1994
DOI: 10.3109/10408369409084677
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Interpretation and Clinical Significance of Alkaline Phosphatase Isoenzyme Patterns

Abstract: Alkaline phosphatase (ALP, EC 3.1.3.1) is a membrane-bound metalloenzyme that consists of a group of true isoenzymes, all glycoproteins, encoded for by at least four different gene loci: tissue-nonspecific, intestinal, placental, and germ-cell ALP. Through posttranslational modifications of the tissue-nonspecific gene, for example, through differences in carbohydrate composition, bone and liver ALP are formed. Nowadays, most commercially available methods for separating or measuring ALP isoenzymes are easy to … Show more

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Cited by 197 publications
(153 citation statements)
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“…The substrate reports the biochemical activity of all AP isoforms (49), whereas levamisole sensitivity discriminates between NS AP, PLA AP, and I AP (50). The identity of the AP isoform(s) was further addressed with L-phenylalanine (I AP and PLA AP) and L-leucine (G AP) (34,35). All experiments were conducted as described above for enzyme assays.…”
Section: Methodsmentioning
confidence: 99%
See 1 more Smart Citation
“…The substrate reports the biochemical activity of all AP isoforms (49), whereas levamisole sensitivity discriminates between NS AP, PLA AP, and I AP (50). The identity of the AP isoform(s) was further addressed with L-phenylalanine (I AP and PLA AP) and L-leucine (G AP) (34,35). All experiments were conducted as described above for enzyme assays.…”
Section: Methodsmentioning
confidence: 99%
“…Whereas ecto 5Ј-NT specifically dephosphorylates nucleoside monophosphates (AMP 3 adenosine (32)), APs will metabolize a spectrum of substrates, including 5Ј-nucleotides (ATP 3 ADP 3 AMP 3 adenosine), pyrophosphate, and p-nitrophenyl phosphate (33). The AP family contains four ectoenzymes: intestinal AP (I AP), tissue nonspecific AP detected in several organs including liver, bone, and kidney (NS AP), placental AP (PLA AP), and germ-cell AP (G AP) reported in testis and malignant tumors (34,35). Two AP isoforms have been localized in human airways: NS AP and PLA AP.…”
mentioning
confidence: 99%
“…ALP is the most relevant enzyme in the diagnosis of bone diseases and is a commonly used marker for mature osteoblasts. 13) The elevation of ALP activity in lactoferrintreated osteoblasts implies that lactoferrin-enhanced ECM calcification would be dependent on ALP activation. We speculate that lactoferrin could adapt the immature osteoblasts into more differentiated phenotypes.…”
mentioning
confidence: 99%
“…ALP refers to a group of phosphomonoesterases that hydrolyze phosphate esters; most of the ALP in serum originates from either liver or bone, and higher serum-ALP concentrations occur in diseases affecting these organs. The bone-specific ALP is formed in osteoclasts and is thought to be involved in the calcification of the bone matrix, with elevated serum concentrations reflecting increased bone metabolism and accelerated bone formation (Van Hoof and De Broe 1994;Vroon and Israili 1990). Exclusion of subjects with liver disease or daily alcohol use did not materially change the difference in ALP between the two study groups, thus suggesting that changes in liver functions did not affect the results.…”
Section: Discussionmentioning
confidence: 99%