Information about a laboratory test

Anti-TPO (TPOAb): What Does This Blood Test Measure?

Detects antibodies made by the immune system against thyroid peroxidase.

Test summary

Test name
Anti-TPO (TPOAb)
Abbreviations
TPOAb, Anti-TPO
Category
Endocrinology / Thyroid Autoimmunity
Panel
Thyroid Antibody Tests
Specimen
Serum / plasma
Common units
IU/mL, kIU/L

What does the test measure?

Detects antibodies made by the immune system against thyroid peroxidase.

Why is the test ordered?

Helps evaluate autoimmune thyroid disease, especially Hashimoto thyroiditis.

Information about a low result

Low or negative Anti-TPO does not completely exclude autoimmune thyroid disease; context matters.

Information about a high result

High Anti-TPO may occur in autoimmune thyroid disease; the antibody level alone does not show the degree of thyroid dysfunction.

Reference and clinical context

Use the reference interval printed on your own laboratory report first. Hormone results may vary with the assay, age, sex, pregnancy, menstrual-cycle phase, and sampling time.

Reference ranges may vary by laboratory, method used, age, sex, pregnancy status, and clinical context. The reference range on your own laboratory report takes precedence.

Interpretation notes

Anti-TPO is different from TSH or free T4: it reflects antibody presence rather than directly measuring thyroid hormone production.

Related specialties

  • Endocrinology
  • Internal Medicine
  • Rheumatology
  • Obstetrics and Gynecology

Frequently asked questions

More information about this test

Sources

  1. Hashimoto's Disease — National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK)

    U.S. government medical reference · 2026 · Hashimoto disease; TSH/T4/T3 and TPO antibody context · Verified: Aug 11, 2026

  2. Thyroid Antibodies — U.S. National Library of Medicine (MedlinePlus)

    Government medical reference · 2023 · TPOAb, TgAb and TRAb; autoimmune-thyroid context · Verified: Aug 11, 2026