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Alpha-1 Antitrypsin (Serum) Concentration

Published: August 9, 2026Updated: August 17, 2026

This test measures the level of Alpha-1 Antitrypsin, a protein produced by the liver that helps protect the lungs from damage caused by enzymes released during inflammation.

Quick summary

["Alpha-1 Antitrypsin helps prevent lung damage and can be important if you have a genetic risk for lung or liver disease."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 17, 2026Editorial policy

Key facts at a glance

LOINC
7478-1
Short code
Coastal Maple IgE Qn
Synonyms
Coastal Maple IgE Qn
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
10
Ref high
40
Critical range
— – 500 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
CPT
84484
SNOMED
302774002
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

Why This Test Might Be Ordered

Your healthcare provider may order this test if you have symptoms like chronic cough, shortness of breath, or liver problems, or if you have a family history of conditions like alpha-1 antitrypsin deficiency. It may also be checked before surgeries or procedures that could increase lung exposure to harmful substances.

What to Expect Before the Test

No special preparation is usually needed. You may be asked to fast for 8–12 hours before the test if it involves drawing blood from your arm. Bring any medications you’re taking, as they could affect results.

How the Test Is Performed

A healthcare professional will insert a needle into a vein in your arm to collect a blood sample. You may feel a slight pinch, but the procedure is quick and typically painless. The blood will be sent to a lab for analysis.

Possible Results and Their Meaning

Low levels of Alpha-1 Antitrypsin may indicate a genetic deficiency that increases your risk for lung diseases (like emphysema) or liver disease. High levels are less commonly significant but could be checked in certain liver conditions. Your results will be compared to standard reference ranges provided by your lab.

Reference range

Adult: 10-40 U/LN/A

Specimen: serum

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Alpha-1 Antitrypsin deficiency is a genetic disorder that can lead to chronic lung diseases (such as emphysema) or chronic liver diseases (like cirrhosis). Early detection through this test can help guide treatment plans, including enzyme replacement therapy or lifestyle adjustments to manage symptoms and slow disease progression.

Short name

Alpha-1 Antitrypsin (A1AT)

Frequently asked questions

What does a low Alpha-1 Antitrypsin level mean?
A low level may suggest you have alpha-1 antitrypsin deficiency, which can increase your risk of lung or liver problems. Your doctor will discuss next steps, such as genetic testing or monitoring for symptoms.
Can diet or medications affect this test?
Some medications (like certain steroids or blood thinners) may influence results. Fasting before blood draw is often required, so follow your provider’s instructions to avoid confusion in results.
Is this test painful?
The blood draw itself is brief and usually painless, though you might feel a slight pinch. Most people tolerate it well. If you have a fear of needles, let your provider know so they can prepare you accordingly.
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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 17, 2026. · Read our editorial policy