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| [[File:NationWide Logo.jpeg|right|link=https://www.nwlabs.co.uk/|alt=NationWide Logo|240x240px|In Partnership with NationWide Laboratories|frameless|thumb|]] | | [[File:NationWide Logo.jpeg|right|link=https://www.nwlabs.co.uk/|alt=NationWide Logo|240x240px|In Partnership with NationWide Laboratories|frameless|thumb|]] |
| == GLDH Introduction == | | == GLDH Introduction == |
− | ''Virtually liver specific, this enzyme is localised almost exclusively in the mitochondria of hepatocytes. It is generally considered that a severe insult is required to bring about its release and it is therefore not a sensitive general marker for hepatic disease. However, GLDH has been demonstrated to be a sensitive marker of hepatocellular necrosis in the dog irrespective of its severity.''
| + | Virtually liver specific, this enzyme is localised almost exclusively in the mitochondria of hepatocytes. It is generally considered that a severe insult is required to bring about its release and it is therefore not a sensitive general marker for hepatic disease. However, GLDH has been demonstrated to be a sensitive marker of hepatocellular necrosis in the dog irrespective of its severity. |
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− | === ''Small Animals'' === | + | === Small Animals === |
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− | ==== ''Causes of increased GLDH activity'' ==== | + | ==== Causes of increased GLDH activity ==== |
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− | * ''Hepatocellular necrosis'' | + | * Hepatocellular necrosis |
− | * ''Secondary hepatopathies (for example, congestive heart failure and small intestinal pathology)'' | + | * Secondary hepatopathies (for example, congestive heart failure and small intestinal pathology) |
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− | ==== ''Complementary tests'' ==== | + | ==== Complementary tests ==== |
− | ''ALT, albumin, bilirubin and bile acids.''
| + | ALT, albumin, bilirubin and bile acids. |
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− | === ''Equine'' === | + | === Equine === |
− | ''GLDH has a relatively short half life in the horse (12-14 hours) compared to LDH, [[Aspartate aminotransferase|AST]] and [[Gamma-glutamyltransferase|GGT]]. Elevated levels therefore indicate active hepatocellular damage.''
| + | GLDH has a relatively short half life in the horse (12-14 hours) compared to LDH, [[Aspartate aminotransferase|AST]] and [[Gamma-glutamyltransferase|GGT]]. Elevated levels therefore indicate active hepatocellular damage. |
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| ==== Causes of increased GLDH activity ==== | | ==== Causes of increased GLDH activity ==== |
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− | * ''Hepatocellular necrosis'' | + | * Hepatocellular necrosis |
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− | * ''Enteropathy – common and levels can be quite high'' | + | * Enteropathy – common and levels can be quite high |
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− | ==== ''Complementary tests'' ==== | + | ==== Complementary tests ==== |
− | ''[[Aspartate aminotransferase|AST]], [[Gamma-glutamyltransferase|GGT]] (hepatocellular damage) and bile acids (hepatic function).''
| + | [[Aspartate aminotransferase|AST]], [[Gamma-glutamyltransferase|GGT]] (hepatocellular damage) and bile acids (hepatic function). |
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| == Authors & References == | | == Authors & References == |
| [[NationWide Laboratories]] | | [[NationWide Laboratories]] |