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Fructose 1,6-bisphosphatase in the diagnosis of chronic hepatitis. II. Classification of chronic hepatitis based on fructose 1,6-bisphosphatase and other laboratory data
Authors:H von Rechenberg  P Fister  E Eigenbrodt  K J Matthes  L Róka
Affiliation:1. Institut für Klinische Chemie und Pathobiochemie, GiessenFRG;2. Institut für Biochemie und Endokrinologie GiessenFRG;3. Zentrum für Innere Medizin, D-6300 GiessenFRG
Abstract:
The histomorphology of typical liver cell necroses are here correlated with heterotope distributions of enzymes in liver parenchyma. A variety of findings indicate a congruence between gluconeogenetic areas of the liver and the typical pattern of 'piecemeal' necrosis. We therefore propose a diagnostic index based on fructose 1,6-bisphosphatase activity and the data from the clinical laboratory. This index makes it possible to distinguish between chronic persistent and chronic aggressive hepatitis.
Keywords:Classification of chronic hepatitis  Metabolic zonation  Fructose 1,6-bisphosphatase  fructose 1,6-bisphosphatase (EC 3.1.3.11)  G6Pase  glucose 6-phosphatase (EC 3.1.3.9)  PEPCK  phosphoenolpyruvate carboxykinase (EC 4.1.1.38)  PK  pyruvate kinase (EC 2.7.1.40)  ALT  alanine aminotransferase (EC 2.6.1.2)  AST  aspartate aminotransferase (EC 2.6.1.1)  GDH  glutamate dehydrogenase (EC 1.4.1.2)
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