In modern medicine, certain enzymes are often considered indicators of health status. One such enzyme is γ-glutamyl transpeptidase (GGT). This enzyme is not only closely related to liver health, but may also play an important role in cancer and metabolic syndrome. This article will explore in depth the function, clinical significance, and impact of GGT in pathological conditions, and encourage readers to think more deeply about their own health.
GGT is a transferase that is mainly found in the liver and other tissues, such as the kidneys, bile duct, and pancreas. The main function of this enzyme is to promote the metabolism of glutathione, an important compound in combating oxidative stress. GGT supports redox balance within cells by transferring amino acid groups from glutathione to other molecules.
The role of GGT in cells is not limited to the instrumental transfer of amino acids, but also further participates in cell signal transduction and pathophysiology.
A GGT test is primarily used as a diagnostic marker for liver disease. In many liver diseases, serum GGT activity is elevated, which may indicate a problem with the liver or biliary system. Because GGT has a relatively long half-life, in some cases of viral hepatitis, it may take months for elevations in GGT to become apparent.
For example, reference ranges are usually 15–85 IU/L for men and 5–55 IU/L for women.
It is worth noting that elevated GGT is also common in cases of heavy drinking. Although not limited to alcohol intoxication, elevated GGT levels may also be associated with the ingestion of certain medications, many of which can cause elevated GGT levels, such as phenobarbital and phenytoin.
If GGT is elevated in isolation compared to other liver enzymes such as ALT, this may indicate harmful alcohol use or alcoholic liver disease.
In recent studies, slightly elevated levels of GGT have also been found to be associated with cardiovascular disease. GGT accumulates in atherosclerotic plaques, suggesting that it may play a role in the pathogenesis of cardiovascular disease. Its specific protein aggregate form in the blood may be an indicator of pathological conditions such as metabolic syndrome, alcohol addiction and chronic liver disease.
GGT and cancer associationIn addition, GGT is expressed at high levels in many tumors and is closely associated with the process of tumor growth. Studies have shown that GGT can promote the growth of tumor cells and resistance to certain chemotherapy drugs. Therefore, the detection of GGT may be of substantial significance for the early diagnosis and monitoring of cancer.
As our understanding of GGT deepens, have you begun to pay attention to your own health warning lights?