LDH Flashcards
systematic name of lactate dehydrogenase
EC 11127
LDH CATALYZES lactate to _
pyruvate
end product for ldh ?
pyruvate + NADH + H+
weight of ldh
128,000
two different polypeptide chains
h heart and m muscle
LD1 AND LD2 TS
heart, rbc, kidney
ld3 TS
LUNGS PANCREAS AND SPLEEN
LD4 AND LD5
SKELETAL MUSCLE, LIVER AND INTESTINE
PRESENCE OF LDH IN RBC
100-150
LDH2 IS MORE THAN LDH 1 MEANS:
NORMAL
LDH 1 >LDH 2
MYOCARDIAL INFARCTION
HIGHEST LDH INDICATES
HEMOLYTIC DISORDERS AND PERNICIOUS ANEMIA
LDH 1 WHICH IS IN THE HEART AND RBC CAN INDICATE:
MYOCARDIAL INFARCTION AND HEMOLYTIC ANEMIA
LDH 2 SAME ORGANS AS 1 INDICATES :
MEGALOBLASTIC ANEMIA, AMI, HEMOLYZED SAMPLE
LDH 5
SKELETAL MUSCLE INJURY AND HEPATIC DISORDERS
LDH 3, LUNG LYMPHOCYTES SPLEEN AND PANCREAS
PULMUNARY EMBOLISM, EXTENSIVE PULMONARY PNEUMONIA, LYMPHOCYTIS , AND ACUTE PANCREATITIS CARCINOMA
LDH 6
ALCOHOL DEHYDROGENASE
LDH 4 IF SEEN IN LIVER
HEPATIC INJURY OR INFLAMMATION
LDH 6 IN ARTERIOSCLEROTIC CV FAILURE
SIGNIFIES GRAVE PROGNOSIS AND IMPENDING DEATH
THIS MIGRATES CATHODIC TO LDH 5
LDH 6
LDH 6 IS ELEVATED IN :
DRUG HEPATOXICITY AND OBSTRUCTIVE JAUNDICE
LDH 6 IS RESPONSIBLE FOR THE METABOLIC CONVERSION OF METHANOL AND ETHYLENE GYCOL TO:
TOXIC COMPOUNDS
LD 1 PREFERS _ RX
FORWARD
_ IS MORE SPECIFIC THAN _ IN THE ASSAY FOR LDH
LACTATE> PYRUVATE
LD 5 PREFRES _ RX
REVERSE
_ METHOD ( FORWARD )
WACKER
PH OF WACKER :
8.8-9.8
IT IS THE MOSTH COMMON METHOD
WACKER BOY !
PRODUCT OF WACKER
PYRIVATE +NAD
PH OF WROBLEUSKI
7.4-7.8
T OR F WACKER IS AFFECTED BY PRODUCT INHIBITION
FALSE
HAS REVERSE RX AND 3X FASTER THAN FORWARD RX
WROBLEUSKI LA DUE
WROBLEUSKI NEEDS SMALLER VOLUME BUT HAS DISADVANTAGES:
SUSCEPTIBLE TO SUBSTRATE EXHAUSTION AND CAN CAUSE LOSS OF LINEARITY
WIDELY USED ASSAY FOR LDH WHERE IN IT USES ISOENZYMES
ELECTROPHORESIS
ISOENZYMES CAN BE DETECTED BY EITHER
FLOUROMETRICALLY/ COLORIMETRY
PRODUCT OF WROBLEUSKI LADUE
LACTATE+NADH
IF SAMPLE CANNOT BE PROCESSED IMMEDIATELY:
STORE AT 25C W/IN 25 HRS
LDH _ is the most heat labile =, loss of activty starts at _c
5 AT 4C
REFERENCE RANGE FOR LDH
100-225 U/L
MOST ANODAL TO LEAST ANODAL IN NORMAL SERUM
LDH 2-1-3-4-5
THE MAJOR ISOENZYME OF LDH THAT IS PRESENT IN HEALTHY IND.
LDH 2
AMI AND INTRAVSCULAR HEMOLYSIS
LDH 1-2-3-4-5