A Hipofosfatasia (HPP) é uma doença metabólica hereditária rara, caracterizada por uma falha na mineralização dos ossos e/ou dentes, acompanhada de baixa atividade da fosfatase alcalina (ALP) no sangue. A variedade de sintomas é muito grande, indo desde natimortos (bebês que nascem sem vida) em um extremo, até fraturas nas pernas na idade adulta, no outro, ou até mesmo sem problemas nos ossos (odontohipofosfatasia).
Introdução
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A Hipofosfatasia (HPP) é uma doença metabólica hereditária rara, caracterizada por uma falha na mineralização dos ossos e/ou dentes, acompanhada de baixa atividade da fosfatase alcalina (ALP) no sangue. A variedade de sintomas é muito grande, indo desde natimortos (bebês que nascem sem vida) em um extremo, até fraturas nas pernas na idade adulta, no outro, ou até mesmo sem problemas nos ossos (odontohipofosfatasia).
Escala de raridade
<1/50kMuito rara
1/20kRara
1/10kPouco freq.
1/5kIncomum
1/2k
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Sinais e sintomas
O que aparece no corpo e com que frequência cada sintoma acontece
Partes do corpo afetadas
+ 30 sintomas em outras categorias
Características mais comuns
Os sintomas variam de pessoa para pessoa. Abaixo estão as 66 características clínicas mais associadas, ordenadas por frequência.
Linha do tempo da pesquisa
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Genética e causas
O que está alterado no DNA e como passa nas famílias
Genes associados
1 gene identificado com associação a esta condição. Padrão de herança: Autosomal dominant, Autosomal recessive.
Alkaline phosphatase that metabolizes various phosphate compounds and plays a key role in skeletal mineralization and adaptive thermogenesis (PubMed:12162492, PubMed:23688511, PubMed:25982064). Has broad substrate specificity and can hydrolyze a considerable variety of compounds: however, only a few substrates, such as diphosphate (inorganic pyrophosphate; PPi), pyridoxal 5'-phosphate (PLP) and N-phosphocreatine are natural substrates (PubMed:12162492, PubMed:2220817). Plays an essential role in
Cell membraneExtracellular vesicle membraneMitochondrion membraneMitochondrion intermembrane space
Hypophosphatasia
A metabolic bone disease characterized by defective skeletal mineralization and biochemically by deficient activity of the tissue non-specific isoenzyme of alkaline phosphatase. Four forms are distinguished, depending on the age of onset: perinatal, infantile, childhood and adult type. The perinatal form is the most severe and is almost always fatal. The adult form is mild and characterized by recurrent fractures, osteomalacia, rickets, and loss of teeth. Some cases are asymptomatic, while some patients manifest dental features without skeletal manifestations (odontohypophosphatasia).
Medicamentos aprovados (FDA)
1 medicamento encontrado nos registros da FDA americana.
Variantes genéticas (ClinVar)
976 variantes patogênicas registradas no ClinVar.
Classificação de variantes (ClinVar)
Distribuição de 825 variantes classificadas pelo ClinVar.
Vias biológicas (Reactome)
1 via biológica associada aos genes desta condição.
Diagnóstico
Os sinais que médicos procuram e os exames que confirmam
Tratamento e manejo
Remédios, cuidados de apoio e o que precisa acompanhar
Onde tratar no SUS
Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)
🇧🇷 Atendimento SUS — Hipofosfatasia
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46 ensaios clínicos encontrados, 13 ativos.
Publicações mais relevantes
Mostrando amostra de 200 publicações de um total de 761
[Recent advances in the diagnosis and management of childhood hypophosphatasia].
低碱性磷酸酶血症(HPP)是由ALPL基因变异引起的组织非特异性碱性磷酸酶活性缺陷病,致多种底物堆积,出现牙早脱及骨骼矿化障碍等表现。国外已有一代酶替代治疗(阿司福酶α)的经验,二代酶替代疗法正在临床试验中。病毒载体基因治疗等新策略也在积极探索中,有望为HPP患者提供更多有效、安全的治疗选择。携带基因变异的无症状者是潜在患者。寻找可靠的生物标志物作为用药指征,需要进一步达成共识。本文综述近年来HPP的诊断、基因型及治疗的新进展,旨在提高儿科医生对本病的认识,减少漏诊及误诊。.
Lentivirus-based HPSC therapy provides effective and long-term treatment in hypophosphatasia mouse model.
Hypophosphatasia (HPP) is a multi-system metabolic disorder characterized by skeletal hypomineralization and perinatal lethality in severe cases and rickets, muscle weakness, and premature tooth loss in milder forms. It is caused by loss-of-function mutations in the ALPL gene encoding the tissue-nonspecific isozyme of alkaline phosphatase (TNALP). Currently, enzyme replacement therapy with asfotase alfa (STRENSIQ) is the only treatment approved for the most severe forms of the disease. It enhances survival and improves bone mineralization, but it is burdensome for the patients who must undergo daily, or every other day, injections for the rest of their lives. Alternative cell therapies are under development to overcome TNALP deficiency. Here, we report the development of a lentiviral vector (LVV), RMP100-LVV, to stably express soluble TNALP in LVV-transduced hematopoietic stem and progenitor cells (HSPCs). We show engraftment and differentiation of human RMP100-LVV-modified HSPCs in humanized mice and that treatment with this cell therapy approach leads to a durable correction of plasma alkaline phosphatase activity, rescues skeletal manifestations, and prevents early mortality in a severe HPP mouse model. Our study provides critical insights into treating metabolic bone disorders with an autologous HSPC-based gene therapy and demonstrates that this approach is a potential one-time treatment for HPP.
The Importance of Biochemical Screenings in the Diagnosis of Hypophosphatasia: Applications, Methodologies, and Challenges.
Pathological reduction in enzymatic activity of the tissue-non-specific alkaline phosphatase (TNSALP) is the molecular hallmark of hypophosphatasia (HPP), a group of rare inborn systemic diseases, mainly characterized by pathological affections of calcified tissue mineralization and the musculoskeletal system. The disease, in all clinical forms, is biochemically characterized by variable degrees of chronically reduced activity of circulating total alkaline phosphatase (ALP). Repeated detection of low values of ALP activity is mandatory to diagnose the presence of HPP, but, alone, it is not sufficient for the diagnosis of the disease. Detection of increased circulating levels of one of the main natural substrates of TNSALP, the pyridoxal 5'-phosphate (PLP), is needed to biochemically confirm the diagnosis of HPP. Urinary and/or blood levels of phosphoethanolamine (PEA) and inorganic pyrophosphate (PPi), two other natural substrates of TNSALP, can be elevated in a percentage of HPP patients. The contemporary biochemical evaluation of ALP activity and its target substrates is of great help in the diagnosis of HPP, and also for the monitoring of a patient's response to enzymatic replacement therapy or other pharmacological treatments. Here, we describe and discuss possibilities and challenges of biochemical screenings for HPP, based also on the experience gained in our analysis laboratory.
Screening and patient exploration for adult hypophosphatasia in orthopedics.
Hypophosphatasia is an inherited metabolic bone disorder characterized by cartilage and bone abnormalities. Adult hypophosphatasia presents with a wide range of symptoms, including refractory fractures, recurrent fractures, stress fractures, and reduced bone mineral density, along with extraskeletal manifestations such as myalgia, muscle weakness, and fatigue. Some patients with these symptoms may have undiagnosed hypophosphatasia. While hypophosphatasia is treatable with enzyme replacement therapy, early diagnosis is often difficult owing to its diverse clinical presentations. This study aimed to create a screening method for identifying suspected hypophosphatasia cases. We retrospectively reviewed all adult patients of orthopedics (2392 cases; 859 men and 1533 women, mean age 71.0 ± 18.7 years) who underwent serum alkaline phosphatase testing at our hospital between April 1, 2022, and March 31, 2023. Patients with at least one alkaline phosphatase level below the lower limit of normal (38 U/L) were included. Patients who consistently showed low alkaline phosphatase levels in all tests were classified as suspected hypophosphatasia cases. We investigated the fracture history, musculoskeletal symptoms, and alkaline phosphatase levels of these patients to identify potential hypophosphatasia cases. Eight patients (0.33 %) were suspected of having hypophosphatasia. Of the two patients who were followed up, one was diagnosed with hypophosphatasia through genetic testing. Our screening method can extract suspected hypophosphatasia cases. Our study is the first to propose and apply a targeted screening approach for adult hypophosphatasia in an orthopaedic cohort-an at-risk population that has not been previously examined in this context. Orthopaedic surgeons should be aware of the possibility of hypophosphatasia in patients presenting with fractures or pain and consider alkaline phosphatase levels cautiously.
Lipid Metabolism Alterations in Hereditary Inorganic Pyrophosphate Deficiency Syndromes: A Narrative Review of Insights and Controversies.
Pathological ectopic calcification of soft tissues can arise from reduced or absent levels of inorganic pyrophosphate (PPi), a key inhibitor of calcium hydroxyapatite deposition in soft connective tissues. The role of PPi in regulating mineralization has been recognized for decades, thanks to the pivotal work of Herbert Fleisch and colleagues; and its clinical relevance has been underscored by the identification of hereditary metabolic disorders, collectively termed PPi deficiency syndromes. These are caused by pathogenic variants in the essential genes for maintaining PPi homeostasis: ATP-binding cassette subfamily C member 6 (ABCC6), ectonucleotide pyrophosphate phosphodiesterase 1 (ENPP1), progressive ankylosis protein (ANK), tissue-nonspecific alkaline phosphatase (ALPL), CD73, and CD39. In recent years, abnormalities in lipid metabolism have been reported in these monogenic conditions. However, a common understanding of these alterations has yet to be established. This review provides an overview of the pathophysiology of PPi deficiency syndromes-pseudoxanthoma elasticum, generalized arterial calcification of infancy, arterial calcification due to CD73 deficiency, ankylosis, and Hutchinson-Gilford progeria syndrome-highlighting the lipid metabolism alterations in cells, animal models, and patients. We explore the evidence for a potential role of PPi-regulating proteins in lipid metabolic pathways to demonstrate that lipid alterations are not coincidental but entail opportunities for future research and for potential therapeutic interventions.
