Molecular Classification
Enzyme, Transaminase
Other Names
Alanine aminotransferase, ALAT, Serum glutamic-pyruvic transaminase, SGPT, GPT
Disease Roles
HepatitisFatty liver disease (MASLD/NAFLD)Cirrhosis

Alanine transaminase Overview

Alanine transaminase (ALT), also known as alanine aminotransferase, is an enzyme that catalyzes the reversible transfer of an amino group from L-alanine to α-ketoglutarate, producing pyruvate and L-glutamate. It is primarily found in the liver and serves as a sensitive biomarker for hepatocellular injury and disease. Elevated ALT levels in the blood indicate liver damage, making it a key component of liver function tests.

Mechanism of Action

Biological Functions

Nitrogen metabolism
Gluconeogenesis
Energy production
Amino acid balance
Amino group transfer

Disease Associations

Hepatitis
Fatty liver disease (MASLD/NAFLD)
Cirrhosis
Drug-induced liver injury
Liver damage
Alcoholic liver disease

Safety Considerations

  • Elevated levels indicate potential liver damage

Associated Biomarkers

Biomarker
ALT levels for liver health
AST/ALT ratio for liver disease differentiation