Lactate Dehydrogenase and its Isoenzymes

  • Shan S. Wong
Part of the Pathology and Laboratory Medicine book series (PLM)

Abstract

Lactate dehydrogenase (EC 1.1.1.27; L-Lactate:NAD+ Oxidoreductase; LD)* belongs to the class of enzymes that catalyze oxidoreduction reactions and is widely distributed in all human tissues. It is involved in the last step of anaerobic glycolysis to regulate the pyruvate-lactate conversion for the replenishment of oxidized coenzyme, NAD+ (1–3). In the glycolytic pathway (Embden-Meyerhof), NAD+ is consumed with concomitant production of reduced nicotinamide adenine dinocleotide (NADH). LD catalyzes the of reduction of pyruvate to L-lactate with the mediation of NADH as a hydrogen donor. The reaction is reversible and strongly favors the production of lactate with an equilibrium constant of 3.6 × 104 M-l (4)

Keywords

Acute Myocardial Infarction Lactate Dehydrogenase Serum Enzyme Dehydrogenase Isoenzyme Creatine Kinase Isoenzyme 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Schwert GW and Winer AD (1963) Lactate dehydrogenase. In: The Enzymes, vol. 7, Boyer PD, Lardy HA, and Myrback K, eds. Press, New York, Academic, pp. 127–148.Google Scholar
  2. 2.
    Everse J and Kaplan NO (1973) Lactate dehydrogenase. Structure and function. Adv. Enzymol. 61–133.Google Scholar
  3. 3.
    Holbrook JJ, Liljas A, Steindel SJ, and Rossmann MG (1975) Lactate dehydrogenase. In: The Enzymes, 3rd ed., vol 11, Boyer PD, ed., New York, Academic, pp. 191–292.Google Scholar
  4. 4.
    Hakala MT, Glaid AJ, and Schwert GW (1956) Lactate dehydrogenase. II. Variation of kinetic and equilibrium constants with temperature. J. Biol. Chem. 221:191–209.PubMedGoogle Scholar
  5. 5.
    McComb RB (1983) The measurement of lactate dehydrogenase. In Clinical and Analytical Concepts in Enzymology, Hom-burger, HA, ed., Skokie, IL, College of American Pathologists, pp. 157–171.Google Scholar
  6. 6.
    Gay RS, McComb RB, and Bowers GN Jr (1968) Optimum reaction conditions for human lactate dehydrogenase isoenzyme as they affect total lactate dehydrogenase activity. Clin. Chem. 14:740–747.PubMedGoogle Scholar
  7. 7.
    Prochazka B and Wachsmuth ED (1972) Isozyme pattern of lactate dehydrogenase, creatine phosphokinase, phosphoglucomu-tase and aldolase of guinea pig tissue during ontogeny. J. Exp. Zool. 182:201–209.PubMedGoogle Scholar
  8. 8.
    Virji N and Naz RK (1995) The role of lactate dehydrogenase C4 in testicular function and infertility. Int. J. Androl. 18:1–7.PubMedGoogle Scholar
  9. 9.
    Stambaugh R and Buckley J (1967) The enzymic and molecular nature of the lactate dehydrogenase subbands and X4 isoenzyme. J. Biol. Chem. 242:4053–4059.PubMedGoogle Scholar
  10. 10.
    Taylor SS, Allison WS, and Kaplan NO (1975) The amino acid sequence of the tryp-tic peptides isolated from dogfish M4 lactate dehydrogenase. J. Biol. Chem. 250: 8740–8747.PubMedGoogle Scholar
  11. 11.
    Ernes AV, Gallimore MJ, Hodson AW, and Latner AL (1974) The preparation of crystalline human L-lactate-nicotinamide ade-nine dinucleotide oxidoreductase isoenzyme 1 involving preparative polyacrylamide gel electrophoresis. Biochem. J. 143:453–460.Google Scholar
  12. 12.
    Elliot BA, Jepson EM, and Wilkinson JH (1962) Serum alpha-hydroxybutyrate dehydrogenase: A new test with improved speci-ficity for myocardial lesions. Clin. Sci. 23:305–316.Google Scholar
  13. 13.
