Raras
Buscar doenças, sintomas, genes...
Hipofosfatasia
ORPHA:436CID-10 · E83.3CID-11 · 5C64.3DOENÇA RARA

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).

Mantido por Agente Raras·Colaborar como especialista →

Introdução

O que você precisa saber de cara

📋

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).

Pesquisas ativas
13 ensaios
46 total registrados no ClinicalTrials.gov
Publicações científicas
1.443 artigos
Último publicado: 2026

Escala de raridade

CLASSIFICAÇÃO ORPHANET · BRASIL 2024
Unknown
Ultra-rara
<1/50k
Muito rara
1/20k
Rara
1/10k
Pouco freq.
1/5k
Incomum
1/2k
Prevalência
0.0
Worldwide
Início
All ages
🏥
SUS: Sem cobertura SUSScore: 0%
1 medicamentos CEAFCID-10: E83.3
Você se identifica com essa condição?
O Raras está aqui pra te apoiar — com ou sem diagnóstico

Encontrou um erro ou informação desatualizada? Sugira uma correção →

Entender a doença

Do básico ao detalhe, leia no seu ritmo

Preparando trilha educativa...

Sinais e sintomas

O que aparece no corpo e com que frequência cada sintoma acontece

Partes do corpo afetadas

🦴
Ossos e articulações
16 sintomas
📏
Crescimento
4 sintomas
🫁
Pulmão
3 sintomas
🫘
Rins
3 sintomas
🧠
Neurológico
2 sintomas
🦷
Dentes
2 sintomas

+ 30 sintomas em outras categorias

Características mais comuns

90%prev.
Encurvamento dos ossos longos
Muito frequente (99-80%)
90%prev.
Depressão cutânea
Muito frequente (99-80%)
90%prev.
Déficit de crescimento na infância
Muito frequente (99-80%)
90%prev.
Depressão cutânea sobre o ápice da angulação do osso longo
Muito frequente (99-80%)
90%prev.
Craniossinostose
Muito frequente (99-80%)
90%prev.
Fontanelas grandes
Muito frequente (99-80%)
66sintomas
Muito frequente (13)
Frequente (7)
Sem dados (46)

Os sintomas variam de pessoa para pessoa. Abaixo estão as 66 características clínicas mais associadas, ordenadas por frequência.

Encurvamento dos ossos longosBowing of the long bones
Muito frequente (99-80%)90%
Depressão cutâneaSkin dimple
Muito frequente (99-80%)90%
Déficit de crescimento na infânciaFailure to thrive in infancy
Muito frequente (99-80%)90%
Depressão cutânea sobre o ápice da angulação do osso longoSkin dimple over apex of long bone angulation
Muito frequente (99-80%)90%
CraniossinostoseCraniosynostosis
Muito frequente (99-80%)90%

Linha do tempo da pesquisa

Publicações por ano — veja quando o interesse científico cresceu
Anos de pesquisa1desde 2026
Total histórico1.443PubMed
Últimos 10 anos200publicações
Pico2025114 papers
Linha do tempo
2026Hoje · 2026🧪 2008Primeiro ensaio clínico📈 2025Ano de pico
Publicações por ano (últimos 10 anos)

Encontrou um erro ou informação desatualizada? Sugira uma correção →

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.

ALPLAlkaline phosphatase, tissue-nonspecific isozymeDisease-causing germline mutation(s) inTolerante
FUNÇÃO

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

LOCALIZAÇÃO

Cell membraneExtracellular vesicle membraneMitochondrion membraneMitochondrion intermembrane space

VIAS BIOLÓGICAS (1)
Post-translational modification: synthesis of GPI-anchored proteins
MECANISMO DE DOENÇA

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).

OUTRAS DOENÇAS (5)
adult hypophosphatasiainfantile hypophosphatasiachildhood hypophosphatasiaperinatal lethal hypophosphatasia
HGNC:438UniProt:P05186

Medicamentos aprovados (FDA)

1 medicamento encontrado nos registros da FDA americana.

💊 STRENSIQ (ASFOTASE ALFA)
Ver no DailyMed/FDA

Variantes genéticas (ClinVar)

976 variantes patogênicas registradas no ClinVar.

