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Anti-Proteinase 3 Antibody (Serum) – Immunoassay

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

This test measures the presence of antibodies against proteinase 3, a protein found in certain white blood cells. These antibodies are linked to a type of autoimmune condition called vasculitis.

Quick summary

["This test helps diagnose or monitor conditions where your immune system mistakenly attacks blood vessels."]

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

Key facts at a glance

LOINC
46267-1
Short code
Proteinase3 Ab Ser IA-aCnc
Synonyms
Proteinase3 Ab Ser IA-aCnc
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ia
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 like unexplained skin rashes, joint pain, fever, or signs of inflammation in your blood vessels. It’s also used to check if you have a condition called **granulomatosis with polyangiitis (GPA)**, also known as **Wegener’s granulomatosis**, or another form of vasculitis.

What to Expect Before the Test

No special preparation is needed. You’ll have a small needle inserted into a vein (usually in your arm) to draw a blood sample. The process is quick and usually painless. If you’re nervous, let your provider know—they can help make it more comfortable.

What the Test Results Mean

Positive results (meaning antibodies are present) can confirm a diagnosis of vasculitis or help guide treatment decisions. However, false positives can occur, so results are often checked alongside other tests and symptoms. Your provider will discuss the results with you in detail.

Common Conditions Linked to This Test

This test is most commonly used for **granulomatosis with polyangiitis (GPA)**, a type of vasculitis that affects blood vessels in your nose, lungs, and kidneys. It may also be used for other forms of vasculitis or conditions like **microscopic polyangiitis** or **churg-strauss syndrome**.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Elevated antibody levels strongly suggest an autoimmune response targeting proteinase 3, which can damage blood vessels. Early detection is key because treatment can help prevent serious complications like organ damage or life-threatening events. Your provider will use these results alongside other tests to tailor your care plan.

Short name

Anti-PR3 Antibody (Serum)

Frequently asked questions

What does a positive result mean?
A positive result means your blood contains antibodies against proteinase 3, which may indicate an autoimmune condition like vasculitis. This doesn’t mean you definitely have a disease—your provider will review the results with you and may order additional tests to confirm or rule out conditions like GPA.
Can lifestyle changes affect this test?
While some autoimmune conditions may improve with lifestyle changes (like diet or stress management), these changes don’t directly affect antibody levels in this test. Your provider will focus on medical treatments if needed.
How often will I need this test?
Your provider may order this test once or repeatedly, depending on your symptoms, treatment plan, or disease progression. Follow-up tests could be scheduled every few months or as needed to monitor your condition.
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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