Liver Enzymes Flashcards
Other name for Aspartate Aminotransferase
Serum glutamic-oxaloacetic transaminase (SGOT) or serum glutamate-oxaloacetate transaminase
Transfer of an amino group between aspartate and alpha- keto acids where oxaloacetate and glutamate are the products
AST
Involved in the synthesis and degradation of amino acids
AST
AST is not liver-specific because it is widely distributed, highest activities in
Cardiac, Liver and Skeletal Muscles
Predominant isoenzyme in the serum
Cytoplasmic AST
Elevated when there is severe injury or damage to the cell (mitochondrial membrane is damaged allowing mitochondrial AST to elevate)
Mitochondrial AST
After MI, AST levels begin to rise in __ hours,
peak (highest serum level) at __ hours and return
to normal in __ days
6 to 8 hours
24 hours
5 days
T/F; AST is released to a greater degree in chronic
disorder of the liver with progressive damage to
the hepatocytes.
TRUE
Uses malate dehydrogenase and monitors decrease in absorbance at 340 nm
Karmen Method
Reduce, high, increased absorbance
NADH
Oxidized, decreased absorbance
NAD
What is the color of the product in Karmen Method?
Colorless
Secondary/coupling/indicator enzyme, found in reagent in Karmen Method
Malate Dehydrogenase
The activity of AST is __ to the product of secondary enzyme (MD)
Directly proportional
Alanine Aminotransferase (ALT) is also known as
Serum glutamic-pyruvic transaminase (SGPT)
- Transfer of an amino group between alanine and alpha-ketoglutarate where the product is pyruvate and glutamate
- Increased in hepatocellular disorders
ALT
More liver-specific than AST
ALT
Is a significant marker in the evaluation of the hepatic disorders, specifically acute inflammatory conditions
ALT
ALT is used to:
- Monitor the course of hepatitis treatment
- Monitor the effects of drug therapy especially among px with chronic disease
- Also used to screen blood donors
More sensitive and specific for post-transfusion hepatitis and occupational toxic exposure
ALT
Secondary enzyme for ALT measurement
Lactate Dehydrogenase
The AST/ALT Ratio
Differentiates the cause of hepatic disord
De Ritis Ratio