Alkaline phosphatases; Bone alkaline phosphatase; Hypophosphatasia; Mineralization; Endocrinology, Diabetes and Metabolism; Orthopedics and Sports Medicine; Endocrinology
Abstract :
[en] Alkaline phosphatases (ALPs) are a group of isoenzymes, situated on the external layer of the cell membrane; they catalyze the hydrolysis of organic phosphate esters present in the extracellular space. Zinc and magnesium are significant co-factors for the biological activity of these enzymes. Although ALPs are available in various body tissues and have distinct physiochemical properties, they are true isoenzymes since they catalyze a similar reaction. In the liver, ALP is cytosolic and present in the canalicular membrane of the hepatocytes. ALPs are available in placenta, ileal mucosa, kidney, bone, and liver. However, most of the ALPs in serum (over 80%) are delivered from liver and bone and in more modest quantities from the intestines. Despite the fact that alkaline phosphatases are found in numerous tissues all through the body, their exact physiological function remains largely unknown.
Disciplines :
Laboratory medicine & medical technology
Author, co-author :
Makris, Konstantinos; Clinical Biochemistry Department, KAT General Hospital, Kifissia, Athens, Greece ; Laboratory for the Research of Musculoskeletal System "Th. Garofalidis", School of Medicine, National and Kapodistrian, University of Athens, Athens, Greece
Mousa, Chagigia; 6th Orthopedic Department, KAT General Hospital, Kifissia, Athens, Greece
Cavalier, Etienne ; Centre Hospitalier Universitaire de Liège - CHU > > Service de chimie clinique
Language :
English
Title :
Alkaline Phosphatases: Biochemistry, Functions, and Measurement.
Golub EE, Boesze-Battaglia K (2007) The role of alkaline phosphatase in mineralization. Curr Opin Orthop 18:444–448. 10.1097/BCO.0B013E3282630851 DOI: 10.1097/BCO.0B013E3282630851
Millán JL (2006) Alkaline phosphatases: structure, substrate specificity and functional relatedness to other members of a large superfamily of enzymes. Purinergic Signal 2:335. 10.1007/S11302-005-5435-6 DOI: 10.1007/S11302-005-5435-6
Nizet A, Cavalier E, Stenvinkel P et al (2019) Bone alkaline phosphatase: an important biomarker in chronic kidney disease—mineral and bone disorder. Clin Chim Acta. 10.1016/j.cca.2019.11.012 DOI: 10.1016/j.cca.2019.11.012
Millán JL, Whyte MP (2016) Alkaline phosphatase and hypophosphatasia. Calcif Tissue Int 98:398–416. 10.1007/S00223-015-0079-1 DOI: 10.1007/S00223-015-0079-1
Harrison G, Shapiro IM, Golub EE (1995) The phosphatidylinositol-glycolipid anchor on alkaline phosphatase facilitates mineralization initiation in vitro. J Bone Miner Res 10:568–573. 10.1002/JBMR.5650100409 DOI: 10.1002/JBMR.5650100409
Magnusson P, Löfman O, Larsson L (1992) Determination of alkaline phosphatase isoenzymes in serum by high-performance liquid chromatography with post-column reaction detection. J Chromatogr B Biomed Sci Appl 576:79–86. 10.1016/0378-4347(92)80177-R DOI: 10.1016/0378-4347(92)80177-R
Haarhaus M, Fernström A, Magnusson M, Magnusson P (2009) Clinical significance of bone alkaline phosphatase isoforms, including the novel B1x isoform, in mild to moderate chronic kidney disease. Nephrol Dial Transplant 24:3382–3389 DOI: 10.1093/ndt/gfp300
Robinson R (1923) The possible significance of hexosephosphoric esters in ossification. Biochem J 17:286. 10.1042/BJ0170286 DOI: 10.1042/BJ0170286