Publicações recentes
ALPL Mutations With Dominant-Negative Effect in Infantile Hypophosphatasia Monozygotic Twins.
Bilateral healing of pseudofractures in hypophosphatasia with teriparatide: a case report.
[Recent advances in the diagnosis and management of childhood hypophosphatasia].
NEFL is associated with inhibition of odontoblastic process in odontohypophosphatasia.
🥇 Meta-análiseLentivirus-based HPSC therapy provides effective and long-term treatment in hypophosphatasia mouse model.
📚 EuropePMC1.128 artigos no totalmostrando 195
Bilateral healing of pseudofractures in hypophosphatasia with teriparatide: a case report.
Journal of medical case reports[Recent advances in the diagnosis and management of childhood hypophosphatasia].
Zhonghua er ke za zhi = Chinese journal of pediatricsNEFL is associated with inhibition of odontoblastic process in odontohypophosphatasia.
Journal of bone and mineral metabolismLentivirus-based HPSC therapy provides effective and long-term treatment in hypophosphatasia mouse model.
Molecular therapy : the journal of the American Society of Gene TherapyHypophosphatasia in Neonatal Twins With Generalized Skeletal Hypomineralisation.
Journal of paediatrics and child healthDeficiency of Tissue Nonspecific Alkaline Phosphatase Dysregulates Microglial Morphology and Function in a Mouse Model of Infantile Hypophosphatasia.
Journal of neurochemistryExternal validation of the proposed diagnostic criteria for hypophosphatasia in adults of a Spanish cohort.
Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USAThe Importance of Biochemical Screenings in the Diagnosis of Hypophosphatasia: Applications, Methodologies, and Challenges.
International journal of molecular sciencesTissue nonspecific and intestinal alkaline phosphatase crosstalk: a missing link in hypophosphatasia pathophysiology?
Journal of translational medicineGenetic Hypophosphatasia as a Cause of Recurrent Stress Fractures in a Female Runner.
Current sports medicine reportsPersistently Low Alkaline Phosphatase in Fibromyalgia: Hypophosphatasia or Confounding Clinical Context?
Medical principles and practice : international journal of the Kuwait University, Health Science CentreScreening and patient exploration for adult hypophosphatasia in orthopedics.
Journal of orthopaedic science : official journal of the Japanese Orthopaedic AssociationPhenotype and genotype of hypophosphatasia cases in Saudi Arabia: multi-center case cohort.
Frontiers in geneticsHeritable metabolic bone disorders: a guide to current genetic testing and clinical management for adult endocrinologists.
PathologyModeling rare genetic skeletal disorders with bone organoids: a narrative review.
BoneHypophosphatasia: who among us is a carrier?
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchHypophosphatasia in children: From low alkaline phosphatase activity to diagnosis, genetic testing, and treatment options. A narrative review.
Advances in clinical and experimental medicine : official organ Wroclaw Medical UniversityImpact of clinical symptoms on quality of life in adult hypophosphatasia: a monocentric study in northern Germany.
JBMR plusChange in fracture rate and healthcare resource utilization among patients with hypophosphatasia following initiation of asfotase alfa: a retrospective US claims database analysis.
JBMR plusAtypical Fracture From Bisphosphonate Use in Hypophosphatasia With Improved Bone Response to Teriparatide Therapy.
JCEM case reportsAlpl ablation in dental epithelium disrupts ameloblasts and incisor enamel mineralization in male mice.
JBMR plusEfzimfotase Alfa Improves Respiratory Capacity in Muscle Tissue From a Mouse Model of HPP.
JIMD reportsHypophosphatasia: 90 Years from a Canadian Discovery-A Comprehensive Review of the ALPL Gene Underlying Rathbun's Syndrome.
GenesSix cases of ENPP1 pathogenic variants causing autosomal recessive hypophosphatemic rickets type 2 and generalized arterial calcification of infancy.
JBMR plusA randomized Phase 1b trial evaluating the pharmacodynamics of ilofotase alfa in adults with hypophosphatasia.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchLipid Metabolism Alterations in Hereditary Inorganic Pyrophosphate Deficiency Syndromes: A Narrative Review of Insights and Controversies.
Journal of inherited metabolic diseaseInfantile hypophosphatasia in a Chinese patient: identification and characterization of novel compound heterozygous ALPL mutations.
