Description
Quest Diagnostics Laboratory-CDT. alcohol Test-TRASFERRIN, CARBOHYDRATEDEFICIENT
Carbohydrate deficient transferrin (CDT) has proven be more useful than most available biochemical tests for alcohol abuse in people.
Elevated levels of CDT are sugges of recent alcohol abuse, particularly when these findings are corroborated with measured elevation of other liver-associated enzymes. Some of the uses of CDT include long term monitoring for early detection of relapse drinking during medical treatment, permitting early intervention.2 It may also aid in the assessment for reinstating driver licenses or in identifying chronic alcoholics among traumatized patients.3
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From a structural point of view , transferrin is a polypeptide with two N-linked polysaccharide chains, branched with sialic acid residues. According to the level of sialylation, there are various forms of transferrin, tetrasialotransferrin being predominant. The proportion of transferrin with zero, one or two sialic acid chains increases with alcohol consumption but also in the carbohydrate deficient glycoprotein syndrome, leading to the so-called carbohydrate deficient transferrin.