Alkaline phosphatase nonspecific

Elevated alkaline phosphatase is nonspecific and may correlate with liver or bone disease it tends to be elevated in biliary tract disease. 

Phosphates of pharmaceutical interest are often monoesters (Sect. 9.3), and the enzymes that are able to hydrolyze them include alkaline and acid phosphatases. Alkaline phosphatase (alkaline phosphomonoesterase, EC 3.1.3.1) is a nonspecific esterase of phosphoric monoesters with an optimal pH for catalysis of ca. 8 [140], In the presence of a phosphate acceptor such as 2-aminoethanol, the enzyme also catalyzes a transphosphorylation reaction involving transfer of the phosphoryl group to the alcohol. Alkaline phosphatase is bound extracellularly to membranes and is widely distributed, in particular in the pancreas, liver, bile, placenta, and osteoplasts. Its specific functions in mammals remain poorly understood, but it seems to play an important role in modulation by osteoplasts of bone mineralization. 

Considerable ingenuity was required in both the synthesis of these chiral compounds695 697 and the stereochemical analysis of the products formed from them by enzymes.698 700 In one experiment the phospho group was transferred from chiral phenyl phosphate to a diol acceptor using E. coli alkaline phosphatase as a catalyst (Eq. 12-36). In this reaction transfer of the phospho group occurred without inversion. The chirality of the product was determined as follows. It was cyclized by a nonenzymatic in-line displacement to give equimolar ratios of three isomeric cyclic diesters. These were methylated with diazomethane to a mixture of three pairs of diastereoisomers triesters. These dia-stereoisomers were separated and the chirality was determined by a sophisticated mass spectrometric analysis.692 A simpler analysis employs 31P NMR spectroscopy and is illustrated in Fig. 12-22. Since alkaline phosphatase is relatively nonspecific, most phosphate esters produced by the action of phosphotransferases can have their phospho groups transferred without inversion to 1,2-propanediol and the chirality can be determined by this method. 

Horiuchi et al. (2), and Torriani (S) that orthophosphate repressed the formation of a nonspecific phosphomonoesterase in E. coli that research on this enzyme began. This work (2, 3) showed a maximum rate of synthesis of the enzyme occurred only when the phosphate concentration became low enough to limit cell growth. With sufficient phosphate, the amount of active enzyme is negligible. Under conditions of limiting phosphate, alkaline phosphatase accounts for about 6% of the total protein synthesized by the cell (4). 

Although it is widely found in bacteria, the physiological function of alkaline phosphatase is still unknown. The enzyme is nonspecific (4, 28), and this would be desirable if its role were to supply phosphate from phosphate esters under conditions of phosphate deprivation. Although the enzyme is repressed by orthophosphate in many strains of E. coli, it is constitutive in most other bacteria (29), thus phosphate deprivation... 

With the establishment of the phosphoryl enzyme, the question was whether or not the phosphoryl enzyme was the same as the phospho-protein found by incubating inorganic phosphate with alkaline phosphatase at low pH (35, 114-116, 119, 120). Wilson and Dayan (105) pointed out that the phosphoprotein is thermodynamically very stable It is 105 times more stable than O-phosphorylserine (125) and 0-phosphoryl ethanolamine (105, 126). Alkaline phosphatase, as a true catalyst, must catalyze both the hydrolysis and the formation of phosphate esters. Therefore, if a serine residue existed which was capable of forming a thermodynamically stable phosphate ester, alkaline phosphatase as a nonspecific catalyst would catalyze its formation from both inorganic phosphate and phosphoester substrates. 

Hessle L, Johnson KA, Anderson HC, Narisawa S, Sali A, Coding JW, Terkeltaub R, Millan JL. 2002. Tissue-nonspecific alkaline phosphatase and plasma cell membrane glycoprotein-1 are central antagonistic regulators of bone mineralization. Proc Natl Acad Sci USA 99 9445—9. 

Whyte MP, Landt M, Ryan LM, Mulivor RA, Henthorn PS, Fedde KN, Mahuren JD, Coburn SP. 1995. Alkaline phosphatase placental and tissue-nonspecific isoenzymes hydrolyze phosphoethanolamine, inorganic pyrophosphate, and pyridoxal 5 -phosphate. Substrate accumulation in carriers of hypophos-phatasia corrects during pregnancy. J Clin Invest 95 1440-5. 

Alkaline phosphatases are typically dimeric zinc metalloenzymes ranging in size from 80 to 145 kDa. They catalyze a nonspecific phosphomonoesterase reaction of the following type ... 

Nouwen EJ, De Broe ME. Fluman intestinal versus tissue-nonspecific alkaline phosphatase as complementary urinary markers for the proximal tubule. Kidney Int 1994 46(Suppl 47) S43-51. 

The substrates most generally used in measuring the activity of NTP are AMP or IMP (inosine-5"-phosphate). However, these substrates are organic phosphate esters and thus can be hydrolyzed to an appreciable degree by other nonspecific (alkaline) phosphatases, even at a pH as low as 7.5, which is the pH assumed optimal for NTP activity. Methods for the estimation of NTP in serum must therefore incorporate some means for correcting for the hydrolysis of the substrate by the nonspecific phosphatases. 