    Wong SS and Wong L-JC (1983) A one-step PMR determination of hydrogen transfer stereospecificity of NADP+-linked oxidore-ductases. Int. J. Biochem. 15:147–150.PubMedGoogle Scholar
  14. 14.
    Latner AL and Skillen AW (1968) Iso-zymes in biology and medicine. New York, Academic.Google Scholar
  15. 15.
    Busch H and Nair PV (1957) Inhibition of lactic acid dehydrogenase by fluoropyruvic acid. J. Biol. Chem. 229:377–387.PubMedGoogle Scholar
  16. 16.
    Demetriou JA, Drewes PA, and Gin JB (1974) Enzymes. In: Clinical chemistry principles and technics, 2nd ed., Henry RJ, Cannon DC, and Winkleman JW, eds. Hagerstown MD, Harper and Row, pp. 815–1001.Google Scholar
  17. 17.
    Shifahase Y, Watazu Y, Kaneda N, Uji Y, Okabe H, and Karmen A (1992) Specific assay of serum lactate dehydrogenase iso-enzyme 1 by proteolysis with alpha-chymotrypsin and protein denaturation. Clin. Chem. 38:2193–2196.Google Scholar
  18. 18.
    Panteghini M, Bonora R, and Pagani F (1990) Evaluation of a new commercial assay kit for quantification of isoenzyme 1 in serum. J. Clin. Chem. Clin. Biochem. 28: 545–548.PubMedGoogle Scholar
  19. 19.
    Tanishima K, Hayashi M, Matsushima M, and Mochikawa Y (1985) Activity of lactate dehydrogenase isoenzymes LD1 and LD2 in serum as determined by using an inhibitor of the M-subunit. Clin. Chem. 31:1175–1177.PubMedGoogle Scholar
  20. 20.
    Onigbinde TA, Wu AHB, Wu Y-S, Simmons MJ, and Wong SS (1992) Mechanism of differential inhibition of lactate dehydrogenase isoenzymes in the BMC LD1 assay. Clin. Biochem. 25:425–429.PubMedGoogle Scholar
  21. 21.
    Dixon M and Webb EC (1964) Enzymes, 2nd ed., New York, Academic.Google Scholar
  22. 22.
    Lott JA and Nemesanszky E (1986) Lactate dehydrogenase (LD). In: Clinical enzymol-ogy. A case-oriented approach, Lott JA and Wolf PL., eds. New York, Field and Rich/ Year Book, pp. 213–244.Google Scholar
  23. 23.
    Lott JA and Turner K (1982) Lactate dehydrogenase in serum. In: Selected methods for the small clinical chemistry laboratory, Meites S and Faulkner W, eds. Washington, DC, American Association for Clinical Chemistry, p. 271.Google Scholar
  24. 24.
    Bais R and Philcox M (1994) Approved recommendation on IFCC methods for the measurement of catalytic concentration of enzymes. Part 8. IFCC method for lactate dehydrogenase (L-lactate: NAD+ Oxidore-ductase, EC 1.1.1.27). International Federation of Clinical Chemistry (IFCC). Eur. J. Clin. Chem. Clin. Biochem. 32:639–655.PubMedGoogle Scholar
  25. 25.
    Lorentz K, Kauke R, and Schmidt E (1993) Recommendation for the Determination of the catalytic concentration of lactate dehydrogenase at 37°C. Eur. J. Clin. Chem. Clin. Biochem. 31:897–899.PubMedGoogle Scholar
  26. 26.
    Marshall T, Williams J, and Williams KM (1991) Electrophoresis of serum isoenzymes and proteins following acute myocardial infarction. J. Chromatogr. 569:323–345.PubMedGoogle Scholar
  27. 27.
    Moses GC, Ross ML, and Henderson AR (1988) Ten electrophoretic methods compared with a selected method for quantifying lactate dehydrogenase isoenzymes in serum. Clin. Chem. 34:1885–1890.PubMedGoogle Scholar
  28. 28.
