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Alpha-1 Antitrypsin (Serum) 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 from damage caused by enzymes released during inflammation.

Quick summary

["A1AT 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
31652-1
Short code
Deprecated S pneum6+26 Ab sp1 Ser-aCnc
Synonyms
Deprecated S pneum6+26 Ab sp1 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 is this test done?

Your healthcare provider may order this test if you have symptoms like chronic cough, shortness of breath, or liver issues, or if you have a family history of Alpha-1 Antitrypsin deficiency—a genetic condition that can lead to lung disease (like emphysema) or liver disease.

What does a low or high level mean?

Low levels may indicate Alpha-1 Antitrypsin deficiency, which can increase your risk of lung or liver problems. High levels are less common but may be seen in certain liver diseases or during pregnancy.

How is this test performed?

A blood sample is taken from a vein in your arm. The blood is sent to a lab where it is processed to obtain serum, and the Alpha-1 Antitrypsin protein is measured using an immunoassay method.

What can affect test results?

Factors like smoking, certain medications, liver disease, or pregnancy can influence Alpha-1 Antitrypsin levels. It’s important to inform your doctor about all medications or supplements you’re taking.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Clinical significance: Alpha-1 Antitrypsin deficiency is a hereditary condition that can lead to progressive lung disease (e.g., emphysema) or chronic liver disease. Early detection through blood testing allows for monitoring and potential interventions to manage symptoms and slow disease progression.

Short name

Alpha-1 Antitrypsin (A1AT) Level

Frequently asked questions

What does an abnormal result mean?
An abnormal result may signal a genetic condition requiring further evaluation, including genetic testing. Your doctor will discuss next steps based on your symptoms and test findings.
How often should I get this test?
Your doctor will determine the frequency based on your health status, family history, and symptoms. Regular monitoring may be recommended if you have a known deficiency or related conditions.
Can lifestyle changes affect this test?
Yes, smoking, diet, and avoiding exposure to lung irritants (like air pollution) can help maintain healthy Alpha-1 Antitrypsin levels and overall lung health. Discuss lifestyle recommendations with your healthcare provider.
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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