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Alanine aminotransferase in clinical practice. A review
Abstract
Alanine aminotransferase is an enzyme produced mainly in the liver. When serum activity is measured, it provides a marker of hepatic disease. This review explores the biochemistry and laboratory analysis of alanine aminotransferase in terms of its significance in human health and disease. Cut-off levels that define abnormality are rather arbitrary and this decreases the specificity of the test in apparently healthy patients. A small, but important, group of patients with alanine aminotransferase abnormality have underlying liver disease that may be treatable. Most can be diagnosed based on history, physical examination, and biochemical-serological profiles. Liver biopsy can complement the diagnostic process in selected circumstances. Literature pertaining to this is critically reviewed.
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Cited by
Hyeon, C. K., Chung, M. N., Sun, H. J., Kwang, H. H., Kyu Oh, D., & Suh, I. (2004) · BMJ · doi:10.1136/bmj.38050.593634.63 · Cited by 600
Sawka, M. N., Leon, L. R., Montain, S. J., & Sonna, L. A. (2011) · Comprehensive Physiology · doi:10.1002/cphy.c100082 · Cited by 470
Alanine Aminotransferase-Old Biomarker and New Concept: A Review
Liu, Z., Que, S., Xu, J., & Peng, T. (2014) · International Journal of Medical Sciences · doi:10.7150/ijms.8951 · Cited by 266
Metadata
- Authors
- Sherman, K. E.
- Venue
- Archives of Internal Medicine
- Publisher
- American Medical Association
- Published
- 1991-02-01
- Volume
- 151
- Issue
- 2
- Pages
- 260-265
- ISSN
- 0003-9926 (ISSN-L)
- OpenAlex
- W4230141849
- Cited by
- 173
- References
- 0
- FWCI
- 2.09
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Alanine aminotransferase in clinical practice. A review. https://app.cochat.ai/papers/10.1001/archinte.151.2.260
- The paper
- Sherman, K. E. (1991). Alanine aminotransferase in clinical practice. A review. Archives of Internal Medicine. https://doi.org/10.1001/archinte.151.2.260
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.