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Antibodies to Nucleosomes (Serum)

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

This test measures antibodies against nucleosomes, small protein-DNA complexes found in cell nuclei. These antibodies may appear in the blood when the body’s immune system reacts to damaged cells, often linked to autoimmune conditions.

Quick summary

["This test helps identify potential autoimmune responses linked to conditions like lupus or other inflammatory diseases."]

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

Key facts at a glance

LOINC
53015-4
Short code
Nucleosome Ab Ser Ql
Synonyms
Nucleosome Ab Ser Ql
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms suggestive of an autoimmune disorder, such as joint pain, fatigue, rash, or unexplained inflammation. It may also be used to monitor disease activity in certain conditions.

What to Expect Before the Test

No special preparation is needed. You may have a blood sample drawn from a vein in your arm. If you’re on blood thinners, inform your provider beforehand to avoid unnecessary delays.

What the Results Mean

Positive results suggest an immune response targeting nucleosomes, which can indicate conditions like systemic lupus erythematosus (SLE) or other autoimmune diseases. However, false positives can occur, so results are often interpreted alongside clinical findings and other tests.

Common Conditions Linked to Positive Results

Elevated nucleosome antibodies are most strongly associated with systemic lupus erythematosus (SLE) and other autoimmune rheumatic diseases. They may also appear in inflammatory conditions or during periods of immune activation.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Antibodies to nucleosomes are a marker of immune-mediated inflammation. While not definitive for lupus or other autoimmune diseases, they support diagnosis when combined with clinical symptoms, other test results, and patient history. Monitoring these antibodies can help track disease progression or response to treatment.

Short name

Nucleosome Antibody Test

Frequently asked questions

What does a positive result mean for my health?
A positive result suggests your immune system may be reacting to nucleosomes, which can be linked to conditions like lupus or other autoimmune diseases. Your provider will discuss this with you, considering your symptoms, other test results, and medical history to guide further evaluation.
Can this test be used to diagnose lupus?
This test is one piece of the puzzle. While elevated nucleosome antibodies are common in lupus, they’re not specific enough alone to diagnose the condition. Your provider will use these results alongside clinical findings, other tests, and symptoms to make a diagnosis.
How often will I need this test?
Your provider will determine how often you need retesting based on your symptoms, disease activity, and treatment plan. Some patients may need this test periodically to monitor their condition, while others may only need it once.
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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