Liver function tests are one of the blood tests that are most frequently performed to examine the function of the liver or injury caused to the liver. Liver damage is discovered initially by performing a simple blood test that figures out the level of numerous liver enzymes present in the blood. The most commonly used liver enzymes that are delicate to abnormalities in liver and are most typically measured are the aminotransferases. The two aminotransferases that are checked are the alanine aminotransferase (ALT or SGPT) and aspartate aminotransferase (AST or SGOT). These liver enzymes form a significant constituent of the liver cells. They exist in lesser concentration in the muscle cells.
When the liver cells get damaged or hurt, these enzymes leak into the blood stream, raising their blood levels. Hence raised blood levels of SGOT and SGPT symbolizes liver disease or injury.
What and Where Are SGOT and SGPT?
The aminotransferases catalyze the chemical reactions involving the amino acids, where an amino group is moved from the donor amino acid to the recipient molecule. Aminotransferases are likewise described as transaminases. Another name for AST is serum glutamic oxaloacetic transaminase (SGOT). Likewise another name for ALT is serum glutamic pyruvic transaminase (SGPT). Hence, AST is likewise described as SGOT and ALT is also described as SGPT.
SGOT is generally present in a variety of tissues such as heart, liver, muscle, brain and kidney. It is launched into the blood stream whenever any of these tissues gets harmed. For instance, blood AST level is increased in conditions of muscle injury and cardiovascular disease. Thus, it is not extremely specific liver tissue damage indication as it can be raised in conditions aside from liver damage.
By contrast, SGPT is usually present in large concentrations in the liver. Thus, due to liver damage its level in the blood rises, thereby, functioning as a particular sign for liver injury.
To regard SGOT and SGPT as liver function tests is a misnomer that is frequently prevalent in the medical neighborhood as they do not show functioning of the liver. They just spot any kind of liver injury or damage done to the liver due to any type of infection and inflammatory changes. The liver may keep functioning normally even in cases when both of these enzymes are highly raised.
What Are Normal Levels of SGOT and SGPT?
The typical levels of SGOT remains in between 5 and 40 devices per liter of serum and the normal levels of SGPT between 7 and 56 systems per liter of serum.
The regular varieties of SGOT and SGPT may a little vary depending on the protocols and strategies used to determine them by various laboratories. Nevertheless, each lab routinely offers the regular reference varieties and prints it in the report.
SGOT and SGPT High Levels: What Does It Mean?
SGOT and SGPT are extremely sensitive markers of liver damage due to various conditions or injury. However, the truth is that higher than regular levels should not be automatically thought about as indicative of liver damage. They might or may not imply liver disease. For example, these enzymes are also elevated in cases of muscle damage. Thus, to analyze elevations in SGOT and SGPT, an individual should get a whole physical examination done by physicians who are experienced in evaluating liver and muscle problems.
Furthermore, the exact levels of these enzymes and the intensity of liver disease and its prognosis or outlook do not correlate well. Hence, the accurate blood levels of these enzymes can not be used to identify the intensity or degree of liver disease and also to predict the outlook or prognosis of the disease. For example, SGOT and SGPT are raised to high levels in individuals struggling with viral liver disease A; they often reach in the range of thousands of units/liter. Nevertheless, most cases of intense viral hepatitis A recuperate entirely without any signs of recurring liver disease.
Alternatively, people establishing chronic liver disease C infection have small elevations in their SGOT and SGPT levels, whereas, their liver is injured or damaged substantially by the infection even causing scarring (cirrhosis) from continuous liver infection and swelling.
SGOT and SGPT are two of the numerous enzymes that are determined as part of the liver function tests so as to examine the functioning of the liver and if there is any injury or disease caused to the liver.