Lactate Dehydrogenase (LDH or LD)

Lactate dehydrogenase (LDH) is an important enzyme found in nearly all living cells, playing a critical role in converting sugar into energy. This enzyme is pivotal in the process of glycolysis, where it helps convert pyruvate, the end product of glycolysis, into lactate when oxygen is scarce. This reaction is essential for energy production, especially in conditions where oxygen levels are low, such as during intense exercise. LDH exists in five different forms, known as isoenzymes, which are found in different tissues of the body. Elevated levels of LDH in the blood can be an indicator of tissue damage or disease, as cells release LDH when they are damaged or destroyed. Therefore, measuring LDH levels can be useful in diagnosing and monitoring conditions such as heart attacks, liver disease, muscle injury, and certain types of cancer. Because LDH is widely present in various tissues, its levels alone cannot pinpoint the exact location of damage, but it serves as a valuable marker in conjunction with other tests to provide a comprehensive understanding of a patient's health.

References:

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- Schmitt, Y., et al., "Lactate dehydrogenase release as a biomarker of cellular death," Biosensors and Bioelectronics, 2019.