Alkaline Phosphatase Flashcards
The pH optimum for enzyme reaction of alkaline phosphatase
9-10
ALP is activated by
Magnesium and manganese
ALP contains
Zinc
Osteoblasts of bone (calcification process) produce
ALP
An ectoenzyme localized in cell membrane is
ALP
Serum value of ALP is
40-125 U/L
Moderate increase in ALP is seen in (2-3 times)
Hepatic diseases
Infective hepatitis
Alcoholic hepatitis
Hepatocellular carcinoma
Very high levels of ALP (10-12 times) are seen in
Extrahepatic obstruction Obstructive jaundice Gallstones Pressure on bile duct Carcinoma of head of pancreas
Intrahepatic cholestasis is due to
Virus (infective hepatitis)
Drugs (chlorpromazine)
ALP is produced by
Epithelial cells of biliary canaliculi
Drastically high levels of ALP (10-25 times) are seen in
Bone diseases Paget’s disease (osteitis déformans) Rickets Osteomalacia Osteoblastoma Metastatic carcinoma of bone Hyper parathyroidism
Alpha-1 ALP is synthesized by
Epithelial cells of biliary canaliculi
Alpha 1 ALP is increased in
Obstructive jaundice
Alpha 2 heat labile ALP is stable at —— but loses its activity when kept at ————— for 30 min
56C. 65C
Alpha 2 heat stable ALP will not be destroyed at ——— but is inhibited by ————-
65C phenylalanine
Alpha 2 heat stable ALP is of ————- origin
Placental
An isoenzyme resembling placental form which is seen in circulation in carcinoma of lung liver and gut is
Regan isoenzyme
Pre beta ALP is of —- origin
Bone
Pre beta ALP is destroyed at —-
56C heat lablile
50% of ALP activity is constituted by
Pre beta ALP