Plasma amino acids: MedlinePlus Medical Encyclopedia

P Plasma amino acids is a screening test done on infants that looks at the amounts of amino acids in the blood. Amino acids are the building blocks for proteins in the body.

T How the Test is Performed
P Most of the time, blood is drawn from a vein located on the inside of the elbow or the back of the hand.
P In infants or young children, a sharp tool called a lancet may be used to puncture the skin.
- The blood collects in a small glass tube called a pipette, or onto a slide or test strip.
- A bandage is put over the spot to stop any bleeding.
P The blood sample is sent to a lab. There are several types of methods used to determine the individual amino acid levels in the blood.

T How to Prepare for the Test
P The person having the test should not eat 4 hours before the test.

T How the Test will Feel
P There might be slight pain or a sting when the needle is inserted. You may also feel some throbbing at the site after the blood is drawn. The needle stick will probably cause an infant or child to cry.

T Why the Test is Performed
P This test is done to measure the level of amino acids in the blood.
P An increased level of a particular amino acid is a strong sign. This shows that there is a problem with the body's ability to break down (metabolize) that amino acid.
P The test may also be used to look for decreased levels of amino acids in the blood.
P Increased or decreased levels of amino acids in the blood may occur with fevers, inadequate nutrition, and certain medical conditions.

T Normal Results
P All measurements are in micromoles per liter (µmol/L). Normal values may vary between different laboratories. Talk to your health care provider about your specific test results.
P Alanine:
- Children: 200 to 450
- Adults: 230 to 510
P Alpha-aminoadipic acid:
- Children: not measured
- Adults: not measured
P Alpha-amino-N-butyric acid:
- Children: 8 to 37
- Adults: 15 to 41
P Arginine:
- Children: 44 to 120
- Adults: 13 to 64
P Asparagine:
- Children: 15 to 40
- Adults: 45 to 130
P Aspartic acid:
- Children: 0 to 26
- Adults: 0 to 6
P Beta-alanine:
- Children: 0 to 49
- Adults: 0 to 29
P Beta-amino-isobutyric acid:
- Children: not measured
- Adults: not measured
P Carnosine:
- Children: not measured
- Adults: not measured
P Citrulline:
- Children: 16 to 32
- Adults: 16 to 55
P Cystine:
- Children: 19 to 47
- Adults: 30 to 65
P Glutamic acid:
- Children: 32 to 140
- Adults: 18 to 98
P Glutamine:
- Children: 420 to 730
- Adults: 390 to 650
P Glycine:
- Children: 110 to 240
- Adults: 170 to 330
P Histidine:
- Children: 68 to 120
- Adults: 26 to 120
P Hydroxyproline:
- Children: 0 to 5
- Adults: not measured
P Isoleucine:
- Children: 37 to 140
- Adults: 42 to 100
P Leucine:
- Children: 70 to 170
- Adults: 66 to 170
P Lysine:
- Children: 120 to 290
- Adults: 150 to 220
P Methionine:
- Children: 13 to 30
- Adults: 16 to 30
P 1-methylhistidine:
- Children: not measured
- Adults: not measured
P 3-methylhistidine:
- Children: 0 to 52
- Adults: 0 to 64
P Ornithine:
- Children: 44 to 90
- Adults: 27 to 80
P Phenylalanine:
- Children: 26 to 86
- Adults: 41 to 68
P Phosphoserine:
- Children: 0 to 12
- Adults: 0 to 12
P Phosphoethanolamine:
- Children: 0 to 12
- Adults: 0 to 55
P Proline:
- Children: 130 to 290
- Adults: 110 to 360
P Serine:
- Children: 93 to 150
- Adults: 56 to 140
P Taurine:
- Children: 11 to 120
- Adults: 45 to 130
P Threonine:
- Children: 67 to 150
- Adults: 92 to 240
P Tyrosine:
- Children: 26 to 110
- Adults: 45 to 74
P Valine:
- Children: 160 to 350
- Adults: 150 to 310
P The examples above show the common measurements for results for these tests. Some laboratories use different measurements or may test different specimens.

T What Abnormal Results Mean
P An increase in the total level of amino acids in the blood may be due to:
- Eclampsia
- Fructose intolerance
- Ketoacidosis (from diabetes)
- Kidney failure
- Reye syndrome
- Laboratory error
P A decrease in the total level of amino acids in the blood may be due to:
- Adrenal cortical hyperfunction
- Fever
- Hartnup disease
- Huntington's chorea
- Malnutrition
- Nephrotic syndrome
- Phlebotomus fever
- Rheumatoid arthritis
- Laboratory error
P High or low amounts of individual plasma amino acids must be considered with other information. Abnormal results may be due to diet, hereditary problems, or effects of a medicine.

T Considerations
P Screening infants for increased levels of amino acids can help detect problems with metabolism. Early treatment for these conditions may prevent complications in the future.

T Alternative Names
P Amino acids blood test

T Images
- Amino acids

T References
P Hortin GL. Amino acids, peptides, and proteins. In: Burtis CA, Ashwood ER, Bruns DE, eds. Tietz Textbook of Clinical Chemistry and Molecular Diagnostics. 5th ed. St Louis, MO: Elsevier Saunders; 2012:chap 21.
P Kliegman RM, Stanton BF, St. Geme JW, Schor NF. Defects in metabolism of amino acids. In: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. Nelson Textbook of Pediatrics. 20th ed. Philadelphia, PA: Elsevier; 2016:chap 85.
P Riley RS, McPherson RA. Basic examination of urine. In: McPherson RA, Pincus MR, eds. Henry's Clinical Diagnosis and Management by Laboratory Methods. 23rd ed. St Louis, MO: Elsevier; 2017:chap 28.

T Review Date 5/1/2017
P Updated by: Anna C. Edens Hurst, MD, MS, Assistant Professor in Medical Genetics, The University of Alabama at Birmingham, Birmingham, AL. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

