ALKALINE PHOSPHATASE (ALP)


Alkaline Phosphatase is a hydrolase enzyme responsible for removing phosphate groups from many types of molecules including nucleotides, proteins and alkaloids. The process of removing the phosphate group is called dephosphorylation (Murray et al, 1999).

Alkaline phosphates is an enzyme made in the liver, bone and the placenta and normally present in high concentration in growing bone and in bile. ALP is released into the blood during injury and during such normal activities as bone growth and pregnancy.  The enzyme is called alkaline phosphatase because it works under alkaline (non- acidic) conditions as opposed to acid phosphates.


MEDICAL IMPORTANCE OF ALKALINE PHOSPHATASE
High alkaline phosphatase usually means that bone or liver has been damaged. If other liver tests such as bilirubin, aspartate transaminase and alanine transaminase are also high, usually the alkaline phosphatase is coming from the liver. If calcium and phosphate measurements are abnormal, usually the alkaline phosphatase is coming from bone (Murray et al, 1999).
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