The determination of serum levels of alanine transaminase (ALT) is a critical tool in the diagnosis and follow up of patients with liver disease. We were interested in the recent article by Piton et al., 1 which identified factors associated with ALT variability from a cohort of 1,033 blood donors a
Serum lysyl oxidase activity in chronic liver disease in comparison with serum levels of prolyl hydroxylase and laminin
โ Scribed by Dr. Yoshikazu Murawaki; Yuka Kusakabe; Chisato Hirayama
- Publisher
- John Wiley and Sons
- Year
- 1991
- Tongue
- English
- Weight
- 759 KB
- Volume
- 14
- Category
- Article
- ISSN
- 0270-9139
No coin nor oath required. For personal study only.
โฆ Synopsis
Lysyl oxidase was partially purified from serum by a diethylaminoethyl batch procedure in the presence of 6 mom urea and dialyzed against 3 molL KSCN. Using this method, we determined serum lysyl oxidase activity in 52 patients with liver disease and in 14 healthy controls, and we examined usefulness of serum lysyl oxidase in assessing liver fibrogenesis. For this purpose, serum lyayl oxidase activity in chronic liver disease was compared with serum levels of prolyl hydroxylase and laminin P1. As compared with controls, serum lysyl oxidase activity increased 1.6-fold in chronic persistent hepatitis, 4.4-fold in chronic active hepatitis and 11.8-fold in cirrhosis, indicating an increase in concert with the development of liver fibrosis. In hepatocellular carcinoma, the serum activity, although signiscantly increased, was lower than that in cirrhosis. Serum prolyl hydroxylase was significantly increased in chronic active hepatitis, in liver cirrhosis and in hepatocellular carcinoma Serum laminin P1 was significantly increased in chronic active hepatitis, in cirrhosis and in hepatocellular carcinoma Serum lysyl oxidase activity did not correlate significantly with serum levels of prolyl hydroxylase and laminin P1 in any subject or in any subgroup. The magnitude of the increase and the abnormal percentage of serum lysyl oxidase activity were larger than those for serum prolyl hydroxylase and laminin P1. These results suggest that serum lysyl osidase activity is a more sensitive indicator of liver fibrosis than serum prolyl hydroxylase and laminin PI.
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