Alanine Aminotransferase (ALT): Liver Function Test
The liver is located in the right upper portion of the abdominal cavity just beneath the rib cage. The liver has many functions that are vital to life. Some of the important functions of the liver are:
- Blood detoxification
- Storage of Vitamins, fat, cholesterol, bile
- Processing waste products of haemoglobin and other cells.
- Processing medications and nutrients.
- Production of important clotting factors, albumin and many other important proteins.
- Gluconeogenesis
Liver function tests are some of the most commonly performed blood tests. The most sensitive and widely used liver enzymes are Aminotransferases. They include aspartate aminotransferase (AST or SGOT) and alanine aminotransferase (ALT or SGPT). These enzymes are normally predominately contained within the liver cells and to a lesser degree in the muscle cells.
We shall however be focusing on Alanine Aminotransferase (ALT). ALT is also known as Serum Glutamic Pyruvic Transaminase (SGPT) is normally found largely in the liver; that is not to say that it is exclusively located in the liver but that is where it is most concentrated. It is released into the bloodstream as the result of liver injury. Thus it serves as a fairly specific indicator of liver status.
An initial step in detecting liver damage is a simple blood test to determine the level of certain liver enzymes (proteins) in the blood. Under normal circumstances, these enzymes mostly reside within the cells of the liver. But when the liver is injured for any reason, these enzymes are spilled into the blood stream. Enzymes are proteins that are present throughout the body, each with a unique function. Enzymes help to speed up (catalyze routine and vital chemical reactions in the body.
There are no known risks involved.
How you prepare
No special preparation is made before this test is done.
How it is performed
Blood is drawn from an accessible vein on the arm under sterile conditions by the phlebotomist or the doctor and a liver function test is done.
The normal range of values for ALT (SGPT) is about 7 to 56 units per litre of serum. However, the ranges of AST and ALT numbers may differ slightly depending on the technique and protocols used by different laboratories worldwide. However, normal reference ranges are routinely provided by each laboratory and printed with each patient’s individual report. ALT (SGPT) is a sensitive indicator of liver disease, however, it must be emphasized that higher than normal levels of this enzyme should not be automatically equated with liver disease. The interpretation of elevated ALT level results depends upon the entire clinical evaluation of an individual, so it is best done by physicians experienced in evaluating liver disease and muscle disease. The exact levels of ALT (SGPT) cannot be used to determine the degree of liver disease or predict the future prognosis of liver function.
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