Lab Guide
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Test ID: GGT
GGT
Useful For

To evaluate for a possible liver disease or bile duct disease and to differentiate between liver and bone disease. Used as a screening test for alcohol abuse.

Method name and description

Enzymatic colorimetric assay

γ-glutamyltransferase transfers the γ-glutamyl group of L-γ-glutamyl-3-carboxy-4-nitroanilide to glycylglycine.

Enzymatic colorimetric assay performed on the Roche cobas c-systems. γ‑glutamyltransferase transfers the γ‑glutamyl group of L‑γ‑glutamyl‑3‑carboxy‑4‑nitroanilide to glycylglycine. The amount of 5‑amino‑2‑nitrobenzoate liberated is proportional to the GGT activity in the sample. It is determined by measuring the increase in absorbance photometrically.

Clinical information

γ‑glutamyltransferase is used in the diagnosis and monitoring of hepatobiliary diseases. Enzymatic activity of GGT is often the only parameter with increased values when testing for such diseases, and is one of the most sensitive indicators known. γ‑glutamyltransferase is also a sensitive screening test for occult alcoholism. Elevated GGT activities are found in the serum of patients requiring long‑term medication with phenobarbital and phenytoin.  (Roche Cobas γ-Glutamyltransferase ver.2 package insert ; Roche Diagnostic Corp., Indianapolis, IN)

Aliases

Gamma-Glutamyl Transferase, GGT

 

Specimen type / Specimen volume / Specimen container

Specimen type: Serum, Plasma

Minimum volume of sample: 1 mL

Serum: Plain tube (red or yellow top)

Plasma: Li‑heparin tube

 

Collection instructions / Special Precautions / Timing of collection

Collect blood by standard venipuncture techniques as per specimen requirements. When processing samples in primary tubes (sample collection systems), follow the instructions of the tube manufacturer.

Storage and transport instructions

Storage: 7 days at 15 – 25°C

               7 days at 2 – 8°C

               1 year at (- 15 to - 25°C)

Transport: 2-25°C 

Specimen Rejection Criteria

Grossly hemolyzed, icteric and lipemic samples, wrong collection container, insufficient sample.

Biological reference intervals and clinical decision values
Patient Sex                       Age Range                        Range (U/L)
Female                             0 Mins  To 182 Days          15 - 132
Female                            182 Days To 1 Y                  1 - 39
Female                             1 Y To 12 Y                          4 - 22
Female                            12 Y To 18 Y                         4 - 24
Female                             >18 Y                                    6  -42
Male                                  0 Mins To  182 Days          12-122
Male                                 182 Days To  1 Y                1 - 39
Male                                  1 Y To  12 Y                          3 - 22
Male                                  12 Y To  18 Y                      2 - 42
Male                                  >18 Y                                  10 - 71
Turnaround time / Days and times test performed / Specimen retention time

 Daily (24/7)

Turn-around time:

Routine: One working day

Specimen Retention: 4 days