Melanocyte Stimulation Hormone, Alpha

Overview

  • EPIC Code:
  • 91898
  • Soft Test Code:
  • MSOT
  • Send Out Test Code:
  • MSH ALPHA
Alternate Names
  • a-MSH
  • Alpha Melanocyte Stimulating Hormone
  • Melanocyte Stimulation Hormone, Alpha (a-MSH)
  • PFI#9065
Clinical Significance

a-Melanocyte Stimulating Hormone is a 13 amino acid peptide produced from metabolism of Proopiomelanocortin.  One of the fragments of Proopiomelano-cortin is Adrenocorticotropin which is further fragmented to form a-Melanocyte Stimulating Hormone and Corticotropin-Like Intermediate Lobe Peptide (CLIP).  The major biological property of a-Melanocyte Stimulating Hormone is hyper-pigmentation.  It also stimulates Aldosterone secretion, alters the blood-brain barrier permeability for glucose, sucrose and albumin, and is excreted by the placenta.  Levels are higher in children dropping to adult levels as activity of the intermediate lobe of the pituitary declines.  a-Melanocyte Stimulating Hormone is the major melanotropin in the rat corresponding to b-Melanocyte Stimulating Hormone in the human.


Specimen Collection & Preparation

Patient Preparation

Discontinue steroid, ACTH, or hypertension medication, if possible, for at least 48 hours prior to collection.

A morning fasting specimen is preferred.


Specimen Requirements:

-OR-

3.0 mL Plasma from a Lavender Top Tubes - EDTA in a Plastic Vial
Processing Instructions:

Centrifuge and separate plasma with in 2 hours or sooner from cells into a plastic vial


Rejection Criteria:

Serum

Gross hemolysis

Gross lipemia 

Grossly icteric


Transport and Storage:
  • Frozen (-20° C or colder):

    Transport on dry ice

Clinical Interpretation

Reference Range:

Adults: Up to 5.0 pg/mL


Methodology:
  • Direct Radioimmunoassay
Clinical Significance

a-Melanocyte Stimulating Hormone is a 13 amino acid peptide produced from metabolism of Proopiomelanocortin.  One of the fragments of Proopiomelano-cortin is Adrenocorticotropin which is further fragmented to form a-Melanocyte Stimulating Hormone and Corticotropin-Like Intermediate Lobe Peptide (CLIP).  The major biological property of a-Melanocyte Stimulating Hormone is hyper-pigmentation.  It also stimulates Aldosterone secretion, alters the blood-brain barrier permeability for glucose, sucrose and albumin, and is excreted by the placenta.  Levels are higher in children dropping to adult levels as activity of the intermediate lobe of the pituitary declines.  a-Melanocyte Stimulating Hormone is the major melanotropin in the rat corresponding to b-Melanocyte Stimulating Hormone in the human.


Production Schedule

Sites Performed
  • Inter Science Institute thru ARUP
Days Performed
Thursday
Departments
  • Sendouts - Miscellaneous
Turn Around Time

4 to 7 days


Coding & Compliance

CDM

00913333


CPT Coding

83519