Skip to content

Protein Electrophoresis, Bromocresol Purple Method (Serum)

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

This test measures the different types of proteins in your blood, separated by size and charge. It helps identify abnormalities in protein distribution, which can signal conditions like multiple myeloma, liver disease, or kidney problems.

Quick summary

["This test helps doctors diagnose and monitor diseases affecting protein balance in your blood."]

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

Key facts at a glance

LOINC
68958-8
Short code
KOH Prep Ur
Synonyms
KOH Prep Ur
Category
chemistry
Sample
urine
Container
Sterile urine container
Units
N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
koh-preparation
Specimen volume
10 mL
Stability
Room temperature: 2h, Refrigerated: 24h, Frozen: 7d
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What Proteins Does This Test Measure?

Protein electrophoresis splits serum proteins into distinct bands based on their electrical charge and size. Key components include albumin (the most abundant protein, supporting blood volume and transport), globulins (which include antibodies, immune system proteins, and others like alpha, beta, and gamma globulins), and other minor proteins. Abnormal band patterns may indicate conditions like chronic inflammation, infections, or genetic disorders.

Why Might You Need This Test?

Your doctor may order this test if you have symptoms like unexplained weight loss, fatigue, swelling, or signs of organ dysfunction (e.g., liver or kidney issues). It’s also used to monitor conditions like multiple myeloma, where abnormal protein production is common.

Common Conditions Linked to Abnormal Results

High levels of certain globulins (e.g., monoclonal spikes) may suggest multiple myeloma or other plasma cell disorders. Low albumin could indicate liver disease, malnutrition, or kidney problems. Elevated alpha-2 or beta-2 globulins might point to inflammation, infections, or autoimmune diseases.

How Is the Test Performed?

A blood sample is drawn, and serum is separated for analysis. The serum is applied to a gel and subjected to an electric current, causing proteins to migrate toward the opposite charge. A bromocresol purple dye stains the proteins, creating visible bands that are measured.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Protein electrophoresis is critical for diagnosing and managing diseases where protein abnormalities are diagnostic markers. For example, it helps identify monoclonal gammopathies (e.g., multiple myeloma) by detecting abnormal protein spikes. It also assesses protein synthesis and breakdown in conditions like cirrhosis or nephrotic syndrome.

Short name

Serum Protein Electrophoresis (BCP)

Frequently asked questions

What does a 'protein spike' or 'band shift' mean in my results?
A spike or unusual band pattern may indicate an abnormal protein, such as a monoclonal protein (seen in multiple myeloma) or an increase in inflammatory proteins. Your doctor will interpret these results in the context of your symptoms and medical history to guide further testing or treatment.
Can diet affect my protein electrophoresis results?
Dietary changes may indirectly influence protein levels (e.g., protein malnutrition could lower albumin), but protein electrophoresis itself is not affected by diet. Focus on hydration and overall health if your doctor suggests dietary adjustments alongside this test.
How often should I get this test?
Frequency depends on your health condition. If you have a chronic illness like multiple myeloma, your doctor may order this test regularly to monitor disease progression or response to treatment. Otherwise, it’s typically done as needed for diagnostic or follow-up purposes.
  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