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Genetic analysis for alpha-1 antitrypsin (AAT) variant detection using next-generation sequencing (NGS) probe

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

This test checks for mutations in the gene that produces alpha-1 antitrypsin, a protein that helps protect your lungs from damage caused by inflammation.

Quick summary

["Helps diagnose conditions linked to low alpha-1 antitrypsin levels, such as chronic obstructive pulmonary disease (COPD)."]

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

Key facts at a glance

LOINC
105781-9
Short code
BLAGES
Synonyms
blaGES gene Ct Bld Pos Qn NAA+probe
Category
chemistry
Sample
whole-blood
Container
Positive blood culture bottle (aerobic or anaerobic) from continuous-monitoring blood culture system (e.g., BACTEC, BacT/ALERT)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
≥ 0 years
Method
probe-amp-tar
CPT
87640
SNOMED
441636005
Specimen volume
1-2 mL aliquot from positive blood culture bottle; do not submit the entire bottle
Stability
Stable at room temperature for up to 24 hours from time of blood culture positivity; refrigerate at 2-8°C if testing is delayed beyond 24 hours (up to 48 hours)
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
1–8 hours
Order
routine

Why This Test Matters for Your Health

Alpha-1 antitrypsin is crucial for lung and liver health. Deficiencies can lead to lung diseases like emphysema or liver cirrhosis. This test helps identify genetic risks early, allowing for proactive management if needed.

What to Expect Before the Test

No special preparation is required. A blood sample will be taken from a vein in your arm. If you have a history of blood draws, let your provider know to minimize discomfort.

How the Test Works

Your blood sample is analyzed using advanced genetic sequencing technology. This identifies any variations (mutations) in the alpha-1 antitrypsin gene that may affect protein production.

What the Results Mean

Results will show whether you carry normal or mutated copies of the alpha-1 antitrypsin gene. This information helps determine if you’re at higher risk for lung or liver disease.

Reference range

Detected or Not Detected; Cycle Threshold (Ct) value reported quantitatively when positive. Lower Ct values indicate higher bacterial loads.N/A

Specimen: whole-blood

No special patient preparation required. Testing is performed on blood culture specimens already flagged positive by continuous-monitoring blood culture systems.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

AAT Gene Sequencing

Frequently asked questions

How often should I get this test?
The frequency depends on your risk factors. If you have a family history of alpha-1 antitrypsin deficiency, your doctor may recommend testing during pregnancy, childhood, or periodically as an adult.
What are the typical reference ranges for this test?
This test doesn’t provide a numeric reference range since it focuses on genetic variants rather than protein levels. Results are qualitative (normal/mutated variants) and used to assess genetic risk.
Can I fast before this test?
No fasting is required for this genetic test. Blood is drawn at any time of day, similar to other standard blood tests.
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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