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Alpha-Galactosidase Enzyme Activity

Published: August 9, 2026Updated: August 16, 2026

A blood-based enzyme test that measures alpha-galactosidase activity, commonly used in evaluating suspected Fabry disease and carrier status.

Quick summary

["Reduced alpha-galactosidase activity may indicate Fabry disease or a genetic carrier state."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
24049-9
Short code
A-Galactosidase A WBC-cCnt
Synonyms
A-Galactosidase A WBC-cCnt
Category
liver
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
4.5
Ref high
11
Critical range
2 N/A – 30 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
85004
SNOMED
900000000000003002
Specimen volume
5 mL
Stability
Room temperature: 4h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
4–24 hours
Order
routine

What is this test?

This test measures the activity of the alpha-galactosidase enzyme. Alpha-galactosidase helps break down certain sugars and fats within cells.

Why might I need this test?

The test may be ordered when symptoms suggest Fabry disease, a genetic condition that can affect the heart, kidneys, nerves, and skin. It may also be used to help assess whether a person carries a variant associated with reduced enzyme activity.

How is the test performed?

A laboratory analyzes a blood-based sample to determine alpha-galactosidase activity. The specific specimen and laboratory method can vary, so results should be interpreted using the details provided with the report.

How do I prepare for the test?

No special preparation is usually required for this test. Follow any instructions from the laboratory or your healthcare professional, particularly if other specialized blood tests have been ordered.

Reference range

Adult: 4.5-11.0 x 10^9/LN/A

Specimen: serum

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Low alpha-galactosidase activity may be associated with Fabry disease or with carrying a disease-causing genetic variant. Results should be interpreted with the test method, other laboratory findings, genetic testing, and clinical symptoms because activity levels can vary by age, treatment, and laboratory method.

Short name

Alpha-galactosidase

Frequently asked questions

What does a low alpha-galactosidase result mean?
It may indicate reduced enzyme activity, which can occur with Fabry disease or in a genetic carrier. Additional testing is often needed to confirm the cause.
Does this test diagnose Fabry disease?
Not by itself. A low result can support suspicion of Fabry disease, but diagnosis may also require genetic testing, family history, and other clinical findings.
Can medications affect the result?
Yes. Some treatments can increase circulating alpha-galactosidase activity and make a result harder to interpret. Tell your healthcare professional about any enzyme replacement therapy or other relevant medications.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy