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. 2024 Mar 2;53:101–113. doi: 10.1016/j.jor.2024.03.002

Table 2.

Bone formation markers.

Bone formation markers Tissue origin Sample Significance
Alkaline phosphatase (ALP) Bone, Liver Serum Reliable bone marker in subjected to normal liver function
Bone alkaline phosphatase (BALP) Bone Serum Sensitive and reliable marker of bone metabolic activity
Procollagen type 1 N-terminal propeptide (P1NP) Bone, Skin Serum Sensitive biomarker of bone formation (Specific osteoblast and fibroblast derivative)
Procollagen type 1 C-terminal propeptide (P1CP) Bone, skin, soft tissue Serum Indicator of COL1A1 synthesis in bone matrix formation
Osteocalcin Bone, Thrombocytes Serum Late marker of bone formation