Immunology
Leading edge pathology conducted by a dedicated team of highly trained, skilled and specialised scientists
Immunology
Our Sheffield Protein Reference Unit (PRU) and Immunology Department has a long established expertise in the analysis and clinical interpretation of protein and antibody assays. Our extensive test repertoire includes tumour markers, prenatal downs screening, specific proteins, auto-antibodies, allergy testing and immunodeficiency investigation. We are continually adding new tests to our repertoire. The PRU is part of a Supra-Regional Assay Service.
We provide an analytical and interpretive service for the investigation and diagnosis of immune mediated diseases and measurement of specific proteins to hospitals and laboratories across the UK.
We have specialist expertise in many areas including:
- Alpha 1 antitrypsin phenotyping and genotyping
- Complement system analysis (quantitative, functional and C4 genotyping)
- Functional antibody testing for assessing vaccine responses
- Flow cytometry for immune deficiency
- Allergy - over 800 allergens available
- Tumour markers
- Faecal Immunochemical Test (FIT)
- Pre-natal foetal aneuploidy screening
- Immunoglobulin analysis by electrophoresis of serum and urine samples
- Analysis of CSF for oligoclonal bands
- Specific proteins including immunoglobulin free light chains
- Comprehensive range of autoantibody tests
- We are currently the only UK NHS laboratory to offer testing for urine prostaglandins, urine methylhistamine and bradykinin.
We are a UKAS accredited medical laboratory No. 8494.
Our full compliance ensures that we subscribe to accredited External Quality Assurance (EQA) schemes for all our tests where they are available or an alternative (inter-laboratory comparison) if there is no EQA scheme.
Summaries of EQA performance can be provided to assure prospective users of our continued high quality service. Our policy is to apply for extensions to scope for all new tests as they are added to the repertoires.
“I must take this opportunity to thank Sheffield Immunology for their support and the quality of service we have received. This has significantly improved the service for our patients over the past 2 years. We approached Sheffield at a time when we needed a fast resolution and have been grateful for your team’s responsiveness throughout this period. Very many thanks for all your help and support.” - Milton Keynes University NHS Foundation Trust
The department has a Consultant led team of Clinicians and Clinical Scientists who provide high quality interpretive advice on test results.
If you would like to know more about how we can help you, please contact us by telephone on 0114 271 5552 or email us at sth.labmed@nhs.net
Department Specific Tests
Acetylcholine Receptor Anitbodies, AchR, ACR
Acid Glycoprotein (OROSOMUCOID) / AGP
Adalimumab Antibodies / Anti Drug Antibodies (ADA)
Adalimumab Drug Level, Trough Adalimumab, HUMIRA, Anti TNF Alpha
Adrenal Antibodies (see endocrine autoantibodies)
AFP Allotype - Lectin Binding Index, Fucosylation Index, Yolk Sac AFP
ALEX Allergy Chip ( Allergy Explorer )
Allergen Specific IgG Bee/Wasp Venom
ALPHA - Foetoprotein (AFP) (Tumour Marker)
ALPHA 1 Antitrypsin PCR Genotype (Anti-Trypsin)
ALPHA 1 Antitrypsin Phenotype, PI Typing (Anti-Trypsin)
ALPHA 1 Microglobulin, ALPHA - 1MG, Protein HC
Alternative Pathway Haemolytic Complement (AP50)
Anaesthetic/Drug Adverse Reactions (NARCOS)
ANCA, IIF Screen Anti-Neutrophil Cytoplasmic Antibodies
Anti-Nuclear Antibody (ANA HEP2) (ANF)
Autoimmune Encephalitis Screen (NMDAR, CASPR2, LGI1, AMPAR1/2, DPPX and GABA Receptor Antibodies)
Basophil Activation Test (BAT)
Bence Jones Protein (BJP), Urine Free Light Chains, BJP (24 hour excretion)
Beta 2 Glycoprotein 1 Antibodies IgG and IgM (B2GP)
Beta 2 Interferon Neutralising Antibody
C1 Esterase Inhibitor (Quantitational and Functional Level)
C3d Levels, C3 Breakdown Product
C5-C9 (C5, C6, C7, C8, C9), Membrane Attack Complex (MAC)
CA15-3, Polymorphous Epithelial Mucin
Caeruloplasmin, Wilsons / Cirrhosis Screen (Copper Oxidase) / Ferroxidase
Carbohydrate Deficient Transferrin (CDT)
Carcinoembryonic Antigen (CEA)
