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ALPL Gene Mutation Analysis, Whole Blood

Published: August 9, 2026Updated: August 16, 2026

A blood-based genetic test that looks for variants in the ALPL gene, which can affect bone mineralization and alkaline phosphatase activity.

Quick summary

["This test analyzes blood DNA for ALPL gene variants that may cause inherited bone mineralization disorders."]

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
77085-9
Short code
ALPL Fam Mut Anl Bld/T
Synonyms
ALPL Fam Mut Anl Bld/T
Category
liver
Sample
whole-blood
Container
Lavender-top (EDTA)
Units
N/A
Ref low
44
Ref high
147
Fasting
false
Population
adult
Sex
all
Age range
18–65 years
Method
molgen
CPT
84075
SNOMED
27550007
Specimen volume
3 mL
Stability
Room temperature: 4h, Refrigerated: 24h
Hemolysis max
0
Lipemia max
0
Icterus max
0
TAT
4–24 hours
Order
routine

What is this test?

This test examines DNA from a blood sample for changes, called variants, in the ALPL gene. The ALPL gene provides instructions for making an enzyme called tissue-nonspecific alkaline phosphatase, which is important in bone mineralization.

Why might I need this test?

ALPL genetic testing may be ordered when a child or adult has unexplained low alkaline phosphatase, weak or abnormal bones, or a family history of an inherited bone disorder. It may also help clarify whether a suspected familial ALPL variant is present.

How is the test performed?

A blood sample is collected, and its DNA is analyzed in a laboratory. Depending on the laboratory and the ordered test, selected ALPL variants or multiple areas of the ALPL gene may be examined.

How do I prepare for the test?

This is usually a standard blood draw and does not require fasting. Follow any laboratory-specific instructions, particularly if you have recently received a blood transfusion or are taking blood-thinning medication.

Reference range

Adult: 44-147 U/LN/A

Specimen: whole-blood

No special preparation required. Avoid fatty meals before the test if possible.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

A clinically significant ALPL variant may be associated with hypophosphatasia or related disorders of bone mineralization. A variant that is considered likely pathogenic can support a diagnosis, but results must be interpreted with symptoms, other laboratory findings, and sometimes family testing. A negative result does not exclude every ALPL-related condition because some variants may not be included in the test.

Short name

ALPL genetic testing

Frequently asked questions

Is this the same as a routine alkaline phosphatase blood test?
No. A routine alkaline phosphatase test measures enzyme activity in the blood, while this test examines DNA from the ALPL gene.
What does a positive ALPL result mean?
It means a clinically significant ALPL gene variant was detected, which may support an inherited bone mineralization disorder. A genetic counselor or other clinician can explain the specific result and its implications for the family.
Will this test detect every ALPL gene variant?
No. The test may examine only selected variants or certain regions of the gene, so a negative result does not completely rule out an ALPL-related condition.
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This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy