Liver-related diseases affect citizens in Taiwan greatly. However, the lack of specificity has been a big problem to both ALT (Alanine Transaminase) and AST (Aspartate Transaminase), two common-used biomarkers clinically. Therefore, to find a highly specific biomarker for the diagnosis of liver-related diseases has become popular so far. In previous study, it was found that serum D-lactate increased significantly in patients with liver cirrhosis. Nevertheless, few study talks about D-lactate in urine and liver tissue under the circumstance of liver injuries. Thus, the aim of this study is to figure out the relationship among the changes of D-lactate in urine, serum, liver tissue and liver inflammation.