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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
📌 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!