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Anti-Jo-1 Antibody

Immunology & Autoimmune

Anti Jo 1 AbHistidyl tRNA synthetase antibodyJo-1 AbJo-1 antibody

Review status

Currently under review

Pending specialist review and validation.

What it shows

The Anti-Jo-1 antibody test measures autoantibodies that target histidyl tRNA synthetase, a protein involved in building new proteins inside cells. These antibodies are part of the myositis-specific autoantibody group and are most strongly linked with a condition called antisynthetase syndrome.

Your clinician may order this test when evaluating symptoms such as muscle weakness, joint pain, or breathing difficulties that could be related to autoimmune muscle disease. It is often performed alongside other myositis antibodies and tests of muscle inflammation to build a clearer picture of what is going on.

Why it matters

Finding Anti-Jo-1 antibodies can help support a diagnosis of antisynthetase syndrome or idiopathic inflammatory myopathy, conditions that can affect muscles, lungs, and joints. A positive result may point toward a pattern of disease that includes muscle inflammation and a risk for interstitial lung involvement, which can influence monitoring and treatment decisions.

This test is commonly ordered when there is concern for autoimmune myositis, especially if you have muscle weakness, elevated muscle enzymes, joint symptoms, or respiratory complaints. Results help your care team decide on additional testing, referrals to rheumatology or pulmonology, and whether to begin or adjust immunosuppressive therapy.

Understanding your results

A positive Anti-Jo-1 result increases the likelihood of antisynthetase syndrome or autoimmune myositis, but it does not confirm a diagnosis by itself. Some people with these antibodies have mainly lung or joint symptoms, and the antibody can persist even when symptoms improve. Your clinician will interpret the result together with your history, exam, muscle enzymes, imaging, and pulmonary testing.

A negative result does not rule out autoimmune myositis, since other myositis-specific antibodies may be involved. If your symptoms continue, your clinician may order a broader myositis panel, repeat testing with a different method, or pursue imaging, electromyography, or tissue biopsy. Discuss any new or worsening shortness of breath or muscle weakness promptly, since early evaluation can improve outcomes.

Reference ranges

019 RU/mL
All sexes
0 days – 150 years

Reference intervals vary by laboratory, analyzer, methodology, population, and units. The ranges shown here are for education only. Always interpret your results against the reference interval printed on your own lab report.

Factors that could impact Anti-Jo-1 Antibody

  • Testing method differences

    Different assays (ELISA, line blot, chemiluminescent) can yield slightly different results. Reference intervals and cutoffs are method specific, so comparisons across labs are not always direct.

  • Immunosuppressive therapy

    Treatments such as corticosteroids, rituximab, or other immunosuppressants may lower detectable antibody levels or change trends over time, which can affect interpretation.

  • Recent IVIG or plasma products

    Intravenous immunoglobulin and some blood products can transiently introduce or mask autoantibodies, potentially leading to unexpected positive or negative results.

  • Coexisting autoimmune conditions

    People with other autoimmune diseases can have overlapping antibodies, and occasional low-level reactivity may not reflect active muscle or lung disease.

  • Disease activity and timing

    Anti-Jo-1 may remain detectable even when symptoms improve, and levels do not always track day-to-day disease activity. Your clinician will focus on the clinical picture.

  • Specimen quality and handling

    Improper sample handling, severe hemolysis, or prolonged storage can affect some immunoassays. Using a properly collected and promptly processed serum sample helps reliability.

  • Smoking and lung involvement

    Smoking and other lung irritants can worsen respiratory symptoms in antisynthetase syndrome, which may prompt more intensive evaluation if Anti-Jo-1 is present.

  • Pregnancy and special populations

    Immune changes in pregnancy and early life can alter autoantibody profiles. Test interpretation should be individualized in these settings.

2026

References

  1. McGill University Health Centre. (2009, September 21). Anti Jo 1 Ab (Task CD 697396). Laboratory reference ranges.
  2. Lundberg, I. E., Tjärnlund, A., & Bottai, M., et al. (2017). 2017 EULAR/ACR classification criteria for adult and juvenile idiopathic inflammatory myopathies and their major subgroups. Annals of the Rheumatic Diseases, 76(12), 1955–1964.
  3. Connors, G. R., Christopher-Stine, L., Oddis, C. V., & Danoff, S. K. (2010). Interstitial lung disease associated with the antisynthetase syndrome: Clinical features, pathogenesis, and management. Chest, 138(2), 419–424.
  4. ARUP Consult. (2024). Myositis autoantibodies: Diagnostic testing for inflammatory myopathies.