Human genome variationFunctional and In Silico Characterization of ALPL Gene Variants Reveals Genotype-Phenotype Correlations in Italian Hypophosphatasia Patients.
CellsThe Global Hypophosphatasia Registry: lessons learned from a decade of real-world data.
Orphanet journal of rare diseasesWhen the diagnosis misses the mark: The psychiatric cost of misdiagnosing hypophosphatasia as fibromyalgia.
World journal of clinical casesHypophosphatasia: low penetrance of pathogenic and likely-pathogenic ALPL variants identified through an unselected biorepository.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchNeonatal Multiple Bone Fractures: A Case Report of Hypophosphatasia.
Case reports in endocrinologyClinical features of low serum alkaline phosphatase levels in children: A retrospective study.
Pediatrics international : official journal of the Japan Pediatric SocietyThe Clinical Spectrum of Hypophosphatasia in Older Adults.
Clinical case reportsNovel Insights From In Silico Analysis of Biallelic ALPL (c.1001G/A and c.571G/A) in Two Mennonite Families Leading to Hypophosphatasia.
CureusIdentification of rare genetic variants in familial forms and unrelated cases of bisphosphonates-associated atypical femur fracture.
Joint bone spineEnpp1 inhibition: a promising oral therapy for later-onset hypophosphatasia.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchNeonatal hypophosphatasia: a case report of a rare genetic disorder.
BMC pediatricsProceedings of the 2025 Santa Fe Bone Symposium: Current concepts in the care of patients with osteoporosis, parathyroid disorders, and rare bone diseases.
Journal of clinical densitometry : the official journal of the International Society for Clinical DensitometryBridging the knowledge gap in rare bone disorders: insights from the APCO Asia-Pacific Rare Bone Disorders Engagement (ASPIRE) survey.
Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USAHypophosphatasia and Type 1 Diabetes: A Pilot Study and Review of Literature.
Current osteoporosis reportsHypophosphatasia-pathophysiological understanding, preclinical data looking beyond the skeleton, and upcoming treatments.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchENPP1 inhibition as a therapeutic approach for later-onset hypophosphatasia.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchBiochemical and Demographical Differences in Atypical vs. Typical Femoral Fractures: A 10-Year Experience Across Two Centers.
International journal of endocrinologyRevisiting the Genetics of Hypophosphatasia.
Journal of inherited metabolic diseaseBiochemical phenotype of hypophosphatasia in asymptomatic individuals carrying ALPL variants.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchThe Challenge of Hypophosphatasia Diagnosis in Patients with Fibromyalgia.
Medical principles and practice : international journal of the Kuwait University, Health Science CentreAdult Hypophosphatasia in a Middle-Aged Patient With Recurrent Fractures: Prevention of New Fractures With Asfotase Alfa.
JCEM case reportsA novel dominant negative variant of ALPL induces hypophosphatasia.
JBMR plusCorrigendum to "Multigenerational genetic inheritance and clinical characteristics of the rare disease hypophosphatasia in 6 families: A case series" [Bone Rep. 26 (2025) 1-6 (101857)].
Bone reportsAI-assisted phenotyping in a zebrafish hypophosphatasia model enables early and precise detection of skeletal alterations.
Scientific reportsPeriodontal Manifestations of Systemic Diseases.
Journal of periodontal researchInvolvement of impaired phosphate production and aberrant extracellular ATP signaling in the pathogenesis of hypophosphatasia: Analysis of ALPL-Knockout human iPS cell models.
BoneClinical Characteristics and Management of Rare Metabolic Bone Diseases: An Audit of the Rare Metabolic Bone Disease Registry of India.
Calcified tissue internationalPathophysiology of Femoral Fractures in Hypophosphatasia.
Current osteoporosis reportsLifetime follow-up of an adult patient with pediatric-onset hypophosphatasia complicated with advanced chronic kidney disease.
Bone reportsModulation of TNAP activity and apatite formation in biomimetic matrix vesicles studied by 31P solid-state NMR.
Biochimica et biophysica acta. BiomembranesEvaluation of Low Alkaline Phosphatase Levels in Clinical Practice: Implications for Diagnosing Hypophosphatasia.
Calcified tissue internationalInfluence of Vitamin D Level on Oral Health Status in Adult Hypophosphatasia.
Journal of oral pathology & medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology[Delayed bone healing after osteotomy - what the family history revealed].
PraxisDecade-long delayed diagnosis of hypophosphatasia until next generation tooth loss: case reports on dental rehabilitation, diagnostic challenges and clinical implications.
Frontiers in oral healthMultigenerational genetic inheritance and clinical characteristics of the rare disease hypophosphatasia in 6 families: A case series.
Bone reportsHypophosphatasia: A case report.
World journal of clinical casesKey Learnings from Clinical Research and Real-World Evidence on Asfotase Alfa Effectiveness in Hypophosphatasia: 10 Years Post-Approval.
