Clinical Chemistry 2: ALP Determination and Liver Enzymes
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Questions and Answers

What is the end color when using 2,4 dinitrophenyl hydrazine (2,4-DNPH) reagent?

brown

What is the principle of the colorimetry method for the Rietmann Frankel test?

colorimetry, fixed time

Where is GGT Activity found in highest concentration?

kidney, brain, prostate, pancreas, and liver

What is the former name of the enzyme ALT?

<p>serum glutamic pyruvic transaminase (SGPT)</p> Signup and view all the answers

Which class of enzymes does ALT belong to?

<p>transferases</p> Signup and view all the answers

What is the Walker method used for in determining total ALT?

<p>Uses lactate dehydrogenase and monitors decrease in absorbance at 340nm</p> Signup and view all the answers

What is the function of LIPASE?

<p>Hydrolyzes fats to produce alcohols and fatty acids</p> Signup and view all the answers

How is the activity of serum LIPASE affected by hemolysis?

<p>Hemoglobin inhibits the activity of serum LIPASE, causing falsely low values.</p> Signup and view all the answers

What is the reference range for the reaction used to determine LIPASE?

<p>The reaction can be used as a continuous monitoring or fixed-point method.</p> Signup and view all the answers

What is the stability of GGT activity at 4°C?

<p>GGT activity is stable with no loss of activity for 1 week at 4°C.</p> Signup and view all the answers

Study Notes

Chemical Reagents and Colorimetry

  • 2,4-Dinitrophenyl hydrazine (2,4-DNPH) produces a yellow to orange color upon reaction, indicating the presence of carbonyl compounds.
  • The Rietmann Frankel test utilizes colorimetry, which measures absorbance of light to quantify substances, based on the principle that absorbance is directly proportional to concentration.

Enzymatic Activity

  • Gamma-glutamyl transferase (GGT) activity is found in highest concentrations in the liver and biliary system.
  • Alanine aminotransferase (ALT) was formerly known as serum glutamate-pyruvate transaminase (SGPT).
  • ALT belongs to the class of enzymes known as transferases, specifically those that facilitate amino group transfer.

Analytical Methods

  • The Walker method is a specific technique used to determine total ALT activity, providing accurate quantification in serum samples.
  • Lipase is an enzyme responsible for breaking down fats (lipids) into fatty acids and glycerol for absorption and metabolism.

Impact of Conditions on Enzyme Activity

  • Serum lipase activity can be impacted negatively by hemolysis, as it may lead to protein degradation and altered test results.
  • The reference range for lipase activity typically varies but commonly falls around 0 to 160 U/L, dependent on the specific laboratory protocols.

Stability of GGT

  • GGT activity shows good stability at 4°C for up to several days, allowing for retention of enzymatic function during storage prior to testing.

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Description

This quiz covers the discussion-based continuation of ALP determination, focusing on liver enzymes such as Alanine Aminotransferase (ALT). Topics include molar absorptivity, absorbance measurement, and the functions and tissue sources of ALT. This is part of the second semester lab midterm for Clinical Chemistry 2.

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