🧬 ALPL: NM_000478.6(ALPL):c.231_232dup (p.His78fs) ()
🧬 ALPL: NM_000478.6(ALPL):c.1129G>A (p.Ala377Thr) ()
🧬 ALPL: NM_000478.6(ALPL):c.1179C>G (p.Asn393Lys) ()
🧬 ALPL: NM_000478.6(ALPL):c.1178A>T (p.Asn393Ile) ()
🧬 ALPL: NM_000478.6(ALPL):c.1066G>T (p.Asp356Tyr) ()
Ver todas no ClinVar

Classificação de variantes (ClinVar)

Distribuição de 825 variantes classificadas pelo ClinVar.

619
206
Patogênica (75.0%)
VUS (25.0%)
VARIANTES MAIS SIGNIFICATIVAS
ALPL: NM_000478.6(ALPL):c.533A>G (p.Tyr178Cys) [Pathogenic]
ALPL: NM_000478.6(ALPL):c.1151C>A (p.Thr384Lys) [Likely pathogenic]
ALPL: NM_000478.6(ALPL):c.883A>C (p.Met295Leu) [Likely pathogenic]
ALPL: NM_000478.6(ALPL):c.1351_1353del (p.His451del) [Likely pathogenic]
ALPL: NM_000478.6(ALPL):c.622C>T (p.Leu208Phe) [Likely pathogenic]

Vias biológicas (Reactome)

1 via biológica associada aos genes desta condição.

Diagnóstico

Os sinais que médicos procuram e os exames que confirmam

Carregando...

Tratamento e manejo

Remédios, cuidados de apoio e o que precisa acompanhar

Pipeline de tratamentos
Pipeline regulatório — de medicamentos já aprovados a drogas em pesquisa exploratória.
Aprovado1
3Fase 33
2Fase 22
1Fase 11
·Pré-clínico13
Medicamentos catalogadosEnsaios clínicos· 0 medicamentos · 20 ensaios
Carregando informações de tratamento...

Onde tratar no SUS

Hospitais de referência no Brasil e o protocolo oficial do SUS (PCDT)

🇧🇷 Atendimento SUS — Hipofosfatasia

🗺️

Selecione um estado ou use sua localização para ver resultados.

Dados de DATASUS/CNES, SBGM, ABNeuro e Ministério da Saúde. Sempre confirme a disponibilidade diretamente com o estabelecimento.

Pesquisa ativa

Ensaios clínicos abertos e novidades científicas recentes

🟢 Recrutando agora

9 pesquisas recrutando participantes. Converse com seu médico sobre a possibilidade de participar.

Outros ensaios clínicos

46 ensaios clínicos encontrados, 13 ativos.

Distribuição por fase
Ver todos no ClinicalTrials.gov
🧪 Está conduzindo uma pesquisa?
Divulgue para pacientes e familiares que acompanham esta doença.
Divulgar pesquisa →

Publicações mais relevantes

🥇Melhor nível de evidência: Meta-análise
Timeline de publicações
761 papers (10 anos)

Mostrando amostra de 200 publicações de um total de 761

#1

[Recent advances in the diagnosis and management of childhood hypophosphatasia].

Zhonghua er ke za zhi = Chinese journal of pediatrics2026 Mar 14

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。.

#2

Lentivirus-based HPSC therapy provides effective and long-term treatment in hypophosphatasia mouse model.

Molecular therapy : the journal of the American Society of Gene Therapy2026 Mar 10

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.

#3

The Importance of Biochemical Screenings in the Diagnosis of Hypophosphatasia: Applications, Methodologies, and Challenges.

International journal of molecular sciences2026 Jan 23

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.

#4

Screening and patient exploration for adult hypophosphatasia in orthopedics.

Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association2026 Jan 30

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.

#5

Lipid Metabolism Alterations in Hereditary Inorganic Pyrophosphate Deficiency Syndromes: A Narrative Review of Insights and Controversies.

Journal of inherited metabolic disease2026 Jan

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

Ver todas no PubMed

📚 EuropePMC1.128 artigos no totalmostrando 195

2026

Bilateral healing of pseudofractures in hypophosphatasia with teriparatide: a case report.

Journal of medical case reports
2026

[Recent advances in the diagnosis and management of childhood hypophosphatasia].

Zhonghua er ke za zhi = Chinese journal of pediatrics
2026

NEFL is associated with inhibition of odontoblastic process in odontohypophosphatasia.

Journal of bone and mineral metabolism
2026

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

Hypophosphatasia in Neonatal Twins With Generalized Skeletal Hypomineralisation.

Journal of paediatrics and child health
2026

Deficiency of Tissue Nonspecific Alkaline Phosphatase Dysregulates Microglial Morphology and Function in a Mouse Model of Infantile Hypophosphatasia.

