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Dry Blood Spot (DBS) Alpha-1 Antitrypsin Phenotyping by Electrophoresis

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

This test measures the type of Alpha-1 Antitrypsin protein in your blood using a dried blood spot sample. It helps determine if you have a specific variant that may increase your risk for lung or liver diseases.

Quick summary

["This test helps identify genetic variants of Alpha-1 Antitrypsin that could affect your health over time."]

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

Key facts at a glance

LOINC
104621-8
Short code
High DNA stainability NFr Smn FC
Synonyms
High DNA stainability NFr Smn FC
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
flow-cytometry
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

Why This Test Is Done

Your healthcare provider may recommend this test if you have a family history of Alpha-1 Antitrypsin deficiency, symptoms like chronic bronchitis, emphysema, or liver disease, or if you are at risk for these conditions due to genetic factors. It can also be used to monitor treatment or assess risk in certain inherited conditions.

What to Expect Before the Test

You will have a small blood sample collected from your finger using a sterile needle. The blood is then dried on a special card and sent to a lab for analysis. This process is quick and typically painless.

What the Test Results Mean

The test identifies the specific type of Alpha-1 Antitrypsin protein in your blood. Different variants can indicate varying levels of risk for lung diseases, liver problems, or other health concerns. Your results will be discussed with your healthcare provider to guide further evaluation or management.

Common Conditions Linked to This Test

Alpha-1 Antitrypsin deficiency is linked to chronic obstructive pulmonary disease (COPD), including emphysema, and liver diseases such as cirrhosis. Identifying the specific variant helps tailor treatment and management strategies to your needs.

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.

Alpha-1 Antitrypsin (A1AT) phenotyping is crucial for diagnosing and managing genetic conditions that affect lung and liver health. Early identification allows for proactive measures, such as lifestyle adjustments, pulmonary rehabilitation, or monitoring to prevent disease progression.

Short name

Alpha-1 Antitrypsin (A1AT) Phenotyping

Frequently asked questions

What does a positive or abnormal result mean?
An abnormal result indicates a specific variant of Alpha-1 Antitrypsin protein that may increase your risk for lung diseases (like emphysema) or liver diseases. Your healthcare provider will discuss this with you and may recommend further testing or monitoring based on your symptoms and family history.
How often should I get this test?
The frequency depends on your risk factors and healthcare provider’s recommendations. If you have a known variant, regular monitoring may be advised to track your health and adjust care as needed. Follow your provider’s guidance for the best schedule.
Can lifestyle changes help if I have an abnormal result?
Yes, lifestyle changes such as quitting smoking, maintaining a healthy weight, and avoiding environmental lung irritants can help manage symptoms and slow disease progression. Your healthcare provider may also recommend specific therapies or monitoring based on your variant.
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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 17, 2026. · Read our editorial policy