Orimo H (2010) The mechanism of mineralization and the role of alkaline phosphatase in health and disease. J Nippon Med Sch 77:4–12. 10.1272/JNMS.77.4 DOI: 10.1272/JNMS.77.4
Millán JL (2013) The role of phosphatases in the initiation of skeletal mineralization. Calcif Tissue Int 93:299–306. 10.1007/S00223-012-9672-8 DOI: 10.1007/S00223-012-9672-8
Wongdee K, Krishnamra N, Charoenphandhu N (2012) Endochondral bone growth, bone calcium accretion, and bone mineral density: how are they related? J Physiol Sci 62:299–307. 10.1007/S12576-012-0212-0/FIGURES/2 DOI: 10.1007/S12576-012-0212-0/FIGURES/2
Evrard S, Delanaye P, Kamel S et al (2015) Vascular calcification: from pathophysiology to biomarkers. Clin Chim Acta 438:401–414. 10.1016/j.cca.2014.08.034 DOI: 10.1016/j.cca.2014.08.034
Van Hoof VO, De Broe ME (1994) Interpretation and clinical significance of alkaline phosphatase isoenzyme patterns. Crit Rev Clin Lab Sci 31:197–293. 10.3109/10408369409084677 DOI: 10.3109/10408369409084677
Muljacić A, Poljak-Guberina R, Zivković O et al (2013) Course and rate of post-fracture bone healing in correlation with bone-specific alkaline phosphatase and bone callus formation. Coll Antropol 37:1275–1283
Muljačić A, Poljak-Guberina R, Živković O (2008) Prognostic significance of BsALP in healing of long bone fractures. Coll Antropol 32:551–556
Haarhaus M, Monier-Faugere M-C, Magnusson P, Malluche HH (2015) Bone Alkaline phosphatase isoforms in hemodialysis patients with low versus non-low bone turnover: a diagnostic test study. Am J Kidney Dis. 10.1053/j.ajkd.2015.02.323 DOI: 10.1053/j.ajkd.2015.02.323
Drechsler C, Verduijn M, Pilz S et al (2011) Bone alkaline phosphatase and mortality in dialysis patients. Clin J Am Soc Nephrol 6:1752–1759. 10.2215/CJN.10091110 DOI: 10.2215/CJN.10091110
Beige J, Wendt R, Girndt M et al (2014) Association of serum alkaline phosphatase with mortality in non-selected European patients with CKD5D: an observational, three-centre survival analysis. BMJ Open. 10.1136/BMJOPEN-2013-004275 DOI: 10.1136/BMJOPEN-2013-004275
Manghat P, Souleimanova I, Cheung J et al (2011) Association of bone turnover markers and arterial stiffness in pre-dialysis chronic kidney disease (CKD). Bone 48:1127–1132. 10.1016/J.BONE.2011.01.016 DOI: 10.1016/J.BONE.2011.01.016
Haarhaus M, Brandenburg V, Kalantar-Zadeh K et al (2017) (2017) Alkaline phosphatase: a novel treatment target for cardiovascular disease in CKD. Nat Rev Nephrol 137(13):429–442. 10.1038/nrneph.2017.60 DOI: 10.1038/nrneph.2017.60
Haffner D, Leifheit-Nestler M, Grund A, Schnabel D (2022) Rickets guidance: part I—diagnostic workup. Pediatr Nephrol 37:2013–2036. 10.1007/s00467-021-05328-w DOI: 10.1007/s00467-021-05328-w
Carpenter TO, Shaw NJ, Portale AA et al (2017) Rickets. Nat Rev Dis Prim 3:17101. 10.1038/nrdp.2017.101 DOI: 10.1038/nrdp.2017.101
Turan S, Topcu B, Gökçe I et al (2011) Serum alkaline phosphatase levels in healthy children and evaluation of alkaline phosphatase z-scores in different types of rickets. JCRPE J Clin Res Pediatr Endocrinol 3:7–11. 10.4274/jcrpe.v3i1.02 DOI: 10.4274/jcrpe.v3i1.02
Bolland MJ, Cundy T (2013) Paget’s disease of bone: clinical review and update. J Clin Pathol 66:924LP – 927. 10.1136/jclinpath-2013-201688 DOI: 10.1136/jclinpath-2013-201688
Bhan A, Rao AD, Rao DS (2010) Osteomalacia as a result of vitamin D deficiency. Endocrinol Metab Clin North Am 39:321–31. 10.1016/j.ecl.2010.02.001 DOI: 10.1016/j.ecl.2010.02.001
