SPEP

Medical abbreviation · Laboratory Test

SPEP
Stands forSerum protein electrophoresis
CategoriesMedical

SPEP stands for Serum protein electrophoresis, a laboratory test abbreviation.

Separates serum proteins by electrical charge into albumin and alpha-1, alpha-2, beta and gamma globulin bands. A sharp spike in the gamma region (an M-protein or monoclonal spike) suggests a plasma cell disorder such as multiple myeloma or monoclonal gammopathy of undetermined significance (MGUS).

Example: SPEP shows a 1.8 g/dL M-spike; immunofixation and free light chains sent.

Usage notes

Usually paired with immunofixation electrophoresis (IFE) to identify the antibody class and with serum free light chain testing; the urine counterpart is UPEP. A broad, polyclonal rise in gamma globulins points instead to chronic inflammation, liver disease or HIV infection rather than a clonal process.

More laboratory test abbreviations

  • Rh – Rhesus (D antigen)
  • RI – Reference interval
  • RPR – Rapid plasma reagin
  • SG – Specific gravity
  • SGOT – Serum glutamic-oxaloacetic transaminase
  • SGPT – Serum glutamic-pyruvic transaminase
  • SST – Serum separator tube
  • T&C – Type and crossmatch
  • T&S – Type and screen
  • TAT – Turnaround time
  • TBili – Total bilirubin
  • TC – Total cholesterol

See all 135 laboratory test abbreviations →

This entry is for general education and is not medical advice. Abbreviation use varies between institutions; always confirm in context.