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Mayo Test Catalog, (Sorted By Test Name) - Mayo Medical ...

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FFTRF<br />

57317<br />

FFTLI<br />

57318<br />

TRYPA<br />

32283<br />

Gold JW, Wittner M, et al: Transfusion-associated acute Chagas' disease acquired in the United States.<br />

Ann Intern Med 1989;111:849-851<br />

Trypsin, Fecal<br />

Reference Values:<br />

Greater than or equal to 1:96<br />

A fecal trypsin titer greater than or equal to 1:96 is considered normal.<br />

Fecal trypsin is measured by serially diluting stool in buffer and<br />

identifying the greatest titer at which x-ray film is cleared of its gelatin<br />

emulsion.<br />

<strong>Test</strong> Performed by: ARUP Laboratories<br />

500 Chipeta Way<br />

Salt Lake City, UT 84108<br />

Trypsin-Like Immunoreactivity<br />

Reference Values:<br />

Reference Range:<br />

10.0-57.0 ng/mL<br />

Expected Cathodic Trypsinogen Concentration Values for the<br />

Varied Disease States:<br />

10.0 - 57.0 ng/mL . . . . . . . . . Healthy Individuals<br />

46.0 ng/mL or less . . . . . . . . Chronic Pancreatitis<br />

92.0 - 850.0 ng/mL . . . . . . . . Acute Pancreatitis<br />

1.4 ng/mL or less . . . . . . . . . Total Pancreatectomy<br />

Results should be correlated with clinical presentation and other<br />

diagnostic data for the diagnosis of pancreatitis.<br />

<strong>Test</strong> Performed by: ARUP Laboratories<br />

500 Chipeta Way<br />

Salt Lake City, UT 84108<br />

Tryptase, Autopsy<br />

Clinical Information: Tryptase, a neutral protease, is present within the secretory granules of human<br />

mast cells. There are 2 forms of tryptase, designated as alpha and beta, which are encoded by 2 separate<br />

genes. Both are expressed as inactive proenzymes. Alpha-protryptase and beta-protryptase are<br />

spontaneously released from resting mast cells. The levels of the protrypases reflect the total number of<br />

mass cells within the body, but are not an indication of mast cell activation. Beta-protryptase is processed<br />

to a mature form, which is stored in granules and released as an active tetramer that is bound to heparin or<br />

chondroitin sulfate proteoglycans. In contrast, an amino acid change in alpha-protryptase prevents<br />

processing to a mature form. Upon mast cell activation, degranulation releases mature tryptase, which is<br />

almost exclusively in the form of beta-tryptase. After anaphylaxis, mast cell granules release tryptase;<br />

measurable amounts are found in blood, generally within 30 to 60 minutes. The levels decline under<br />

first-order kinetics with a half-life of approximately 2 hours. <strong>By</strong> comparison, histamine (another<br />

immunologic mediator released by activated mast cells) is cleared from blood within minutes. Increased<br />

serum levels may also occur after allergen challenge or in patients with systemic mastocytosis or mast cell<br />

activation syndrome.<br />

Useful For: Assessing mast cell activation, which may occur as a result of anaphylaxis or allergen<br />

Current as of January 3, 2013 2:22 pm CST 800-533-1710 or 507-266-5700 or <strong>Mayo</strong><strong>Medical</strong>Laboratories.com Page 1808

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