Advances in therapyCase series demonstrating the effectiveness of Zn supplements in adults with hypophosphatasia who were overlooked for a long time.
SAGE open medical case reportsClinical characterization and impact of hypophosphatasia in Spain: An observational analysis of the Spanish cohort included in the Global HPP Registry.
Medicina clinicaComprehensive treatment approaches for skeletal deformities in hypophosphatasia: a case study of ALPL gene variants.
Frontiers in pediatricsImprovements in Bone Disorganization and Pseudo-Fracture Healing in Hypophosphatasia Following Asfotase Alfa Therapy May Be Detectable by the ALIGNOGRAM Before Changes in Bone Radiography or Scintigraphy.
Case reports in endocrinologyHypophosphatasia in childhood: Diagnosis to management.
Osteoporosis and sarcopeniaAsfotase alfa restores PLP-dependent GABA, cystathionine, and amino acid metabolism in a mouse model of hypophosphatasia.
Neuroscience researchGeneration of a new human iPSC cell line (UOMi010-A) from a patient with hypophosphatasia.
Stem cell researchReprogramming of peripheral blood mononuclear cells from a patient with hypophosphatasia to generate iPSC line (UOMi011-A).
Stem cell researchAlkaline Phosphatase as a Potential Biomarker of Muscle Function: A Pilot Study in Patients with Hypophosphatasia.
International journal of molecular sciencesHypophosphatasia and neuropathic pain: related to vitamin B6 metabolism?
JBMR plusOsteogenesis imperfecta, diffuse idiopathic skeletal hyperostosis, and hypophosphatasia: one year in review 2025.
Clinical and experimental rheumatologyCase Report: Suboptimal response to standard-dose asfotase alfa in perinatal hypophosphatasia indicates a need for individualized dosing.
Frontiers in endocrinologyIdentification of a Novel Compound Heterozygous Variant in the ALPL Gene Linked to Hypophosphatasia in a Chinese Family.
The Journal of clinical endocrinology and metabolismDifferential Pregnancy Decisions in a Woman With a Recurrent Prenatal Diagnosis of Hypophosphatasia.
CureusClinical presentation of adults with persistently low alkaline phosphatase activity: a retrospective multicentre, cross-sectional study in Germany.
BMJ openDifferential diagnosis of heritable and acquired osteomalacia in children: biochemical and biomaterial signatures.
Calcified tissue internationalVitamin B6 challenge as a tool for detecting ALPL mutations and diagnosing hypophosphatasia.
Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USAEstablishment of human periodontal ligament cell lines with ALPL mutations to mimic dental aspects of hypophosphatasia.
Frontiers in cell and developmental biologyCorrelations between 6-minute walk test, chair-rise test, and lower extremity functional scale among patients with hypophosphatasia.
Bone reportsMobility and Quality of Life in Children with Paediatric-Onset Hypophosphatasia Treated with Asfotase Alfa: Results from UK Managed Access Agreement.
Advances in therapyPhenotypic and Genotypic Spectrum of Indian Patients with Hypophosphatasia.
Indian journal of endocrinology and metabolismMarkedly discordant hypophosphatasia in a young girl.
BoneDentoalveolar defects and impaired alveolar bone healing in a neural crest directed conditional knockout mouse model of hypophosphatasia.
BoneInadequate pediatric reference ranges impede the diagnosis of X-linked hypophosphatemia and hypophosphatasia in Austria.
Wiener klinische WochenschriftVitamin B6 Status in Hypophosphatasia: Association With Clinical Severity, Diagnostic Utility, and Effects on Vitamin B6 Metabolism by Supplementation and Enzyme Replacement Therapy.
Journal of inherited metabolic diseaseThe ALPL gene variant project: results of the first 100 reclassified variants.
JBMR plusDepot medroxyprogesterone acetate (DMPA)-associated early-onset osteoporotic fracture.
Endocrinology, diabetes & metabolism case reportsGrading Pseudo Fractures.
Calcified tissue internationalEULAR/American College of Rheumatology Classification Criteria for Pediatric Chronic Nonbacterial Osteomyelitis.
Arthritis & rheumatology (Hoboken, N.J.)Calcium isotope ratio in patients with monogenic bone diseases: a prospective, cross-sectional, single-center pilot study.
JBMR plusHypophosphatasia: Clinical Clues and Management Considerations.
CureusBroad Vitamin B6-Related Metabolic Disturbances in a Zebrafish Model of Hypophosphatasia (TNSALP-Deficiency).
International journal of molecular sciencesGrading Pseudofractures-The "Breach-Beak-Bump-Bridge" Approach.
Calcified tissue internationalSevere Hypercalcemia Associated With Perinatal Hypophosphatasia While Receiving Enzyme Replacement Therapy.
JCEM case reportsFamily mapping of previously identified patients with pathogenic or likely pathogenic ALPL variants using predictive genotyping and detailed phenotyping approach: the FAME case-control study.
