Skip to content

Farnesoid X Receptor (FXR) Activity/Function Biomarker (Serum)

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

This test measures the activity of Farnesoid X Receptor (FXR), a protein involved in regulating bile acid metabolism and liver function. It may be used to assess liver health or bile flow in certain conditions.

Quick summary

["This test helps evaluate how your body processes bile acids and may support liver function assessment."]

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

Key facts at a glance

LOINC
102277-1
Short code
D farinae IgE RAST
Synonyms
D farinae IgE RAST
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
Method
rast
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

What Is Farnesoid X Receptor (FXR)?

FXR is a receptor in your liver and intestines that helps control the production and excretion of bile acids, which are essential for digesting fats. When FXR is active, it signals the body to adjust bile acid levels, supporting liver health and preventing potential buildup that could harm the organ.

Why Might This Test Be Ordered?

Your healthcare provider may order this test if you have symptoms or conditions linked to bile acid dysfunction, such as liver disease, gallbladder issues, or metabolic disorders. It could also be part of a broader evaluation for unexplained liver concerns or bile flow problems.

How Is the Test Performed?

A blood sample is drawn from a vein in your arm. The serum portion is then analyzed to measure FXR activity levels using specialized laboratory techniques, such as immunoassay or enzymatic methods.

What Does a Result Mean?

Results may indicate whether FXR is functioning normally or if there are disruptions in bile acid metabolism. Abnormal findings could suggest conditions affecting liver function, bile flow, or metabolic regulation, though interpretation depends on clinical context and other test results.

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.

FXR activity testing is primarily used to investigate liver and bile-related disorders. Elevated or altered FXR activity might point to conditions like primary biliary cholangitis (a chronic liver disease) or other metabolic or genetic disorders affecting bile acid processing. It may also help monitor treatment responses in patients with known liver or gallbladder conditions.

Short name

FXR Activity Test

Frequently asked questions

What does an abnormal FXR activity result mean?
An abnormal result doesn’t provide a single diagnosis but may signal potential issues with bile acid metabolism or liver function. Your healthcare provider will review the result alongside your medical history, symptoms, and other tests to determine the next steps.
How often should I get this test?
The frequency depends on your healthcare provider’s recommendation. This test may be part of routine monitoring for chronic liver conditions, or it could be ordered periodically if you have a known risk factor or symptoms related to bile acid dysfunction.
Can lifestyle changes affect FXR activity?
Yes, certain lifestyle factors—such as diet (e.g., high-fat or high-fiber intake), weight management, or medications affecting bile acid metabolism—may influence FXR activity. Discuss these with your provider to understand how they could impact your results.
  1. 1
  2. 2
  3. 3

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

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