Serum Immuno Electrophoresis
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Serum Immuno Electrophoresis

Serum Protein Electrophoresis,Understanding the Essentials

The Ibn Sina Trust
Praava Health
Dr Lal PathLabs
Omnicare Diagnostic Limited
Thyrocare Bangladesh Ltd
Brac Healthcare
Popular Diagnostic Centre Ltd
JG Healthcare
4000
5000
20% OFF
Sample Type
blood
Fasting Required
No
Description

Serum Immuno Electrophoresis Test, also known as SPEP, is a laboratory test used to analyze the proteins in the blood serum. It separates different types of proteins based on their electrical charge and size. By doing so, it can identify abnormal protein levels, which may indicate various medical conditions such as infections, autoimmune disorders, liver or kidney diseases, and certain types of cancer.

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How our test process works!

Step 1

Sample Collection

Vaccinated Phlebotomists collects from syringe in the barcoded vials

Step 2

Sample Storage

Only vaccinated phelbos are assigned orders

Step 3

High Tech Facility

Lab ingests the sample into processing machines which are 100% automated

Step 4

Accurate Digital Reports

The reports are generated by the processing machines and clinically correlated by doctors

Overview

Overview:

  • The test separates proteins based on their size, shape, and charge using an electric field, allowing for the identification and quantification of specific protein bands in the serum.
  • It is primarily used to detect monoclonal gammopathies (such as multiple myeloma) and to evaluate immune function.
Risk of Assessment
Serum immuno electrophoresis is a relatively safe procedure with minimal risks. The primary risk associated with the test is minor bruising or discomfort at the site of blood collection. In rare cases, there may be a slight risk of infection or excessive bleeding, especially in individuals with underlying bleeding disorders.
Ranges

Interpretation:

  • Normal result: A balanced distribution of albumin and globulins with distinct bands for each protein type.
  • Abnormal result: A spike or distinct band in one of the globulin regions (usually gamma-globulins), indicating monoclonal gammopathies (like multiple myeloma), chronic inflammatory diseases, or other protein-related disorders.
    • Monoclonal gammopathy: Presence of a single abnormal band, often associated with multiple myeloma.
    • Polyclonal increase: Diffuse increase in all globulin fractions, suggesting chronic inflammation or infection.
Interpretation
Albumin: Albumin is the most abundant protein in the serum and typically appears as a well-defined band closest to the positive electrode. Its level can vary due to factors such as hydration status and liver function.
 
Alpha-1 globulins: These proteins include alpha-1 antitrypsin, alpha-1 acid glycoprotein, and others. They usually form a faint band after albumin.
 
Alpha-2 globulins: Proteins like haptoglobin, ceruloplasmin, and alpha-2 macroglobulin fall into this category. They form bands between the alpha-1 and beta globulin regions.
 
Beta globulins: Beta globulins consist of proteins like transferrin, complement proteins, and low-density lipoproteins (LDL). They form bands between the alpha-2 and gamma globulin regions.
 
Gamma globulins: Immunoglobulins (antibodies), including IgG, IgA, IgM, IgD, and IgE, primarily constitute the gamma globulin region. They form a distinct broad band at the end of the electrophoretic run.
 
The interpretation depends on the presence or absence of specific bands, their intensity, and any alterations from the normal pattern. For instance:
 
Monoclonal spike: This refers to the presence of a single, intense band representing a specific immunoglobulin. It suggests the presence of a monoclonal gammopathy, which could indicate conditions like multiple myeloma or monoclonal gammopathy of undetermined significance (MGUS).
 
Polyclonal pattern: A diffuse increase in gamma globulins with multiple bands suggests a polyclonal gammopathy, which can be seen in conditions such as chronic inflammation, autoimmune diseases, or chronic infections.
 
The normal range for each protein fraction can vary slightly between laboratories due to differences in techniques and equipment. Therefore, it's essential to refer to the specific reference ranges provided by the laboratory where the test was conducted. Additionally, the interpretation of the results should always be done in the context of the patient's clinical history and other laboratory findings.
Sample Type

Sample Type:

  • Blood sample (serum): Typically collected through venipuncture (blood draw). The serum is then processed and analyzed in the laboratory.

Frequently Asked Question