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GGT - gammaglutamyltranspeptidase, gammaglutamyltransferase - is an enzyme that is mainly found in the kidneys, liver, pancreas and less so in other tissues.
GGT synthesis can be induced by hepatic cholestasis, chronic alcohol consumption, and therapeutic doses of drugs such as phenytoin. GGT levels are elevated in hepatocytes during hepatoma, in hepatocytes compressed by liver tumors, and in cirrhotic liver regenerative areas. Increased serum GGT levels are also caused by damage to the cell membrane by toxins (including alcohol), ischemia, infections. GGT is a specific enzyme in the liver and bile ducts.
GGT is a diagnostic marker of damage to the hepatobiliary system (liver, bile ducts) and is defined in the following diseases:
Alkaline phosphatase (ALP), alanine aminotransferase (ALT), aspartate aminotransferase (AST), total and direct bilirubin fraction are usually determined in conjunction with GGT.
The importance of GGT is more informative for biliary system diseases (cholecystitis, cholangitis, obstructive jaundice) than the importance of ALP because it increases earlier and lasts longer.
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