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Soluble transferrin receptor

A marker of the cells' demand for iron. Unlike ferritin, barely affected by inflammation — it unmasks hidden iron deficiency.

Other names: Soluble transferrin receptor, sTfR Section: Iron status
In shortsTfR reflects how avidly cells are reaching for iron. A typical reference is 12.2–27.3 nmol/L (about 1040–2320 ng/mL). Its key advantage is independence from inflammation: when ferritin looks deceptively normal in chronic disease, elevated sTfR reveals true deficiency.

Reference ranges

GroupReference range
Adults — typical range (international reference, not a national standard)12.2–27.3 nmol/L (≈ 1040–2320 ng/mL)
Range from the Labcorp test directory (international reference, not a national standard). Mass conversion is approximate (monomer molecular weight ≈ 85 kDa). The report's reference applies. Reference ranges vary between laboratories and assays — use the range printed on your own lab report.

Check your value

Enter the number from your lab report — see how it compares with the typical range. Mind the units shown in the chosen row.

A rough comparison with a typical range, not a diagnosis. Reference ranges vary between laboratories — check the range on your own report and let a clinician interpret the result.

What this marker is

Transferrin receptors sit on cell surfaces and capture iron from blood; their soluble fraction tracks red-cell production and tissue iron demand. Starved of iron, cells display more receptors.

The sTfR/log ferritin index sharpens the distinction between iron-deficiency anemia and anemia of chronic disease even further.

When it is high

Iron deficiencyCells display more receptors to capture iron — the level rises even before anemia develops.
Increased red-cell productionHemolysis and blood loss accelerate erythropoiesis and raise sTfR too.

When it is low

Reduced red-cell productionAplastic processes and bone-marrow suppression lower the level.

What can skew the result

These factors can shift the value without any disease — worth considering before a retest:

Rate of red-cell production (hemolysis, blood loss)High altitude

How to prepare

Fasting 8–12 hours; drawn together with ferritin and the iron panel.

When a retest makes sense

An abnormal result is followed as the hematologist advises, together with ferritin and CRP.

Who usually reviews this result

A result outside the reference range is usually reviewed by: your GP or primary care doctor; a hematologist for abnormal results. Bring your lab report and any previous results to the appointment.

Names used on lab reports

Your report may use any of these names:
sTfRSoluble transferrin receptor

Units and conversion

Measured in: nmol/L

1 nmol/L ≈ 85 ng/mL (approximate conversion, monomer molecular weight ≈ 85 kDa)

Several markers on your report?

See how MedProtect explains results in the app: the whole report, a check of the recognized values, and a clear breakdown.

Frequently asked questions

When is sTfR most useful?
When deficiency coexists with inflammation: ferritin reads falsely normal, while sTfR shows the true iron demand.
What is the sTfR/log ferritin index?
A calculated ratio that separates iron-deficiency anemia from anemia of chronic disease even more precisely.
Why isn't it in every laboratory?
The assay is costlier and less standardized than ferritin; it is reserved for complex diagnostic situations.

Sources

  1. Soluble Transferrin Receptor (test directory) — Labcorp. Accessed: August 31, 2026.

See also