    Van der Helm JJ, Zondag HA, Hartog HAP, and Van der Kooi MW (1962) Lactate dehydrogenase isoenzymes in myocardial infarction. Clin. Chim. Acta. 7:540–549.Google Scholar
  29. 29.
    McKenzie D and Henderson AR (1983) Electrophoresis of lactate dehydrogenase isoenzymes. Selected Methods of Clin. Chem. 10:58–67.Google Scholar
  30. 30.
    Lott JA and Stang JM (1980) Serum enzyme and isoenzymes in the diagnosis and differential diagnosis of myocardial ischemia and necrosis. Clin. Chem. 26:1241–1250.PubMedGoogle Scholar
  31. 31.
    Vasudevan G, Mercer DW, and Varat MA (1978) Lactate dehydrogenase isoenzyme determination in the diagnosis of acute myocardial infarction. Circulation 57: 1055–1057.PubMedGoogle Scholar
  32. 32.
    Otto A and Birkenmeier G (1993) Recognition and separation of isoenzymes by metal chelates. Immobilized metal ion affinity partitioning of lactate dehydrogenase isoen-zymes. J. Chromatogr. 644:25–33.PubMedGoogle Scholar
  33. 33.
    Usategui-Gomez M, Wicks RW, and Warshaw M (1979) Immunochemical determination of the heart isoenzyme of lactate dehydrogenase (LDH1) in human serum. Clin. Chem. 25:729–7PubMedGoogle Scholar
  34. 34.
    Bruns DE, Emerson JC, Intemann S, Berthoff R, Hille KE, and Savory J (1981) Lactate dehydrogenase isoenzyme-1: changes during the first day after acute myocardial infarction. Clin. Chem. 27:1821–1823.PubMedGoogle Scholar
  35. 35.
    Gordesky SE and Winsten S (1982) LD-1/ LD ratio as a diagnostic determinant for myocardial infarction. Clin. Chem. 28:1239.PubMedGoogle Scholar
  36. 36.
    Emerson PM and Wilkinson JH (1965) Urea and oxalate inhibition of the serum lactate dehydrogenase. J. Clin. Pathol. 18:803–807.PubMedGoogle Scholar
  37. 37.
    Scharer KA, Karcher RE, Epstein E, and Kiechle FL (1989) Comparison of agarose gel electrophoresis and a chaotropic method for lactate dehydrogenase isoenzyme-1. Clin. Chem. 35:2250.PubMedGoogle Scholar
  38. 38.
    Paz JM, Garcia A, Gonzales M, Trevino M, Tutor JC, Jaquet M, and Rodringuez-Segade S (1990) Evaluation of determination of lactate dehydrogenase isoenzyme 1 by chemical inhibition with perchlorate or with 1,6-hexanediol. Clin. Chem. 36:355–358.PubMedGoogle Scholar
  39. 39.
    Shamberger RJ (1987) Lactate dehydrogenase isoenzyme 1 as determined by inhibition with 1,6-hexanediol and by two other methods in patients with myocardial infarction or cardiac-bypass surgery. Clin. Chem. 33:589–591.PubMedGoogle Scholar
  40. 40.
    Lazarus EF and Kapke GF (1991) Use of chemical denaturation for centrifugal analyzer determination of lactate dehydrogenase 1 [Letter]. Clin. Chem. 37:1464.PubMedGoogle Scholar
  41. 41.
    Onigbinde TA, Wu AHB, Johnson M, Wu Y-S, Collinsworth WL, and Simmons MJ (1990) Clinical evaluation of an automated chemical inhibition assay for lactate dehy-drogenase isoenzyme 1. Clin. Chem. 36: 1819–1822.PubMedGoogle Scholar
  42. 42.
    Painter PC, Van Meter S, Dabbs RL, and Clement GE (1994) Analytical evaluation and comparison of DuPont aca lactate dehy-drogenase-1 (LD1) isoenzyme assay diagnostic efficiency for acute myocardial infarction detection with other LD1 methods and aca CK-MB. A two-site study. Angiology 45:585–595.PubMedGoogle Scholar
  43. 43.