Basha B, Rao DS, Han ZH, Parfitt AM (2000) Osteomalacia due to vitamin D depletion: a neglected consequence of intestinal malabsorption. Am J Med 108:296–300. 10.1016/S0002-9343(99)00460-X DOI: 10.1016/S0002-9343(99)00460-X
Mukaiyama K, Kamimura M, Uchiyama S et al (2015) Elevation of serum alkaline phosphatase (ALP) level in postmenopausal women is caused by high bone turnover. Aging Clin Exp Res 27:413–418. 10.1007/s40520-014-0296-x DOI: 10.1007/s40520-014-0296-x
Kress BC, Mizrahi IA, Armour KW et al (1999) Use of bone alkaline phosphatase to monitor alendronate therapy in individual postmenopausal osteoporotic women. Clin Chem 45:1009–1017 DOI: 10.1093/clinchem/45.7.1009
Dobnig H, Sipos A, Jiang Y et al (2005) Early changes in biochemical markers of bone formation correlate with improvements in bone structure during teriparatide therapy. J Clin Endocrinol Metab 90:3970–3977. 10.1210/jc.2003-1703 DOI: 10.1210/jc.2003-1703
Kyd PA, De Vooght K, Kerkhoff F et al (1998) Clinical usefulness of bone alkaline phosphatase in osteoporosis. Ann Clin Biochem 35:717–725. 10.1177/000456329803500603 DOI: 10.1177/000456329803500603
Einollahi B, Taghipour M, Motalebi M, Ramezani-Binabaj M (2014) Normal alkaline phosphatase level in a patient with primary hyperparathyroidism due to parathyroid adenoma. J Parathyr Dis 2:47–50
Costa AG, Bilezikian JP (2013) Bone turnover markers in primary hyperparathyroidism. J Clin Densitom 16:22–27. 10.1016/j.jocd.2012.11.004 DOI: 10.1016/j.jocd.2012.11.004
Ge P, Liu S, Sheng X et al (2018) Serum parathyroid hormone and alkaline phosphatase as predictors of calcium requirements after total parathyroidectomy for hypocalcemia in secondary hyperparathyroidism. Head Neck 40:324–329. 10.1002/hed.24965 DOI: 10.1002/hed.24965
Gou M, Ma Z (2018) Osteomalacia, Renal fanconi syndrome, and bone tumor. J Int Med Res 46:3487–3490. 10.1177/0300060518763708 DOI: 10.1177/0300060518763708
Karatzas AD, Paridis D, Kozyrakis D et al (2017) Fanconi syndrome in the adulthood. The role of early diagnosis and treatment. J Musculoskelet Neuronal Interact 17:303–306
Kim SH, Shin KH, Moon SH et al (2017) Reassessment of alkaline phosphatase as serum tumor marker with high specificity in osteosarcoma. Cancer Med 6:1311–1322. 10.1002/cam4.1022 DOI: 10.1002/cam4.1022
Bacci G, Picci P, Ferrari S et al (1993) Prognostic significance of serum alkaline phosphatase measurements in patients with osteosarcoma treated with adjuvant or neoadjuvant chemotherapy. Cancer 71:1224–1230. 10.1002/1097-0142(19930215)71:4%3c1224::aid-cncr2820710409%3e3.0.co;2-m DOI: 10.1002/1097-0142(19930215)71:4<1224::aid-cncr2820710409>3.0.co;2-m
Ogose A, Hotta T, Kawashima H et al (2001) Elevation of serum alkaline phosphatase in clear cell chondrosarcoma of bone. Anticancer Res 21:649–655
Thio QCBS, Karhade AV, Notman E et al (2020) Serum alkaline phosphatase is a prognostic marker in bone metastatic disease of the extremity. J Orthop 22:346–351. 10.1016/j.jor.2020.08.008 DOI: 10.1016/j.jor.2020.08.008
Karhade AV, Thio QCBS, Kuverji M et al (2019) Prognostic value of serum alkaline phosphatase in spinal metastatic disease. Br J Cancer 120:640–646. 10.1038/s41416-019-0407-8 DOI: 10.1038/s41416-019-0407-8
Kwo PY, Cohen SM, Lim JK (2017) ACG clinical guideline: evaluation of abnormal liver chemistries. Am J Gastroenterol 112:18–35. 10.1038/ajg.2016.517 DOI: 10.1038/ajg.2016.517
