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Tartrate-Resistant Acid Phosphatase as a Biomarker of Bone Remodeling

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Biomarkers in Bone Disease
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Abstract

Tartrate-resistant acid phosphatase (TRACP) is an enzyme abundantly expressed in tissues such as the bone, spleen, liver, lungs, and skin. It has two isoforms, namely, TRACP 5a and TRACP 5b. TRACP 5a is specific for the placenta and lungs, whereas TRACP 5b is exclusive to the bone, spleen, thymus, kidney, colon, and brain. This chapter discusses the physiological functions as well as the pathological conditions associated with TRACP. While TRACP 5a is a prognostic marker for chronic inflammation, TRCAP 5b is a marker of osteoclast number. Plethora of studies revealed its importance in treatment monitoring, owing to absence of diurnal fluctuations, food effect, and accumulation in renal and liver impairment. Through this work, an effort has been made to collate the scientific information on the role and mechanism of TRACP in bone resorption and its advantages over other bone markers.

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Abbreviations

AOD2:

Type II autosomal dominant osteopetrosis

AP:

Acid phosphatase

BMPs:

Bone morphogenetic protein

Cbfa1:

Core-binding factor alpha 1

CRP:

C-reactive protein

CTX:

Collagen-type 1 cross-linked C-telopeptide

FSD:

Functional secretory domain

FSD:

Functional secretory domain

GLP-2:

Glucagon-like peptide 2

HRT:

Hormone replacement therapy

IGF-1:

Insulin-like growth factor 1

IgM:

Immunoglobulin M

IL-6:

Interleukin 6

kD:

Kilo Dalton

NF-kB:

Nuclear factor kappa B

NTX:

Amino-terminal collagen cross-link

OA:

Osteoarthritis

ODF:

Osteoclast differentiation factor

OPGL:

Osteoprotegerin ligand

PAP:

Plant acid phosphatase

PCR:

Polymerase chain reaction

RA:

Rheumatoid arthritis

RANKL:

Receptor-activated nuclear factor kappa ligand

ROS:

Reactive oxygen species

TGF-β:

Tumor growth factor β

TRACP:

Tartrate-resistant acid phosphatase

TRANCE:

Tumor necrosis factor-related activation-induced cytokine

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Vohora, D., Parveen, B. (2017). Tartrate-Resistant Acid Phosphatase as a Biomarker of Bone Remodeling. In: Patel, V., Preedy, V. (eds) Biomarkers in Bone Disease. Biomarkers in Disease: Methods, Discoveries and Applications. Springer, Dordrecht. https://doi.org/10.1007/978-94-007-7693-7_42

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