The following factors can lead to elevated transaminases: 1. Biliary tract diseases: Biliary tract diseases are important causes of elevated transaminases, such as cholecystitis, gallstones, etc., in addition to symptoms such as jaundice, nausea, vomiting, abdominal pain, fever, etc. 2. Liver diseases: Diseases such as liver cancer, cirrhosis, hepatitis, etc. can cause abnormal liver function, which can lead to elevated transaminases. 3. Heart diseases: Diseases such as heart failure, myocarditis, coronary heart disease, myocardial infarction, etc. can lead to elevated transaminases. 4, The liver will protect itself, which will lead to elevated aminotransferases. 6. The liver will be burdened by greasy food or alcohol, which will lead to elevated aminotransferases.