Resources

Prealbumin

Message
Performed in Chemistry
Performed at Sonora Quest Laboratories for BCGMC, Page, BCCH, BPMC and BEMC, test 9628
Performed at WyMCC for  WMC, TCH and PMCH


Test Code
PREALB


Alias/See Also
TTR
Transthyretin


CPT Codes
84134

Preferred Specimen
Gold/SST


Other Acceptable Specimens
Red top


Instructions
For facilities sending to Sonora Quest Laboratories, see link below for specimen details, methodology, setup schedule and reference ranges.


Reject Criteria (Eg, hemolysis? Lipemia? Thaw/Other?)
Hemolyzed, icteric or lipemic


FDA Status
FDA Approved

Setup Schedule
Daily, Sunday through Saturday


Report Available
Less than 4 hours


Clinical Significance
Prealbumin is a tryptophan-rich protein which is synthesized in hepatocytes and has a molar mass of 55000 daltons. At a pH of 8.6, an electrophoretic band appears prior to albumin in a relative amount of < 2.5 % due to its greater rate of diffusion to the anode. Its function is to bind and transport low molecular weight retinol-binding proteins (molar mass of less than 21000 daltons), preventing their glomerular filtration. 30-50 % of circulating prealbumin is complexed by retinol-binding protein. Furthermore, it binds and transports thyroxine (T4), nevertheless its affinity to this hormone is less than that of thyroxine-binding globulin. Prealbumin has a short half-life of approximately 2 days. Accordingly, decreased hepatocellular synthesis caused by acute liver damage or dietary protein deficiency elicits a very rapid decrease in serum prealbumin levels. According to the literature, prealbumin can act as a negative acute phase reactant, with its concentration decreasing rapidly during inflammatory processes.


Additional Information
Prealbumin


The CPT Codes provided in this document are based on AMA guidelines and are for informational purposes only. CPT coding is the sole responsibility of the billing party. Please direct any questions regarding coding to the payor being billed. Any Profile/panel component may be ordered separately. Reflex tests are performed at an additional charge.