Giannini EG, Testa R, Savarino V (2005) Liver enzyme alteration: a guide for clinicians. C Can Med Assoc J 172:367–379. 10.1503/cmaj.1040752 DOI: 10.1503/cmaj.1040752
Hoshino T, Kumasaka K, Kawano K et al (1995) Low serum alkaline phosphatase activity associated with severe Wilson’s disease. Is the breakdown of alkaline phosphatase molecules caused by reactive oxygen species? Clin Chim Acta 238:91–100. 10.1016/0009-8981(95)06073-M DOI: 10.1016/0009-8981(95)06073-M
Shaver WA, Bhatt H, Combes B (1986) Low serum alkaline phosphatase activity in Wilson’s disease. Hepatology 6:859–863. 10.1097/MD.0000000000006228 DOI: 10.1097/MD.0000000000006228
Coash M, Forouhar F, Wu CH, Wu GY (2012) Granulomatous liver diseases: a review. J Formos Med Assoc 111:3–13. 10.1016/j.jfma.2011.11.023 DOI: 10.1016/j.jfma.2011.11.023
Shipman KE, Holt AD, Gama R (2013) Interpreting an isolated raised serum alkaline phosphatase level in an asymptomatic patient. BMJ 346:5–8. 10.1136/bmj.f976 DOI: 10.1136/bmj.f976
Aragon G, Younossi ZM (2010) When and how to evaluate mildly elevated liver enzymes in apparently healthy patients. Cleve Clin J Med 77:195–204. 10.3949/ccjm.77a.09064 DOI: 10.3949/ccjm.77a.09064
Sharma U, Pal D, Prasad R (2014) Alkaline phosphatase: an overview. Indian J Clin Biochem 29:269–278. 10.1007/s12291-013-0408-y DOI: 10.1007/s12291-013-0408-y
Orimo H (2016) Pathophysiology of hypophosphatasia and the potential role of asfotase alfa. Ther Clin Risk Manag 12:777–786. 10.2147/TCRM.S87956 DOI: 10.2147/TCRM.S87956
Højsager FD, Rand MS, Pedersen SB et al (2019) Fracture-induced changes in biomarkers CTX, PINP, OC, and BAP—a systematic review. Osteoporos Int 30:2381–2389. 10.1007/s00198-019-05132-1 DOI: 10.1007/s00198-019-05132-1
Pan C, Liu X, Li T et al (2018) Kinetic of bone turnover markers after osteoporotic vertebral compression fractures in postmenopausal female. J Orthop Surg Res 13:1–6. 10.1186/s13018-018-1025-5 DOI: 10.1186/s13018-018-1025-5
Osella G, Terzolo M, Reimondo G et al (1997) Serum markers of bone and collagen turnover in patients with Cushing’s syndrome and in subjects with adrenal incidentalomas. J Clin Endocrinol Metab 82:3303–3307. 10.1210/jc.82.10.3303 DOI: 10.1210/jc.82.10.3303
Mancini T, Doga M, Mazziotti G, Giustina A (2004) Cushing’s syndrome and bone. Pituitary 7:249–252. 10.1007/s11102-005-1051-2 DOI: 10.1007/s11102-005-1051-2
Arnaldi G, Angeli A, Atkinson AB et al (2003) Diagnosis and complications of Cushing’s Syndrome: a consensus statement. J Clin Endocrinol Metab 88:5593–5602. 10.1210/jc.2003-030871 DOI: 10.1210/jc.2003-030871
Brixen K, Nielsen HK, Eriksen EF et al (1989) Efficacy of wheat germ lectin-precipitated alkaline phosphatase in serum as an estimator of bone mineralization rate: comparison to serum total alkaline phosphatase and serum bone Gla-protein. Calcif Tissue Int 44:93–98. 10.1007/BF02556467 DOI: 10.1007/BF02556467
Charles P, Poser JW, Mosekilde L, Jensen FT (1985) Estimation of bone turnover evaluated by 47Ca-kinetics.efficiency of serum bone gamma-carboxyglutamic acid-containing protein, serum alkaline phosphatase, and urinary hydroxyproline excretion. J Clin Invest 76:2254–2258 DOI: 10.1172/JCI112234
Cassar J, Joseph S (1969) Alkaline phosphatase levels in thyroid disease. Clin Chim Acta 23:33–37. 10.1016/0009-8981(69)90007-2 DOI: 10.1016/0009-8981(69)90007-2
