COMPARATIVE STUDY OF SERUM GUANASE AND ALT ACTIVITIES IN THE OBESE

H. Hayashi, S. Hibino, T. Nishikado, H. Honda
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Abstract

To evaluate serum guanase (GU) activity in the obese, serum alanine aminotransf erase (ALT) and GU activities in donor and patient bloods were investigated in terms of obesity. In donor blood, serum ALT activity was significantly higher as the degree ofobesity inceased, while serum GU activity showed no significant difference. Serum ALT activity was abnormal in 2.2 and serum GU activity in 2.0%, but little correspondence was seen between ALT-abnormal blood and GU-abnormal blood and many ALT-abnormal donors were obese. In patient blood, serum ALT and GU activities in patients with fatty liver were significantly higher than in healthy persons; however, mean ALT activity was beyond the normal range, while mean GU activity remained within the normal range. In the blood of patients without chronic hepatitis, liver cirrhosis, hepatocellular carcinoma and alcoholic liver disease, serum ALT activity was significantly higher with the degree of obesity, while serum GU activity showed no significant relationship to obesity. These results suggested that elevation of serum ALT activity caused by obesity could be differentiated by measurement of serum GU activity.
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肥胖者血清谷丙转氨酶和酶活性的比较研究
为评价肥胖患者血清谷氨酰胺酶(GU)活性,研究了供体和患者血清谷氨酰胺酶(ALT)和谷氨酰胺酶(GU)活性。供体血中,随着肥胖程度的增加,血清ALT活性显著升高,而血清GU活性无显著差异。血清ALT活性异常率为2.2%,血清GU活性异常率为2.0%,但ALT异常血与GU异常血的对应关系不大,且ALT异常供者多为肥胖供者。在患者血液中,脂肪肝患者血清ALT和GU活性显著高于健康人;ALT平均活性超出正常范围,GU平均活性保持在正常范围内。在非慢性肝炎、肝硬化、肝细胞癌和酒精性肝病患者的血液中,血清ALT活性随肥胖程度显著升高,而血清GU活性与肥胖无显著关系。上述结果提示,可通过测定血清GU活性来鉴别肥胖引起的血清ALT活性升高。
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