Journal of neurochemistry
2026

External 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 USA
2026

The Importance of Biochemical Screenings in the Diagnosis of Hypophosphatasia: Applications, Methodologies, and Challenges.

International journal of molecular sciences
2026

Tissue nonspecific and intestinal alkaline phosphatase crosstalk: a missing link in hypophosphatasia pathophysiology?

Journal of translational medicine
2026

Genetic Hypophosphatasia as a Cause of Recurrent Stress Fractures in a Female Runner.

Current sports medicine reports
2026

Persistently Low Alkaline Phosphatase in Fibromyalgia: Hypophosphatasia or Confounding Clinical Context?

Medical principles and practice : international journal of the Kuwait University, Health Science Centre
2026

Screening and patient exploration for adult hypophosphatasia in orthopedics.

Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association
2025

Phenotype and genotype of hypophosphatasia cases in Saudi Arabia: multi-center case cohort.

Frontiers in genetics
2026

Heritable metabolic bone disorders: a guide to current genetic testing and clinical management for adult endocrinologists.

Pathology
2026

Modeling rare genetic skeletal disorders with bone organoids: a narrative review.

Bone
2026

Hypophosphatasia: who among us is a carrier?

Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
2026

Hypophosphatasia 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 University
2026

Impact of clinical symptoms on quality of life in adult hypophosphatasia: a monocentric study in northern Germany.

JBMR plus
2026

Change in fracture rate and healthcare resource utilization among patients with hypophosphatasia following initiation of asfotase alfa: a retrospective US claims database analysis.

JBMR plus
2026

Atypical Fracture From Bisphosphonate Use in Hypophosphatasia With Improved Bone Response to Teriparatide Therapy.

JCEM case reports
2026

Alpl ablation in dental epithelium disrupts ameloblasts and incisor enamel mineralization in male mice.

JBMR plus
2026

Efzimfotase Alfa Improves Respiratory Capacity in Muscle Tissue From a Mouse Model of HPP.

JIMD reports
2025

Hypophosphatasia: 90 Years from a Canadian Discovery-A Comprehensive Review of the ALPL Gene Underlying Rathbun's Syndrome.

Genes
2025

Six cases of ENPP1 pathogenic variants causing autosomal recessive hypophosphatemic rickets type 2 and generalized arterial calcification of infancy.

JBMR plus
2026

A 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 Research
2026

Lipid Metabolism Alterations in Hereditary Inorganic Pyrophosphate Deficiency Syndromes: A Narrative Review of Insights and Controversies.

Journal of inherited metabolic disease
2025

Infantile hypophosphatasia in a Chinese patient: identification and characterization of novel compound heterozygous ALPL mutations.

Human genome variation
2025

Functional and In Silico Characterization of ALPL Gene Variants Reveals Genotype-Phenotype Correlations in Italian Hypophosphatasia Patients.

Cells
2025

The Global Hypophosphatasia Registry: lessons learned from a decade of real-world data.

Orphanet journal of rare diseases
2025

When the diagnosis misses the mark: The psychiatric cost of misdiagnosing hypophosphatasia as fibromyalgia.

World journal of clinical cases
2026

Hypophosphatasia: 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 Research
2025

Neonatal Multiple Bone Fractures: A Case Report of Hypophosphatasia.

Case reports in endocrinology
2025

Clinical features of low serum alkaline phosphatase levels in children: A retrospective study.

Pediatrics international : official journal of the Japan Pediatric Society
2025

The Clinical Spectrum of Hypophosphatasia in Older Adults.

Clinical case reports
2025

Novel Insights From In Silico Analysis of Biallelic ALPL (c.1001G/A and c.571G/A) in Two Mennonite Families Leading to Hypophosphatasia.

Cureus
2026

Identification of rare genetic variants in familial forms and unrelated cases of bisphosphonates-associated atypical femur fracture.

Joint bone spine
2026

Enpp1 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 Research
2025

Neonatal hypophosphatasia: a case report of a rare genetic disorder.

BMC pediatrics
2025

Proceedings 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 Densitometry
2025

Bridging 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 USA
2025

Hypophosphatasia and Type 1 Diabetes: A Pilot Study and Review of Literature.

Current osteoporosis reports
2026

Hypophosphatasia-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 Research
2026

ENPP1 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 Research
2025

Biochemical and Demographical Differences in Atypical vs. Typical Femoral Fractures: A 10-Year Experience Across Two Centers.

International journal of endocrinology
2025

Revisiting the Genetics of Hypophosphatasia.

