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Serum Antigen Test for Alpha-1 Antitrypsin (A1AT) – Quantitative

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

This test measures the amount of alpha-1 antitrypsin in your blood serum, a protein that helps protect your lungs and liver from damage caused by enzymes released during inflammation.

Quick summary

["Alpha-1 antitrypsin levels can help identify genetic conditions affecting lung or liver health."]

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

Key facts at a glance

LOINC
13135-9
Short code
Deprecated S pneum12 Ab Ser-aCnc
Synonyms
Deprecated S pneum12 Ab Ser-aCnc
Category
coagulation
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
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 a family history of alpha-1 antitrypsin deficiency, symptoms like chronic cough, wheezing, or liver issues, or if you’ve been diagnosed with conditions like emphysema or cirrhosis. It can also be used to monitor treatment progress or assess risk for complications.

What to Expect Before the Test

No special preparation is needed. You may have a blood sample drawn from a vein in your arm. If you’re taking blood thinners or have a history of bleeding disorders, let your provider know beforehand.

What the Test Results Mean

Results are compared to a standard range for healthy individuals. Low levels may indicate alpha-1 antitrypsin deficiency, while very high levels could suggest conditions like chronic inflammation or certain liver diseases. Your provider will discuss the results with you in the context of your overall health.

Common Conditions Linked to Abnormal Results

Low alpha-1 antitrypsin levels are strongly linked to alpha-1 antitrypsin deficiency, which can cause lung diseases (e.g., emphysema) or liver diseases (e.g., cirrhosis). High levels may be associated with conditions like chronic obstructive pulmonary disease (COPD) or certain inflammatory states.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical Significance

Short name

Alpha-1 Antitrypsin Level

Frequently asked questions

Will my results affect my insurance or treatment options?
Your results will be reviewed by your healthcare provider to guide treatment or management plans. Insurance coverage depends on clinical necessity, so discuss your test results with your provider and insurance company if needed.
How often should I get this test?
Frequency depends on your risk factors and symptoms. If you have a known deficiency, your provider may recommend regular monitoring. Follow-up testing is often scheduled every few years or more often if symptoms worsen.
Can I eat or drink before this test?
You can eat and drink normally unless instructed otherwise. Avoid alcohol for 24 hours before testing, as it may affect blood composition.
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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