Liver- and bone-derived isoenzymes of alkaline phosphatase in serum as determined by high-performance affinity chromatography

Clin Chem. 1990 Feb;36(2):240-6.

Abstract

To separate liver and bone alkaline phosphatase (ALP) isoenzymes in human serum, we used high-performance affinity chromatography (HPAC) on a column of wheat-germ lectin conjugated to 7-microns-diameter silica particles and an eluent containing N-acetyl-D-glucosamine (NAG). On-line spectrophotometric detection of ALP involved pumping diethanolamine-buffered p-nitrophenyl phosphate solution post-column. Bone and liver isoenzymes could be separated into two peaks with only 10% overlap when an exponential gradient was used. A linear-step gradient separated 80.9% of liver ALP and 91.6% of bone ALP in two distinct peaks. True bone and liver ALP peak areas for the linear-step gradient were determined by using correction factors, because each peak contained a co-eluted portion of the other ALP isoenzyme. The detection limit improved 10-fold over those of other techniques for ALP isoenzymes, owing to the relatively large sample that could be applied to the column. Correlation with a urea-inactivation procedure was reasonable for patients' serum samples (r = 0.98 and 0.79 for liver ALP and bone ALP, respectively).

MeSH terms

  • Alkaline Phosphatase / blood*
  • Bone Diseases / diagnosis
  • Bone Diseases / enzymology*
  • Bone Diseases / metabolism
  • Bone and Bones / enzymology
  • Chromatography, Affinity
  • Chromatography, High Pressure Liquid
  • Humans
  • Isoenzymes / blood*
  • Liver / enzymology
  • Liver Diseases / diagnosis
  • Liver Diseases / enzymology*
  • Liver Diseases / metabolism

Substances

  • Isoenzymes
  • Alkaline Phosphatase