1984
DOI: 10.1002/hep.1840040517
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Serum Activity of Mitochondrial Aspartate Aminotransferase: A Sensitive Marker of Alcoholism With or Without Alcoholic Hepatitis

Abstract: Serum activity of the mitochondrial isoenzyme of aspartate aminotransferase (mAST) was measured with an immunological method in 74 subjects. Fourty-six were chronic alcoholics with (30) or without (16) obvious alcoholic liver disease; 28 were nonalcoholic controls among whom 14 had acute or chronic viral hepatitis, the remaining 14 being healthy individuals. Mean mAST activity was much higher in all the alcoholic subjects, with or without liver disease, 10.4 and 1.95 units per liter, respectively, than in the … Show more

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Cited by 124 publications
(58 citation statements)
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“…25 Elevated ALT is associated with liver parenchyma injury; whereas AST in part is related to its delayed clearance 26 or mitochondrial injury due to advanced fibrosis. 27 These findings are also consistent in the previously conducted studies 23,28 including APRICOT. 13 The FIB-4 index was easy to use; its calculation was swift and simple.…”
Section: Discussionsupporting
confidence: 90%
“…25 Elevated ALT is associated with liver parenchyma injury; whereas AST in part is related to its delayed clearance 26 or mitochondrial injury due to advanced fibrosis. 27 These findings are also consistent in the previously conducted studies 23,28 including APRICOT. 13 The FIB-4 index was easy to use; its calculation was swift and simple.…”
Section: Discussionsupporting
confidence: 90%
“…The difference in the levels of AST,ALT,GGT & AST/ALT ratio in controls and patients were statistically highly significant (p<o.ooo1) with the levels of all these parameters significantly increased in patients as compared to controls. These results were in accordance with S K DAS [22], Irie et al [23] and Nalpas et al [24]. The prevalence of alcoholic liver disease is influenced by many factors including genetic and environmental factors; however the risk of liver disease increases with the quantity and duration of alcohol intake [25].…”
Section: Discussionsupporting
confidence: 86%
“…(1) The injury to liver cell mitochondria in patients with alcoholic liver disease leads to dominant elevation of serum AST [19] ; (2) The production of aminotransferase in hepatocytes is more disturbed in ALT than in AST [20] ; (3) Patients are defined as having alcoholic liver disease based on pyridoxal 5' phosphatase deficiency, which is important in maintaining aminotransferase activity, especially that of ALT. Although these hypotheses can explain the mechanism of AST/ALT elevation in alcoholic liver disease, AST/ALT elevation cannot be elucidated in cirrhotic patients who do not consume alcohol.…”
Section: Discussionmentioning
confidence: 99%