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42 Cards in this Set

  • Front
  • Back

GGT

GGT levels normal in the presence of bone disease and during pregnancy in contrast to alkaline phosphatase where levels would be elevated

differentiate liver disorder (OJ) from bone disorder (Paget)

GGT is a marker used together with ALP to

GGT is a test for

occult alcoholism

phenobarbital and phenytoin

GGT activity induced by drugs are caused by

Gamma-Glutamyl Transferase

What is GGT

Phosphoric monoester hydrolase

5’ NT predominantly secreted from the liver

5’ Nucleotidase (5’-NT)

Differential test for serum ALP

cholestatic disorder

5’ Nucleotidase is increased in

- Acetylcholinesterase (AChE)


- Acetylcholine acylhydrolase

Cholinesterase Two Related Enzyme

Acetylcholinesterase (AChE)

● True Cholinesterase


● Found in red blood cells, lungs, spleen, nerve endings, and gray matter of the brain

Pseudocholinesterase PChE


or


butyrylcholinesterase (BuChe)

Other term for Acetylcholine acylhydrolase

Acetylcholine acylhydrolase


● AKA Pseudocholinesterase PChE or butyrylcholinesterase (BuChe)


● Found in liver, pancreas, heart, white matter of the brain, and serum

increased

PChE found in serum is normally

Pseudocholinesterase

Decreased amount in hepatocellular disease (cirrhosis, hepatitis) due to decrease synthesis

- hepatocellular disease (cirrhosis, hepatitis)


- insecticide poisoning/organophosphate poisoning

Pseudocholinesterase decreased amount in

risk of prolonged response to muscle relaxants

PChE testing identifies individuals with a typical forms who are at

succinylcholine and mivacurium

PChE deficiency results in abnormally slow metabolic degradation of exogenous choline ester drugs such as

peptidyl-dipeptidase A or kininase II

Angiotensin – Converting Enzyme (ACE) AKA


(PDA Kayong 2!)

Angiotensin – Converting Enzyme (ACE)

It is as aspartic acid protease

Angiotensin – Converting Enzyme (ACE)

A hydrolase enzyme that requires zinc for activation


vascular endothelium of lungs and kidney

ACE is found mainly in the

Aspartic acid protease

a proteolytic enzyme ( enzymes that breaks down protein)

Renin-angiotensin system

regulation of blood pressure

Angiotensin Converting Enzyme

Component of renin – angiotensin system

ACE

Component of renin – angiotensin system

SARCOIDOSIS

ACE is a diagnostic test for

neural dysfunction (Alzheimer’s disease)

ACE is a possible indicator of

ACE2

cellular receptor for SARS and SARS-CoV-2

Glucose-6-Phosphate Dehydrogenase (G-6-PD)

● Functions to maintain NADPH in the reduced form in the erythrocytes


Newborn screening marker

G6PD

Deficiency can lead to drug-induced hemolytic anemia (primaquine, antimalarial drug)

primaquine


antimalarial drug

G6PD is caused by

RBC’s


spleen


lymph nodes


adrenal cortex

Source of G6PD

MI and Megaloblastic anemia

G6PD is increased in

Red cell hemolysate and serum

Required Sample for G6PD

Ceruloplasmin

Copper – carrying protein with an enzymatic activity

Wilson Disease (hepatolenticular disease)

Ceruloplasmin is a Marker of

Kayser-Fleischer Ring

Cornea

Ornithinecarbamoyltransferase (OCT)

● Marker for hepatobiliary disease


Serum concentration: useful marker for disease severity and useful marker for High Risk HepaC

Serum concentration

useful marker for disease severity and useful marker for High Risk HepaC

hepatobiliary disease and High Risk HepaC (serum level)

Ornithinecarbamoyltransferase (OCT) is increased in

Trypsin

●Produced in secretory granules of the pancreatic acinar cell


● Serves as an activator of digestive proenzyme


Inactive trypsinogen in the acinar cells


More specific than amylase in pancreatitis

Trypsin

Serves as an activator of digestive proenzyme