Clinical significance of the human acid phosphatases: A review

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Abstract

During the past three decades we have witnessed significant developments in the clinical application and interpretation of both serum and tissue acid phosphatases. The human prostate is particularly rich in this enzyme, and serum enzyme levels are a useful tool in the diagnosis and management of prostatic diseases. Alterations of serum enzyme activity are not, however, unique to prostatic disorders and are seen in a wide variety of other diseases, particularly in Gaucher's disease and nonprostatic malignancies with bone involvement. It is now apparent that acid phosphatases represent a heterogeneous group of enzymes containing many isoenzymes, each specific for one type of tissue. Determination of the serum isoenzyme pattern is often a valuable aid in directing the physician's attention to one particular tissue; moreover, the isoenzyme pattern may show abnormalities in the face of normal total serum enzyme. The present trend in study of the acid phosphatases includes the combined use of biochemical, histochemical, electrophoretic, electron microscopic and immunologic technics to further our understanding of the relationship between these isoenzymes and the cellular and subcellular fractions of various tissues. Such studies will lead to a further understanding of the function of acid phosphatases and may serve to extend the clinical application of these enzymes.

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    This study was supported by U.S. Public Health Service Grant AM-16501 from the National Institutes of Arthritis, Metabolic and Digestive Diseases; and by U.S. Army Contract No. DADA 17-73-C-3041.

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