    Rotenberg Z, Davidson E, Weinberger I, Fuchs J, Sperling O, and Agmon J (1988) The efficiency of lactate dehydrogenase isoenzyme determination for the diagnosis of acute myocardial infarction. Arch. Pathol. Lab. Med. 112:895–897.PubMedGoogle Scholar
  44. 44.
    Batsakis JG and Briere RO (1967) Interpretative Enzymology, Springfield, IL, American Society of Clinical Pathology.Google Scholar
  45. 45.
    Leung FY and Handerson AR (1979) Thin-layer agarose electrophoresis of lactate dehydrogenase isoenzymes in serum: A note on the method of reporting and on the lactate dehydrogenase isoenzyme-1/isoen-zyme-2 ratio in acute myocardial infarction. Clin. Chem. 25:209–211.PubMedGoogle Scholar
  46. 46.
    Blomberg DJ, Kimber WD, and Burke MD (1975) Creatine kinase isoenzymes. Predictive value in the early diagnosis of acute myocardial infarction. Am. J. Med. 59:464–4PubMedGoogle Scholar
  47. 47.
    Smith DA, Leung FY, Jablonsky G, and Henderson AR (1987) Determination, by radioimmunoassay, of the mass of lactate dehydrogenase isoenzyme 1 in human serum and of its rate of removal from serum after a myocardial infarction. Clin. Chem. 33: 1863–1868.PubMedGoogle Scholar
  48. 48.
    Ellis AK (1991) Serum protein measurements and the diagnosis of acute myocardial infarction. Circulation 83:1107–1109.PubMedGoogle Scholar
  49. 49.
    Roe CR (1977) Diagnosis of myocardial infarction by serum isoenzyme analysis. Ann. Clin. Lab. Sci. 7:201–209.PubMedGoogle Scholar
  50. 50.
    Lott JA (1984) Serum enzyme determinations in the diagnosis of acute myocardial infarction. An update. Human Pathol. 15:706–716.Google Scholar
  51. 51.
    Galen RS and Gambino SR (1975) Beyond normality: the predicative value and efficiency of medical diagnosis. New York, John Wiley.Google Scholar
  52. 52.
    Rotenberg Z, Weinberger I, Davidson E, Fuchs J, Sperling O, and Agmon J (1988) Does serial determination of lactate dehydrogenase isoenzyme 1 and 2 ratios contribute to the diagnosis of acute myocardial infarction? Clin. Chem. 34:1506–1507.PubMedGoogle Scholar
  53. 53.
    Ruzich RS (1992) Cardiac enzymes. How to use serial determinations to confirm acute myocardial infarction. Postgrad. Med. 92(7):85–89.PubMedGoogle Scholar
  54. 54.
    Vermeer F and Van der Laarse A (1993) Cumulative enzyme release as a measure of infarct size in patients with acute myocardial infarction receiving thrombolytic therapy. Arch. Mal. Coeur. Vaiss. 4:25–28.Google Scholar
  55. 55.
    Graeber GM, Shawl FA, Head HD, Wolf RE, Burge JR, Cafferty PJ, Lough FC, and Zajtchuk R (1986) Changes in serum creatine kinase and lactate dehydrogenase caused by acute perioperative myocardial infarction and by transatrial cardiac surgical procedures. J. Thorac. Cardiol. Surg. 92: 63–72.Google Scholar
  56. 56.
    Kazmierczak SC, Castellani WJ, van Lente F, Hodges ED, and Udis B (1990) Effect of reticulocytosis on lactate dehydrogenase isoenzyme distribution in serum. In vivo and in vitro studies. Clin. Chem. 36:1638–1641.PubMedGoogle Scholar
  57. 57.
    Zimmerman HJ and Henry JB (1979) Clinical enzymology. In: Clinical diagnosis and management by laboratory methods, Henry JB, ed., Philadelphia, Saunders, p. 368.Google Scholar
  58. 58.
    Cohen L, Djordjevich J, and Jacobsen, S (1966) The contribution of isoenzymes of serum lactic dehydrogenase (LD) to the diagnosis of specific organ injury. Med. Clin. North Am. 50:193–209.PubMedGoogle Scholar
  59. 59.
    Runde I and Dale J (1966) Serum enzymes in acute tachycardia. Acta. Med. Scand. 179:535–541.PubMedGoogle Scholar
  60. 60.
    Glick JH (1969) Serum lactate dehydrogenase isoenzymes and total lactate dehydrogenase values in health and disease, and clinical evaluation of these tests by means of discrininant analysis. Am. J. Clin. Pathol. 52:320–326.PubMedGoogle Scholar
  61. 61.
    Auvinen S (1974) Evaluation of serum enzyme tests in the diagnosis of acute myocardial infarction. Acta. Med. Scand. Suppl. 539:7–62.Google Scholar
  62. 62.
    Michie DD, Conley MA, Carretta RF, and Booth RN (1970) Serum enzyme changes following cardiac catheterization with and without selective coronary arteriography. Am. J. Med. Sci. 260:11–20.PubMedGoogle Scholar
  63. 63.
    Kutsal A, Saydam GS, Yucel D, and Balk M (1991) Changes in the serum levels of CK-MB, LD, LDI, SGOT and myoglobin due to cardiac surgery. J. Cardiovasc. Surg. 32:516–522.Google Scholar
  64. 64.
    Trujillo NP, Nutter D, and Evans JM (1967) The isoenzymes of lactic dehydrogenase. II. Pulmonary embolism, liver disease, the postoperative state and other medical conditions. Arch. Intern. Med. 119:333–344.PubMedGoogle Scholar
  65. 65.
    Forman DT, Kieffer H, and Grayson SH (1977) Serum creatine kinase inhibition in Reye’s syndrome. Clin. Chem. 23: 1364–1365.PubMedGoogle Scholar
  66. 66.
    Minutiello L (1993) The enzymatic and elec-trocardiographic changes falsely indicative of an acute myocardial infarct during hypothyroidism [Italian]. Minerva Car-dioangiol. 41:597–602.Google Scholar
  67. 67.
    Konttinen A, Somer H, and Auvinen S (1974) Serum enzymes and isoenzymes, extrapulmonary sources in acute pulmonary embolism. Arch. Intern. Med. 133:243–246.PubMedGoogle Scholar
  68. 68.
    Reiffei JA, McCarthy DM, and Leahey EB Jr (1979) Does DC cardioversion affect isoenzyme recognition of myocardial infarction? Am. Heart J. 97:810–811.Google Scholar
  69. 69.
    Kielblock AJ, Manjoo M, Booyens J, and Katzeff IE (1979) Creatine phosphokinase and lactate dehydrogenase levels after ultra long-distance running. S. Afr. Med. J. 55:1061–1064.PubMedGoogle Scholar
  70. 70.
    Wolfson S, Rose LI, Brousser JE, Parisi AF, Acosta AE, Cooper KH, and Schechter E (1972) Serum enzyme levels during exercise in patients with coronary heart disease: effects of training. Am. Heart J. 84:478–483.PubMedGoogle Scholar
  71. 71.
    Wieme RJ and Herpol JE (1962) Origin of the lactate dehydrogenase isoenzyme pattern found in the serum of patients having primary muscular dystrophy. Nature 194:287–289.PubMedGoogle Scholar
  72. 72.
    Cohen L, Block J, and Djordjevich J (1967) Sex related differences in isoenzymes of serum lactic dehydrogenase (LDH). Proc. Soc. Exp. Biol. Med. 126:55–62.Google Scholar
  73. 73.
    Spector R, Choudhury A, Cancilla P, and Lakin R (1979) Alcohol myopathy. Diagnosis by alcohol challenge. J. Am. Med. Assoc. 242:1648–16Google Scholar
  74. 74.
    Perez-Carceles MD, Osuna E, Vieira DN, Martinez A, and Luna A (1995) Biochemical assessment of acute myocardial ischaemia. J. Clin. Pathol. 48:124–128.PubMedGoogle Scholar
  75. 75.
    Tietz NW, and Finley PR, eds. (1983) Clinical guide to laboratory tests. Philadelphia, Saunders.Google Scholar
  76. 76.
