Tetramethylbenzidine (TMB) substrate concentration in serum (immunoassay-based)
This test measures the concentration of TMB, a chemical used in certain immunoassays to detect specific antibodies or antigens in your blood. It helps assess immune responses or protein markers.
["TMB levels may indirectly reflect how well your immune system or specific proteins are functioning in tests like chemiluminescent immunoassays (CLIA)."]
Key facts at a glance
- LOINC
- 106997-0
- Short code
- T.pallidum Ab.IgM 17 Ser Ql IB
- Synonyms
- T.pallidum Ab.IgM 17 Ser Ql IB
- Category
- chemistry
- Sample
- serum
- Container
- Red-top tube (SST)
- Units
- N/A
- Fasting
- false
- Population
- adult
- Sex
- all
- Age range
- 18–65 years
- Method
- ib
- CPT
- 82784
- 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 TMB Used For?
TMB is primarily used as a substrate in immunoassays, which are lab tests that detect tiny amounts of substances in your blood. These tests often measure antibodies or proteins that could indicate infections, autoimmune conditions, or other health issues. Your doctor may order this test as part of a broader diagnostic process, such as screening for certain diseases or monitoring treatment responses.
How Is This Test Performed?
A blood sample is drawn from a vein, usually in your arm. The sample is processed to separate serum (the liquid part after clotting). The TMB substrate is then added to react with specific markers in the serum during the immunoassay process. The reaction produces a measurable signal, which is analyzed to determine the concentration of the target analyte.
Why Might Your Doctor Order This Test?
Your doctor may request this test if they suspect an immune-related condition, such as an infection, autoimmune disorder, or other health concern where antibody or protein levels are relevant. It could also be part of routine monitoring for conditions like cancer, inflammation, or organ function. Always discuss the reason for the test with your healthcare provider.
What Are Common Uses?
While TMB itself isn’t a standalone diagnostic test, it is a critical component in assays for detecting or quantifying substances like antibodies (e.g., for HIV, hepatitis, or other infections), certain proteins (e.g., tumor markers), or enzymes involved in disease processes. It’s often used in conjunction with other tests for accuracy.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
◆Associated findings1
Short name
TMB Substrate Level
Frequently asked questions
How long will it take to get my results?
What does a high or low TMB level mean?
Can I influence TMB levels?
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