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Serum or Plasma Alpha-1 Antitrypsin (A1AT) Concentration

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

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

Quick summary

["A1AT helps protect your lungs and blood vessels from damage; low levels may increase your risk for lung diseases like emphysema."]

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

Key facts at a glance

LOINC
14510-2
Short code
C trach Ag Vag Ql IF
Synonyms
C trach Ag Vag Ql IF
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
if
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 a family history of lung diseases like chronic obstructive pulmonary disease (COPD) or emphysema, or if you have symptoms such as shortness of breath, persistent cough, or unexplained lung issues. It may also be checked in people with certain genetic conditions or after exposure to lung-damaging substances.

What to Expect Before the Test

No special preparation is usually needed. You may have a blood sample drawn from a vein in your arm. If you’re having a urine test, you might be asked to collect a sample at home or in a clinic. Avoid smoking or heavy exercise before testing if instructed.

How the Test Works

Blood or plasma is drawn and analyzed using an immunoassay method to measure the protein concentration. Urine samples may be tested similarly, depending on the clinical indication.

Possible Results and Their Meaning

Results are compared to a standard range for healthy individuals. Low levels may suggest genetic disorders (like Alpha-1 Deficiency), while high levels could indicate liver disease or certain inflammatory conditions. Your doctor will interpret results in the context of your health history.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Short name

A1AT Level

Frequently asked questions

What does a low Alpha-1 Antitrypsin level mean?
Low levels of Alpha-1 Antitrypsin can increase your risk of developing lung diseases like emphysema, especially if you have a family history of the condition. It may also affect blood vessel health. Your doctor will discuss next steps based on your results and symptoms.
How does this test relate to lung health?
Alpha-1 Antitrypsin protects lung tissue from damage. Low levels can weaken this protection, leading to chronic lung inflammation and lung diseases. Regular monitoring may be recommended if you have a genetic predisposition.
Can diet or supplements affect this test?
Dietary changes alone won’t change your A1AT levels, but certain medications (like some antibiotics or anti-inflammatory drugs) might influence results. Always follow your doctor’s advice regarding test preparation.
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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