Alkaline phosphatase (ALP) is an enzyme found in all body tissues. There are many different forms of ALP called isoenzymes. The structure of the enzyme depends on where in the body it is produced. This test is most often used to test ALP made in the tissues of the liver and bones.
The ALP isoenzyme test is a lab test that measures the amounts of different types of ALP in the blood.
Alkaline phosphatase isoenzyme test
How the test is performed
A blood sample is needed. Most of the time blood is
How to prepare for the test
You should not eat or drink anything for 10 to 12 hours before the test, unless your doctor tells you to do so.
Many medicines can interfere with blood test results.
- Your health care provider will tell you if you need to stop taking any medicines before you have this test.
- Do not stop or change your medications without talking to your doctor first.
How the test will feel
You may feel slight pain or a sting when the needle is inserted. You may also feel some throbbing at the site after the blood is drawn.
Why the test is performed
When the alkaline phosphatase (ALP) test result is high, the doctor may order the ALP isoenzyme test. This test will help determine what part of the body is causing higher ALP levels.
This test may be used to diagnose:
Liver, gallbladder, or bile duct disease
- Pain in the abdomen
- Parathyroid gland disease
Vitamin D deficiency
It may also be done to check liver function and to see how medicines you take may affect your liver.
The normal value is 20 to 140 IU/L (international units per liter).
Adults have lower levels of
The isoenzyme test results can reveal whether the increase is in “bone” ALP or “liver” ALP.
Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results.
The example above shows the common measurement range for results for these tests. Some laboratories use different measurements or may test different specimens.
What abnormal results mean
Higher-than-normal ALP levels:
- Biliary obstruction
- Bone disease
- Eating a fatty meal if you have blood type O or B
- Healing fracture
- Liver disease
- Osteoblastic bone tumors
Lower-than-normal levels of ALP:
Malnutrition Proteindeficiency Wilson’s disease
Levels that are only slightly higher than normal may not be a problem unless there are other signs of a disease or medical problem.