    Scandinavian Society for Clinical Chemistry and Clinical Physiology (1974) Recommended methods for the determination of four enzymes in blood. Scand. J. Clin. Lab. Invest. 33:291–306.Google Scholar
  77. 77.
    Giorgio J (1971) Determination of serum lactic dehydrogenase isoenzymes by use of the “diagnostest” cellulose acetate elec-trophoresis system. Clin. Chem. 17:326–331.PubMedGoogle Scholar
  78. 78.
    Dietz AA, Lubrano T, and Rubinstein HM (1972) LDH isoenzymes. Stand Methods Clin. Chem. 7:49–61.Google Scholar
  79. 79.
    Jablonsky G, Leung FY, and Henderson AR (1985) Changes in the ratio of actate dehydrogenase isoenzymes 1 and 2 during the first day after acute myocardial infarction. Clin. Chem. 31:1621–1624.PubMedGoogle Scholar
  80. 80.
    Loughlin JF, Krijnen PM, Jablonsky G, Leung FY, and Henderson AR (1988) Diagnostic efficiency of four lactate dehydrogenase isoenzyme-1 ratios in serum after myocardial infarction. Clin. Chem. 34: 1960–1965.PubMedGoogle Scholar
  81. 81.
    Harris EK and Yasaka T (1983) On the calculation of a “reference change” for comparing two consecutive measurements. Clin. Chem. 29:25–30.PubMedGoogle Scholar
  82. 82.
    Kairisto V, Virtanen A, Uusipaikka E, Voipio-Pulkki LM, Nanto V, Peltola O, and Irjala K (1993) Method for determining referene changes from patient’s serial data: examples of cardiac enzymes. Clin. Chem. 39:2298–2304.PubMedGoogle Scholar
  83. 83.
    Magid E, Hyltoft, Petersen P, and Christensen M (1992) A note on the theory of reference changes. Scan. J. Clin. Lab. Invest. 52(Suppl 208):95–101.Google Scholar
  84. 84.
    Kraft J, Aastrup H, and Schroder P (1978) Diagnostic value for acute myocardial infarction of creatine kinase and lactate dehydro-genase isoenzymes compared with total enzymes. Acta. Med. Scand. 203:167–174.PubMedGoogle Scholar
  85. 85.
    Wagner GS, Roe CR, Limbird LL, Rosti RR, and Wallace AG (1973) The importance of identification of the myocardial specific isoenzyme of creatine phosphokinase (MB form) in the diagnosis of acute myocardial infarction. Circulation 47:263–269.PubMedGoogle Scholar
  86. 86.
    Rehurek J and Snopkova J (1995) Lactate dehydrogenase activity in the diagnosis of retinoblastoma. (Czech). Cesk. Oftalmol. 51:14–18.Google Scholar
  87. 87.
    Kanowski D and Clague A (1994) Increased lactate dehydrogenase isoenzyme-1 in a case of glucagonoma [Letter]. Clin. Chem. 40:158–159.PubMedGoogle Scholar
  88. 88.
    Rodrigue F, Boyer O, Feillet F, and Lemonnier A (1995) Lactate dehydrogenase isoen-zyme LD5/LD2 ratio as an indicator of early graft function and complications following pediatric orthotopic liver transplantation. Transplant Proc. 27:1871–1874.PubMedGoogle Scholar
  89. 89.
    Schwartz MK (1978) Enzymes in cancer. Clin. Chem. 19:10–22.Google Scholar
  90. 90.
    Langvad F and Jemec B (1975) Prediction of local recurrence in colorectal carcinoma: an LDH isoenzymatic assay. Br. J. Cancer 35:661–664.Google Scholar
  91. 91.
    Liu F, Fritsche HA, Trujillo JM, and Samuels ML (1982) Serum lactate dehydrogenase isoenzyme 1 in patients with advanced testicular cancer. Am. J. Clin. Pathol. 78:178–183.PubMedGoogle Scholar
  92. 92.
    Seronie-Vivien S, Favre G, Chevreau C, and Soula C (1992) Abnormal lactate dehydrogenase isoenzyme pattern in serum of a patient with a testicular tumor [Letter]. Clin. Chem. 38:2354–2355.PubMedGoogle Scholar
  93. 93.
