Serum glutamate pyruvate transaminase (SGPT) and serum glutamate oxaloacetate transaminase (SGOT) are important serum transaminase enzymes that serve as indicators of liver damage. Their levels significantly increase when the liver is compromised. In contrast, serum creatine kinase (CK) is a serum kinase enzyme that elevates in response to heart damage, highlighting its role in cardiac health.
Urea synthesis, a critical metabolic process in mammals, primarily occurs in the liver. This process involves a series of reactions, some of which take place in the mitochondria of liver cells, while others occur in the cytosol. Various tissues, including muscles, contribute to the urea cycle by transporting glutamine to the liver for nitrogen processing. Additionally, muscles send alanine, which can be converted to pyruvate, thus supporting gluconeogenesis in the liver.
Tetrahydrofolate and its derivatives are essential for transferring one-carbon units between different substrates, playing a vital role in various metabolic pathways. Other important one-carbon transfer cofactors include biotin and S-adenosylmethionine (SAM), which facilitate these transfers. Most amino acid degradation pathways ultimately lead to intermediates of the citric acid cycle, underscoring the interconnectedness of metabolic processes.