JBMR plusFlexible Screen-Printed Electrochemical Sensor for Alkaline Phosphatase Detection in Biofluids for Biomedical Applications.
ChemistryOpenHard evidence of soft teeth: the oral symptoms of hypophosphatasia.
British dental journalEffects of enzyme replacement therapy in sibling cases of hypophosphatasia of varying severities.
Clinical pediatric endocrinology : case reports and clinical investigations : official journal of the Japanese Society for Pediatric EndocrinologyEffects of asfotase alfa on fracture healing of adult patient with hypophosphatasia and literature review.
Orphanet journal of rare diseasesMobility and Quality of Life in Adults with Paediatric-Onset Hypophosphatasia Treated with Asfotase Alfa: Results from UK Managed Access Agreement.
Advances in therapySafety and efficacy of long term asfotase alfa treatment in childhood hypophosphatasia.
Italian journal of pediatricsEffectiveness and safety of asfotase alfa for people with hypophosphatasia: a plain language summary of three studies.
Journal of comparative effectiveness researchMedical Management of Hypophosphatasia: Review of Data on Asfotase Alfa.
Current osteoporosis reportsHypophosphatasia: the importance of knowing in advance.
Minerva endocrinologyLong-Term Outcomes of Early Enzyme Replacement Therapy With Asfotase Alfa in Perinatal Benign Hypophosphatasia: Amelioration of Bone Deformities in a Young Child.
CureusDiagnosis and Treatment of Hypophosphatasia.
Calcified tissue internationalDiagnostic Approach to Abnormal Alkaline Phosphatase Value.
Mayo Clinic proceedingsHow does overweight affect bone mineral density and oral health in adult hypophosphatasia?- A single center experience.
Orphanet journal of rare diseasesJapanese nationwide dental survey of hypophosphatasia reveals novel oral manifestations.
Scientific reportsGenetic characterization of a large cohort of individuals with a clinical suspicion of hypophosphatasia in the United States.
Molecular genetics and metabolism[Rare osteological diseases in the rheumatological consultation: hypophosphatasia and phosphate loss syndromes].
Zeitschrift fur RheumatologieEULAR/ACR classification criteria for paediatric chronic nonbacterial osteomyelitis (CNO).
Annals of the rheumatic diseasesDisease burden by ALPL variant number in patients with non-life-threatening hypophosphatasia in the Global HPP Registry.
Journal of medical geneticsCase Report: A Diagnostic Challenge in Adult-Onset Hypophosphatasia With Persistent Polyarthralgia.
International journal of rheumatic diseasesCirculating Micro-RNAs in Patients With Hypophosphatasia: Results of the First Micro-RNA Analysis in HPP.
The Journal of clinical endocrinology and metabolismHigh Prevalence of Nephrocalcinosis in Hypophosphatasia Patients with the ALPL c.1559del Gene Variant.
JMA journalNewborn screening for hypophosphatasia: development of a high-throughput tissue nonspecific alkaline phosphatase activity assay using dried blood spots.
JBMR plusInfantile hypophosphatasia: a rare aetiology of recurrent pneumonia.
BMJ case reportsDental Management of Genetic Dental Disorders: A Critical Review.
Journal of dental researchUnderstanding the structural biology of osteomalacia through multiscale 3D X-ray and electron tomographic imaging: a review of X-linked hypophosphatemia, the Hyp mouse model, and imaging methods.
JBMR plusNovel therapeutic options for hypophosphatasia.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchEfficacy of asfotase alfa in a patient with adult-onset hypophosphatasia without obvious bone lesions: a case report with review of literature.
Endocrine journalSevere hypoplastic enamel as a primary manifestation of hypophosphatasia: A case report.
Journal of dental sciencesDental manifestations of hypophosphatasia: translational and clinical advances.
JBMR plusAdult hypophosphatasia presenting with recurrent acute joint pain.
Endocrinology, diabetes & metabolism case reportsFabrication of Hard Tissue Constructs from Induced Pluripotent Stem Cells for Exploring Mechanisms of Hereditary Tooth/Skeletal Dysplasia.
International journal of molecular sciencesA Case of Hypophosphatasia Started Enzyme Replacement Therapy Since Babyhood Stage.
Children (Basel, Switzerland)Proceedings of the 2024 Santa Fe Bone Symposium: Update on the Management of Osteoporosis and Rare Bone Diseases.
Journal of clinical densitometry : the official journal of the International Society for Clinical DensitometryPreclinical evaluation of the efficacy and safety of adeno-associated virus 8-tissue-nonspecific alkaline phosphatase-D10 in Alpl-/- and AlplPrx1/Prx1 mouse models for the treatment of early and late-onset hypophosphatasia.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchAdministration of Bisphosphonate Preparations to Mice with Mild-type Hypophosphatasia Reduces the Quality of Spontaneous Locomotor Activity.
Calcified tissue internationalSpecial Collection on Rare Musculoskeletal Diseases 2024.
