Skip to content

Serum or Plasma Enzyme Activity for Specific Protease Inhibitor (e.g., Alpha-1 Antitrypsin)

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

This test measures the level of alpha-1 antitrypsin, a protein that helps protect your lungs and liver from damage caused by enzymes released during inflammation or injury.

Quick summary

["Alpha-1 antitrypsin helps prevent lung disease and liver problems by regulating enzymes that break down tissues."]

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

Key facts at a glance

LOINC
55163-0
Short code
S pyog enzyme Ab Pnl Ser
Synonyms
S pyog enzyme Ab Pnl Ser
Category
coagulation
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

Why This Test Might Be Ordered

Your doctor may recommend this test if you have a family history of lung diseases like emphysema or chronic obstructive pulmonary disease (COPD), liver disease, or if you have symptoms such as persistent coughing, shortness of breath, or unexplained liver issues. It can also be part of screening for genetic conditions affecting this protein.

What to Expect Before the Test

You’ll typically have a simple blood draw from a vein in your arm. No special preparation is usually needed, but your doctor may advise fasting if the test is part of a broader metabolic evaluation. Avoid smoking or strenuous activity for a few hours before the test if it relates to lung health.

What the Results Mean

Low levels of alpha-1 antitrypsin may indicate a genetic deficiency linked to lung or liver disease. High levels might be seen in certain inflammatory conditions or during pregnancy. Your doctor will interpret results in the context of your overall health and symptoms.

Common Conditions Monitored

This test is often used to diagnose or monitor conditions like alpha-1 antitrypsin deficiency, which can lead to emphysema or cirrhosis. It may also help assess liver function or guide treatment plans for chronic inflammatory diseases.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

Alpha-1 antitrypsin deficiency is a genetic disorder where the body produces an abnormal form of the protein, leading to its buildup in the lungs or liver. Over time, this can cause irreversible damage, resulting in lung diseases (e.g., emphysema) or liver cirrhosis. Early detection through blood tests can help manage symptoms and slow progression with lifestyle changes or medications.

Short name

Alpha-1 Antitrypsin Activity (Serum/Plasma)

Frequently asked questions

What causes low alpha-1 antitrypsin levels?
Low levels are most commonly due to a genetic mutation (alpha-1 antitrypsin deficiency), though other conditions like liver disease, chronic infections, or certain medications may temporarily reduce its production or increase its breakdown.
How is alpha-1 antitrypsin deficiency diagnosed?
Diagnosis typically involves blood tests to measure alpha-1 antitrypsin levels and genetic testing to confirm the specific mutation. Additional tests (like lung function or imaging) may be needed to assess related complications.
Can lifestyle changes help if I have low alpha-1 antitrypsin?
Yes! Quitting smoking, maintaining a healthy weight, and avoiding lung irritants (like air pollution) can slow disease progression. Some people also use inhaled medications or supplements to support lung health, but always follow your doctor’s advice.
  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