Neuron-Specific Enolase (NSE)

A tumor marker linked to small-cell lung cancer and neuroendocrine tumors.

Last reviewedJune 16, 2026
Serum
sample type
~5 mL
blood needed
~7 days
results in app
Any time of day
best timing
TEST THIS WITH ANIVA
199 € / year
0.55 € a day · 100+ biomarkers
Get Started
Cheaper than a comparable test at your doctor. Guaranteed, or we match the price.
Privately insured? German PKV usually reimburses.
In short

Neuron-specific enolase, or NSE, is an enzyme found mainly in nerve cells and in certain hormone-producing (neuroendocrine) cells. Small amounts circulate in the blood.

It is used as a tumor marker for cancers that arise from these cell types, and also has uses in some neurological settings.

Cancer Markers (Screening)
Reviewed against DGKL reference practice.
Why it matters

Why test this?

NSE is used mainly to monitor people diagnosed with small cell lung cancer or neuroblastoma, alongside imaging. It is not a screening test for healthy people.

Because NSE is present in red blood cells, even slight breakdown of cells in the sample can raise the result artificially. A high or rising level always needs a doctor to interpret in context.

Reference ranges

What is a normal result?

Aniva reads your result against research-backed ranges, not just the lab's wide normal. The reference shown below is specific to this biomarker.

Ranges are guidance only. NSE is an upper-cutoff marker.

GroupCommon upper guide (SI)
Adultsup to about 16.3 µg/L (ng/mL)

The exact cutoff depends on the assay. Aligned to German laboratory practice (DGKL).

Ranges are guidance and vary by lab and assay, aligned with DGKL practice. Always read your result against your own lab's reference interval.
What you'll learn

What insights will this test give you?

  • A baseline NSE level, most useful when tracked over time.
  • An early flag that, with your doctor, may prompt further assessment.
  • Context your concierge can read alongside your history in a personalized action plan.
What affects your level

What can affect this result?

What can skew the result

Haemolysis, where red blood cells break apart in the sample, falsely raises NSE, so prompt handling matters. Some benign neurological conditions can also raise it. Results from different assays are not interchangeable.

Best interpreted with

For lung cancer, sometimes read alongside Cyfra 21-1 and ProGRP, and always with imaging and clinical history.

How testing works

How is this tested?

Sample
Serum
Blood needed
~5 mL
Method
Immunoassay
Best timing
Any time of day
FAQ

Common questions

On this page
Why testReference rangesWhat you'll learnWhat affects itHow testing worksSourcesFAQ
✦ Privately insured? German PKV usually reimburses.

Stop guessing. See this with Aniva.

One annual membership, 100+ biomarkers, every result explained in plain language with a personalized action plan and concierge guidance.

Get Started
0.55 € a day · cancel anytime · results in ~7 days

Your future self is waiting

Start building the healthiest decade of your life.

Get Started