Alkaline Phosphatase Isoforms and Tissue Distribution
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Questions and Answers

What is the major advantage of using osteocalcin as a marker?

  • It is elevated in pregnant women
  • It follows a circadian rhythm
  • It is a specific marker of liver disease
  • It reflects expected changes in bone formation (correct)

Which tissues contribute to alkaline phosphatase activity in the body?

  • Osteoclasts and fibroblasts
  • Osteoblasts and odontoblasts
  • Adipocytes and muscle cells
  • Liver, bone, and placenta (correct)

What is the main difference between bone and liver isoforms of alkaline phosphatase?

  • Different molecular weights
  • Different amino acid sequences
  • Different colors under a microscope
  • Different glycosylation patterns (correct)

When are the highest levels of osteocalcin observed during the menstrual cycle?

<p>During the luteal phase (D)</p> Signup and view all the answers

Which cells synthesize osteocalcin in the body?

<p>Mature osteoblasts, odontoblasts, and hypertrophic chondrocytes (A)</p> Signup and view all the answers

What characterizes the circadian rhythm of osteocalcin levels?

<p>Highest levels after midnight (B)</p> Signup and view all the answers

What is a limitation associated with the use of osteocalcin as a bone turnover marker?

<p>It has a short half-life (A)</p> Signup and view all the answers

Why is measuring P1NP preferred over P1CP as a marker of bone formation in osteoporosis?

<p>P1NP is more stable (D)</p> Signup and view all the answers

Why is urinary calcium no longer commonly used to assess bone resorption?

<p>It is influenced by various factors (C)</p> Signup and view all the answers

What is the main component of bone tissue that reflects high values in morning samples?

<p>Bone mineral (A)</p> Signup and view all the answers

Why was the collagen-derived assay using urinary hydroxyproline considered lacking specificity and sensitivity?

<p>It was derived from various collagen sources (A)</p> Signup and view all the answers

Why is procollagen type I N-terminus considered a reliable marker of bone formation?

<p>It is more stable than C-terminal propeptides (D)</p> Signup and view all the answers

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