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Threonine

Immunology & Autoimmune

L-threonineThr

Review status

Currently under review

Pending specialist review and validation.

What it shows

Threonine is an essential amino acid, one of the building blocks your body uses to make proteins. Because your body cannot make it on its own, you must get threonine from food or nutrition support. A threonine test measures the amount of this amino acid in blood or in urine.

Clinicians use threonine measurements as part of an amino acid evaluation to look at nutrition status and how your body processes proteins. It can help assess for inborn errors of metabolism, monitor specialized diets or nutrition therapy, and provide clues in liver or kidney conditions that affect amino acid handling.

Why it matters

Abnormal threonine levels can point to issues with protein intake, absorption, or breakdown. High or low values may be seen with metabolic disorders, inadequate or excessive protein intake, malabsorption, or liver dysfunction. In infants and children, amino acid testing is often used when there are concerns for inherited metabolic conditions, poor growth, unexplained illness, or abnormal newborn screening.

Your clinician may order threonine with a broader amino acid profile to see patterns that suggest a specific condition. Results can guide next steps such as dietary adjustments, genetic testing, or treatment by a metabolic specialist or dietitian. Tracking levels over time can also help monitor how well a nutrition plan or therapy is working.

Understanding your results

Your result is interpreted in the context of your age, sample type, diet, and other amino acid values. A single high or low value is not a diagnosis. Your clinician will consider whether you were fasting, whether you recently had protein supplements or nutrition support, and whether you were ill at the time of collection.

If threonine is higher than expected, your team may review your diet and medications, look for liver or kidney issues, and consider additional metabolic testing. If it is lower than expected, they may check for poor intake, malabsorption, or increased needs during illness or growth. Follow‑up can include repeating the test under standardized conditions, reviewing a full amino acid profile, or consulting a metabolic specialist or dietitian to tailor nutrition and further evaluation.

Reference ranges

2181486 umol/g cr
All sexes
0 days – 1 month
61162 umol/L
All sexes
0 days – 2 years
545 umol/L
All sexes
0 days – 150 years
2541397 umol/g cr
All sexes
1 month – 6 months
2061146 umol/g cr
All sexes
6 months – 1 year
170976 umol/g cr
All sexes
1 year – 2 years
149810 umol/g cr
All sexes
2 years – 4 years
61115 umol/L
All sexes
2 years – 6 years
107655 umol/g cr
All sexes
4 years – 7 years
65125 umol/L
All sexes
6 years – 14 years
108479 umol/g cr
All sexes
7 years – 10 years
107378 umol/g cr
All sexes
10 years – 13 years
105519 umol/g cr
All sexes
13 years – 150 years
104188 umol/L
All sexes
14 years – 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 Threonine

  • Fasting and recent meals

    Eating protein shortly before the test, or not fasting as instructed, can raise threonine in blood and make results hard to interpret. Follow collection instructions and tell your clinician what and when you last ate.

  • Nutrition support and supplements

    Amino acid supplements, high‑protein shakes, or total parenteral nutrition can change threonine levels in blood and urine. Share details about products, doses, and timing so results are interpreted correctly.

  • Illness, stress, and growth

    Fever, infections, surgery, and rapid growth can shift how your body uses and breaks down amino acids. Results during acute illness may differ from your usual baseline.

  • Liver and kidney function

    Liver disease can alter amino acid patterns in blood, and kidney issues or dehydration can affect urine values and creatinine‑normalized ratios. Your care team may check organ function alongside amino acids.

  • Medications

    Some medicines, such as corticosteroids or valproate, and substances like alcohol can influence protein metabolism. Provide a complete medication and supplement list, including over‑the‑counter products.

  • Sample handling and type

    Hemolysis, delayed processing, or using the wrong tube can affect amino acid measurements. Blood and urine assess different aspects of metabolism, so the sample type matters for interpretation.

2026

References

  1. McGill University Health Centre. (2006, September 13). Threonine (Task CD 693389). Laboratory reference ranges.
  2. McGill University Health Centre. (2015, February 04). Threonine (Task CD 693119). Laboratory reference ranges.
  3. McGill University Health Centre. (2015, February 04). Threonine (Task CD 693427). Laboratory reference ranges.
  4. American College of Medical Genetics and Genomics. (2022). ACT Sheets and confirmatory algorithms: Elevated amino acids. External link
  5. ARUP Consult. (2023). Amino acid disorders testing and interpretation. External link