Test Directory

Test Code
HYRAP
Test Name
Hu Yo Ri Antibodies with Reflex to Western Blot and Titer
CPT Codes
86255 X 3
Included Tests
  • Hu Antibody Screen with Reflex to Titer and Western Blot
  • Yo Antibody Screen with Reflex to Titer and Western Blot
  • Ri Antibody Screen with Reflex to Titer and Western Blot
Expected Turnaround Time
3 - 7 days
Clinical Utility
Hu, Yo, and Ri Antibodies with Reflex to Titers and Western Blot - Hu anti-neuronal nuclear antibody (anti-Hu) is found in 5-10% of patients with small cell carcinoma of the lung. Purkinje cell (Yo) antibody is found in patients with paraneoplastic cerebellar degeneration and is associated with breast, ovarian, and other gynecologic cancers. Some patients with ovarian cancer have low titers of Yo antibodies in the absence of cerebellar degeneration. Anti-Hu antibodies are associated with paraneoplastic encephalomyelitis and sensory neuropathy. Anti-Ri antibody can be detected in patients with paraneoplastic opsoclonus/myoclonus syndrome. Neoplasms most often associated with anti-Ri include breast cancer, small cell lung cancer, and gynecological cancers.
Specimen and Container Info

Specimen Type: Serum

Collection Container: Gold Top, Serum Separator

Desired Specimen Volume: 1.5 mL

Collection Instructions
  1. Collect a gold top, serum separator tube via venipuncture.
Processing and Submission Instructions
  1. Separate serum from cells.
  2. Transfer 1.5 mL of serum to a clear aliquot tube (screw cap).
Patient Preparation
Overnight fasting is preferred.
Transport Instructions

Transport to the laboratory refrigerated. 

Stability Requirements

Room Temperature

7 days

Refrigerated

14 days

Frozen

21 days
Methodology
Immunofluorescence Assay
Reference Intervals

See patient report.

Reference Lab
Quest Diagnostics Nichols Institute
Testing Schedule
Routine, 3 times per week