Blood
Anti-CCP Antibody
Also known as: Anti-Cyclic Citrullinated Peptide, CCP Ab
Reference ranges by source
Published adult intervals: 4, from 4 named sources, shown in U/mL.
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About Anti-CCP Antibody
This test looks for CCP (cyclic citrullinated peptide) antibodies in your blood. CCP antibodies, also called anti-CCP antibodies, are a type of antibody called autoantibodies. Antibodies and autoantibodies are proteins made by the immune system.
CCP antibodies target healthy tissues in the joints. Joints are places in your body where two bones meet, such as your elbows, wrists, and knees. If CCP antibodies are found in your blood, it can be a sign of rheumatoid arthritis. Rheumatoid arthritis is an autoimmune disease that gets worse over time. It causes pain, swelling, stiffness, and a loss of function in your joints.
CCP antibodies are found in most people who have rheumatoid arthritis. They are uncommon in people who don't have the disease (the test is positive in only about 5 out of 100 people without rheumatoid arthritis), so a positive result usually points to rheumatoid arthritis. CCP antibodies can sometimes be found in other conditions, including some chronic infections (such as hepatitis C), certain lung diseases, and in healthy relatives of people with rheumatoid arthritis. Anti-CCP antibody testing is one of the criteria used to classify rheumatoid arthritis, alongside rheumatoid factor, C-reactive protein (CRP), and the erythrocyte sedimentation rate (ESR).
Main source: MedlinePlus ↗
Useful for
Help diagnose or rule out rheumatoid arthritis
Help tell rheumatoid arthritis apart from other conditions that may cause similar joint symptoms
Used along with other tests, such as rheumatoid factor, C-reactive protein, and erythrocyte sedimentation rate (ESR), to help diagnose rheumatoid arthritis
Main source: MedlinePlus ↗
Interpretation
If your CCP antibody results were positive, it means these antibodies were found in your blood. A negative result means no CCP antibodies were found. The meaning of these results may depend on the results of a rheumatoid factor (RF) test as well as a physical exam.
Sometimes, CCP antibodies may be found in conditions other than rheumatoid arthritis.
To understand the results of a CCP antibody test, your provider will consider your symptoms, medical history, physical exam, and the results of other tests.
For general wellness information only. Talk to a clinician about your specific results.
Main source: MedlinePlus ↗
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Sources
Last updated 2026-05-02
This page presents source-specific reference data and sourced explanations. For general wellness information only. This is not medical advice. For diagnosis or treatment of any condition, talk to a qualified clinician.