N-acetyl-D-glucosamine (NAG) in serum/plasma
This test measures the level of N-acetyl-D-glucosamine, a sugar molecule found in certain proteins and tissues, which may be elevated in conditions affecting the liver or other organs.
["Your test result may help identify potential liver or kidney issues."]
Key facts at a glance
- LOINC
- 60619-4
- Short code
- NAP Skull XR
- Synonyms
- NAP Skull XR
- Category
- chemistry
- Sample
- serum
- Container
- Red-top tube (SST)
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- xr-measured
- 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 N-acetyl-D-glucosamine Used For?
N-acetyl-D-glucosamine (NAG) is sometimes measured as part of a broader evaluation for liver disease, such as hepatitis or cirrhosis. Elevated levels may suggest inflammation, infection, or damage to liver cells. It can also be checked in cases of suspected kidney problems or other metabolic conditions. However, this test is not commonly used alone and may be ordered alongside other lab tests for a more complete picture.
How Is This Test Performed?
A blood sample is drawn from a vein, usually in your arm. The blood is then processed to separate serum or plasma, which is sent to a lab for analysis using a specialized method, often immunoassay or enzymatic techniques, to detect the presence of N-acetyl-D-glucosamine.
What Does a High or Low Level Mean?
While elevated N-acetyl-D-glucosamine levels can signal potential liver or kidney issues, the exact meaning depends on your overall health, other test results, and clinical context. For example, very high levels might indicate acute liver injury, while moderate increases could be linked to chronic conditions. Low levels alone typically don’t indicate a problem unless part of a broader evaluation.
Common Causes of Abnormal Results
Elevated N-acetyl-D-glucosamine levels may be caused by liver diseases (e.g., hepatitis, cirrhosis), kidney problems, infections, or certain medications. Low levels are less commonly associated with specific conditions and usually require further investigation if noted.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Frequently asked questions
Why might my doctor order this test?
What should I do if my test results are abnormal?
Can lifestyle changes affect this test?
Sources
- 1
- 2Lab Tests OnlineSource
- 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.
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