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Alpha-1 antitrypsin deficiency - The genetic cause of COPD

2025-09-17

Short of breath but don't smoke? It could be more than asthma. Understanding Alpha-1 Antitrypsin Deficiency, a form of genetic COPD, is vital for a correct diagnosis and protecting your lungs and liver.

What are the main causes of Alpha-1 Antitrypsin Deficiency?

  • What is alpha-1? It's an inherited disorder caused by receiving two faulty SERPINA1 genes, one from each parent, which leads to AAT deficiency.
  • The condition results in the liver producing abnormal alpha-1 antitrypsin protein that cannot effectively protect the lungs from damage.
  • This abnormal protein can also get stuck in the liver, leading to the buildup that causes significant liver disease in some individuals.
Alpha-1 symptoms shown in clinical respiratory assessment
Alpha-1 symptoms shown in clinical respiratory assessment

Key symptoms of Alpha-1 Antitrypsin Deficiency to watch for

  • The most common alpha-1 symptoms involve the lungs, including shortness of breath, wheezing, and chronic cough, often diagnosed as genetic COPD.
  • In others, AAT deficiency manifests as liver disease, with symptoms like jaundice (yellowed skin), fatigue, and swelling in the legs and belly.
  • Some people may experience unexplained weight loss, recurring respiratory infections, and skin problems like panniculitis, which are also linked to the deficiency.

How can you prevent complications from Alpha-1 Antitrypsin Deficiency effectively?

  • The most critical step is to never smoke and avoid secondhand smoke and other lung irritants to protect your lungs from rapid damage.
  • Alpha-1 treatment, such as augmentation therapy, can help slow the progression of lung disease by replacing the missing AAT protein.
  • Regular check-ups, vaccinations to prevent infections, and maintaining a healthy lifestyle can help manage both lung and liver health effectively.

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Image of the disease Alpha-1 Antitrypsin Deficiency 

Alpha-1 testing process in laboratory diagnostic setting
Alpha-1 testing process in laboratory diagnostic setting
AAT deficiency shown in blood protein analysis chart
AAT deficiency shown in blood protein analysis chart
Genetic COPD illustrated in lung function test image
Genetic COPD illustrated in lung function test image
Alpha-1 treatment depicted in medical therapy session
Alpha-1 treatment depicted in medical therapy session
What is alpha-1 explained in genetic disorder infographic
What is alpha-1 explained in genetic disorder infographic
Allergic rhinitis (hay fever) - Effective relief strategies
Allergic rhinitis (hay fever) - Effective relief strategies
Chronic sinusitis - When your sinus infection never leaves
Chronic sinusitis - When your sinus infection never leaves

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Early diagnosis through alpha-1 testing is key to managing AAT deficiency. If you have symptoms, talk to your doctor and connect with the Alpha-1 Foundation.

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