Using a simple thin layer polyacrylamide gel electrophoresis, human serum alkaline phosphatase could be separated into up to 5 isozyme bands; 2 or 3 isozyme bands in normal adult's sera and 5 bands in patient's sera. They were numbered as Alp I, II, III, IV and 0 in order of decreasing anodic mobility. It was found that Alp I to IV corresponded in mobility to the major component of the respective tissue extracts, i, e, Alp I to hepatobiliary, Alp II to bone, Alp III to placental and Alp IV to intestinal alkaline phosphatase. Alp 0 was the activity remaining at the origin and was supposed to be polymers or complexes located on large particles, such as cell debris, etc.
Alp III from pregnant sera could be devided into 3 subgroups, i. e., fast (Alp III
F), intermediate (Alp III
I) and slow (Alp III
S), according to its mobility.
The activity of Alp I, sometimes with that of Alp IV, rose mainly in hepatobiliary disease, while activities of Alp II rose in bone and parathyroidal disease. Increase in activity of Alp III and 0 occurred mainly in pregnancy and malignant disease, respectively. The changes of alkaline phosphatase zymograms in pathological states gave us the key to differential diagnosis.
It was shown that the appearance of Alp IV in normal adult's serum was related to the blood group B or O with salivary secretor type.
Thus, the electrophoretic separation of alkaline phosphatase of human serum by using the simple thin layer polyacrylamide gel plate as the supporting medium was shown to give us many useful informations about clinical diagnosis. Treatments of serum before electrophoresis, such as diluting, freezing and thawing, heating and adding surface active agents, enzymes, lectins, etc., gave much more informations for the identification of alkaline phosphatase isozymes.
It was indicated from these data that the migration of alkaline phosphatase isozyme bands was strongly affected by the structure of their end polysaccharide chains.
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