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Anti-Carbonic Anhydrase I Antibody (Serum) – Immunoassay

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

This test measures antibodies against carbonic anhydrase I, a protein found in certain tissues. It may be used to evaluate autoimmune conditions or rare enzyme-related disorders.

Quick summary

["This test helps identify potential autoimmune responses or enzyme dysfunctions linked to carbonic anhydrase I."]

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

Key facts at a glance

LOINC
34717-9
Short code
COX2IGG
Synonyms
C burnet Ph2 IgG Titr Ser IF
Category
chemistry
Sample
serum
Container
Serum separator tube (SST) or red-top tube without anticoagulant
Units
N/A
Ref low
0
Ref high
1
Critical range
— – 800 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Immunofluorescence assay (IFA)
CPT
86638
SNOMED
5875009
Specimen volume
1–2 mL serum (minimum 0.5 mL)
Stability
Serum stable at room temperature for 8 hours; refrigerated at 2–8°C for 7 days; frozen at -20°C or below for up to 30 days. Avoid repeated freeze-thaw cycles.
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

What Does This Test Measure?

The test detects the presence of antibodies directed against carbonic anhydrase I, a protein enzyme involved in metabolic processes. Carbonic anhydrase I is primarily expressed in certain tissues, including the kidney and blood vessels, and plays a role in maintaining acid-base balance and fluid transport. Antibodies against this enzyme may indicate an autoimmune reaction or a rare inherited condition.

Why Might This Test Be Ordered?

Your healthcare provider may order this test if you have symptoms or conditions linked to autoimmune diseases (e.g., certain connective tissue disorders) or if carbonic anhydrase I-related enzyme deficiencies are suspected. It may also be part of a broader evaluation for unexplained metabolic or renal issues.

What Does a Positive Result Mean?

A positive result suggests the presence of antibodies against carbonic anhydrase I, which could indicate an autoimmune response. However, further testing and clinical correlation are needed to determine the underlying cause. Some conditions, like certain enzyme deficiencies, may also be associated with abnormal antibody levels.

Sample Collection and Preparation

This test uses a blood sample drawn from a vein (venipuncture). The blood is processed into serum for analysis. Avoid alcohol consumption for 24 hours before testing, as it may affect test results.

Reference range

Negative: <1:16; Equivocal: 1:16–1:64; Positive: ≥1:128. Phase 2 IgG titers indicate past exposure or chronic Q fever when markedly elevated (≥1:800).N/A

Specimen: serum

No fasting required. No special patient preparation needed prior to specimen collection.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

Anti-Carbonic Anhydrase I (CAI) Antibody

Frequently asked questions

What does this test measure exactly?
This test measures the concentration of antibodies (immunoglobulins) that target carbonic anhydrase I, a protein enzyme. The exact reference range depends on the lab, but elevated levels may suggest an autoimmune response or enzyme-related pathology.
Is this test commonly used for routine health checks?
No, this test is not typically part of standard health screenings. It is usually ordered based on specific symptoms, clinical concerns, or suspected autoimmune or enzyme-related disorders.
How long does it take to get results?
Results are usually available within 1–3 business days, depending on lab processing times and whether additional testing is required for confirmation.
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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