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Plasma glutathione S-transferase as an early marker of posttraumatic hepatic injury in non-human primates.

Abstract
We have hypothesized that the measurement of alpha-glutathione S-transferase (alpha-GST) in serum may provide a suitable sensitive marker of shock-induced liver damage. Six male adult baboons were studied. Hemorrhage was induced by blood withdrawal of 60-70% of the total blood volume down to an arterial pressure of 35-40 mmHg. Then the reinfusion was performed with the heparinized shed blood plus the same amount of Ringer's solution over the next 4 h. Before the start of hemorrhage, 2 mL/kg zymosan-activated plasma was infused to simulate trauma-related complement activation. alpha-GST antigen levels were determined using an anti-human alpha-GST immunoassay (Hepkit). Concentrations of alpha-GST at baseline in baboon were found to be 3.1 +/- 1.8 ng/mL; at the end of the shock period a significant increase in alpha-GST serum levels (74.8 +/- 13.8 ng/mL) was found. In contrast, transaminase levels did not significantly change. From the current evidence in posttraumatic non-human primates, which resemble the clinical situation in several aspects, alpha-GST measurements are a suitable marker of early hepatocellular injury.
AuthorsH Redl, G Schlag, E Paul, J Davies
JournalShock (Augusta, Ga.) (Shock) Vol. 3 Issue 6 Pg. 395-7 (Jun 1995) ISSN: 1073-2322 [Print] United States
PMID7656061 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Biomarkers
  • Glutathione Transferase
Topics
  • Animals
  • Biomarkers
  • Glutathione Transferase (blood)
  • Liver (enzymology, injuries)
  • Male
  • Papio
  • Shock (enzymology, etiology)

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