JBMR plusRaman Spectroscopic Analysis of Molecular Structure and Mechanical Properties of Hypophosphatasia Primary Tooth.
Molecules (Basel, Switzerland)Adult-onset hypophosphatasia diagnosed after consecutive tooth loss during orthodontic treatment: a case report.
Journal of medical case reportsScreening for Hypophosphatasia in Adult Patients at a Maximum Care Provider-Retrospective Analyses over Fifteen Years.
Journal of clinical medicineClinical Characteristics of Persistent Hypophosphatasemia Uncovered in Adult Patients: A Retrospective Study at a Japanese Tertiary Hospital.
Journal of clinical medicineSpatial polarimetric second harmonic generation evaluation of collagen in a hypophosphatasia mouse model.
Biomedical optics expressDiagnosis, treatment, and follow-up of patients with hypophosphatasia.
EndocrineDisproportionality analysis of adverse events associated with asfotase alfa: a post-marketing study using the FDA Adverse Event Reporting System.
Expert opinion on drug safetyA case study of hypophosphatasia: An underdiagnosed bone disorder characterized by low alkaline phosphatase.
Journal of the American Association of Nurse PractitionersMetabolic Bone Disease: An Overview.
Missouri medicineThe Benefits of Whole-Exome Sequencing in the Differential Diagnosis of Hypophosphatasia.
International journal of molecular sciencesPain, quality of life, and integral management in a cohort of patients diagnosed with hypophosphatasia in Colombia.
Orphanet journal of rare diseasesPossible role of bone turnover markers in the diagnosis of adult hypophosphatasia.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchPrevalence of chondrocalcinosis and calcium pyrophosphate deposition disease in a cohort of adult patients with low alkaline phosphatase levels and a positive versus negative genetic ALPL study.
JBMR plusOro-Dental Characteristics in Patients With Adult-Onset Hypophosphatasia Compared to a Healthy Control Group-A Case-Control Study.
Journal of oral rehabilitationUltrastructural evaluation of adverse effects on dentine formation from systemic fluoride application in an experimental mouse model.
International endodontic journalTissue nonspecific alkaline phosphatase deficiency impairs Purkinje cell development and survival in a mouse model of infantile hypophosphatasia.
NeuroscienceBiology of bone mineralization and ectopic calcifications: the same actors for different plays.
Archives de pediatrie : organe officiel de la Societe francaise de pediatrieInactivation of spermine synthase in mice causes osteopenia due to reduced osteoblast activity.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchGenetic disorders and their association with morbidity and mortality in early preterm small for gestational age infants.
American journal of obstetrics and gynecologyWhole genome sequencing in adults with clinical hallmarks of hypophosphatasia negative for ALPL variants.
Molecular biology reportsLongitudinal course of circulating miRNAs in a patient with hypophosphatasia and asfotase alfa treatment: a case report.
JBMR plusRare diseases: a challenge in paediatric dentistry.
European journal of paediatric dentistryOne Year Follow-Up of a 4-Year-Old Caucasian Girl Diagnosed with Stage IV Grade C Localized Periodontitis.
Journal of clinical medicineIdiopathic juvenile osteoporosis-a polygenic disorder?
JBMR plusSafety, pharmacokinetics, and pharmacodynamics of efzimfotase alfa, a second-generation enzyme replacement therapy: phase 1, dose-escalation study in adults with hypophosphatasia.
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchInherited phosphate and pyrophosphate disorders: New insights and novel therapies changing the oral health landscape.
Journal of the American Dental Association (1939)Challenges in Hypophosphatasia: Suspicion, Diagnosis, Genetics, Management, and Follow-Up.
Hormone research in paediatricsCalcium Pyrophosphate Crystal Deposition: Insights to Risks Factors and Associated Conditions.
Current rheumatology reportsDiffusion tensor imaging shows increased physis organization after growth hormone initiation in hypophosphatasia.
Skeletal radiologyMonoclonal antibody anti-sclerostin for treatment of pelvic insufficiency fractures in adult hypophosphatasia: A case report.
Trauma case reportsFirst reported magnesium pyrophosphate kidney stone prompts diagnosis of hypophosphatasia.
Urology case reportsEfficacy and safety of asfotase alfa in patients with hypophosphatasia: A systematic review.
BoneCalcium pyrophosphate deposition disease.
The Lancet. RheumatologyIntegrated Applied Clinical Pharmacology in the Advancement of Rare and Ultra-Rare Disease Therapeutics.
Clinical pharmacology and therapeuticsSkeletal indicators of pathology in the context of early tooth loss in children: A systematic literature review.
International journal of paleopathologyA probable case of hypophosphatasia in St Bride's Lower Churchyard (1770-1849, London, UK).
International journal of paleopathologyImprovement in quality of life after asfotase alfa treatment in adults with pediatric-onset hypophosphatasia: data from 5 patient-reported outcome measures.
