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Alkaline Phosphatase (ALPL) Gene, Full Mutation Analysis, Whole Blood — DNA Sequencing

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

A blood-based DNA sequencing test that examines the ALPL gene for variants associated with inherited bone and mineral disorders, including hypophosphatasia.

Quick summary

["This test can identify certain inherited ALPL gene variants that may cause hypophosphatasia or related bone and mineral disorders."]

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

Key facts at a glance

LOINC
77084-2
Short code
ALPL Full Mut Anl Bld/T Seq
Synonyms
ALPL Full Mut Anl Bld/T Seq
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
sequencing
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 analyzes DNA from a blood sample to look for changes, called variants, in the ALPL gene. This gene provides instructions for making an enzyme called tissue-nonspecific alkaline phosphatase, which is important for bone and mineral metabolism.

Why might I need this test?

It may be ordered when low alkaline phosphatase levels, unexplained bone abnormalities, or a family history suggest an inherited condition such as hypophosphatasia. Results may also help guide genetic counseling and evaluation of relatives.

How is the test performed?

A laboratory extracts DNA from the blood sample and analyzes the relevant portions of the ALPL gene using DNA sequencing. The findings are then interpreted for possible disease-causing, uncertain, or benign variants.

How do I prepare for the test?

This test usually requires only a blood draw and generally does not require fasting. Follow any instructions provided by the laboratory or ordering clinician, and tell them if you have had a recent blood transfusion.

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 disease-causing or likely disease-causing ALPL variant may support a diagnosis of an inherited disorder affecting bone mineralization and alkaline phosphatase activity. A negative result does not rule out all genetic causes because testing may not detect every variant or may not examine all relevant regions. A variant of uncertain significance is not, by itself, considered proof of a genetic diagnosis.

Short name

ALPL Gene Full Mutation Analysis

Frequently asked questions

Does this test measure alkaline phosphatase levels?
No. It examines the DNA of the ALPL gene rather than directly measuring the amount of alkaline phosphatase in the blood.
Can this test diagnose hypophosphatasia?
It can provide strong genetic evidence when a disease-causing ALPL variant is found, but the result must be interpreted with symptoms, other laboratory findings, and family history.
Can a relative be tested based on my result?
Yes. If a disease-causing variant is identified, the ordering clinician may recommend targeted testing for family members, often with genetic counseling.
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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