Meier C, Beat M, Guglielmetti M et al (2004) Restoration of euthyroidism accelerates bone turnover in patients with subclinical hypothyroidism: a randomized controlled trial. Osteoporos Int 15:209–216. 10.1007/s00198-003-1527-8 DOI: 10.1007/s00198-003-1527-8
Lee SY (2021) Liver enzymes are commonly elevated in untreated hyperthyroidism and improve after correction of the hyperthyroidism. Clin Thyroidol 33:70–73. 10.1089/ct.2021;33.70-73 DOI: 10.1089/ct.2021;33.70-73
Scappaticcio L, Longo M, Maiorino MI et al (2021) Abnormal liver blood tests in patients with hyperthyroidism: systematic review and meta-analysis. Thyroid 31:884–894. 10.1089/thy.2020.0715 DOI: 10.1089/thy.2020.0715
Yorke E (2022) Hyperthyroidism and liver dysfunction: a review of a common comorbidity. Clin Med Insights Endocrinol Diabetes. 10.1177/11795514221074672 DOI: 10.1177/11795514221074672
Silbermann R, Roodman GD (2013) Myeloma bone disease: Pathophysiology and management. J Bone Oncol 2:59–69. 10.1016/j.jbo.2013.04.001 DOI: 10.1016/j.jbo.2013.04.001
Giuliani N, Rizzoli V, Roodman GD (2006) Multiple myeloma bone disease: Pathophysiology of osteoblast inhibition. Blood 108:3992–3996. 10.1182/blood-2006-05-026112 DOI: 10.1182/blood-2006-05-026112
Kotila T, Adedapo K, Adedapo A et al (2005) Liver dysfunction in steady state sickle cell disease. Ann Hepatol Off J Mex Assoc Hepatol 4:261–263. 10.1016/s1665-2681(19)32049-6 DOI: 10.1016/s1665-2681(19)32049-6
Pandey S, Sharma A, Dahia S et al (2012) Biochemical indicator of sickle cell disease: preliminary report from India. Indian J Clin Biochem 27:191–195. 10.1007/s12291-011-0162-y DOI: 10.1007/s12291-011-0162-y
Jain A, Jadhav AA, Varma M (2013) Relation of oxidative stress, zinc and alkaline phosphatase in protein energy malnutrition. Arch Physiol Biochem 119:15–21. 10.3109/13813455.2012.737809 DOI: 10.3109/13813455.2012.737809
Ray CS, Singh B, Jena I et al (2017) Low alkaline phosphatase (ALP) in adult population an indicator of zinc (zn) and magnesium (mg) deficiency. Curr Res Nutr Food Sci 5:347–352. 10.12944/CRNFSJ.5.3.20 DOI: 10.12944/CRNFSJ.5.3.20
Witkowska-Sȩdek E, Stelmaszczyk-Emmel A, Majcher A et al (2018) The relationship between alkaline phosphatase and bone alkaline phosphatase activity and the growth hormone/insulinlike growth factor-1 axis and vitamin D status in children with growth hormone deficiency. Acta Biochim Pol 65:269–275. 10.18388/abp.2017_2541 DOI: 10.18388/abp.2017_2541
Bellastella G, Scappaticcio L, Longo M et al (2021) New insights into vitamin D regulation: is there a role for alkaline phosphatase? J Endocrinol Invest 44:1891–1896. 10.1007/s40618-021-01503-w DOI: 10.1007/s40618-021-01503-w
McKenna MJ, Freaney R, Meade A, Muldowney FP (1985) Hypovitaminosis D and elevated serum alkaline phosphatase in elderly Irish people. Am J Clin Nutr 41:101–109. 10.1093/ajcn/41.1.101 DOI: 10.1093/ajcn/41.1.101
Shaheen S, Noor SS, Barakzai Q (2012) Serum alkaline phosphatase screening for vitamin D deficiency states. J Coll Physicians Surg Pakistan 22:424–427
Mahmoodian F, Gosiewska A, Peterkofsky B (1996) Regulation and properties of bone alkaline phosphatase during vitamin C deficiency in guinea pigs. Arch Biochem Biophys 336:86–96. 10.1006/abbi.1996.0535 DOI: 10.1006/abbi.1996.0535
Leboy PS, Vaias L, Uschmann B et al (1989) Ascorbic acid induces alkaline phosphatase, type X collagen, and calcium deposition in cultured chick chondrocytes. J Biol Chem 264:17281–17286. 10.1016/s0021-9258(18)71489-0 DOI: 10.1016/s0021-9258(18)71489-0
