What does alkaline phosphatase show in cats?

What does alkaline phosphatase show in cats? - briefly

Alkaline phosphatase (ALP) is an enzyme commonly measured in feline blood tests to assess liver health and bone metabolism. Elevated ALP levels in cats can indicate liver disease or disorders of the skeletal system, such as hyperthyroidism, which affects bone turnover.

What does alkaline phosphatase show in cats? - in detail

Alkaline phosphatase (ALP) is an enzyme present in various tissues throughout the body, including liver, bone, and intestines. In cats, elevated levels of ALP can indicate several underlying conditions or health issues. Here's a detailed look at what alkaline phosphatase can show in cats:

  1. Hepatic (Liver) Origin: The most common source of increased ALP activity in cats is the liver. Liver disease, such as cholangiohepatitis or hepatic lipidosis, can cause a significant rise in serum ALP levels. These conditions may be triggered by various factors including infections, toxins, or metabolic disorders.

  2. Bone (Osteoblastic) Origin: Alkaline phosphatase is also produced by osteoblasts during bone formation and remodeling. Elevated ALP levels from a bone source can indicate increased bone turnover, which may be seen in conditions such as hyperthyroidism or nutritional secondary hyperparathyroidism. These diseases are relatively common in older cats and can lead to skeletal issues if left untreated.

  3. Intestinal Origin: While less common than hepatic or bone-related increases, ALP levels may also rise due to intestinal disease. Inflammatory bowel disease (IBD) or other gastrointestinal disorders can cause an elevation in serum ALP levels. However, this is typically accompanied by other clinical signs and abnormalities in blood tests.

  4. Growth and Development: Kittens and young cats undergoing rapid growth may also have temporarily elevated ALP levels due to increased bone turnover during the developmental phase. This is usually transient and resolves as the cat matures.

  5. Drug or Toxin Exposure: Certain medications or toxins can affect liver function and cause a rise in ALP levels. For example, exposure to chemicals like ethylene glycol (antifreeze) or certain medications can lead to hepatic damage and consequently elevated ALP.

In summary, alkaline phosphatase levels in cats provide valuable insights into the health of various organ systems, particularly the liver and bones. Veterinarians interpret these results in conjunction with other clinical findings and diagnostic tests to determine the underlying cause and develop an appropriate treatment plan. Regular monitoring of ALP levels can help track the progression and response to therapy for a variety of conditions affecting cats.