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Serum or Plasma Alpha-1 Antitrypsin (A1AT) Concentration by Immunoassay

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 from damage caused by enzymes released during inflammation.

Quick summary

["A1AT helps prevent lung diseases and supports immune function; low levels may indicate genetic disorders or liver issues."]

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

Key facts at a glance

LOINC
53926-2
Short code
C trach rRNA Vag Ql NAA+probe
Synonyms
C trach rRNA Vag Ql NAA+probe
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
probe-amp-tar
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 recommend this test if you have symptoms like chronic cough, shortness of breath, or if you have a family history of conditions like alpha-1 antitrypsin deficiency, which can affect the lungs or liver. It may also be checked before surgeries or treatments that could increase lung exposure to harmful substances.

What to Expect Before the Test

No special preparation is usually needed, but you may be asked to fast for 8–12 hours before the test if your blood is drawn early in the morning. Avoid smoking or strenuous activity for 24 hours before testing, as these can affect lung function and protein levels.

How the Test Is Performed

A blood sample is taken from a vein in your arm using a needle. The blood is then sent to a lab for analysis using an immunoassay method, which detects the presence and concentration of Alpha-1 Antitrypsin in your serum or plasma.

What the Results Mean

Results are compared to a reference range, but exact values can vary by lab. Low levels of Alpha-1 Antitrypsin may suggest genetic deficiency, liver disease, or chronic lung conditions. High levels might be seen in certain liver disorders or during pregnancy.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Alpha-1 Antitrypsin deficiency is a genetic disorder that can lead to lung diseases (like emphysema) or liver cirrhosis. Early detection helps manage symptoms and plan treatments, such as enzyme replacement therapy or lung function monitoring. Your provider will discuss results in the context of your health history and symptoms.

Short name

A1AT Level

Frequently asked questions

What does a low Alpha-1 Antitrypsin level mean?
A low level may indicate a genetic condition called alpha-1 antitrypsin deficiency, which can affect your lungs or liver. It could also be due to liver disease or other inflammatory conditions. Your doctor will review your results with your full medical history to determine the next steps.
How often should I get this test?
If you have a known alpha-1 antitrypsin deficiency, your doctor may recommend regular testing to monitor lung or liver function. If this is a one-time screening, follow-up may not be needed unless you develop symptoms. Always ask your provider about follow-up plans.
Can diet or lifestyle changes affect Alpha-1 Antitrypsin levels?
While diet and lifestyle factors like smoking can influence lung health and inflammation, they typically do not directly alter Alpha-1 Antitrypsin levels. However, smoking is strongly linked to lung damage and may worsen symptoms in people with deficiency. Your doctor can advise on lifestyle adjustments based on your results.
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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