“…However, there are some suggested mechanisms by which aminotransferases are reduced as the severity of the CKD is increased. The most common proposed causes are vitamin B 6 deficiency [ 29 ], an accumulation of lactate and uremic toxins [ [30] , [31] , [32] ], induction of hepatocyte growth factors (HGFs), stimulation of interferon-α [ 27 , 33 ], hemodilution caused by water retention, and accelerated clearance of aminotransferase in CKD patients undergoing dialysis [ 15 , 31 , 34 ].Hence, further large-scale studies are required to understand the mechanism of the lowering of liver enzymes in CKD patients.…”