“…It is expressed in all tissues and its A and B subunits, coded by two different genes LDH-A and LDH-B, combine to construct five isoenzymes (LDH1 to LDH5) with selective distribution among tissues and in serum (Maekawa, 1988). In addition, LDH is known as a marker for tissue injury, inflammation, haemolysis and myocardial infarction (Drent et al, 1996;Kemp et al, 2004;Kato et al, 2006). Elevated LDH levels are seen in cancer patients, and its prognostic value has been shown in several malignancies such as germ cell tumours, lymphoma, melanoma and renal cell carcinoma (Balch et al, 2004;Barlow et al, 2010;Armstrong et al, 2012;Nagle et al, 2013).…”