Table 18.1
Interpretation of AMA staining
AntibodyTarget antigenStaining characteristicsDisease associations

M1

Cardiolipin

Distal tubules ++

Syphilis anti-phospholipid syndrome (1° and 2°)

M2

Pyruvate (2-oxo-acid) dehydrogenase complex

Distal tubules ++

 

Parietal cells ++

Primary biliary cirrhosis (PBC) Also seen in RhA, SSc

M3

Not known

Proximal P1, P2, P3 ++

 

Distal tubules ++

 

Parietal cells ++

Lupus-like disease

M4

Sulphite oxidase

Proximal tubules +

PBC (often with M2)

Distal tubules ++

 

Parietal cells ++

PBC–scleroderma overlap

M5

Not known

P1, P2 proximal tubules ++

 

P3 proximal tubules +

 

Parietal cells +

Miscellaneous connective tissue diseases

 

Occur with anti-β2-GPI antibodies in APS

M6

Monamine oxidase B

P1 proximal tubules++

 

Loop of Henle ++

 

APUD cells, stomach ++

Iproniazid-induced hepatitis

M7

Sarcosine dehydrogenase

Distal tubules ++

 

P2, P3 proximal tubules +

Myocarditis cardiomyopathy

M8

Not known

Distal tubules ++

 

Collecting ducts ++

PBC (often with M2)

M9

Glycogen phosphorylase

Distal tubules ++

 

Collecting ducts ++

PBC (mild disease?) Autoimmune hepatitis

AntibodyTarget antigenStaining characteristicsDisease associations

M1

Cardiolipin

Distal tubules ++

Syphilis anti-phospholipid syndrome (1° and 2°)

M2

Pyruvate (2-oxo-acid) dehydrogenase complex

Distal tubules ++

 

Parietal cells ++

Primary biliary cirrhosis (PBC) Also seen in RhA, SSc

M3

Not known

Proximal P1, P2, P3 ++

 

Distal tubules ++

 

Parietal cells ++

Lupus-like disease

M4

Sulphite oxidase

Proximal tubules +

PBC (often with M2)

Distal tubules ++

 

Parietal cells ++

PBC–scleroderma overlap

M5

Not known

P1, P2 proximal tubules ++

 

P3 proximal tubules +

 

Parietal cells +

Miscellaneous connective tissue diseases

 

Occur with anti-β2-GPI antibodies in APS

M6

Monamine oxidase B

P1 proximal tubules++

 

Loop of Henle ++

 

APUD cells, stomach ++

Iproniazid-induced hepatitis

M7

Sarcosine dehydrogenase

Distal tubules ++

 

P2, P3 proximal tubules +

Myocarditis cardiomyopathy

M8

Not known

Distal tubules ++

 

Collecting ducts ++

PBC (often with M2)

M9

Glycogen phosphorylase

Distal tubules ++

 

Collecting ducts ++

PBC (mild disease?) Autoimmune hepatitis

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