summary Table

Test

Anti-Mitochondrial Antibody (AMA)

Sample Type

Serum (blood)

Fasting Required

❌ No

Primary Use

Diagnose Primary Biliary Cholangitis

Associated Organ

Liver (intrahepatic bile ducts)

Positive Result Means

High likelihood of autoimmune liver disease (PBC)

How our test process works!

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