Release of free vitamin, mainly pyridoxal, occurs when physiological nonsaturating levels of vitamin are absorbed. Here the phosphates are hydrolyzed by nonspecific alkaline phosphatase located on the plasma membrane of cells. Some PLP is also released into the circulation by the liver. Because the reactive aldehyde is capable of forming Schiff bases with amino groups, PLP in plasma is more tightly com-plexed to proteins—mostly albumin—than is pyridoxal, which forms an intramolecular hemiacetal between the... 

There are five enzymes that are commonly used in diagnosis of liver disease Aspartate aminotransferase (AST EC 2.6.1.1), alanine aminotransferase (ALT EC 2.6.1.2), alkaline phosphatase (ALP 3.1.3.1), and y-glutamyl transferase (GGT EC 2.3.2.2), are commonly used to detect liver injury, and lactate dehydrogenase (LD EC 1.1.1.27) is occasionaEy used. ALT and GGT are present in several tissues, but plasma activities primarily reflect liver injury. AST is found in liver, muscle (cardiac and skeletal), and to a liipited extent iti fed cells. LD has wide tissue distribution, and is thus relatively nonspecific. ALP is found in a number of tissues, but in normal individuals primarEy reflects bone and liver sources. Thus based on tissue distribution, ALT and GGT would seem to be the most specific markers for liver injury. 

A physiologic phosphate concentration is required for bone mineralization. Lowering the concentration prevents mineralization, but raising it does not ensure precipitation because pyrophosphate is present to inhibit precipitation. The concentration of PPi in cartilage and bone is controlled by three enzymes, two on the outer surface of matrix vesicles (Fig. 9.5b). One is tissue-nonspecific alkaline phosphatase (TNAP), which decreases stromal pyrophosphate and the other is NTP-PPi hydrolase (also called plasma cell membrane glycoprotein-1), which increases it. The progressive ankylosis gene product (ANK protein) is expressed by osteoblasts to add to the pyrophosphate of the osteoid matrix from osteoblast cytosol. 

Mineralization therefore occurs in bone because of the exclusive co-expression in osteoblasts of type I collagen and tissue-nonspecific alkaline phosphatase (TNAP). The abnormal appearance of TNAP in any cell that also produces fibrillar collagen (ectopic TNAP expression) gives rise to pathological (nonbacterial) mineralization, which is outside the scope of this text. 

Osteoblasts secrete osteoid, a matrix rich in type I collagen fibers and vesicles. Precipitation of calcium phosphate is inhibited by a high concentration of pyrophosphate in stromal interstitial fluids, and a high concentration also of albumin and citrate in blood plasma. Pyrophosphate is derived from (1) transport out of the cytosol, and (2) synthesis from nucleoside triphosphates in the stromal interstitial fluid that permeates the osteoid matrix. Precipitation occurs only when calcium and phosphate ions are taken up into vesicles whose inner membrane is composed of phosphatidylserine. The high concentration of calcium and phosphate ions in the vesicle is mediated by annexin and type HI Pi Na-dependent transporters. This overwhelms the pyrophosphate and nucleation occurs. As the precipitate grows and ruptures the membrane, tissue-nonspecific alkaline phosphatase is activated to remove pyrophosphate from the osteoid matrix fluid so that calcium phosphate precipitates around phosphorylated serine residues within the collagen fibers. 

Fig.9.8 Removal of pyrophosphate is necessary for precipitation. Pyrophosphate (PPi) inhibits the precipitation of calcium phosphate. In the bone matrix, PC-1 (red) is the major producer of PPi from nucleotide triphosphates (NTPs, thick arrow on left) and ANK is a minor producer by transporting it from the cytosol of osteoblasts. TNAP (green) causes mineralization by its phosphatase activity converting PPi to two molecules of Pi. TNAP also generates Pi directly from NTPs and PPi, but most Pi and most Ca2+ are derived directly from the diet (thick arrow on right) (Slightly modified from Fig. 4 in Hessle L et al. (2002) Tissue-nonspecific alkaline phosphatase and plasma cell membrane glycoprotein-1 are central antagonistic regulators of bone mineralization. Proceedings of the National Academy of Sciences 99 9445-9449. Copyright (2002) National Academy of Sciences, U.S.A)...

Metabolism of pyridoxine-related compounds in mammals. Enzymes 1, pyridoxal kinase (present in all mammalian tissues) 2, nonspecific (probably alkaline) phosphatases 3, pyridoxine oxidase (cofactor is FMN O2 is required subject to product inhibition) 4, aldehyde oxidase or aldehyde dehydrogenase 5, aminotransferase,... 

Previous work on human alkaline phosphatases has utilized chromatography (ElO) and starch-gel electrophoresis. Thus in 1956 Boman and Westlund (B34) reported the purification and separation of serum phosphatases by Dowex-2 column chromatography. Moss (M34) used gel filtration on Sephadex G-200 and DEAE-celluIose chromatography for separating 5 -nucleotidase and nonspecific alkaline phosphatase activities in human sera. In most of the studies of alkaline phosphatases in human tissues of liver (M33), intestine (M34, M35), bone (M36), kidney (B46), and urine (B44, B46, B47), crude extracts of these tissues were used and... 

K23. Kowlessar, O. D., Haeffner, L. J., and Riley, E. M., Localization of serum leucine aminopeptidase, 5-nucleotidase and nonspecific alkaline phosphatase by starch-gel electrophoresis. Clinical and biochemical significance in disease states. Ann. N.Y. Acad. Sci. 94, 836-843 (1961). 

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