Protein Electrophoresis (Blood)
Does this test have other names?
Serum protein electrophoresis, SPEP
What is this test?
Protein electrophoresis is a test that measures specific proteins in the blood. The test separates proteins in the blood based on their electrical charge. The protein electrophoresis test is often used to find abnormal substances called M proteins. The presence of M proteins can be a sign of a type of cancer called myeloma, or multiple myeloma. Myeloma affects white blood cells called plasma cells in the bone marrow. Protein electrophoresis also tests for other proteins and immunoglobulins.
The protein electrophoresis test is also used to diagnose other conditions affecting the plasma cells. These include Waldenström macroglobulinemia, monoclonal gammopathy of undetermined significance (MGUS), and primary amyloidosis.
Protein electrophoresis can also be used to help diagnose:
Poor nutrition or inability to absorb nutrients
Certain autoimmune diseases
Why do I need this test?
You may need this test if your healthcare provider suspects that you have a condition affecting your plasma cells. These conditions may cause the following symptoms:
Unexplained weight loss
Frequent illness or fevers
Bones that fracture easily
High levels of calcium in the blood
What other tests might I have along with this test?
Your healthcare provider may also order:
Urine protein electrophoresis
Bone marrow biopsy
Immunotyping, to find what type of M proteins are present
Complete blood count
Blood calcium and electrolyte test
Kidney and liver blood tests
What do my test results mean?
Test results may vary depending on your age, gender, health history, the method used for the test, and other things. Your test results may not mean you have a problem. Ask your healthcare provider what your test results mean for you.
Serum proteins can be albumin or globulins. Globulins are divided into alpha-1, alpha-2, beta, and gamma globulins.
Normal levels are:
60% to 75% or 3.6 to 5.2 grams per deciliter (g/dL) (36-52 grams per liter -g/L)
1.7% to 5% or 0.1 to 0.4 g/dL (1 to 4 g/L)
6.7% to 12.5% or 0.4 to 1 g/dL (4 to 10 g/L)
8.3% to 16.3% or 0.5 to 1.2 g/dL (5 to 12 g/L)
10.7% to 20% or 0.6 to 1.6 g/dL (6 to 16 g/L)
How is this test done?
The test is done with a blood sample. A needle is used to draw blood from a vein in your arm or hand.
Does this test pose any risks?
Having a blood test with a needle carries some risks. These include bleeding, infection, bruising, and feeling lightheaded. When the needle pricks your arm or hand, you may feel a slight sting or pain. Afterward, the site may be sore.
What might affect my test results?
Your diet or lifestyle habits are not likely to affect the results of this test.
How do I get ready for this test?
You probably don't need to take special precautions before having this test. Your healthcare provider will tell you if you need to stop eating or drinking for a period of time before the test. Your provider will also tell you if you need to skip any of your regular medicines on the day of the test. Be sure to tell your healthcare provider about all medicines, herbs, vitamins, and supplements you are taking. This includes medicines that don't need a prescription and any illicit drugs you may use.
November 29, 2017
Bounds P. The Gale Encyclopedia of Nursing and Allied Health. 2013, ed. 3, pp. 2786-90., Clinical features, laboratory manifestations, and diagnosis of multiple myeloma. UpToDate., Epidemiology, pathogenesis, clinical manifestations and diagnosis of Waldenström macroglobulinemia. UpToDate., McPherson. Henry's Clinical Diagnosis and Management by Laboratory Methods. 2017, 23rd ed., pp. 264-66., Multiple Myeloma. The 5-Minute Clinical Consult. Beria JS. 2016, 24th ed., Protein Electrophoresis (serum). Ferri’s Clinical Advisor. Ferri FF. 2012, 1st ed., Recognition of monoclonal proteins. UpToDate.
Freeborn, Donna, PhD, CNM, FNP,Haldeman-Englert, Chad, MD