16/07/08 Enzyme Pharmaceutical
DHN CHANDAN – Department of ACCT, RU (Mobile – 88-01713413431) 21
Detailed information on the diagnostic enzymes including reference values is provided in following
table:
Enzymes Reference value Disease(s) in which increased
Digestive enzymes:
Amylase
Lipase
2.5−5.5 ??????���
0.2−1.5 ��/�
Acute pancreatitis, mumps (acute parotitis),
obstruction in pancreatic duct, severe
diabetic ketoacidosis.
Acute pancreatitis, moderate elevation in
carcinoma of pancreas.
Transaminases:
Alanine transminase (ALT)
or SGPT
Asparatate transminase
(AST) or SGOT
3−40 ��/�
4−45 ��/�
Acute hepatitis (viral or toxic), jaundice,
cirrhosis of liver.
Myocardial infarction, liver diseases, liver
cancer, cirrhosis of liver.
Phosphatases:
Alkaline phosphatase (ALP)
Acid phosphatase (ACP)
In adults 25−90 ��/�
2.5−12 ��/�
Bone diseases (related to higher osteoblastic
activity) – rickets, Pagets’ disease,
hyperparathyroidism, carcinoma of bone.
Prostatic carcinoma i.e. cancer of prostate
gland, Pagets’ disease.
Enzymes of carbohydrate
metabolism:
Aldolase
Isocitrate dehydrogenase
(ICD)
Lactate dehydrogenase
(LDH)
2−6 ��/�
1−4 ��/�
50−200 ��/�
Mascular dystrophy, liver diseases,
myocardial infarction, myasthenia gravis,
leukemias.
Liver diseases (inflammatory toxic or
malignant).
Myocardial infarction, acute infective
hepatitis, macular dystrophy, leukemia,
pernicious anemia.
Miscellaneous enzymes:
Creatine kinase (CK) or
creatine phosphokinase
(CPK)
Choline esterase (ChE I)
5’-neucleotidase or
nucleotide phosphatase
(NTP)
�-glutamyl transpeptidase
(GGT)
Ceruloplasmin
(ferrooxidase)
10−50 ��/�
2−10 ��/�
2−15 ��/�
5−40 ��/�
20−50 �??????/��
Myocardial infarction, muscular dystrophy,
hypothyroidism, alcoholism.
Nephritic syndrome, myocardial infarction.
Hepatitis, obstructive jaundice, tumors.
Alcoholism, infective hepatitis, obstructive
jaundice.
Bacterial infections, collagen diseases,
cirrhosis, pregnancy.
In following table decreased plasma enzymes in certain disorders are given:
Enzyme Reference values Disease(s) in which decreased
Amylase 80−180 ����??????????????????
��??????��/��
Liver diseases.
Pseudocholine esterase
(ChE II)
10−20 ��/�� Viral hepatitis, malnutrition, liver cancer,
cirrhosis of liver.
Ceruloplasmin 20−50 �??????/�� Wilson’s disease.