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Antibody to Centromere Proteins (Screening)

Published: August 9, 2026Updated: August 15, 2026

This test checks for antibodies against centromere proteins, which may indicate a rare autoimmune condition called limited cutaneous systemic sclerosis (also called scleroderma).

Quick summary

["This screening helps identify possible autoimmune disorders affecting skin and connective tissues."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 15, 2026Editorial policy

Key facts at a glance

LOINC
16137-2
Short code
CENAB
Synonyms
Centromere Ab Ser Ql
Category
chemistry
Sample
serum
Container
Serum separator tube (SST, gold-top) or red-top tube with clot activator
Units
N/A
Ref low
0
Ref high
1
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Enzyme-Linked Immunosorbent Assay (ELISA) or Multiplex Bead-Based Immunoassay; confirmed by Immunofluorescence Assay (IFA) on HEp-2 cells
CPT
86235
SNOMED
313935002
Specimen volume
1-2 mL serum (minimum 0.5 mL)
Stability
Serum stable for 7 days at 2-8°C; for extended storage, freeze at -20°C or below for up to 6 months. Avoid repeated freeze-thaw cycles.
Hemolysis max
100
Lipemia max
100
Icterus max
50
TAT
24–72 hours
Order
routine

What Is This Test Measuring?

The test detects the presence of antibodies specific to centromere proteins in your blood. Centromere proteins are proteins found in the center of chromosomes that help chromosomes move during cell division. Autoimmune diseases like limited cutaneous systemic sclerosis can cause your immune system to mistakenly attack these proteins.

Why Might Your Doctor Order This Test?

Your doctor may recommend this screening if you have symptoms like skin thickening, Raynaud’s phenomenon (fingertip color changes due to poor circulation), or joint pain. It’s also sometimes used in patients with unexplained skin rashes or other connective tissue disorders.

What Does a Positive Result Mean?

A positive result suggests a higher likelihood of limited cutaneous systemic sclerosis or other centromere antibody-related autoimmune conditions. However, further testing and clinical evaluation are needed to confirm the diagnosis and guide treatment.

What Happens Next?

If your test is positive, your doctor may order additional tests, such as a confirmatory antibody test (e.g., centromere antibody confirmation) or other blood tests to assess your overall health and symptoms.

Reference range

Negative: <1:40 (IFA) or <20 U/mL (ELISA, kit-dependent). Positive results indicate presence of anti-centromere antibodies.N/A

Specimen: serum

No special patient preparation required. Fasting is not necessary. Specimen collection may be performed at any time of day.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Centromere Antibody Screen

Frequently asked questions

What Are Common Symptoms of This Condition?
Symptoms of limited cutaneous systemic sclerosis may include skin tightness and hardening in sun-exposed areas, finger or toe ulcers, joint stiffness, and Raynaud’s phenomenon. Early diagnosis can help manage symptoms and slow disease progression.
How Is This Test Different from Other Autoimmune Tests?
Unlike tests for rheumatoid factor or antinuclear antibodies (ANA), this test specifically targets centromere proteins. It’s used to distinguish limited cutaneous systemic sclerosis from other autoimmune conditions with similar symptoms.
Can This Test Be Done at Home?
No, this test requires a blood sample drawn by a healthcare professional. Results are typically reviewed by a medical laboratory or specialist.
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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 15, 2026. · Read our editorial policy