“…The enzymes that catalyze these two oxidations are alcohol dehydrogenase (ADH), located in the cytoplasm, catalase in the peroxisomes, the microsomal ethanol oxidizing system (MEOS) in the endoplasmic reticulum (Lieber, 1985), and aldehyde dehydrogenase (ALDH) which is located in the soluble and insoluble fractions of hepatocytes (Crow et al, 1974;Harada, 2001). Although ADH catalyzes the rate-limiting step in the ethanol metabolism (Plapp et al, 1984;Vidal et al, 1990), its physiological role is uncertain (Pietruszko, 1975). However, the serum activity of this enzyme is a specific reflexion of hepatocellular necrosis (Mezey et al, 1968;Skursk et al, 1979) because the highest ADH activities have been found in the liver (Skursk et al, 1979), and the reduction of ADH activity is proportional to the severity of liver disease (Pan et al, 1989;Vidal et al, 1989); that being so, the appearance of this enzyme in serum can indicate liver disease with comparatively good selectivity (Skursk et al, 1979).…”