Journal of inherited metabolic disease
2026

Biochemical 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 Research
2025

The Challenge of Hypophosphatasia Diagnosis in Patients with Fibromyalgia.

Medical principles and practice : international journal of the Kuwait University, Health Science Centre
2025

Adult Hypophosphatasia in a Middle-Aged Patient With Recurrent Fractures: Prevention of New Fractures With Asfotase Alfa.

JCEM case reports
2025

A novel dominant negative variant of ALPL induces hypophosphatasia.

JBMR plus
2025

Corrigendum 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 reports
2025

AI-assisted phenotyping in a zebrafish hypophosphatasia model enables early and precise detection of skeletal alterations.

Scientific reports
2025

Periodontal Manifestations of Systemic Diseases.

Journal of periodontal research
2025

Involvement of impaired phosphate production and aberrant extracellular ATP signaling in the pathogenesis of hypophosphatasia: Analysis of ALPL-Knockout human iPS cell models.

Bone
2025

Clinical Characteristics and Management of Rare Metabolic Bone Diseases: An Audit of the Rare Metabolic Bone Disease Registry of India.

Calcified tissue international
2025

Pathophysiology of Femoral Fractures in Hypophosphatasia.

Current osteoporosis reports
2025

Lifetime follow-up of an adult patient with pediatric-onset hypophosphatasia complicated with advanced chronic kidney disease.

Bone reports
2025

Modulation of TNAP activity and apatite formation in biomimetic matrix vesicles studied by 31P solid-state NMR.

Biochimica et biophysica acta. Biomembranes
2025

Evaluation of Low Alkaline Phosphatase Levels in Clinical Practice: Implications for Diagnosing Hypophosphatasia.

Calcified tissue international
2025

Influence of Vitamin D Level on Oral Health Status in Adult Hypophosphatasia.

Journal of oral pathology &amp; medicine : official publication of the International Association of Oral Pathologists and the American Academy of Oral Pathology
2025

[Delayed bone healing after osteotomy - what the family history revealed].

Praxis
2025

Decade-long delayed diagnosis of hypophosphatasia until next generation tooth loss: case reports on dental rehabilitation, diagnostic challenges and clinical implications.

Frontiers in oral health
2025

Multigenerational genetic inheritance and clinical characteristics of the rare disease hypophosphatasia in 6 families: A case series.

Bone reports
2025

Hypophosphatasia: A case report.

World journal of clinical cases
2025

Key Learnings from Clinical Research and Real-World Evidence on Asfotase Alfa Effectiveness in Hypophosphatasia: 10 Years Post-Approval.

Advances in therapy
2025

Case series demonstrating the effectiveness of Zn supplements in adults with hypophosphatasia who were overlooked for a long time.

SAGE open medical case reports
2025

Clinical characterization and impact of hypophosphatasia in Spain: An observational analysis of the Spanish cohort included in the Global HPP Registry.

Medicina clinica
2025

Comprehensive treatment approaches for skeletal deformities in hypophosphatasia: a case study of ALPL gene variants.

Frontiers in pediatrics
2025

Improvements 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 endocrinology
2025

Hypophosphatasia in childhood: Diagnosis to management.

Osteoporosis and sarcopenia
2025

Asfotase alfa restores PLP-dependent GABA, cystathionine, and amino acid metabolism in a mouse model of hypophosphatasia.

Neuroscience research
2025

Generation of a new human iPSC cell line (UOMi010-A) from a patient with hypophosphatasia.

Stem cell research
2025

Reprogramming of peripheral blood mononuclear cells from a patient with hypophosphatasia to generate iPSC line (UOMi011-A).

Stem cell research
2025

Alkaline Phosphatase as a Potential Biomarker of Muscle Function: A Pilot Study in Patients with Hypophosphatasia.

International journal of molecular sciences
2025

Hypophosphatasia and neuropathic pain: related to vitamin B6 metabolism?

JBMR plus
2025

Osteogenesis imperfecta, diffuse idiopathic skeletal hyperostosis, and hypophosphatasia: one year in review 2025.

Clinical and experimental rheumatology
2025

Case Report: Suboptimal response to standard-dose asfotase alfa in perinatal hypophosphatasia indicates a need for individualized dosing.

Frontiers in endocrinology
2026

Identification of a Novel Compound Heterozygous Variant in the ALPL Gene Linked to Hypophosphatasia in a Chinese Family.

The Journal of clinical endocrinology and metabolism
2025

Differential Pregnancy Decisions in a Woman With a Recurrent Prenatal Diagnosis of Hypophosphatasia.

