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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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392<br />

Chapter | 13 Hepatic Function<br />

TABLE 13-2 Serum Sorbitol (Iditol) Dehydrogenase<br />

(SOH) Activity <strong>of</strong> Normal <strong>Animals</strong><br />

Species U/liter Reference<br />

Dog 28 20 Zinkl et al . (1971)<br />

5.5–18 Noonan and Meyer (1979)<br />

1–9 Abdelkader and Hauge (1986)<br />

0–6 Keller (1981)<br />

10 3 Anwer et al . (1976)<br />

Pony 14.7 3.6 Anwer et al . (1976)<br />

Calf 14.7 1.3 Anwer et al . (1976)<br />

Cow 4.3–15.4 Putnam et al . (1986)<br />

Sheep 16.5 1.5 Anwer et al. (1986)<br />

7.9 2.3 Alemu et al . (1977)<br />

type II is a mitochondrial enzyme that is expressed in most<br />

tissues including the kidney ( Morris et al., 1997 ; Shi et al.,<br />

1998 ). Type II arginase appears to control the availability<br />

<strong>of</strong> the arginine used for nitric oxide synthesis (Gotoh and<br />

Mori, 1999) and has an important role in the synthesis <strong>of</strong><br />

ornithine, which is a precursor <strong>of</strong> polyamines, glutamate,<br />

and proline ( Jenkinson et al., 1996 ).<br />

Because the activity <strong>of</strong> arginase in liver is higher than<br />

in other organs ( Aminlari and Vaseghi, 1992 ; Aminlari<br />

et al., 2007 ), elevations in serum arginase activity have<br />

been considered to be liver specific ( Cornelius et al., 1963 ;<br />

Dittrich et al., 1974 ) and a convenient assay has been validated<br />

for measurement ( Mia and Koger, 1978 ). Following<br />

acute liver injury, serum arginase increases and then<br />

decreases rapidly ( Aminlari et al., 1994 ; Cornelius et al.,<br />

1963 ). Sustained elevation in serum arginase activity suggests<br />

an unfavorable prognosis. Elevations in serum arginase<br />

have been demonstrated in naturally occurring liver<br />

disease <strong>of</strong> horses (Wolf et al., 1967) , cattle, sheep ( Ross,<br />

1966 ), goats, and dogs ( Harvey and Hoe, 1971 ). When<br />

serum arginase and GGT activities are measured simultaneously,<br />

their respective specificities for hepatocellular<br />

injury and cholestasis can be useful ( Noonan and Meyer,<br />

1979 ).<br />

4 . Glutamate Dehydrogenase<br />

GD is a mitochondrial enzyme with a key role in the detoxification<br />

<strong>of</strong> ammonia. GD serves as an ammonia scavenger<br />

by catalyzing the amination <strong>of</strong> α -ketoglutarate to<br />

form glutamate. Glutamate produced by GD is converted<br />

by mitochondrial AST to aspartate, which is urea synthesis.<br />

Glutamate also is used in the mitochondrial synthesis<br />

<strong>of</strong> N-acetylglutamate, the allosteric activator <strong>of</strong> carbamoyl<br />

phosphate synthase that is the enzyme responsible for the<br />

first step in urea synthesis ( Caldovic and Tuchman, 2003 ;<br />

Caldovic et al., 2006 ; Nissim et al., 2003 ).<br />

TABLE 13-3 Serum Glutamic Dehydrogenase (GD)<br />

Activity <strong>of</strong> Normal <strong>Animals</strong><br />

Species U/liter Reference<br />

Dog 0–9 Abdelkader and Hauge (1986)<br />

1–6 Keller (1981)<br />

0–1.2 Freedland et al . (1965)<br />

Sheep 0–9 Alemu et al . (1977)<br />

2.6 1.0 Harvey and Obeid (1974)<br />

Goat 3.4 0.9 Harvey and Obeid (1974)<br />

GD has been shown to be useful in the assessment <strong>of</strong><br />

hepatic necrosis in sheep, goats, and cattle ( Table 13-3 ).<br />

GD activity is highly concentrated in ovine and bovine liver<br />

( Keller, 1971 ) as well as in the liver <strong>of</strong> other domestic species<br />

( Keller et al., 1985 ). Elevated GD activity has been<br />

reported in ruminants with hepatic necrosis ( Fowler, 1971 ),<br />

associated with parturition ( Treacher and Collis, 1977 ) and<br />

with obstruction <strong>of</strong> the bile duct ( Ford and Gopinath, 1976 ).<br />

5 . Ornithine Carbamoyltransferase<br />

OCT catalyzes the reaction between ornithine and carbamoyl<br />

phosphate forming citrulline and inorganic phosphate.<br />

The enzyme is located in mitochondria and functions as a<br />

part <strong>of</strong> the urea cycle. OCT is considered a liver-specific<br />

enzyme for the detection <strong>of</strong> hepatocellular necrosis in<br />

domestic species ( Treacher and Sansom, 1969 ). Nearly all<br />

OCT activity is confined to the liver <strong>of</strong> cattle ( Treacher and<br />

Collis, 1977 ) and <strong>of</strong> pigs ( Dittrich et al., 1974 ). OCT and<br />

ALT are similar in sensitivity as diagnostic tests for hepatic<br />

necrosis in the dog. A similar association <strong>of</strong> OCT with<br />

hepatocellular injury has been observed in swine ( Wilson<br />

et al., 1972 ), and Markiewicz et al. (1975) have reported<br />

that serum OCT activity is correlated with the severity <strong>of</strong><br />

hepatic fascioliasis in cattle.<br />

6 . Serum Alkaline Phosphatase<br />

The APs are a group <strong>of</strong> zinc metalloenzymes that are present<br />

in most tissues. High concentrations are found in the<br />

intestine, kidney, bone, and liver. Light and electron microscopic<br />

studies have demonstrated that alkaline phosphatase<br />

activity is highest on the absorptive or secretory surfaces<br />

<strong>of</strong> cells ( Kaplan, 1972 ). Within liver cells, alkaline phosphatase<br />

is bound to membranes and AP activity sediments<br />

with the microsomal and plasma membrane fractions<br />

( Emmelot et al., 1964 ).<br />

The actual physiological functions <strong>of</strong> alkaline phosphatase<br />

are not fully understood. Localization <strong>of</strong> the enzyme to<br />

cell surfaces known to be responsible for active absorption<br />

or secretion suggests a role in membrane transport. There<br />

is evidence suggesting that the alkaline phosphatase <strong>of</strong>

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