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Serum or Plasma Substance Concentration for Serine Protease Inhibitor Complex (e.g., Alpha-1 Antitrypsin)

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

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.

Quick summary

["Helps evaluate lung health and protein metabolism risks over time."]

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

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

Specimen: serum

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?
Results are usually available within 1–3 business days, depending on lab processing times. Follow-up with your provider to discuss findings and next steps.
What causes abnormal results?
Genetic mutations (e.g., alpha-1 antitrypsin deficiency), liver disease, smoking, or chronic infections may alter protease inhibitor activity. Your provider will interpret results in context of your medical history.
Can lifestyle changes affect this test?
Yes—avoid smoking, certain medications (e.g., steroids), or heavy alcohol use before testing, as they may impact protease inhibitor levels. Stick to your usual diet unless instructed otherwise.
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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