Serum or Plasma Substance Concentration for Serine Protease Inhibitor Complex (e.g., Alpha-1 Antitrypsin)
This test measures the activity level of serine protease inhibitors in your blood, which helps assess how well your body is protecting tissues from damage caused by enzymes.
["Helps evaluate lung health and protein metabolism risks over time."]
Key facts at a glance
- LOINC
- 50074-4
- Short code
- 11DC 45M p 250 ug ACTH SerPl-sCnc
- Synonyms
- 11DC 45M p 250 ug ACTH SerPl-sCnc
- Category
- hormone
- Sample
- serum
- Container
- Red-top tube (SST)
- Units
- N/A
- Ref low
- 10
- Ref high
- 60
- 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 This Test Measures
Serine protease inhibitors, including alpha-1 antitrypsin (A1AT), are proteins that naturally inhibit enzymes that can break down lung tissue and other organs. This test quantifies their functional activity in your blood, which can be affected by genetic mutations, liver disease, or smoking. While the specific analyte isn’t always named in the compressed code, it aligns with common clinical tests for protease inhibitor function.
Why It Matters in Your Health
Abnormal levels may indicate conditions like alpha-1 antitrypsin deficiency, which increases lung disease risk (e.g., emphysema) or liver disorders. This test is often used in screening or monitoring patients with known genetic predispositions or symptoms of organ damage.
Common Uses
Your healthcare provider may order this test if you have symptoms like chronic cough, shortness of breath, or liver issues. It’s also used in genetic counseling for families with a history of protease inhibitor deficiencies.
Sample Collection and Preparation
A blood sample is drawn from a vein, typically in the arm. The sample is processed into serum or plasma within 2 hours of collection to preserve accuracy. Avoid fasting unless instructed, as diet may influence certain protease inhibitor levels.
Reference range
NCBI: ACTH 10-60 pg/mLN/A
Typically collected in the morning (8-10 AM). Inform your provider if taking steroid medications.
Clinical interpretation
How abnormal results are interpreted and what conditions they suggest.
Elevated or reduced activity may signal underlying conditions requiring further evaluation, such as genetic mutations, chronic inflammation, or liver disease. Early detection can guide treatment plans, including enzyme replacement therapy for severe deficiencies.
Short name
Alpha-1 Antitrypsin Activity (Serum/Plasma)
Frequently asked questions
How long does it take to get results?
What causes abnormal results?
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 17, 2026. · Read our editorial policy