Cureus
2025

Clinical presentation of adults with persistently low alkaline phosphatase activity: a retrospective multicentre, cross-sectional study in Germany.

BMJ open
2025

Differential diagnosis of heritable and acquired osteomalacia in children: biochemical and biomaterial signatures.

Calcified tissue international
2025

Vitamin 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 USA
2025

Establishment of human periodontal ligament cell lines with ALPL mutations to mimic dental aspects of hypophosphatasia.

Frontiers in cell and developmental biology
2025

Correlations between 6-minute walk test, chair-rise test, and lower extremity functional scale among patients with hypophosphatasia.

Bone reports
2025

Mobility and Quality of Life in Children with Paediatric-Onset Hypophosphatasia Treated with Asfotase Alfa: Results from UK Managed Access Agreement.

Advances in therapy
2025

Phenotypic and Genotypic Spectrum of Indian Patients with Hypophosphatasia.

Indian journal of endocrinology and metabolism
2025

Markedly discordant hypophosphatasia in a young girl.

Bone
2025

Dentoalveolar defects and impaired alveolar bone healing in a neural crest directed conditional knockout mouse model of hypophosphatasia.

Bone
2025

Inadequate pediatric reference ranges impede the diagnosis of X-linked hypophosphatemia and hypophosphatasia in Austria.

Wiener klinische Wochenschrift
2025

Vitamin 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 disease
2025

The ALPL gene variant project: results of the first 100 reclassified variants.

JBMR plus
2025

Depot medroxyprogesterone acetate (DMPA)-associated early-onset osteoporotic fracture.

Endocrinology, diabetes &amp; metabolism case reports
2025

Grading Pseudo Fractures.

Calcified tissue international
2026

EULAR/American College of Rheumatology Classification Criteria for Pediatric Chronic Nonbacterial Osteomyelitis.

Arthritis &amp; rheumatology (Hoboken, N.J.)
2025

Calcium isotope ratio in patients with monogenic bone diseases: a prospective, cross-sectional, single-center pilot study.

JBMR plus
2025

Hypophosphatasia: Clinical Clues and Management Considerations.

Cureus
2025

Broad Vitamin B6-Related Metabolic Disturbances in a Zebrafish Model of Hypophosphatasia (TNSALP-Deficiency).

International journal of molecular sciences
2025

Grading Pseudofractures-The "Breach-Beak-Bump-Bridge" Approach.

Calcified tissue international
2025

Severe Hypercalcemia Associated With Perinatal Hypophosphatasia While Receiving Enzyme Replacement Therapy.

JCEM case reports
2025

Family 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 plus
2025

Flexible Screen-Printed Electrochemical Sensor for Alkaline Phosphatase Detection in Biofluids for Biomedical Applications.

ChemistryOpen
2025

Hard evidence of soft teeth: the oral symptoms of hypophosphatasia.

British dental journal
2025

Effects 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 Endocrinology
2025

Effects of asfotase alfa on fracture healing of adult patient with hypophosphatasia and literature review.

Orphanet journal of rare diseases
2025

Mobility and Quality of Life in Adults with Paediatric-Onset Hypophosphatasia Treated with Asfotase Alfa: Results from UK Managed Access Agreement.

Advances in therapy
2025

Safety and efficacy of long term asfotase alfa treatment in childhood hypophosphatasia.

Italian journal of pediatrics
2025

Effectiveness and safety of asfotase alfa for people with hypophosphatasia: a plain language summary of three studies.

Journal of comparative effectiveness research
2025

Medical Management of Hypophosphatasia: Review of Data on Asfotase Alfa.

Current osteoporosis reports
2025

Hypophosphatasia: the importance of knowing in advance.

Minerva endocrinology
2025

Long-Term Outcomes of Early Enzyme Replacement Therapy With Asfotase Alfa in Perinatal Benign Hypophosphatasia: Amelioration of Bone Deformities in a Young Child.

Cureus
2025

Diagnosis and Treatment of Hypophosphatasia.

Calcified tissue international
2025

Diagnostic Approach to Abnormal Alkaline Phosphatase Value.

Mayo Clinic proceedings
2025

How does overweight affect bone mineral density and oral health in adult hypophosphatasia?- A single center experience.

Orphanet journal of rare diseases
2025

Japanese nationwide dental survey of hypophosphatasia reveals novel oral manifestations.

Scientific reports
2025

Genetic characterization of a large cohort of individuals with a clinical suspicion of hypophosphatasia in the United States.

