The values mentioned in the liver function tests (LFTs) provide important information about liver health and function. Here is an explanation of each of these parameters:
1. ALT (Alanine Aminotransferase)
- Function: ALT is an enzyme found mostly in the liver. It helps in converting alanine (an amino acid) into pyruvate, a key component in energy production.
- Normal Range: Typically 7 to 56 U/L (Units per Liter), but can vary slightly depending on the lab.
- Elevated Levels: Elevated ALT levels indicate liver cell injury, which can be caused by liver diseases such as hepatitis, fatty liver disease, or liver damage from alcohol or drugs.
2. AST (Aspartate Aminotransferase)
- Function: AST is an enzyme found in the liver, heart, muscles, kidneys, and brain. Like ALT, it plays a role in the conversion of amino acids.
- Normal Range: Typically 10 to 40 U/L, but can vary by laboratory.
- Elevated Levels: Increased AST levels may indicate liver damage, but because AST is found in other tissues, elevated levels can also suggest heart problems (e.g., heart attack), muscle injury, or kidney issues.
3. ALP (Alkaline Phosphatase)
- Function: ALP is an enzyme found in the liver, bones, kidneys, and bile ducts. It plays a role in breaking down proteins.
- Normal Range: 44 to 147 U/L, though it can vary by age, sex, and lab.
- Elevated Levels: High ALP levels can indicate liver disease (especially bile duct obstruction or cholestasis), bone disorders (e.g., Paget’s disease), or certain cancers.
4. Total Bilirubin
- Function: Bilirubin is a product of the breakdown of hemoglobin from red blood cells. It is processed by the liver and excreted as bile.
- Normal Range: 0.1 to 1.2 mg/dL.
- Elevated Levels: Increased total bilirubin can lead to jaundice (yellowing of the skin and eyes). This can be due to liver dysfunction, bile duct obstruction, hemolysis (excessive breakdown of red blood cells), or other conditions.
5. Direct Bilirubin (Conjugated Bilirubin)
- Function: This form of bilirubin is processed by the liver and is water-soluble, allowing it to be excreted in bile.
- Normal Range: 0.0 to 0.3 mg/dL.
- Elevated Levels: High levels of direct bilirubin are typically associated with liver diseases like hepatitis or cirrhosis, or bile duct obstructions, since the liver cannot properly process and excrete bilirubin.
6. Indirect Bilirubin (Unconjugated Bilirubin)
- Function: This is the form of bilirubin before it has been processed by the liver, and it is not water-soluble.
- Normal Range: 0.2 to 0.8 mg/dL.
- Elevated Levels: High indirect bilirubin can indicate excessive breakdown of red blood cells (hemolysis) or problems with bilirubin uptake or conjugation in the liver.
7. Albumin
- Function: Albumin is a protein made by the liver. It helps maintain blood volume and pressure by keeping fluid from leaking out of blood vessels. It also transports various substances, including hormones, vitamins, and drugs.
- Normal Range: 3.5 to 5.0 g/dL.
- Low Levels: Low albumin levels can indicate liver disease (e.g., cirrhosis or liver failure), kidney disease, or malnutrition.
8. Total Protein
- Function: Total protein measures the total amount of protein in the blood, which includes albumin and globulins. It reflects the body’s nutritional status and the liver’s ability to produce proteins.
- Normal Range: 6.0 to 8.3 g/dL.
- Abnormal Levels: Low total protein can indicate liver disease, kidney disease, or malnutrition. High levels may occur with chronic inflammation, multiple myeloma, or certain infections.
Interpretation of Results:
- Elevated ALT and AST: Likely indicate liver injury or damage (viral hepatitis, alcoholic liver disease, etc.), but could also be caused by muscle or heart issues.
- Elevated ALP: Could suggest biliary obstruction or bone disease.
- Elevated Bilirubin (Total, Direct, or Indirect): Jaundice, liver dysfunction, or hemolysis may be the cause.
- Low Albumin and Total Protein: May indicate chronic liver disease, malnutrition, or kidney issues.
These tests are commonly ordered together to assess liver function, but the interpretation of these values should be done by a healthcare provider, considering the entire clinical picture and any additional tests or symptoms.