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169352

IN VITRO STUDY TO EXPLAIN THE DECREASE IN ALKALINE PHOSPHATASE (ALP) ACTIVITY IN HEMOLYSED BLOOD SAMPLES FROM THE CLINICAL POINT OF VIEW.

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Last updated: 22 Jan 2023

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Abstract

Hemolysis is still the most common reason for rejecting samples, while reobtaining a new sample is an important problem. The aim of this study was to explain the decrease in the activity of Alkaline phosphatase enzyme after hemolysis of blood samples and the possible conversion of zinc and Magnesium ions to inhibitors of alkaline phosphatase activity after they released from red blood cells. Twenty healthy volunteers were enrolled in the study. Four hemolysis levels were constituted according to hemoglobin concentrations (0.02 ,0.27 ,0.75 and 3.34 g/L). Non –hemolysed samples were obtained from each volunteer and considered as control. Hemolysis was achieved by mechanical trauma. Alkaline phosphatase activity and the concentrations of Zinc and Magnesium ions were measured in the hemolysed and non- hemolysed samples. 10 non-hemolysed serum samples (Hb concentration was < 0.02 g/L) were divided in to two groups samples (named as Group A and B ) ALP activity was measured in these samples. In vitro study was carried out through addition of magnesium chloride (68.3 mg/dL) to group A and Zinc chloride (5.1 µg/dL) to group B. ALP activity was measured in the sera of the two groups. The significant decrease (p < 0.001) in ALP activity (13.2 ± 7.2 IU/L) was at moderate and at severe heimolysis ( 5.5 t 2.3 IU/L) as compared with that in non hemolysed samples. In these levels of hemolysis the concentrations of Zn+2 ions (5.1 ±1.1 µg/dL) and Mg+2 ions (68.3 ± 8.6 mg/dL) were significantly increased (p < 0.01) compared with their concentrations in non-hemolysed samples (2.75 ± 0.82 ; 17.66 + 2.3µg/ml) respectively. ALP activity was inversely proportional with the increase in the hemoglobin concentrations in the hemolysed samples. A significant decrease (p < 0.005) in the activity of ALP from 93.7 ± 10.2 to 47.4 ±10.7 IU/L was observed after the addition of 68.3.0 mg/dL of magnesium chloride to group. There was no significant decrease (p>0.1) in activity of ALP in the samples of group B to which 5.1 µg/dL of Zinc chloride was added.

DOI

10.21608/zjps.2011.169352

Authors

First Name

Husni

Last Name

Farah

MiddleName

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Affiliation

Department of Medical Biochemistry, College of Medicine, Taif University, KSA

Email

husni.farah@yahoo.com

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First Name

Ali

Last Name

Al- Atoom

MiddleName

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Affiliation

Department of Medical Biochemistry, College of Medicine, Taif University, KSA

Email

ali.al-atoom@yahoo.com

City

-

Orcid

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First Name

Gaber

Last Name

Shehab

MiddleName

-

Affiliation

Department of Medical Biochemistry, College of Medicine, Taif University, KSA

Email

gaber.shehab@yahoo.com

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Orcid

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Volume

20

Article Issue

2

Related Issue

23545

Issue Date

2011-12-01

Receive Date

2011-10-04

Publish Date

2011-12-01

Page Start

19

Page End

23

Print ISSN

1110-5089

Online ISSN

2356-9786

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https://zjps.journals.ekb.eg/article_169352.html

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https://zjps.journals.ekb.eg/service?article_code=169352

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4

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Original Article

Type Code

862

Publication Type

Journal

Publication Title

Zagazig Journal of Pharmaceutical Sciences

Publication Link

https://zjps.journals.ekb.eg/

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Created At

22 Jan 2023