Skip to content

Anaintercellbridgetitrserif

Published: August 9, 2026Updated: August 16, 2026

This blood test detects specific autoantibodies targeting nuclear structures, helping diagnose autoimmune conditions affecting the skin and connective tissues.

Quick summary

{"The test identifies antibodies against nuclear antigens using immunofluorescence microscopy","A positive result may indicate autoimmune diseases like lupus or mixed connective tissue disease","Results are reported as a titer (dilution ratio) with a pattern classification","The test requires a blood sample and is typically ordered when autoimmune symptoms are present","Results should be interpreted by your healthcare provider in context of your symptoms"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
54155-7
Short code
ANA intercell bridge Titr Ser IF
Synonyms
ANA intercell bridge Titr Ser IF
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
if
CPT
86038
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

The Intercellular Bridge Nuclear Antibody test detects autoantibodies in your blood that target components of the cell nucleus. These antibodies are part of your immune system's response and can sometimes mistakenly attack the body's own healthy cells. The test uses a technique called indirect immunofluorescence, where your blood serum is combined with special cells on a slide. If antibodies are present, they bind to the nuclear structures and can be visualized under a fluorescent microscope, revealing a characteristic "intercellular bridge" pattern.

How is the test performed?

A healthcare professional will draw a small blood sample from a vein in your arm. This sample is then sent to a laboratory where it undergoes processing. The serum (the liquid part of your blood) is separated and applied to prepared cell slides. A secondary antibody tagged with a fluorescent dye is added, which binds to any nuclear antibodies present. A specialist then examines the slides under a microscope to identify both the pattern and measure the titer (the highest dilution at which antibodies can still be detected).

What do the results mean?

Results are reported in two parts: the titer and the pattern. A positive titer (commonly at 1:40 or higher, depending on the laboratory) indicates the presence of these antibodies. The intercellular bridge pattern specifically refers to fluorescent staining that appears to bridge between adjacent cell nuclei. Your healthcare provider will interpret these results alongside your clinical symptoms, other laboratory tests, and medical history to determine if further investigation or treatment is needed.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Do I need to fast before this test?
No fasting is typically required for this test. You can eat and drink normally before having your blood drawn, unless your healthcare provider instructs otherwise.
Will the test hurt?
You may feel a brief sting or pinch when the needle is inserted to draw your blood. This is generally well-tolerated, and the procedure only takes a few minutes. Some people may experience minor bruising at the injection site afterward.
How long does it take to get results?
Results are typically available within 3-7 days, depending on the laboratory. Your healthcare provider's office will contact you with the results or discuss them at your follow-up appointment.
What happens if my result is positive?
A positive result means that antibodies were detected in your blood. Your healthcare provider will interpret this finding in the context of your symptoms and may order additional tests to confirm a diagnosis. A positive result does not necessarily mean you have a disease—some healthy individuals may have low levels of these antibodies.
Can this test monitor disease progression?
Yes, the titer level may be used to monitor disease activity in some conditions. Your healthcare provider may order this test periodically to track changes in antibody levels and assess how you are responding to treatment.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy