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Alpha 1 Fraction

Proteins & Electrophoresis

A1 fractionAlpha-1 globulinAlpha-1 globulin fraction

Review status

Currently under review

Pending specialist review and validation.

What it shows

Alpha 1 Fraction is the portion of serum proteins that migrates in the alpha-1 region during protein electrophoresis. It mainly reflects alpha-1 antitrypsin, with smaller contributions from other transport and acute phase proteins.

This measurement reports the concentration of that protein group in your blood. It is part of a broader panel that separates proteins into albumin, alpha-1, alpha-2, beta, and gamma regions to give an overview of protein balance and inflammatory activity.

Why it matters

Changes in the alpha-1 fraction can signal an acute phase response, tissue injury, or certain liver and lung conditions. It can help your clinician evaluate unexplained inflammation, suspected protein loss, or patterns suggestive of specific disorders on a protein electrophoresis report.

Doctors often order it with serum protein electrophoresis when assessing chronic disease, liver dysfunction, possible inherited alpha-1 antitrypsin deficiency, or to monitor recovery from illness. It complements other tests rather than replacing targeted measurements like specific alpha-1 antitrypsin levels.

Understanding your results

Your result is interpreted alongside the other protein fractions, your symptoms, and medical history. A higher alpha-1 fraction often reflects an acute phase response, pregnancy, or use of estrogen-containing medications, while some chronic inflammatory states can also raise it.

A lower alpha-1 fraction can be seen with inherited alpha-1 antitrypsin deficiency, advanced liver disease, or conditions that lead to protein loss. If results are unexpected, your clinician may repeat testing after you recover from an acute illness, or order follow-up studies such as alpha-1 antitrypsin level, phenotype or genotype testing, and targeted liver or lung evaluations.

Reference ranges

2.13.9 g/L
All sexes
0 days – 150 years

Reference intervals vary by laboratory, analyzer, methodology, population, and units. The ranges shown here are for education only. Always interpret your results against the reference interval printed on your own lab report.

Factors that could impact Alpha 1 Fraction

  • Acute inflammation and stress

    Inflammation, infection, surgery, or trauma can raise alpha-1 proteins as part of the acute phase response, temporarily increasing this fraction.

  • Pregnancy and estrogen therapy

    Pregnancy and estrogen-containing medications tend to increase several binding and acute phase proteins, which can elevate the alpha-1 fraction.

  • Liver function and genetics

    Severe liver dysfunction can reduce production of alpha-1 proteins, while inherited alpha-1 antitrypsin deficiency lowers this fraction disproportionately.

  • Protein loss states

    Kidney or gastrointestinal protein loss can lower multiple serum proteins, sometimes including the alpha-1 fraction, depending on severity.

  • Medications and hormones

    Corticosteroids and estrogens may increase alpha-1 proteins, while some anabolic steroids or androgens can have the opposite effect.

  • Timing and sample quality

    Results can shift during recovery from illness; repeat testing after clinical stabilization may better reflect baseline status. Proper sample handling also matters.

2026

References

  1. McGill University Health Centre. (2015, June 04). Alpha 1 Fraction (Task CD 743399). Laboratory reference ranges.
  2. Rifai, N., Horvath, A. R., & Wittwer, C. T. (Eds.). (2018). Tietz textbook of clinical chemistry and molecular diagnostics (6th ed.). Elsevier.
  3. ARUP Consult. (2023). Serum protein electrophoresis and immunofixation. ARUP Laboratories.
  4. Clinical and Laboratory Standards Institute. (2014). Protein electrophoresis and immunofixation; Approved guideline. CLSI.