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. 2023 Oct 20;12(10):2932–2945. doi: 10.21037/tcr-23-1190

Table 1. The level of alkaline phosphatase in human cancers.

Cancer type Levels Functions Combined diagnosis References
Prostate cancer Up     Promoting cell growth, metastasis and invasion Osteocalcin/BSAP (14-19)
Liver metastasis Up     Promoting liver damage, cell invasion AST/ALT/CT/MRI (20-26)
Pancreatic cancer Up     Promoting tumor growth and invasion CA 19-9 (27-34)
Lung cancer Up     Promoting tumor proliferation, invasion, bone metastases N/A (13,35-41)
Breast cancer Down     Modulating the tumor micro-environment, cytokine expression, cell proliferation and migration N/A (42-47)
Colorectal cancer Down     Promotion of cell proliferation, colony formation, and decreased tumor suppressor gene expression N/A (48-52)
NSCLC Up     Promoting tumor growth and invasion ALK/EGFR (53-55)
NSGCT Up     Promoting tumor growth and invasion N/A (56-60)
GC Up     Increased metastasis LDH (19,61,62)

NSCLC, non-small cell lung cancer; NSGCT, non-seminoma germ cell tumor; GC, gastric cancer; BSAP, bone-specific alkaline phosphatase; AST, aspartate aminotransferase; ALT, alanine aminotransferase; CT, computed tomography; MRI, magnetic resonance imaging; CA 19-9, carbohydrate antigen 19-9; N/A, not available; ALK, anaplastic lymphoma kinase; EGFR, epidermal growth factor receptor; LDH, lactate dehydrogenase.