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Tryptophane (blood)

Immunology & Autoimmune

L-TryptophanTrpTryptophan

Review status

Currently under review

Pending specialist review and validation.

What it shows

This test measures the amount of tryptophan, an essential amino acid, in your blood. Tryptophan is a building block for proteins and a precursor for several important molecules, including serotonin, melatonin, niacin, and metabolites in the kynurenine pathway that influence immune function.

It is usually performed on a plasma or serum sample, sometimes after a brief fast, and may be ordered alone or as part of a broader amino acid profile. Because tryptophan availability reflects both diet and metabolism, the test helps your provider see how your body is using and processing amino acids.

Why it matters

Tryptophan levels can provide clues about nutrition, absorption, and metabolism. Low values may occur with poor intake, malabsorption, or inherited transport or metabolic conditions such as Hartnup disorder. Levels can also shift in chronic inflammation or autoimmune activity, where the body diverts tryptophan into immune-related pathways, which may indirectly affect mood, sleep, and energy.

Your clinician may order this test if you have symptoms suggesting an amino acid imbalance, unexplained rashes or neurologic issues, growth concerns in children, chronic diarrhea, or concerns about excessive supplement use. It can help guide nutrition plans, monitor therapy in metabolic disorders, and give context alongside other labs that assess liver, kidney, and immune status.

Understanding your results

Your results are interpreted using age-specific reference intervals and your clinical context. A value below the expected range may point to inadequate intake, malabsorption, increased use by the body during illness, or a transport or metabolic disorder. A value above the expected range can be related to high protein intake, supplement use, or reduced clearance, and sometimes appears with certain medications or health conditions.

If your result is outside the expected range, your provider may review your diet, supplements, and medicines; check related amino acids or vitamin markers; or order follow-up tests that look at inflammation or downstream metabolites. Decisions about treatment or further testing are based on your symptoms, history, and other laboratory findings, not this result alone.

Reference ranges

3473 umol/L
All sexes
0 days – 2 years
3573 umol/L
All sexes
2 years – 6 years
3776 umol/L
All sexes
6 years – 14 years
5493 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 Tryptophane (blood)

  • Fasting and timing

    Recent meals, especially high protein foods, can raise measured tryptophan. Some labs request a short fast and morning collection for consistency.

  • Specimen handling

    Improper processing, delays, or warm storage can alter amino acid measurements. Prompt separation and cold transport help preserve accuracy.

  • Diet and supplements

    High protein diets or L-tryptophan supplements can increase levels, while low intake or restrictive diets can lower them. Tell your provider what you take.

  • Inflammation and illness

    Infections and autoimmune activity can divert tryptophan into immune pathways, changing blood levels independent of diet.

  • Medications

    Immunotherapies, corticosteroids, interferons, oral contraceptives, and some psychiatric medicines may influence tryptophan metabolism or binding.

  • Pregnancy and age

    Normal ranges differ by age, and needs can shift in pregnancy. Interpretation should consider life stage and overall health.

2026

References

  1. McGill University Health Centre. (2015, February 04). Tryptophane (Task CD 864225). Laboratory reference ranges.
  2. American College of Medical Genetics and Genomics. (2018). Technical standards and guidelines for plasma amino acid analysis.
  3. Munn, D. H., & Mellor, A. L. (2016). Indoleamine 2,3-dioxygenase and metabolic control of immune responses. Nature Reviews Immunology, 16(3), 163–175.