ICAP
AC-12 - Punctate nuclear envelope
Previous Nomenclature Nuclear membrane pores
Description Nuclear envelope reveals punctate staining in interphase cells, with accentuation of fluorescence at the points where adjacent cells touch each other. No staining of the metaphase and anaphase chromatin plates.
Antigen Association nuclear pore complex proteins (i.e. gp210, p62, Tpr, LBR).
Clinical Relevance
First level information
About Clinical Relevance & List of Abbreviations
Found in patients with primary biliary cholangitis (PBC), as well as patients with other autoimmune liver diseases and systemic autoimmune rheumatic diseases [1, 2]
If PBC is clinically suspected, it is recommended to perform a follow-up test for gp210 antibodies[3-7]
Other antigens recognized include p62 nucleoporin, LBR, and Tpr; specific immunoassays for these autoantibodies are currently not commercially available [8-11]
Second level information
p62 nucleoporin antibodies have been described in PBC and systemic lupus erythematosus (SLE)[8, 9]
LBR antibodies have been described in PBC [10]
Tpr antibodies have been described in PBC, autoimmune liver disease, SLE, systemic sclerosis, idiopathic inflammatory myopathies, and Sjögren’s disease [11, 12]
 
Most reports describe autoantibodies directly binding to specific nuclear pore complex antigens in antigen‐specific immunoassays that do not clearly show correlations with the AC‐12 pattern
References
1.
Miyachi K, Hankins RW, Matsushima H, Kikuchi F, Inomata T, Horigome T, Shibata M, Onozuka Y, et al. Profile and clinical significance of anti-nuclear envelope antibodies found in patients with primary biliary cirrhosis: a multicenter study. J Autoimmun. 2003;20:247-54
2.
Cristoferi L, Gerussi A, Invernizzi P. Anti-gp210 and other anti-nuclear pore complex autoantibodies in primary biliary cholangitis: What we know and what we should know. Liver Int. 2021;41:432-5
3.
Courvalin JC, Lassoued K, Bartnik E, Blobel G, Wozniak RW. The 210-kD nuclear envelope polypeptide recognized by human autoantibodies in primary biliary cirrhosis is the major glycoprotein of the nuclear pore. J Clin Invest. 1990;86:279-85
4.
Nickowitz RE, Worman HJ. Autoantibodies from patients with primary biliary cirrhosis recognize a restricted region within the cytoplasmic tail of nuclear pore membrane glycoprotein Gp210. J Exp Med. 1993;178:2237-42
5.
Bandin O, Courvalin JC, Poupon R, Dubel L, Homberg JC, Johanet C. Specificity and sensitivity of gp210 autoantibodies detected using an enzyme-linked immunosorbent assay and a synthetic polypeptide in the diagnosis of primary biliary cirrhosis. Hepatology. 1996;23:1020-4
6.
Jaskowski TD, Nandakumar V, Novis CL, Palmer M, Tebo AE. Presence of anti-gp210 or anti-sp100 antibodies in AMA-positive patients may help support a diagnosis of primary biliary cholangitis. Clin Chim Acta. 2023;540:117219
7.
Deng HM, Hu SL, Chen WX, Huang Y. [Meta-analysis of anti-GP210 antibody and anti-SP100 antibody detection for diagnosis of primary biliary cirrhosis]. Zhonghua Gan Zang Bing Za Zhi. 2016;24:62-8
8.
Wesierska-Gadek J, Klima A, Komina O, Ranftler C, Invernizzi P, Penner E. Characterization of autoantibodies against components of the nuclear pore complexes: high frequency of anti-p62 nucleoporin antibodies. Ann N Y Acad Sci. 2007;1109:519-30
9.
Kraemer DM, Tony HP. Nuclear Pore Protein p62 Autoantibodies in Systemic Lupus Erythematosus. Open Rheumatol J. 2010;4:24-7
10.
Courvalin JC, Lassoued K, Worman HJ, Blobel G. Identification and characterization of autoantibodies against the nuclear envelope lamin B receptor from patients with primary biliary cirrhosis. J Exp Med. 1990;172:961-7
11.
Ou Y, Enarson P, Rattner JB, Barr SG, Fritzler MJ. The nuclear pore complex protein Tpr is a common autoantigen in sera that demonstrate nuclear envelope staining by indirect immunofluorescence. Clin Exp Immunol. 2004;136:379-87
12.
Senecal JL, Isabelle C, Fritzler MJ, Targoff IN, Goldstein R, Gagne M, Raynauld JP, Joyal F, et al. An autoimmune myositis-overlap syndrome associated with autoantibodies to nuclear pore complexes: description and long-term follow-up of the anti-Nup syndrome. Medicine (Baltimore). 2014;93:383-94
Last updated in August 2025
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Online since 19 May 2015