Molecular genetics and metabolism
2025

[Rare osteological diseases in the rheumatological consultation: hypophosphatasia and phosphate loss syndromes].

Zeitschrift fur Rheumatologie
2025

EULAR/ACR classification criteria for paediatric chronic nonbacterial osteomyelitis (CNO).

Annals of the rheumatic diseases
2025

Disease burden by ALPL variant number in patients with non-life-threatening hypophosphatasia in the Global HPP Registry.

Journal of medical genetics
2025

Case Report: A Diagnostic Challenge in Adult-Onset Hypophosphatasia With Persistent Polyarthralgia.

International journal of rheumatic diseases
2025

Circulating Micro-RNAs in Patients With Hypophosphatasia: Results of the First Micro-RNA Analysis in HPP.

The Journal of clinical endocrinology and metabolism
2025

High Prevalence of Nephrocalcinosis in Hypophosphatasia Patients with the ALPL c.1559del Gene Variant.

JMA journal
2025

Newborn screening for hypophosphatasia: development of a high-throughput tissue nonspecific alkaline phosphatase activity assay using dried blood spots.

JBMR plus
2025

Infantile hypophosphatasia: a rare aetiology of recurrent pneumonia.

BMJ case reports
2025

Dental Management of Genetic Dental Disorders: A Critical Review.

Journal of dental research
2025

Understanding 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 plus
2025

Novel therapeutic options for hypophosphatasia.

Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
2025

Efficacy of asfotase alfa in a patient with adult-onset hypophosphatasia without obvious bone lesions: a case report with review of literature.

Endocrine journal
2025

Severe hypoplastic enamel as a primary manifestation of hypophosphatasia: A case report.

Journal of dental sciences
2025

Dental manifestations of hypophosphatasia: translational and clinical advances.

JBMR plus
2025

Adult hypophosphatasia presenting with recurrent acute joint pain.

Endocrinology, diabetes &amp; metabolism case reports
2025

Fabrication of Hard Tissue Constructs from Induced Pluripotent Stem Cells for Exploring Mechanisms of Hereditary Tooth/Skeletal Dysplasia.

International journal of molecular sciences
2025

A Case of Hypophosphatasia Started Enzyme Replacement Therapy Since Babyhood Stage.

Children (Basel, Switzerland)
2025

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 Densitometry
2025

Preclinical 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 Research
2025

Administration of Bisphosphonate Preparations to Mice with Mild-type Hypophosphatasia Reduces the Quality of Spontaneous Locomotor Activity.

Calcified tissue international
2025

Special Collection on Rare Musculoskeletal Diseases 2024.

JBMR plus
2024

Raman Spectroscopic Analysis of Molecular Structure and Mechanical Properties of Hypophosphatasia Primary Tooth.

Molecules (Basel, Switzerland)
2024

Adult-onset hypophosphatasia diagnosed after consecutive tooth loss during orthodontic treatment: a case report.

Journal of medical case reports
2024

Screening for Hypophosphatasia in Adult Patients at a Maximum Care Provider-Retrospective Analyses over Fifteen Years.

Journal of clinical medicine
2024

Clinical Characteristics of Persistent Hypophosphatasemia Uncovered in Adult Patients: A Retrospective Study at a Japanese Tertiary Hospital.

Journal of clinical medicine
2024

Spatial polarimetric second harmonic generation evaluation of collagen in a hypophosphatasia mouse model.

Biomedical optics express
2025

Diagnosis, treatment, and follow-up of patients with hypophosphatasia.

Endocrine
2025

Disproportionality analysis of adverse events associated with asfotase alfa: a post-marketing study using the FDA Adverse Event Reporting System.

Expert opinion on drug safety
2025

A case study of hypophosphatasia: An underdiagnosed bone disorder characterized by low alkaline phosphatase.

Journal of the American Association of Nurse Practitioners
2024

Metabolic Bone Disease: An Overview.

Missouri medicine
2024

The Benefits of Whole-Exome Sequencing in the Differential Diagnosis of Hypophosphatasia.

International journal of molecular sciences
2024

Pain, quality of life, and integral management in a cohort of patients diagnosed with hypophosphatasia in Colombia.

Orphanet journal of rare diseases
2024

Possible 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 Research
2024

Prevalence 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 plus
2025

Oro-Dental Characteristics in Patients With Adult-Onset Hypophosphatasia Compared to a Healthy Control Group-A Case-Control Study.

