The University of Iowa (UIHC)
Department of Pathology
LABORATORY SERVICES HANDBOOK


ADAMTS13 Activity
Order Code: ADAMTS13
Epic Lab Code: LAB2539
Order Form: A-1a Miscellaneous Request or Epic Req
  Commercial "Mail-out" Laboratory
6240 RCP
356-3527
Specimen:
Plasma
Collection Medium:
Light Blue top tube (Na Citrate)
Minimum:
Preferred minimum: 1 mL plasma from light blue (Na Citrate) top tube
Absolute Adult/Pediatric minimum: 0.5 mL
Rejection Criteria:
Hemolyzed specimens. Serum, EDTA plasma
Analytic Time:
5 days upon receipt at reference laboratory
Reference Range:
By report
Interpretive Data:
Microtiter plates coated with monoclonal anti-ADAMTS13 antibody are 
used to measure ADAMTS13 activity by Fluorescence Resonance Energy 
Transfer (FRET).

ADAMTS13 levels of less than 5% may be associated with either inherited 
(Upshaw-Schulman Syndrome) or acquired thrombotic thrombocytopenic 
purpura (TTP).

A variety of medical conditions may result in a mild to moderate 
deficiency of ADAMTS13 activity. Recent plasma exchange therapy may 
raise the observed ADAMTS13 activity.

The monoclonal anti-ADAMTS13 antibody is directed against the CUB 
domain; therefore, certain forms of ADAMTS13 (with mutations in the CUB 
domains) may not be equivalently measured due to reduced binding to the 
antibody.
Methodology:
Flourescence Resonance Energy Transfer
CPT Code:
85397

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Updated: 09/10/2009

Note: The information contained in this handbook is for use by personnel of University of Iowa Health Care. No other use is implied or intended.