Euroimmun US  |  Products  |  Autoimmune  |  Rheumatology  |  Rheumatoid arthritis

Rheumatoid arthritis

Highly specific (> 98 %)1

Aids in the diagnosis of Rheumatoid arthritis

Reliable results due to original CCP2 antigen

Background

Rheumatoid arthritis (RA) is a chronic systemic autoimmune disease characterized by persistent synovial inflammation, progressive joint destruction, and functional impairment. Approximately 0.5–1% of the global population is affected, with women more frequently diagnosed than men.2

Autoantibodies play a central role in RA pathogenesis and may be detectable years before clinical symptoms develop. Many RA patients (approx. 70 %) produce autoantibodies against citrullinated peptides (ACPA).3 Consequently, immune complexes are formed, and inflammation of the joints progresses.

During the transition from undifferentiated arthritis to RA, ACPA levels increase and remain high.4 ACPA have a high predictive value for the development of RA and their detection supports the early recognition of the disease.

Diagnostics

Euroimmun offers a comprehensive portfolio of solid-phase immunoassays for the detection of RA-associated autoantibodies, supporting early detection and risk stratification.

ACPA are highly specific for RA and their determination has been incorporated into the 2010 classification criteria of the American College of Rheumatology (ACR) and the European League Against Rheumatism (EULAR), where antibody titers contribute significantly to diagnostic scoring.5 ACPA are determined in parallel to rheumatoid factors (RF). According to the scoring system of the ACR/EULAR classification, a high ACPA or RF titer carries more weight for the classification of RA than a lower titer. Laboratory findings such as an increased erythrocyte sedimentation rate, increased C-reactive protein and the presence of RF and/or ACPA are indicative of RA.5

Autoantibodies against CCP can be determined using ELISA and ChLIA. For the detection of ACPA, the second-generation CCP antigen (CCP2) is considered the gold standard.6,1 Test systems based on this antigen provide the highest sensitivity (80%, with a specificity of 98%).1 Antibodies against CCP are mainly IgG class antibodies and are significantly more specific than RF, with a similar sensitivity.7

References

  1. Bizzaro N. (2007). Antibodies to citrullinated peptides: a significant step forward in the early diagnosis of rheumatoid arthritis. Clinical chemistry and laboratory medicine, 45(2), 150–157. https://doi.org/10.1515/CCLM.2007.027
  2. Zhang, Z., Gao, X., Liu, S., Wang, Q., Wang, Y., Hou, S., Wang, J., & Zhang, Y. (2025). Global, regional, and national epidemiology of rheumatoid arthritis among people aged 20-54 years from 1990 to 2021. Scientific reports, 15(1), 10736. https://doi.org/10.1038/s41598-025-92150-1
  3. Steiner, G., & Toes, R. E. M. (2024). Autoantibodies in rheumatoid arthritis – rheumatoid factor, anticitrullinated protein antibodies and beyond. Current opinion in rheumatology, 36(3), 217–224. https://doi.org/10.1097/BOR.0000000000001006
  4. Bos WH, et al. (2010). The role of anti-citrullinated protein antibodies in predicting progression to rheumatoid arthritis in patients with undifferentiated arthritis. Arthritis Res Ther. 12(3):R118. doi:10.1186/ar3055
  5. Aletaha, D., et al. (2010). 2010 rheumatoid arthritis classification criteria: an American College of Rheumatology/European League Against Rheumatism collaborative initiative. Annals of the rheumatic diseases, 69(9), 1580–1588. https://doi.org/10.1136/ard.2010.138461
  6. van Venrooij WJ, Pruijn GJM. (2000). Citrullination: a small change for a protein with great consequences for rheumatoid arthritis. Arthritis Res.
  7. Nishimura, K, et al. (2007). Meta-analysis: diagnostic accuracy of anti-cyclic citrullinated peptide antibody and rheumatoid factor for rheumatoid arthritis. Annals of internal medicine, 146(11), 797–808. https://doi.org/10.7326/0003-4819-146-11-200706050-00008

Rheumatoid arthritis products

For in vitro diagnostic use.

For a list of all the products
Euroimmun offers please visit our Product Finder

Contact our Autoimmune product team
for further details and information

2026 Euroimmun US

Privacy Policy | Website Terms and Conditions | Cookie Notice and Settings | Consent Preferences | Sitemap