Lactate dehydrogenase, aldehyde dehydrogenase, and glutamate dehydrogenase are important metabolic enzymes. Lactate dehydrogenase catalyzes the interconversion of lactate and pyruvate via NADH. It exists in different isoforms that localize to specific tissues. Aldehyde dehydrogenase oxidizes aldehydes to carboxylic acids using NAD(P)+. It is found in the liver and other tissues and plays a role in ethanol metabolism. Glutamate dehydrogenase converts glutamate and α-ketoglutarate using NAD(P)H and is important for amino acid metabolism, urea synthesis, and insulin secretion regulation. All three enzymes play key roles in cellular metabolism and their levels/activities can indicate metabolic states