Laboratory Services

Tissue Transglutaminase (tTG) Antibody, IgA

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Updated Test Information:

Test Description
Tissue Transglutaminase (tTG) Antibody, IgA
Synonym(s)

tTG, Celiac

Test ID
TTGA
General Information

Tissue transglutaminase (tTG) has been identified as the major autoantigen in celiac disease. IgA antibodies against tTG are highly disease specific serological markers for celiac disease and dermatitis herpetiformis. Patients with selective IgA deficiency may yield false negative tTG IgA results. Assay results should be used in conjunction with clinical findings and other serological tests. Antibodies directed against gliadin, its deamidated products, and tTG are dependent on the ingestion of gluten. For this reason, serology testing is best performed in patients on a gluten-containing diet. In children younger than 2 years, it is recommended to combine tissue transglutaminase (tTG) testing with deamidated gliadin (DGP) IgA and IgG.

Specimen Type

Serum

Specimen Requirements

Tiger

Alternate Specimen Type

SST

Specimen Collection / Processing Instructions

Allow serum tubes to clot for a minimum of 30 minutes before centrifuging. Centrifuge within 1 hour of collection and no longer than 2 hours after collection. Failure to separate red cells from serum with 2 hours of collection may lead to inaccurate results.

Minimum Sample Volume

500 ul

Additional Processing Details

Caution: Serum samples are not to be repeatedly frozen and thawed, since this can cause analyte deterioration. They are to be thawed only once.

Stability

Stored at 22˚C: 8 hrs
Stored at 2-8˚C: 2 weeks
If assays are not completed within 2 weeks or the specimen is to be stored beyond 2 weeks, the serum/plasma should be frozen at or below -20˚C.

Unacceptable Specimen Conditions

Plasma, lipemic, hemolyzed or microbially contaminated samples.

Limitations

In children younger than 2 years, it is recommended to combine tissue transglutaminase (tTG) testing with deamidated gliadin (DGP) IgA and IgG.

Antibodies directed against gliadin, its deamidated products, and tTG are dependent on the ingestion of gluten. For this reason, serology testing is best performed in patients on a gluten-containing diet.

Methodology

Fluorescent enzyme immunoassay (FEIA)

Estimated TAT

2-5 days

Testing Schedule

Monday-Friday, alternating days

CPT Code(s)

86364

Reference Range

Negative < 7 U/mL
Equivocal 7-10 U/mL
Positive > 10 U/mL

Performing Lab

Incyte Diagnostics

LOINC Code(s)

46128-5