Skip to content

Alpha-1 Antitrypsin (A1AT) Serum Protein Level

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

This test measures the level of Alpha-1 Antitrypsin, a protein produced by the liver that helps protect the lungs from damage caused by enzymes released during inflammation.

Quick summary

["Alpha-1 Antitrypsin levels help assess lung and liver health, particularly in conditions like emphysema or chronic lung disease."]

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

Key facts at a glance

LOINC
40534-0
Short code
RBC # DiafP Manual
Synonyms
RBC # DiafP Manual
Category
chemistry
Sample
serum
Container
Red-top tube (SST)
Units
N/A
Ref low
4.2
Ref high
5.9
Critical range
2 N/A – 7 N/A
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
manual-count
CPT
85041
SNOMED
900000000000003001
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 Might Be Ordered

Your healthcare provider may order this test if you have symptoms of lung issues (such as shortness of breath, chronic cough) or liver problems (like jaundice, fatigue). It may also be used to monitor conditions like alpha-1 antitrypsin deficiency, which can lead to lung disease or cirrhosis over time.

What to Expect Before the Test

No special preparation is needed for this blood test. You may have a small needle inserted into your arm to draw a blood sample. If you’re on blood thinners, let your provider know before the test.

What the Results Mean

Results can vary based on your health and medical history. Low levels may indicate a genetic deficiency, while high levels could be linked to liver disease or certain medications. Your provider will discuss findings in the context of your overall health.

Common Conditions Linked to Results

Low levels of Alpha-1 Antitrypsin are often associated with alpha-1 antitrypsin deficiency, which can cause chronic obstructive pulmonary disease (COPD) or liver disease. High levels may be seen in conditions like cirrhosis or certain infections.

Reference range

Adult males: 4.2-5.9; Females: 3.8-5.1 x 10^12/LN/A

Specimen: serum

No special preparation required. Stay well hydrated.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Alpha-1 Antitrypsin plays a critical role in protecting lung tissue from enzymes released during inflammation. Deficiencies can lead to progressive lung damage (like emphysema) or liver disease. Regular monitoring is important for those with a genetic predisposition to these conditions.

Short name

Alpha-1 Antitrypsin

Frequently asked questions

What causes abnormal Alpha-1 Antitrypsin levels?
Abnormal levels can result from genetic mutations (leading to deficiency), liver diseases (like cirrhosis), or certain medications. Chronic lung diseases or infections may also influence results.
How often should I get this test?
Your provider will determine the frequency based on your health needs. If you have a known deficiency, follow-up tests may be scheduled every few years or as recommended by your specialist.
Can diet or lifestyle changes affect Alpha-1 Antitrypsin levels?
While diet and lifestyle factors like smoking can impact lung health indirectly, they do not directly alter Alpha-1 Antitrypsin levels. Smoking, however, can worsen lung damage in those with deficiency.
  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 17, 2026. · Read our editorial policy