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DNA Labs India

PIIINP (Procollagen Type III Amino Terminal Propeptide) Test

DNA Labs India | ISO 9001:2015 Certified

PIIINP (Procollagen Type III Amino Terminal Propeptide) Test

Short Name: PIIINP Test

Also known as: Procollagen III N-terminal propeptide, PIIINP, Amino-terminal propeptide of type III procollagen

PIIINP (Procollagen Type III Amino Terminal Propeptide) Test test available at DNA Labs India for ₹5,500. Uses CLIA on Serum samples. Results in Reports are available next day after sample submission.. Free home collection in 300+ cities across India.

Serum BiomarkerAll Ages🏠 Home Collection

🩺 Medically Reviewed By

Overview

The primary purpose of the PIIINP test is to assess liver fibrosis and early fibrogenesis. It is used to evaluate liver damage in patients with chronic liver disease and to monitor drug-induced hepatotoxicity, particularly from methotrexate therapy. The test aids in identifying high-risk individuals and supports clinical decision-making for further diagnostic workup.

Test Code
3557
Price
₹5,500
Sample Type
Serum
Result Time
Reports are available next day after sample submission.
Fasting Required
Yes (8 hours)
Method
CLIA
Step 1

Sample Collection

Overnight fasting is preferred. Continue regular medications unless advised otherwise by your physician.

Method: Venipuncture

Step 2

Laboratory Analysis

A blood sample is drawn from a vein in the arm using a sterile needle.

Step 3

Report Delivery

No special precautions are required; you may resume normal activities immediately.

Timeline: Reports are available next day after sample submission.

About This Test

Who Should Get This Test

The primary purpose of the PIIINP test is to assess liver fibrosis and early fibrogenesis. It is used to evaluate liver damage in patients with chronic liver disease and to monitor drug-induced hepatotoxicity, particularly from methotrexate therapy. The test aids in identifying high-risk individuals and supports clinical decision-making for further diagnostic workup.

How to Prepare

  • Overnight fasting (8-10 hours) is preferred for optimal accuracy
  • Inform your doctor about any ongoing medications, especially methotrexate
  • Wear loose clothing for easy access to the arm

Doctor's Notes

Reviewed by — MBBS, MD (Biochemistry) · Reg. No. 21504

"The PIIINP test is a valuable non-invasive marker for early liver fibrosis and should be interpreted alongside clinical findings and other liver function tests."

Last medically reviewed: September 7, 2026

Test Parameters & Specifications

Sample TypeSerum
Sample Volume3 mL (1.5 mL min.)
Container1 SST
Collection MethodVenipuncture

Sample Stability

Room temperature: 48 hours
Refrigerated: 7 days
Frozen: 4 weeks
Sample Rejection Criteria:
  • Hemolyzed or grossly lipemic samples
  • Insufficient sample volume
  • Incorrectly labeled specimen
  • Sample received after prolonged delay without proper storage

Understanding Your Results

PIIINP levels are interpreted in the context of clinical presentation and other liver function tests.
📊

No significant active fibrogenesis; low likelihood of ongoing liver fibrosis.

📊

May indicate active liver fibrosis, inflammation, or methotrexate-induced hepatotoxicity. Further evaluation with imaging or biopsy may be required.

⚠️ When to Consult a Doctor:

Consult your physician if you experience symptoms such as jaundice, abdominal swelling, persistent fatigue, or if you are on methotrexate therapy and require liver monitoring.

Risks & Considerations

  • Minimal risk of bleeding, bruising, or infection at the puncture site

Interfering Factors

  • Pregnancy and growth hormone can increase PIIINP levels
  • Active wound healing or recent surgery may elevate results
  • Age and gender can affect reference ranges
  • Severe fibrosis or cirrhosis may not show elevated PIIINP levels due to reduced fibrogenesis

Frequently Asked Questions

What is the PIIINP test?
The PIIINP test measures the level of procollagen type III amino terminal propeptide in the blood. It is a biomarker used to assess liver fibrosis and fibrogenesis.
Why is the PIIINP test done?
It is primarily done to evaluate liver fibrosis in chronic liver disease, and to monitor for methotrexate-induced liver toxicity in patients with psoriasis or other conditions requiring long-term methotrexate therapy.
What conditions are associated with elevated PIIINP levels?
Elevated PIIINP levels can be seen in liver fibrosis, cirrhosis, chronic hepatitis, alcoholic liver disease, non-alcoholic fatty liver disease, and methotrexate-induced hepatotoxicity.
Is fasting required for the PIIINP blood test?
Overnight fasting (8-10 hours) is preferred for accurate results, though it is not always mandatory. Your physician will advise you accordingly.
How is the PIIINP test performed?
A blood sample is drawn from a vein in your arm. The serum is separated and analyzed using a CLIA (chemiluminescent immunoassay) method.
What does a high PIIINP level indicate?
A high PIIINP level may indicate active fibrogenesis or ongoing liver fibrosis. It can also suggest methotrexate-related liver injury, but it should be interpreted with other clinical and laboratory findings.
Can the PIIINP test be used for methotrexate monitoring?
Yes, the PIIINP test is useful for monitoring methotrexate-induced liver toxicity, especially in high-risk individuals such as those with metabolic syndrome, NAFLD, or chronic viral hepatitis.
What is the normal reference range for PIIINP?
The typical reference range is 2.5 to 10.5 ng/mL, but this may vary by laboratory, age, and gender. Always refer to the reference range provided on your lab report.
How long does it take to get PIIINP test results?
The report is typically available the next day after sample submission.
Is home sample collection available for the PIIINP test?
Yes, DNA Labs India offers free home sample collection for the PIIINP test across major cities in India when you book online.
What is the cost of the PIIINP test at DNA Labs India?
The special discounted price for the PIIINP test at DNA Labs India is Rs 5500, inclusive of home sample collection.
Who should consider taking the PIIINP test?
Individuals with symptoms of liver fibrosis, those on methotrexate therapy, patients with chronic liver disease, or those at high risk of liver toxicity should discuss this test with their healthcare provider.
Worried about the process? Our certified phlebotomists collect thousands of samples every month across India. The process takes under 5 minutes and is virtually painless. Questions? Message us on WhatsApp — we're here 7 days a week.
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We serve as a reference laboratory for hospitals and clinics across India. Send samples from your facility with same-day pickup, priority processing, and results delivered through our online portal. Competitive institutional pricing available.

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