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RNA Polymerase III Antibody, Serum, Qualitative, Line Blot

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

This test looks for antibodies against RNA polymerase III in a blood (serum) sample. These antibodies are mainly used as a marker to help diagnose and monitor systemic sclerosis (scleroderma), especially the diffuse form.

Quick summary

["A positive RNA polymerase III antibody result supports a diagnosis of systemic sclerosis and may be linked to more widespread skin and internal organ involvement."]

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

Key facts at a glance

LOINC
81737-9
Short code
RNAp III RP11 Ab Ser Ql Line blot
Synonyms
RNAp III RP11 Ab Ser Ql Line blot
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
line-blot
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 This Test Measures

The test detects antibodies that your immune system may have made against RNA polymerase III, a protein complex your cells use to make certain types of RNA. Finding these antibodies in serum is a laboratory clue that your immune system is targeting your own tissues, which happens in some autoimmune diseases.

How the Sample Is Collected

A healthcare professional draws a small amount of blood from a vein, usually in your arm, into a tube. The serum (the clear liquid part of the blood) is separated and tested using a line blot method, which checks whether your sample reacts with specific antibody targets.

Why Your Doctor Ordered It

Doctors order this test when they suspect systemic sclerosis (scleroderma), particularly when skin tightening is widespread. It can help classify the type of scleroderma and estimate the chance of certain organ problems such as lung or kidney involvement, which guides monitoring and treatment.

What the Results Mean

A positive result means RNA polymerase III antibodies were detected and supports a diagnosis of systemic sclerosis; it is often associated with the diffuse form. A negative result means they were not detected, but it does not by itself rule out disease. Results are interpreted alongside your symptoms, exam findings, and other tests, and exact cutoffs vary by laboratory.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

RNA polymerase III antibodies are relatively specific for systemic sclerosis and are most often seen in the diffuse cutaneous subtype. They have been associated with a higher risk of rapidly progressive skin thickening and serious complications such as renal crisis, and with certain patterns of lung involvement. Because these antibodies are not present in everyone with scleroderma, a negative result does not exclude the disease, and results should always be interpreted by a clinician in the full context of the patient's presentation.

Short name

RNA Pol III Ab

Frequently asked questions

Does a positive result mean I definitely have scleroderma?
Not on its own. A positive RNA polymerase III antibody result strongly supports a diagnosis of systemic sclerosis, but doctors confirm the diagnosis using your symptoms, physical examination, and other tests. The result is one piece of the overall picture.
Can the antibody test be negative even if I have scleroderma?
Yes. Many people with scleroderma do not have RNA polymerase III antibodies, so a negative result does not rule out the disease. Different antibody markers are associated with different forms of scleroderma, and your doctor may order additional tests.
Will I need this test repeated?
Sometimes. Your doctor may repeat testing or order related antibody tests over time depending on your symptoms and results. How often you are monitored is a decision your care team will make based on your individual situation.
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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