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Alpha-2 Macroglobulin

Alpha-2 Macroglobulin

The alpha-2 macroglobulin test measures alpha2 macroglobulin levels in the blood. Alpha-2 macroglobulin is a large plasma glycoprotein that acts as a protease inhibitor, regulating immune responses and inflammation. It inhibits a wide range of proteases, contributing to tissue homeostasis.  

It is recommended to undergo this test to diagnose conditions such as nephrotic syndrome and pancreatitis

Symptoms of nephrotic syndrome

Blood in the urine (hematuria)

Blood in the urine (hematuria)

Painful urination

Painful urination

Frequent urination

Frequent urination

Muscle cramps or pain

Muscle cramps or pain

Difficulty urinating

Difficulty urinating

Fatigue

Fatigue

Unexplained swelling in different body parts

Unexplained swelling in different body parts

Symptoms of pancreatitis

Abdominal pain

Abdominal pain

Loss of appetite

Loss of appetite

Nausea

Nausea

Vomiting

Vomiting

Fever

Fever

Fast heartbeat

Fast heartbeat

Jaundice

Jaundice

Greasy, foul-smelling poop

Greasy, foul-smelling poop

What is the Alpha-2 Macroglobulin test used for?

Alpha-2 macroglobulin test is used to:

Evaluate patients with nephrotic syndrome

Evaluate patients with nephrotic syndrome

Diagnose pancreatitis

Diagnose pancreatitis

Monitor liver cirrhosis (as an indirect marker)

Monitor liver cirrhosis (as an indirect marker)

Test preparation

Preparation for the alpha-2 macroglobulin test may involve fasting, reviewing your medications, and adhering to specific instructions provided by your healthcare provider to obtain accurate test results

Interpretation of the Test Results

The units of measurement for the results are milligrams per deciliter (mg/dL).  

Age

Reference range

18 years

178-495 mg/dL

>18 years

100-280 mg/dL

 

Deviation from normal levels indicates the following:

·       Increased levels of alpha-2 macroglobulin may be caused due to cirrhosis, nephrotic syndrome, severe burns, and diabetes.

Decreased levels of alpha-2 macroglobulin may be caused due to pancreatitis, fibrinolysis, and liver disease

FAQs

How is the sample collected for the alpha-2 macroglobulin test?

A blood sample is collected from a vein in your arm using a small needle. Usually, this procedure does not take more than 5 minutes

Are there any risks associated with the alpha-2 macroglobulin test?

This test involves negligible risk. There might be slight soreness or tenderness around the site where the blood is drawn. Rarely, the site can become infected

What is the turnaround time (TAT) for the alpha-2 macroglobulin test?

The alpha-2 macroglobulin test result is usually available within 2-3 working days after the sample collection. This duration may vary depending on the diagnostic clinic

What might affect my test results?

Several factors can impact alpha-2 macroglobulin test results, including age, nutritional status, and the presence of underlying conditions like liver disease, cancer, or kidney disorders. Additionally, certain medications such as corticosteroids, statins, may influence alpha-2 macroglobulin levels, emphasizing the need to consider these factors when interpreting the test results

What steps should someone take if their test results show elevated alpha-2 macroglobulin levels?

Consult a healthcare professional in order to undergo further assessment, which may involve additional examinations and a thorough evaluation of potential risks

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