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P1NP
Also known as : [Procollagen-1 N-terminal propeptide]


Plasma/Serum
Test performed by: LabPLUS Automation


Specimen Collection

If >24hrs, please refrigerate and transport specimens.

If samples will take longer than 5 days to arrive, please send frozen.

Sample stability:

  • 24 hours at 15-25 o C
  • 5 days at 2-8 o C
  • 6 months at -20 o C


PST4.5 mL PST Blood (Preferred)
Heparin5 mL Heparin Plasma
Plain4 mL Plain Blood
SST3.5 mL SST Blood
Micro-PST1 mL Paediatric Micro-PST Blood
Reference Intervals

Units: ug/L.

Reference ranges:

Females
Age (y)
Reference Interval
 
<1
430 - 3000
 
1 to 10
280 - 830
 
10 to <14
140 - 1200
 
14 to <18
40 - 460
 
18 to <25
20 - 110
 
25 to <35
20 - 85
 
35+ (premenopausal)
15 - 60
 
35+ (postmenopausal)
20 - 115
Males
<1
430 - 3000
 
1 to <12
240 - 820
 
12 to <17
220 - 1600
 

17 to <18

18 to <20

80 - 480

60-220

 
21 to <25
35 - 140
 
25+
20 - 85

Uncertainty of Measurement:           10%

 

Note: Supplementary biotin may cause falsely low results .



Turnaround Time: Within 3 hours
Diagnostic Use and Interpretation

P1NP (procollagen-1 N-terminal peptide) is a peptide formed during type 1 collagen synthesis, and its plasma concentration is an index of the rate of bone turnover .

Plasma P1NP is increased in states of high bone turnover such as normal growth, healing fractures, Paget's disease, osteoporosis, hyperparathyroidism, and hyperthyroidism.

It can be used to monitor therapy in Paget's disease and osteoporosis.

Its use as a predictor of future bone loss in osteoporosis is not yet well established.


The assay measures total P1NP (intact P1NP plus a smaller peptide), which is partially cleared by the kidney; hence P1NP levels increase in renal failure.

P1NP is not a marker of liver fibrosis: see P3NP.

 

Note: Supplementary biotin may cause falsely low results .



Contact Information

Emails to chemicalpathologist@adhb.govt.nz will receive priority attention from the on-call chemical pathologist.

If the query concerns a specific patient please include the NHI number in your email.

If email is not a suitable option, please contact the on-call chemical pathologist via Lablink (Auckland City Hospital ext. 22000 or 09-3078995).

Individual chemical pathologists may be contacted but will not be available at all times. 

After-hours : contact  Lablink (Auckland City Hospital ext. 22000 or 09-3078995) or hospital operator for on duty staff after hours.


Dr Samarina Musaad (Clinical Lead) : SamarinaM@adhb.govt.nz ext. 22402 

Dr Cam Kyle: CampbellK@adhb.govt.nz   ext 22052 

Dr Weldon Chiu: WeldonC@adhb.govt.nz   ext. 23427 

Dr Campbell Heron: CHeron@adhb.govt.nz   ext. 23427



Specimen Transport Instructions for Referring Laboratories

Send at 2-8C if  less than 5 days post collection.

If stored greater than 5 days post collection sample must be sent frozen.



Last updated at 09:25:30 22/01/2024