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Monosialotetrahexosylganglioside (GM1) in serum/plasma

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

This test measures the level of a specific type of ganglioside (GM1) in your blood. Gangliosides are complex sugars found in cell membranes, and GM1 is particularly relevant in certain genetic and acquired conditions.

Quick summary

["GM1 levels may help diagnose or monitor conditions affecting nerve cells or lipid metabolism."]

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

Key facts at a glance

LOINC
21574-9
Short code
CDT-MONO
Synonyms
CDT Monosialo/Tf MFr SerPl
Category
chemistry
Sample
serum
Container
Red-top serum tube (no anticoagulant) or serum separator tube (SST)
Units
N/A
Ref low
1.3
Ref high
2
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
Capillary electrophoresis or high-performance liquid chromatography (HPLC)
CPT
82373
SNOMED
440932008
Specimen volume
1-2 mL of serum
Stability
Stable for 7 days at 2-8°C; for longer storage, freeze at -20°C or below; avoid repeated freeze-thaw cycles
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
48–168 hours
Order
routine

Why This Test Might Be Ordered

Your healthcare provider may recommend this test if you have symptoms like muscle weakness, developmental delays in children, or if you have a family history of conditions linked to GM1 accumulation, such as certain forms of Gaucher disease or neuronal ceroid lipofuscinosis (CLN). It may also be used in research or specialized diagnostic settings.

What to Expect Before the Test

No special preparation is typically required, but you may need to fast for a certain period if your blood is drawn during fasting. Bring your medical records or a list of medications to your appointment.

How the Test Works

A small sample of your blood (serum or plasma) is collected via a vein in your arm. The sample is then analyzed using a specialized laboratory technique to measure the concentration of GM1.

What the Results Mean

Results are interpreted by your healthcare provider based on your clinical picture, symptoms, and other test results. Elevated levels may suggest certain genetic disorders or metabolic conditions, while normal levels help rule out these possibilities.

Reference range

Monosialotransferrin ratio: <1.3% (normal), 1.3-2.0% (indeterminate), >2.0% (consistent with congenital disorders of glycosylation type I); typically reported as a ratio relative to total transferrinN/A

Specimen: serum

No special preparation required. Recent blood transfusion may affect results. Avoid testing within 1-2 weeks of transfusion when possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

GM1 Ganglioside

Frequently asked questions

What does an abnormal result mean?
Elevated GM1 levels can be associated with lysosomal storage disorders, such as Gaucher disease or certain types of neuronal storage diseases. These conditions can affect organs like the liver, spleen, and nervous system. Your doctor will discuss the implications based on your specific symptoms and test results.
How often should I get this test?
The frequency of this test depends on your medical condition and treatment plan. If you are diagnosed with a condition linked to GM1, your doctor may recommend regular monitoring. If this test is part of a screening or research study, follow the guidelines provided by the study team.
Can lifestyle changes affect GM1 levels?
GM1 levels are primarily influenced by genetic factors and certain metabolic conditions. While lifestyle changes like diet or exercise may not directly alter GM1 levels, they can help manage broader health conditions that might be linked to your test results. Always consult your healthcare provider for personalized advice.
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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