Pernicious Anemia
- Home
- Autoimmune Diseases
- Pernicious Anemia
Pernicious anemia is an autoimmune disorder with a complex origin characterized by chronic atrophic gastritis (CAG) and impaired vitamin B12 (cobalamin) absorption in the terminal ileum due to intrinsic factor (IF) antibody interference. Our company is dedicated to delivering all-encompassing diagnostic development services, encompassing cutting-edge IVD products, point-of-care testing, and companion diagnostic development services, tailored to address the distinctive challenges posed by rare diseases.
The multifaceted nature of pernicious anemia is closely tied to the crucial role of cobalamin, deficiencies of which can result in various dysfunctions spanning from hematopoiesis to neurological, psychiatric, and obstetric anomalies. The primary manifestations of pernicious anemia manifest as hematological and neurological complications stemming from vitamin B12 deficiency, both of which necessitate several years to develop fully.
Although the exact pathogenesis of pernicious anemia remains unclear, it is likely associated with the autoimmune destruction of gastric glands triggered by autoreactive T lymphocytes in genetically predisposed individuals.
Fig.1 Peripheral smear of individuals with pernicious anemia. (Thomes, R. M., and Rosenstein, L. J., 2020)
The ongoing progress in biomarker development for pernicious anemia shows potential for improving early detection, tailoring therapy strategies, and tracking disease progression in individuals. Below are some critical biomarkers associated with pernicious anemia:
Serum Cobalamin Assay
Measuring serum vitamin B12 levels is a critical diagnostic procedure for pernicious anemia. Serum vitamin B12 levels exceeding 300 pg/mL are considered within the normal range.
Homocysteine and Methylmalonic Acid
Elevated homocysteine and methylmalonic acid levels in the bloodstream can indicate a deficiency in vitamin B12 and are utilized as supplementary markers for pernicious anemia.
Serum Holotranscolabamin (HTC) Assay
HTC, a form of vitamin B12 bound to transcobalamin, serves as the sole active form for cellular metabolism. HTC has been proposed as an ideal indicator of early-stage vitamin B12 deficiency.
Parietal Cell Antibodies and IF Antibodies
Assessing anti-parietal cell antibodies that target the gastric proton pump (gastric H+/K+ ATPase) along with antibodies against IF proves beneficial in confirming a diagnosis of pernicious anemia.
Kits | Applications | Method of detection |
Parietal Cell Antibody ELISA Kit | Measurement of IgG class autoantibodies against a- and b-subunits of the parietal cell H+/K+-ATPase in serum or plasma | ELISA |
Anti-Parietal Cell Antibody Test Kit | Detect the presence of antibodies to parietal cells | Immunofluorescence |
Intrinsic Factor ELISA Kit | Quantitative measurement of IgG class autoantibodies against intrinsic factor in serum or plasma | ELISA |
Cobalamin ELISA Kit | Quantitative detection of cobalamin in samples | ELISA |
Methylmalonic Acid ELISA Kit | Quantitative determination of MLA | ELISA |
Leveraging cutting-edge technologies and a diverse team of specialists, we provide accurate and effective solutions for the development of IVD products to assist in identifying and comprehending pernicious anemia. Furthermore, we offer point-of-care testing and companion diagnostic development services to enhance the precision and promptness of diagnoses.
Our customized diagnostic development services not only improve diagnostic precision but also aid researchers and scientists in expanding their comprehension of rare diseases, leading to personalized therapy approaches and enhanced individual results. If you are interested in our services, feel free to reach out to us for more information.
References
All of our services and products are intended for preclinical research use only and cannot be used to diagnose, treat or manage patients.