LCAT and histiocytic sarcoma: However, another liver-secreted protein, lecithin-cholesterol acyltransferase (LCAT) [27], is considered a more sensitive serum test of hepatocyte synthetic capacity [28,29] and in a previous study we showed that splenectomy significantly improved low plasma LCAT activity by around 50%, compared to non-operated HS schistosomiasis patients [30].