Carcinoembryonic Antigen (CEA) in Pancreatic Cyst Fluid
Cardiolipin Antibodies (ACA) IgG and IgM
CD11C and CD123 Dentritic Cell Analysis (DCML Screen)
Centromere Antibody, IIF, Kinetechore
Cerebellum (Purkinje) Cell Antibody IIF Screen (Hu, Ri, Yo, Tr, CV2, Ma/Ta), Neuronal Antibody
Classical Pathway Haemolytic Complement Assay (CH50)
Complement - Factor H / Factor I
CSF TAU Protein (Beta 2 Transferrin) for Rhinorrhoea
Cyclic Citrullinated Peptide (CCP) Antibody
Diphtheria Antibodies (Functional Antibodies)
DNA Antibodies, Double-Stranded IgG Crithidia Assay
DNA Antibodies, Double-Stranded, IgG dsDNA
ENA Antibodies, ENA Specific Types, RO (SS-A)/LA (SS-B) /SM/RNP/SCL-70/JO-1
Endocrine Antibodies (Adrenal, Ovarian, Testes)
Eosinophil Cationic Protein (ECP)
Faecal Immunochemical Test (FIT)
First Trimester Down's Screening, Combined Test (PAPPA FBHCG) Trisomy 13 and Trisomy 18 Risk Factors
Ganglioside Antibodies GD1a, GD1b, GT1b (IgG or IgM)
Ganglioside Antibodies GM1 (IgG or IgM)
Ganglioside Antibodies GQ1b (IgG or IgM)
Gastric Parietal Cell Antibody
Gliadin Antibodies (IgG and IgA)
Glomerular Basement Membrane Antibodies (GBM)
Glomerular Basement Membrane Antibodies Blot, GBM confirmatory blot
Glutamic Acid Decarboxylase Antibodies (GAD, GAD65)
Haemophilus Influenzae B (HiB Antibodies, Functional Antibodies)
HEP 2 Antigen Blot (SS-A, SS-B, Sm, RNP, SCL-70, JO-1, PM-SCL, CENT B, CENT C, AMA-M2, RIB-P, RO52)
High Sensitivity C Reactive Protein (hsCRP)
Human Anti-Mouse Antibodies, HAMA
Human Chorionic Gonadotrophin / LDH
IA2 Antibodies, Anti Tyrosine Phosphatase Antibodies
IgA Tissue Transglutaminase 6 Antibodies (TTG6, TG6)
IgG Tissue Transglutaminase 6 Antibodies (TTG6, TG6)
Immuno Solid-phase Allergen Chip (ISAC)
Immunoglobulin (IgG IgA IgM) Levels with Electrophoresis
Infliximab Antibodies, Anti-Drug Antibodies, ADA
Infliximab Drug Level, Trough Infliximab, ANTI-TNF ALPHA
Intrinsic Factor Antibody (IFA)
Liver and Gastric Parietal Cell Antibodies, LKS Substrate ( ANA, AMA, SMA, LKM, GPC )
Liver Blot (AMA-M2, M2-E3, Sp100, PML Ag, gp210, LKM-1, LC-1,SLA/LP, RO52)
Lymphocyte PHA/OKT3 Response, Lymphocyte Proliferation
Mannose Binding Lectin (MBL / MBP)
Mitochondrial Antibody, PBC Screen (AMA)
Muscle Specific Kinase Antibodies
Myelin Associated Glycoprotein Antibodies (ANTI-MAG)
Myelin Oligodendrocyte Glycoprotein Antibodies (MOG Antibodies)
Myelin Sheath / Myelin Associated Glycoprotein by IIF
Myeloperoxidase (MPO) Antibodies
N-Methyl-D-Aspartate Receptor Antibodies ( NMDAR )
Neuromyelitis Optica IgG Antibodies/Aquaporin 4 Antibodies/NMO
Neuronal Blot (Amphiphysin, CV2.1, PNMA2 [Ma2/Ta], RI, YO, HU)
Neurone Specific Enolase ( NSE ) Gamma-Enolase
Neutrophil Function : Di-Hydrorhodamine Test ( DHR )
Oligoclonal Bands, CSF IgG Oligoclonal Bands and IgG/ALB Ratio
Pemphigoid and Pemphigus Antibodies. Skin Antibodies.
Phospholipase A2 Antibody (PLA2R) Antiphospholipase A2 Antibody MPLA2R
Placental Alkaline Phosphatase (PLAP)
Pneumococcal Antibodies (Functional Antibodies)
Precipitins, Avian (Budgie, Pigeon)
Precipitins, Farmers Lung / Micropolysporum / Thermoactinomyces
Primary Immunodeficiency (PID) Panel
Procollagen Type III Peptide, P3NP
PSA Index (PSA Ratio Free to Bound)
Quantiferon (Gamma Interferon For TB)
Renal Biopsy, Immunofluorescent (Native or Transplant Kidney)
Rheumatoid Factor Total Antibody (IgM)
RNA Polymerase III Antibodies (RNA Polymerase 3)
Salivary Duct Antibody and Salivary Gland Antibody
SCID Screen (Severe Combined Immunodeficiency screen) by Flow Cytometry
Second Trimester Down's Screening. Quadruple Test (Total HCG, AFP, UE3, INHIBIN A).
Serum Free Light Chains (SFLC)
Skin Antibodies: BP180, BP230, Desmoglein 1 (DSG1) and Desmoglein 3 (DSG3)
Soluble CD25, Soluble Interleukin 2 Receptor (sCD25, sIL2R)
Tetanus Antibodies (Functional Antibodies)
Thrombospondin Type-1 Domain containing 7A (THSD7A)
Thyroid Microsomal (Peroxidase) Antibodies, TPO
Thyroid Receptor Antibodies (TSH Receptor Antibodies), TRAb.
Tissue Transglutaminase Antibody (TTG) (IgG and IgA)
Urine Gluten Immunogenic Peptides
Urine Protein Selectivity / Clearance Profile ( IgG / Albumin Ratio ) / Protein Clearance Ratio
Vasculitic Screen (C3, C4, Immunoglobulins, ANCA, Hep2 ( ANA ), RF)