EC of ALP
E.C. 3.1.3.1
a nonspecific enzyme that functions to liberate inorganic phosphate from an organic phosphate ester with the concomitant production of an alcohol
ALP
Liver ALP is located on
sinusoidal and bile canalicular membranes.
Bone ALP activity confined to
osteoblasts.
Major isoenzymes
Liver
Bone
Placental
Intestinal
ALP is marker for
obstructive jaundice, hepatic and bone disorders (Paget’s disease)
optimum pH for alkaline phosphatase activity is at pH
8.6
it is the major liver fraction
ALP
Elevated ALP is significant in diagnosing
Hepatobiliary and Bond Disorders
Intestinal ALP isoenzyme presence in plasma depends on blood type and secretor status, with blood types ____ and ____ more likely to have this function
Types B and O
is a valuable tumor marker for most germ cell tumors in both serum and cerebrospinal fluid (CSF)
Placental alkaline phosphatase (PLAP)
GGT is an alcohol sensitive enzyme which can distinguish the organ source of ALP
Liver =
Bone =
Liver = ⬆️ ALP and GGT
Bone = ⬆️ ALP but normal GGT
Component of ALP and its enzyme activator
Zinc
Activator: Magnesium
Abnormal ALP isoenzymes associated with neoplasms
Regan and Nagao
The Regan isoenzyme is ectopically produced by malignant tissue and is useful for monitoring therapy success; heat stable and inhibited by _____
Phenylalanine
Nagao isoenzyme, a variant, is also inhibited by _____ and found in metastatic cancers such as pancreatic adenocarcinoma
L-Leucine
ALP is inhibited by phosphorus; the addition of 2-amino-2-methyl-1-propanol (AMP) buffermbinds phosphorus under
Bowers-McComb method
may cause elevations because ALP is approx 6x more concentrated in erythrocytes than in serum
Hemolysis
A continuous monitoring technique that uses para-nitrophenyl phosphate as a substrate for the determination of alkaline phosphatase activity and allows calculation of ALP activity based on the molar absorptivity of para-nitrophenol
Bessey-Lowry-Brock method
Most useful single technique for distinguishing between ALP isoenzymes
Electrophoresis
Most anodal to least anodal
Land Bank of the Philippine Island
Liver > Bone > Placental > Intestine
Use of ____ and ____ improves separation of bone and liver ALPs
Neuraminidase and wheat germ lectin
Heat denaturation is determined by heating serum at
56°C for 10-15 mins
Most heat stable
Placental