We found frequently an atypical alkaline phosphatase (ALP) band which detected at the upper region of the separating gel (atypical ALP-1) by the method of polyacrylamide disc gel (PAG) electrophoresis in the patients with certain renal failure. Although most of clinicians have demonstrated the assay of β-N-acetylglucosaminidase (NAG) and β
2-microglobulin (β
2MG) as the useful marker for advanced renal failure, we then examined the relationship between the levels of β
2MG and the atypical ALP-1 in the patients with chronic renal failures. In particular, we studied the relationship between atypical ALP and β
2MG in two groups of chronic renal failure, one is with diabetes mellitus (DM) and the other is without diabetes mellitus (non DM). From the present results, higher appearances of the atypical ALP-1 in the serum or urine of the patient with DM nephropathy groups were well accorded to the levels of serum or urinary β
2MG in the matched patient group. Taken together, the blood or urinary appearance of atypical ALP-1 and the level of β
2MG may be a good tool for the pathological conditions in the patients with diabetic nephropathy.
View full abstract