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Lecithin-Cholesterol Acyltransferase, Serum/Plasma — Catalytic Concentration

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

Measures LCAT enzyme activity in blood, which helps assess cholesterol transport and may support evaluation of suspected LCAT deficiency.

Quick summary

["This blood test measures LCAT enzyme activity, which is important for the transport and processing of cholesterol."]

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

Key facts at a glance

LOINC
2555-1
Short code
LCAT SerPl-cCnc
Synonyms
LCAT SerPl-cCnc
Category
lipid
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

What is this test?

Lecithin-cholesterol acyltransferase (LCAT) is an enzyme that helps transport cholesterol by changing free cholesterol into a form that can be carried in high-density lipoprotein (HDL). This test measures LCAT activity in serum or plasma.

Why might I need this test?

The test may be used when low HDL cholesterol, unusual cholesterol findings, or symptoms suggest an inherited lipid metabolism disorder. It can also help evaluate possible LCAT deficiency, a rare condition that may affect cholesterol levels, kidney function, blood cells, or the corneas.

How is the test performed?

A blood sample is drawn and separated into serum or plasma. A laboratory then measures the activity of the LCAT enzyme using a validated laboratory method. It may be ordered along with a cholesterol and lipid profile.

How do I prepare for the test?

Follow the instructions provided by your healthcare professional or laboratory. Some laboratories request fasting, especially when LCAT testing is performed with other lipid tests, and you may need to avoid alcohol for the period specified.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Reduced LCAT activity can occur with inherited LCAT deficiency and may also be associated with liver or kidney disease and some medications. Results should be interpreted with the lipid profile, other laboratory findings, medical history, and examination. An isolated result does not by itself establish a diagnosis.

Short name

LCAT Activity

Frequently asked questions

What does LCAT do?
LCAT is an enzyme that helps HDL carry cholesterol by converting free cholesterol into cholesterol esters. This process supports normal cholesterol transport in the blood.
What does a low LCAT activity result mean?
Low activity may suggest an inherited LCAT disorder or may occur with certain liver, kidney, or other medical conditions. Your clinician will interpret the result alongside your other tests and health history.
Is this the same as an HDL cholesterol test?
No. The HDL cholesterol test measures the amount of cholesterol carried in HDL, while the LCAT test measures the activity of an enzyme that helps HDL process and transport cholesterol.
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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