Journal of oral rehabilitation
2025

Ultrastructural evaluation of adverse effects on dentine formation from systemic fluoride application in an experimental mouse model.

International endodontic journal
2024

Tissue nonspecific alkaline phosphatase deficiency impairs Purkinje cell development and survival in a mouse model of infantile hypophosphatasia.

Neuroscience
2024

Biology of bone mineralization and ectopic calcifications: the same actors for different plays.

Archives de pediatrie : organe officiel de la Societe francaise de pediatrie
2024

Inactivation 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 Research
2025

Genetic disorders and their association with morbidity and mortality in early preterm small for gestational age infants.

American journal of obstetrics and gynecology
2024

Whole genome sequencing in adults with clinical hallmarks of hypophosphatasia negative for ALPL variants.

Molecular biology reports
2024

Longitudinal course of circulating miRNAs in a patient with hypophosphatasia and asfotase alfa treatment: a case report.

JBMR plus
2024

Rare diseases: a challenge in paediatric dentistry.

European journal of paediatric dentistry
2024

One Year Follow-Up of a 4-Year-Old Caucasian Girl Diagnosed with Stage IV Grade C Localized Periodontitis.

Journal of clinical medicine
2024

Idiopathic juvenile osteoporosis-a polygenic disorder?

JBMR plus
2024

Safety, 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 Research
2024

Inherited phosphate and pyrophosphate disorders: New insights and novel therapies changing the oral health landscape.

Journal of the American Dental Association (1939)
2025

Challenges in Hypophosphatasia: Suspicion, Diagnosis, Genetics, Management, and Follow-Up.

Hormone research in paediatrics
2024

Calcium Pyrophosphate Crystal Deposition: Insights to Risks Factors and Associated Conditions.

Current rheumatology reports
2025

Diffusion tensor imaging shows increased physis organization after growth hormone initiation in hypophosphatasia.

Skeletal radiology
2024

Monoclonal antibody anti-sclerostin for treatment of pelvic insufficiency fractures in adult hypophosphatasia: A case report.

Trauma case reports
2024

First reported magnesium pyrophosphate kidney stone prompts diagnosis of hypophosphatasia.

Urology case reports
2024

Efficacy and safety of asfotase alfa in patients with hypophosphatasia: A systematic review.

Bone
2024

Calcium pyrophosphate deposition disease.

The Lancet. Rheumatology
2024

Integrated Applied Clinical Pharmacology in the Advancement of Rare and Ultra-Rare Disease Therapeutics.

Clinical pharmacology and therapeutics
2024

Skeletal indicators of pathology in the context of early tooth loss in children: A systematic literature review.

International journal of paleopathology
2024

A probable case of hypophosphatasia in St Bride's Lower Churchyard (1770-1849, London, UK).

International journal of paleopathology
2024

Improvement in quality of life after asfotase alfa treatment in adults with pediatric-onset hypophosphatasia: data from 5 patient-reported outcome measures.

JBMR plus
2024

Enzyme replacement therapy for hypophosphatasia-The current paradigm.

Clinical endocrinology
2024

Role of PLP-Level as a predictive marker for oral health status in adult hypophosphatasia.

Clinical oral investigations
2024

Latent 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 USA
2024

Nutritional Behavior of Patients with Bone Diseases: A Cross-Sectional Study from Austria.

Nutrients
2024

Catalyzing precision: unraveling the diagnostic conundrum of tunisian familial hypophosphatasia case through integrative clinical and molecular approaches.

Molecular genetics and genomics : MGG
2024

Pediatric hypophosphatasia: avoid diagnosis missteps!

Journal of bone and mineral research : the official journal of the American Society for Bone and Mineral Research
2024

Hypoalkaline Phosphatemia Dental Type: A Case Report.

Clinical medicine insights. Pediatrics
2024

New insights into the landscape of ALPL gene variants in patients with hypophosphatasia from the Global HPP Registry.

American journal of medical genetics. Part A
2024

Patient-derived reference intervals for alkaline phosphatase to support appropriate utility for isoenzymes determinations and hypophosphatasia.

Laboratory medicine
2024

Clinical 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 A
2024

Diagnosis and treatment of adult hypophosphatasia: Still a big challenge?

Osteoporosis and sarcopenia
2024

New Empirical Bayes Models to Jointly Analyze Multiple RNA-Sequencing Data in a Hypophosphatasia Disease Study.

Genes
2024

Hypophosphatasia Presenting as a Chronic Diffuse Pain Syndrome with Extra-Articular Calcifications.