Van Dommelen CKV, Klaassen CH (1964) Cyanocobalamin-dependent depression of the serum alkaline phosphatase level in patients with pernicious anemia. N Engl J Med 271:541–544 DOI: 10.1056/NEJM196409102711104
McComb R, Bowers G Jr, Posen S (1979) Measurement of Alkaline Phosphatase Activity. Springer, Boston DOI: 10.1007/978-1-4613-2970-1
Schumann G, Klauke R, Canalias F et al (2011) IFCC primary reference procedures for the measurement of catalytic activity concentrations of enzymes at 37°C. Part 9: reference procedure for the measurement of catalytic concentration of alkaline phosphatase International Federation of clinical chemistry and laboratory medicine (IFCC) Scientific division, committee on reference systems of enzymes (C-RSE) 1). Clin Chem Lab Med 49:1439–1446. 10.1515/CCLM.2011.621 DOI: 10.1515/CCLM.2011.621
Tietz N, Rinker A, Shaw L (1983) IFCC methods for the measurement of catalytic concentration of enzymes. Clin Chim Acta 135:339–349. 10.1016/0009-8981(83)90294-2 DOI: 10.1016/0009-8981(83)90294-2
Tietz N, Burtis C, Duncan P et al (1983) A reference method for measurement of alkaline phosphatase activity in human serum. Clin Chem 29:751–761 DOI: 10.1093/clinchem/29.5.751
Braga F, Frusciante E, Infusino I et al (2017) Evaluation of the trueness of serum alkaline phosphatase measurement in a group of Italian laboratories. Clin Chem Lab Med 55:e47–e50. 10.1515/CCLM-2016-0605 DOI: 10.1515/CCLM-2016-0605
Chemistry JSoC. 1990 JSCC Document: recommendation for measuring enzyme activity in human serum (ALP). Jpn J Clin Chem 19
Yamadate S, Yamazaki H, Araki H et al (2017) The proposal revised method from JSCC recommended method to traceable to IFCC reference method for the catalytic activity concentrations of alkaline phosphatase in serum. Jpn J Clin Med 46:138–145
Goossens K, Van Uytfanghe K, Thienpont LM (2015) Trueness and comparability assessment of widely used assays for 5 common enzymes and 3 electrolytes. Clin Chim Acta 442:44–45. 10.1016/J.CCA.2015.01.009 DOI: 10.1016/J.CCA.2015.01.009
Braga F, Panteghini M (2014) Verification of in vitro medical diagnostics (IVD) metrological traceability: responsibilities and strategies. Clin Chim Acta 432:55–61. 10.1016/J.CCA.2013.11.022 DOI: 10.1016/J.CCA.2013.11.022
Infusino I, Schumann G, Ceriotti F, Panteghini M (2010) Standardization in clinical enzymology: a challenge for the theory of metrological traceability. Clin Chem Lab Med 48:301–307. 10.1515/CCLM.2010.075 DOI: 10.1515/CCLM.2010.075
Woitge H, Seibel M, Ziegler R (1996) Comparison of total and bone-specific alkaline phosphatase in patients with nonskeletal disorder or metabolic bone diseases. Clin Chem 42:1796–1804 DOI: 10.1093/clinchem/42.11.1796
Broyles DL, Nielsen RG, Bussett EM et al (1998) Analytical and clinical performance characteristics of tandem-MP ostase, a new immunoassay for serum bone alkaline phosphatase. Clin Chem 44:2139–2147 DOI: 10.1093/clinchem/44.10.2139
Gomez B, Jr., Shiva Ardakani, Julia Ju, Dean Jenkins, Mary Jane Cerelli, George Y. Daniloff and VTK, (1995) Monoclonal antibody assay for measuring bone-specific alkaline phosphatase activity in serum. Clin Chem 41:1560–1566 DOI: 10.1093/clinchem/41.11.1560
Garnero P, Delmas PD (1993) Assessment of the serum levels of bone alkaline phosphatase with a new immunoradiometric assay in patients with metabolic bone disease. J Clin Endocrinol Metab 77:1046–1053. 10.1210/JCEM.77.4.8104954 DOI: 10.1210/JCEM.77.4.8104954
