MPO–ANCA, also called the P-ANCA test, is a blood test that detects autoantibodies targeting myeloperoxidase, a protein found in certain white blood cells. It is needed to support the evaluation of autoimmune diseases affecting small blood vessels, particularly microscopic polyangiitis and eosinophilic granulomatosis with polyangiitis. The test may also help investigate unexplained kidney, lung, skin, or systemic inflammation, but results require clinical correlation.
MPO stands for myeloperoxidase.
ANCA stands for antineutrophil cytoplasmic antibody.
P-ANCA refers to a perinuclear staining pattern seen when ANCA antibodies are examined by immunofluorescence. MPO is the most common target associated with this pattern.
It helps evaluate suspected autoimmune inflammation of small blood vessels, known as ANCA-associated vasculitis.
It is commonly associated with microscopic polyangiitis and may occur in eosinophilic granulomatosis with polyangiitis and other autoimmune conditions.
Unexplained kidney inflammation, blood or protein in the urine, lung bleeding, breathing problems, nerve symptoms, skin rashes, or persistent systemic inflammation may prompt testing.