Is There a New Normal for Healthy ALT Levels?


— Christine M. Kukka, Project Manager, HBV Advocate

Alanine aminotransferase (ALT) is an enzyme produced by liver cells. When liver cells are damaged by HBV infection, ALT levels in the blood increase above normal—but what really is normal?

Several years ago, researchers discovered they had pegged “normal” ALT levels too high, and established new, healthy ALT normal levels at up to 30 international units per liter (IU/L) for men and 19 IU/L for women. But a report published in the December issue of Hepatology Research, suggests that figure should be tweaked. 

Japanese researchers analyzed ALT levels in 11,404 healthy adults and then weeded out subjects whose ALT levels could be affected by older age, weight, diabetes, and high cholesterol.
When only the healthiest adult subjects were evaluated, the new “healthy” ALT was 29 IU/L for men and 23 IU/L for women. 

Source: http://onlinelibrary.wiley.com/doi/10.1111/hepr.12293/abstract

Source: HBV Journal Review January 1, 2014, Vol 11, no 1    



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