    Buchsbaum RM, Liu FJ, and Trujillo JM (1991) Serum lactate dehydrogenase-3 (LD-3) isoenzyme in chronic granulocytic leukemia. Am. J. Clin. Pathol. 96:464–469.PubMedGoogle Scholar
  94. 94.
    Fleisher M, Wasserstrom W, Schold S, Schwartz MK, and Posner J (1981) Lactic dehydrogenase isoenzymes in the cere-brospinal fluid of patients with systemic cancer. Cancer 41: 105–107.Google Scholar
  95. 95.
    Verma PK, Singh JN, and Quadros M (1993) LDH-X in azoospermia: A new diagnostic alternative to vasography and testicul biopsy. Indian J. Med. Sci. 47:204–207.PubMedGoogle Scholar
  96. 96.
    Wong SS and Huie R (1995) Comparison of Trace and BMC LD-1 isoenzyme reagents on DuPont Dimension AR and Hitachi 717 analyzers. Clin. Chem. 41:S177.Google Scholar
  97. 97.
    Sandstad JS, McKenna RW, and Keffer JH, eds. (1992) Handbook of clinical pathology. Chicago, American Society of Clinical Pathology Press, pp. 69–72.Google Scholar
  98. 98.
    Levinson SS and Hobbs GA (1994) Usefulness of various lactate deydrogenase isoenzyme 1 profiles after myocardial infarction. Ann. Clin. Lab. Sci. 24: 364–370.PubMedGoogle Scholar
  99. 99.
    Lum G (1988) Evaluation of a protocol for lactate dehydrogenase (LD) isoenzymes. Am. J. Clin. Pathol. 90:613–617.PubMedGoogle Scholar
  100. 100.
    Reis GJ, Kaufman HW, Horowitz GL, and Pasternak RC (1988) Usefulness of lactate dehydrogenase and lactate dehydrogenase isoenzymes for diagnosis of acute myocardial infarction. Am. J. Card. 61: 754–758.PubMedGoogle Scholar
  101. 101.
    Jaff AS, Landt Y, Parvin AC, Abendschein DR, Geltman EM, and Ladenson JH (1996) Comparative sensitivity of cardiac troponin I and lactate dehydrogenase isoenzymes for diagnosis of acute myocardial infarction. Clin. Chem. 42: 1770–1776.Google Scholar
  102. 102.
    Martins JT, Li DJ, Baskin LB, Jialal I, and Keffer JH (1996) Comparison of cardiac troponin I and lactate dehydrogenase isoenzymes for the late diagnosis of myocardial injury. Am. J. Clin. Pathol. 106:705–708.PubMedGoogle Scholar
  103. 103.
    Konttinen A and Somer H (1973) Specifity of serum creatine kinase isoenzyme in diagnosis of acute myocardial infarction. Br. Med. J. 1:386–389.PubMedGoogle Scholar
  104. 104.
    Galen RS, Reiffei JA, and Gambino SR (1975) Diagnosis of acute myocardial infarction. Relative efficiency of serum enzyme and isoenzyme measurements. J. Am. Med. Assoc. 232:145–147.Google Scholar
  105. 105.
    Grande P, Christianseim C, and Pedersen A (1978) Creatine kinase MB isoenzyme in diagnosis of acute myocardial infarction. Acta. Med. Scand. Suppl. 623:48–52.PubMedGoogle Scholar
  106. 106.
    Gann D, Cabello B, DiBella J, Rywlin AM, and Samet P (1978) Optimal enzyme test combination for diagnosis of acute myocardial infarction. South Med. J. 71: 1459–1462.PubMedGoogle Scholar
  107. 107.
    Obzansky D and Lott JA (1980) Clinical evaluation of an immunoinhibition procedure for creatine kinase MB. Clin. Chem. 26:150–152.PubMedGoogle Scholar
  108. 108.
    Strauss HD and Roberts R (1980) Plasma creatine kinase activity and other conventional enzymes. Arch. Intern. Med. 140:336–339.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1998

Authors and Affiliations

  • Shan S. Wong

There are no affiliations available

Personalised recommendations