[Lactate dehydrogenase, glucosephosphate dehydrogenase, glutathione reductase and adenosine triphosphatase activities in the erythrocytes of patients with acute viral hepatitis].

Some indices of erythrocyte metabolism (EM): activity of lactate dehydrogenase (LDH), glucose-6-phosphate dehydrogenase (G-6-PD), glutathione reductase (GR) and common adenosinetriphosphatase (ATPase) activity were studied in 102 patients with acute viral hepatitis (AVH). The suppression of erythrocyte enzymatic activity (EE) was revealed. It was most noticeable at the peak of average and severe AVH. In a decrease of jaundice and during reconvalescence G-6-PD, GR and ATPase activity reduced up to the control level. The suppression of LDH activity was more noticeable, maintained at discharge and was of prognostic value in investigation at early periods of disease in cases of prolonged reconvalescence. Changes in EE activity showed correlation with indices of liver function (levels of certain bilirubin fractions and transaminase activity). In cases of developing deficiency of erythrocyte G-6-PD activity there was a high correlation between a degree of cytolysis and the suppression of erythrocyte LDH activity. The importance of erythrocyte metabolic derangements revealed in AVH pathogenesis was discussed.