Lactate Dehydrogenase Flashcards
Enzyme that catalyzes interconversion of lactic acid and pyruvic acid
Lactate dehydrogenase
High conc in
Heart Liver Skeletal muscle Kidney Rbc
Highest level of LD seen in
Pernicious anemia Hemolytic disorder (most dangerous)
Begin to rise within
12-24 hrs
Peak time
48-72 hrs
Remain elevated to
10 days
They contain highest levels of LD
Rbc
MW
128,000 D
Fastest iso
Ld 1
Slowest iso
Ld 5
Major iso
LD 2
High in cardiac tissue and rbc
LD 1
Seen in hemolyzed sample
LD 1
LD 2
Hepatic disorder
LD 5
Pulmonary involvement
LD 3
Liver and skeletal muscle tissue
LD 4
LD 5
Substrates
A-hydroxybutyrate
Lactate
Shows clinical abnormality
LD complex with IgG and IgA
Most stable
IgA1(serum)
Least stable
IgA2(section)
Widely used to separate LD iso
Electrophoresis
Slight elevation 2-3x in
Viral hepatitis
Cirrhosis
Slight increase 2-3x
AMI
PULMONARY INFARCT
Assays
Wacker method
Wrobleuski la due (better)
Ph forward
8.3-8.9
Ph reverse
7.1-7.4
Lung/lymphocyte/spleen and pancreas
LD 3
Liver
LD 4
Skeletal muscle
LD 5
Heart and rbc
LD 1&2
LD 1 prefers
Forward rxn
LD 5 prefers
Reverse rxn
Most labile
LD 5
Ref range
125-220 U/L