Test ID: ARBI
Acetylcholine Receptor (Muscle AChR) Binding Antibody, Serum
Method Description
Describes how the test is performed and provides a method-specific reference
Acetylcholine receptors (a mixture of adult and fetal type) are solubilized from human limb muscle in nonionic detergent and complexed with (125)I-labeled-alpha-bungarotoxin to provide antigen. After incubation with patient's serum, an excess of goat antihuman immunoglobulin G and M is added. Acetylcholine receptor-(125)I-alpha-bungarotoxin complexes to which antibodies have bound will coprecipitate with the total human immunoglobulin. The radioactivity of the washed pellet is determined. All positive results are verified by ruling out false-positive binding of immunoglobulin to (125)I-alpha-bungarotoxin, such as might occur in patients with immune complex disorders or subjects exposed to snake venom products.(Griesmann GE, Kryzer TJ, Lennon VA: Autoantibody profiles of myasthenia gravis and Lambert-Eaton myasthenic syndrome. In Manual of Clinical and Laboratory Immunology. Sixth edition. Edited by NR Rose, RG Hamilton, et al. Washington, DC, ASM Press 2002, pp 1005-1012)
Day(s) and Time(s) Test Performed
Outlines the days and times the test is performed. This field reflects the day and time the sample must be in the testing laboratory to begin the testing process and includes any specimen preparation and processing time required before the test is performed. Some tests are listed as continuously performed, which means assays are performed several times during the day.
Monday through Thursday; 6 p.m., Saturday; 10 a.m.


