Enzymes are produced by cells and remain within the cells to
perform their catalytic functions. Very small amount of the enzymes are
released in blood as a result of normal turnover of cells. Hence under normal
condition the enzymes are present in very small amount in blood where they have
no specific function, so termed as plasma nonfunctional enzyme. concentration
of non functional plasma enzyme increase greatly in diseases causing breakdown
of cells or increased cellular permeability. So estimation of the plasma concentration
of these enzymes in blood is useful for the diagnosis of disease depending on
their tissue origin.
Roughly diagnostic enzyme are grouped according to the origin
to which they mostly belong:
1. Hepatic enzyme
·
ALT
·
AST
·
ALP
·
y-GT
2. Cardiac enzymes:
·
Creatine kinase
·
CK-MB
·
LDH
·
AST
3. Muscle enzyme: CK, LDH, AST, aldolase
4. Pancreatic enzyme: amylase, lipase
5. Bone Enzyme: ALP, ACP
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