Skip to content

Alpha-1 Antitrypsin, Serum or Plasma, Electrophoresis

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

This test measures the level and forms of alpha-1 antitrypsin (A1AT), a protein made mainly by the liver that helps protect the lungs from damage. It is often used to check for alpha-1 antitrypsin deficiency.

Quick summary

["An alpha-1 antitrypsin test helps identify a genetic protein deficiency that can affect the lungs and liver."]

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

Key facts at a glance

LOINC
63343-8
Short code
ENA SS-a 60kD Ab Fld Ql IA
Synonyms
ENA SS-a 60kD Ab Fld Ql IA
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
ia
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 Alpha-1 Antitrypsin Does

Alpha-1 antitrypsin is a protein produced mainly by the liver and released into the blood. Its main job is to protect lung tissue from enzymes that can break it down, especially during inflammation or infection.

Why the Test Is Ordered

Your healthcare provider may order this test if you have early-onset or unexplained lung disease, liver problems, or a family history of alpha-1 antitrypsin deficiency. It can also help evaluate people with certain chronic breathing or liver conditions.

What Electrophoresis Adds

Electrophoresis separates proteins in the sample based on their electrical charge. In this context it can help characterize the alpha-1 antitrypsin protein and detect unusual or deficient forms, which may be relevant for genetic variants of the protein.

How to Prepare and What to Expect

A blood sample is usually drawn from a vein in your arm. Follow any instructions from your care team about fasting or timing of the test. The blood draw is generally quick, with mild discomfort and a small risk of bruising at the site.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Alpha-1 antitrypsin testing can help detect a deficiency that may increase the risk of lung damage (such as emphysema) and liver disease. Results are interpreted alongside symptoms, family history, and other tests, and abnormal findings may lead to confirmatory genetic testing and specialist care.

Short name

Alpha-1 Antitrypsin (Serum/Plasma, Electrophoresis)

Frequently asked questions

Do I need to fast before this test?
Not always. Fasting requirements vary by laboratory and clinical situation, so follow the specific instructions given by your provider or the lab performing the test.
What does a low result mean?
A low result may suggest alpha-1 antitrypsin deficiency or another reason for reduced protein levels. Your provider will consider your symptoms and may recommend additional testing, including genetic testing, to clarify the cause.
Can this test tell me my exact genetic variant?
Not by itself. Protein measurement and electrophoresis can show patterns suggestive of certain variants, but genetic testing is usually needed to identify the specific alpha-1 antitrypsin gene variant.
  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 16, 2026. · Read our editorial policy