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Lactate dehydrogenase

Last reviewed dd mmm yyyy. Last edited dd mmm yyyy

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Lactate dehydrogenase is a widespread cytosolic enzyme, found in the greatest concentrations in heart, skeletal muscle, liver, kidney and red blood cells. Many of these tissues rely on anaerobic glycolysis for energy.

LDH catalyses the conversion of pyruvate to lactate, and vice versa. In the forward reaction, NADH is oxidized to produce NAD. NAD is vital as an oxidizing agent to facilitate flux through the glycolytic pathway.

Increased plasma activity is usually the result of leakage of enzyme from tissues as a result of damage: it is 500 times more concentrated within the cytosol relative to plasma.

LDH is a tetramer made up of combinations of 2 polypeptide chains. Five isoenzymes are recognised, designated LD1 to LD5, according to the number of each chain type resulting in different molecular mass and electrophoretic mobility:

  • LD1 and LD2 are predominant in the heart, red cells and kidney
  • LD4 and LD5 are predominant in the liver and some skeletal muscles
  • no single isoenzymes predominate in the lung and spleen

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The content herein is provided for informational purposes and does not replace the need to apply professional clinical judgement when diagnosing or treating any medical condition. A licensed medical practitioner should be consulted for diagnosis and treatment of any and all medical conditions.

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