Anti Saccharomyces Cerevisiae Antibody (ASCA) IgG in Nahur East, Mumbai

People with inflammatory bowel disease (IBD) have immunological proteins called anti-saccharomyces cerevisiae antibodies (ASCA). The ASCA IgG and IgA test detects anti-saccharomyces cerevisiae antibodies in the bloodstream.

An inflammatory bowel disease is a group of chronic illnesses, including intestinal lining erosion and swelling that an autoimmune disease could cause. IBD clinical manifestations can change over time and vary considerably.

Many impacted people go through flare-ups, followed by intervals of symptomatic relief or even relapse. Inflammatory bowel disease has two primary forms: 

• Crohn's disease (CD)
• Ulcerative colitis (UC)

While ulcerative colitis arises in the colon, Crohn's disease can impact any area of the gastrointestinal tract, including the mouth and the anus.

Faecal calprotectin can be utilised to distinguish inflammatory bowel disease from non-inflammatory illnesses like irritable bowel syndrome since Crohn's disease and ulcerative colitis are both marked by gastrointestinal inflammation. To rule out inflammatory bowel disease as a diagnosis and eliminate unwanted endoscopic or imaging treatments, faecal calprotectin is helpful.

The analysis of biopsy samples taken from the bowels and endoscopic examinations are used to determine the prognosis of Crohn's disease or ulcerative colitis. Even with biopsies, distinguishing between Crohn's disease and ulcerative colitis can occasionally be challenging because both can be detected in the colon.

When this happens, ASCA screening may be beneficial because Crohn's disease patients are considerably more likely to have anti-saccharomyces cerevisiae antibodies than ulcerative colitis patients.

The body produces anti-saccharomyces cerevisiae antibodies IgG and IgA against Saccharomyces cerevisiae. Typically, both classes are tested. The intensity of the condition and the requirement for operations as a therapy option may be predicted by the anti-saccharomyces cerevisiae antibody IgG.

In individuals with inflammatory bowel disease, this test is ineffective for assessing disease severity or monitoring the effectiveness of disease-specific treatments, such as surgical removal of the affected intestine.

At Apollo 24|7, anti-saccharomyces cerevisiae immunoglobulin A titers are tested using a licensed microtiter enzyme assay performed as follows:

• S. cerevisiae that has been partially filtered and fragmented adheres to the reservoirs of a polystyrene plate containing isolated mannan extracted from S. cerevisiae's cell membrane. 
• To allow the anti-saccharomyces cerevisiae antibodies to attach to the immobilised antigen, pre-diluted standards and diluted patient samples are introduced to independent wells. 
• An HRP-conjugated anti-human IgA antibody is then applied to each cell after the free sample has been removed. 
• The enzyme-marked anti-human IgA must undergo a second incubation to attach to any patient antibody that has managed to adhere to the microtiter wells. 
• The residual enzyme activity is measured by introducing chromogenic substrates and observing the intensity of the colour that forms after removing any unbound enzyme identified with anti-human IgA.

The test is assessed by measuring and comparing the colour intensity in the patient wells with the colour in the control wells. Relative units per millilitre (RU/mL) are used to express the test results of ASCA IgA.