Lab Guide
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Test ID: IH IgA
Immunoglobulin A
Immunohistochemistry Stain
Useful For

Identification of plasma cells and related lymphoid cells containing IgA, and it is a useful tool for the classification of patients with B-cell neoplasias. Additionally, the antibody may be used for distinguishing neoplastic monoclonal proliferation from reactive hyperplasia of plasma cells.

Method name and description
  • Polyclonal Rabbit Anti-Human IgA
  • Immunoperoxidase stain on formalin-fixed, paraffin-embedded (FFPE) tissue section
Reporting name

IgA

Clinical information

The heavy chain of IgA is named the alpha-chain. In serum about 80% of IgA is monomeric, while in secretions, such as saliva, intestinal and bronchial mucus, nasal secretions, sweat, and breast milk and colostrum, the predominant form is the dimeric secretory IgA (sIgA). Besides 4 light-chains and 4 alpha-chains dimeric sIgA also contains a J-chain and a secretory component. The latter protects sIgA against secretory proteases. The Mr of dimeric sIgA is 390 000. The normal B-cell population is polyclonal and expresses a range of different immunoglobulin molecules. In contrast, a majority of B-cell neoplasias are characterized by the proliferation of monoclonal cells expressing only one type of light chain, whereas more than one heavy chain can be expressed by the same cell. The restricted expression of immunoglobulins by monoclonal B-cell lineage proliferations makes antibodies specific for immunoglobulin light- and heavy chains useful for the identification and isotyping of these neoplasias.

Aliases

IgA (Immunoglobulin A)

Specimen type / Specimen volume / Specimen container
  • Specimen type: Well-fixed tissue in 10% neutral buffered formalin.
  • Submit 2 unstained (3-4 µm thick) paraffin embedded tissue section mounted on a clean positively charged glass slide  (sections to be cut within 6 weeks.) or formalin-fixed, paraffin-embedded (FFPE) tissue block.
Storage and transport instructions
  • Slides or blocks are stored in cork box at room temperature away from sun light and any source of heat.
  • Follow your local regulation shipping guidelines.
Specimen Rejection Criteria
  • Broken slides
  • Unlabeled slides with patient/case identification 
  • Contaminated slides
  • Slides/paraffin blocks mismatch
  • Uncharged slides
Factors affecting test performance and result interpretation
  • Fixation time (FT)
  • Fixative Type
  • Storage time in paraffin
  • Storage temperature
  • Age of the cut sections
  • Section thickness
Turnaround time / Days and times test performed / Specimen retention time
  • Turnaround time for the test in platform: 3-4 hours
  • Days and times test performed: Twice daily (Sunday to Wednesday)
  • First batch: 0600H-1400H
  • Second batch; 1230H - overnight
  • Thursday (one batch only): 0600H-1400H
  • Note: Request received after 1230H will be stained the following working day.
  • Shelf-life of the paraffin section slides: ≤6 weeks