Panigrahi K, Delmas PD, Singer F et al (1994) Characteristics of a 2-site immunoradiometric assay for human skeletal alkaline-phosphatase in serum. Clin Chem 40:822–828 DOI: 10.1093/clinchem/40.5.822
England TE, Samsoondar J, Maw G (1994) Evaluation of the hybritech Tandem-R Ostase immunoradiometric assay for skeletal alkaline phosphatase. Clin Biochem 27:187–189. 10.1016/0009-9120(94)90054-X DOI: 10.1016/0009-9120(94)90054-X
Withold W, Rick W (1994) Evaluation of an immunoradiometric assay for bone alkaline phosphatase mass concentration in human sera. Eur J Clin Chem Clin Biochem 32:91–96. 10.1515/CCLM.1994.32.2.91 DOI: 10.1515/CCLM.1994.32.2.91
Farley JR, Hall SL, Ritchie C et al (1992) Quantitation of skeletal alkaline phosphatase isoenzyme activity in canine serum. J Bone Miner Res 7:779–792. 10.1002/jbmr.5650070708 DOI: 10.1002/jbmr.5650070708
Price CP, Mitchell CA, Moriarty J et al (1995) Mass versus activity - Validation of an immunometric assay for bone alkaline phospatase in serum.pdf. Ann Clin Biochem 32:405–412 DOI: 10.1177/000456329503200409
Cooper E, Forbes M, Hancock A et al (1992) Serum bone alkaline phosphatase and CA 549 in breast cancer with bone metastases. Biomed Pharmacother 46:31–36. 10.1016/0753-3322(92)90067-H DOI: 10.1016/0753-3322(92)90067-H
Withold W, Degenhardt S, Castelli D et al (1994) Monitoring of osteoblast activity with an immunoradiometric assay for determination of bone alkaline phosphatase mass concentration in patients receiving renal transplants. Clin Chim Acta 225:137–146. 10.1016/0009-8981(94)90041-8 DOI: 10.1016/0009-8981(94)90041-8
Overgaard K, Alexandersen P, Riis BF, Christiansen C (1996) Evaluation of a new commercial IRMA for bone-specific alkaline phosphatase during treatment with hormone replacement therapy and calcitonin. Clin Chem 42:973–974. 10.1093/CLINCHEM/42.6.973 DOI: 10.1093/CLINCHEM/42.6.973
Gomez B Jr, Ardakani S, Ju J et al (1995) Monoclonal antibody assay for measuring bone-specific alkaline phosphatase activity in serum. Clin Chem 41:1560–1566 DOI: 10.1093/clinchem/41.11.1560
Murray E, Provvedini D, Curran D et al (1987) Characterization of a human osteoblastic osteosarcoma cell line (SAOS-2) with high bone alkaline phosphatase activity. J Bone Miner Res 2:231–238. 10.1002/JBMR.5650020310 DOI: 10.1002/JBMR.5650020310
Hata K, Tokuhiro H, Nakatsuka K et al (1996) Measurement of bone-specific alkaline phosphatase by an immunoselective enzyme assay method. Ann Clin Biochem 33(2):127–131 DOI: 10.1177/000456329603300205
Price CP, Milligan TP, Darte C (1997) Direct comparison of performance characteristics of two immunoassays for bone isoform of alkaline phosphatase in serum. Clin Chem 43(11):2052–2057 DOI: 10.1093/clinchem/43.11.2052
Milligan TP, Park HR, Noonan K, Price CP (1997) Assessment of the performance of a capture immunoassay for the bone isoform of alkaline phosphatase in serum. Clin Chim Acta 263:165–175. 10.1016/S0009-8981(97)00052-1 DOI: 10.1016/S0009-8981(97)00052-1
Cavalier E, Rozet E, Carlisi A et al (2010) Analytical validation of serum bone alkaline phosphatase (BAP OSTASE) on Liaison. Clin Chem Lab Med 48:67–72. 10.1515/CCLM.2010.019 DOI: 10.1515/CCLM.2010.019
Cavalier E, Souberbielle J-CC, Gadisseur R et al (2014) Inter-method variability in bone alkaline phosphatase measurement: clinical impact on the management of dialysis patients. Clin Biochem 47:1227–1230 DOI: 10.1016/j.clinbiochem.2014.04.007