JBMR plusEnzyme replacement therapy for hypophosphatasia-The current paradigm.
Clinical endocrinologyRole of PLP-Level as a predictive marker for oral health status in adult hypophosphatasia.
Clinical oral investigationsLatent metabolic bone disease, skeletal dysplasia and other conditions related to low bone formation among 38 patients with subtrochanteric femoral fractures: a retrospective observational study.
Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USANutritional Behavior of Patients with Bone Diseases: A Cross-Sectional Study from Austria.
NutrientsCatalyzing precision: unraveling the diagnostic conundrum of tunisian familial hypophosphatasia case through integrative clinical and molecular approaches.
Molecular genetics and genomics : MGGPediatric hypophosphatasia: avoid diagnosis missteps!
Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral ResearchHypoalkaline Phosphatemia Dental Type: A Case Report.
Clinical medicine insights. PediatricsNew insights into the landscape of ALPL gene variants in patients with hypophosphatasia from the Global HPP Registry.
American journal of medical genetics. Part APatient-derived reference intervals for alkaline phosphatase to support appropriate utility for isoenzymes determinations and hypophosphatasia.
Laboratory medicineClinical utility of comprehensive gene panel testing for common and rare causes of skeletal dysplasia and other skeletal disorders: Results from the largest cohort to date.
American journal of medical genetics. Part ADiagnosis and treatment of adult hypophosphatasia: Still a big challenge?
Osteoporosis and sarcopeniaNew Empirical Bayes Models to Jointly Analyze Multiple RNA-Sequencing Data in a Hypophosphatasia Disease Study.
GenesHypophosphatasia Presenting as a Chronic Diffuse Pain Syndrome with Extra-Articular Calcifications.
Journal of clinical medicineAdvances in Immune Tolerance Induction in Enzyme Replacement Therapy.
Paediatric drugsSubnormal Serum Liver Enzyme Levels: A Review of Pathophysiology and Clinical Significance.
Journal of clinical and translational hepatologyNomogram for predicting early hypophosphatemia in term infants.
BMC pediatricsALPL regulates pro-angiogenic capacity of mesenchymal stem cells through ATP-P2X7 axis controlled exosomes secretion.
Journal of nanobiotechnologyDiagnosis and initial management of children presenting with premature loss of primary teeth associated with a systemic condition: A scoping review and development of clinical aid.
International journal of paediatric dentistryGenetic profile of a large Spanish cohort with hypercalcemia.
Frontiers in endocrinologyDetection of hypophosphatasia in hospitalised adults in rheumatology and internal medicine departments: a multicentre study over 10 years.
RMD openUse of Complementary and Alternative Medicine in Patients with Rare Bone Diseases and Osteoporosis.
NutrientsA Case of Hypophosphatasia With Normal Alkaline Phosphatase Levels.
AACE clinical case reportsEffectiveness of asfotase alfa for treatment of adults with hypophosphatasia: results from a global registry.
Orphanet journal of rare diseasesAssociações
Organizações que acompanham esta doença — pra ter apoio e orientação
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Referências e fontes
Bases de dados externas citadas neste artigo
Publicações científicas
Artigos indexados no PubMed ligados a esta doença no grafo RarasNet — título, periódico e PMID direto da fonte, sem intermediação de IA.
- [Recent advances in the diagnosis and management of childhood hypophosphatasia].
- Lentivirus-based HPSC therapy provides effective and long-term treatment in hypophosphatasia mouse model.Molecular therapy : the journal of the American Society of Gene Therapy· 2026· PMID 41814653mais citado
- The Importance of Biochemical Screenings in the Diagnosis of Hypophosphatasia: Applications, Methodologies, and Challenges.
- Screening and patient exploration for adult hypophosphatasia in orthopedics.Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association· 2026· PMID 41617628mais citado
- Lipid Metabolism Alterations in Hereditary Inorganic Pyrophosphate Deficiency Syndromes: A Narrative Review of Insights and Controversies.
- ALPL Mutations With Dominant-Negative Effect in Infantile Hypophosphatasia Monozygotic Twins.
- Bilateral healing of pseudofractures in hypophosphatasia with teriparatide: a case report.
- NEFL is associated with inhibition of odontoblastic process in odontohypophosphatasia.
Bases de dados e fontes oficiais
Identificadores e referências canônicas usadas para montar este verbete.
- ORPHA:436(Orphanet)
- MONDO:0018570(MONDO)
- GARD:6734(GARD (NIH))
- Variantes catalogadas(ClinVar)
- Busca completa no PubMed(PubMed)
- Q1313510(Wikidata)
Dados compilados pelo RarasNet a partir de fontes abertas (Orphanet, OMIM, MONDO, PubMed/EuropePMC, ClinicalTrials.gov, DATASUS, PCDT/MS). Este conteúdo é informativo e não substitui avaliação médica.
Conteúdo mantido por Agente Raras · Médicos e pesquisadores podem colaborar