Journal of clinical medicine
2024

Advances in Immune Tolerance Induction in Enzyme Replacement Therapy.

Paediatric drugs
2024

Subnormal Serum Liver Enzyme Levels: A Review of Pathophysiology and Clinical Significance.

Journal of clinical and translational hepatology
2024

Nomogram for predicting early hypophosphatemia in term infants.

BMC pediatrics
2024

ALPL regulates pro-angiogenic capacity of mesenchymal stem cells through ATP-P2X7 axis controlled exosomes secretion.

Journal of nanobiotechnology
2024

Diagnosis 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 dentistry
2024

Genetic profile of a large Spanish cohort with hypercalcemia.

Frontiers in endocrinology
2024

Detection of hypophosphatasia in hospitalised adults in rheumatology and internal medicine departments: a multicentre study over 10 years.

RMD open
2024

Use of Complementary and Alternative Medicine in Patients with Rare Bone Diseases and Osteoporosis.

Nutrients
2024

A Case of Hypophosphatasia With Normal Alkaline Phosphatase Levels.

AACE clinical case reports
2024

Effectiveness of asfotase alfa for treatment of adults with hypophosphatasia: results from a global registry.

Orphanet journal of rare diseases
Ver todos os 1.128 no EuropePMC

Associações

Organizações que acompanham esta doença — pra ter apoio e orientação

Ainda não temos associações cadastradas para Hipofosfatasia.

É de uma associação que acompanha esta doença? Fale com a gente →

Comunidades

Grupos ativos de quem convive com esta doença aqui no Raras

Ainda não existe comunidade no Raras para Hipofosfatasia

Pacientes, familiares e cuidadores se organizam em comunidades pra compartilhar experiências, fazer perguntas e se apoiar. Você pode ser o primeiro.

Tire suas dúvidas

Perguntas, dicas e experiências compartilhadas aqui na página

Participe da discussão

Faça login para postar dúvidas, compartilhar experiências e interagir com especialistas.

Fazer login

Doenças relacionadas

Doenças com sintomas parecidos — ajudam quem ainda está buscando diagnóstico

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.

  1. [Recent advances in the diagnosis and management of childhood hypophosphatasia].
    Zhonghua er ke za zhi = Chinese journal of pediatrics· 2026· PMID 41834214mais citado
  2. 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
  3. The Importance of Biochemical Screenings in the Diagnosis of Hypophosphatasia: Applications, Methodologies, and Challenges.
    International journal of molecular sciences· 2026· PMID 41683579mais citado
  4. Screening and patient exploration for adult hypophosphatasia in orthopedics.
    Journal of orthopaedic science : official journal of the Japanese Orthopaedic Association· 2026· PMID 41617628mais citado
  5. Lipid Metabolism Alterations in Hereditary Inorganic Pyrophosphate Deficiency Syndromes: A Narrative Review&#xa0;of Insights and Controversies.
    Journal of inherited metabolic disease· 2026· PMID 41376271mais citado
  6. ALPL Mutations With Dominant-Negative Effect in Infantile Hypophosphatasia Monozygotic Twins.
    Hum Mutat· 2026· PMID 41993131recente
  7. Bilateral healing of pseudofractures in hypophosphatasia with teriparatide: a case report.
    J Med Case Rep· 2026· PMID 41877284recente
  8. NEFL is associated with inhibition of odontoblastic process in odontohypophosphatasia.
    J Bone Miner Metab· 2026· PMID 41831016recente

Bases de dados e fontes oficiais

Identificadores e referências canônicas usadas para montar este verbete.

  1. ORPHA:436(Orphanet)
  2. MONDO:0018570(MONDO)
  3. GARD:6734(GARD (NIH))
  4. Variantes catalogadas(ClinVar)
  5. Busca completa no PubMed(PubMed)
  6. 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

Hipofosfatasia
Compêndio · Raras BR

Hipofosfatasia

ORPHA:436 · MONDO:0018570
🇧🇷 Brasil SUS
CEAF
1AAsfotase alfa
Geral
Prevalência
Unknown
Herança
Autosomal dominant, Autosomal recessive
CID-10
E83.3 · Distúrbios do metabolismo do fósforo
CID-11
Ensaios
13 ativos
Início
All ages
Prevalência
0.0 (Worldwide)
MedGen
UMLS
C0020630
EuropePMC
Wikidata
Papers 10a
Evidência
🥇 Meta-análise
DiscussaoAtiva

Nenhuma novidade ainda. O agente esta monitorando.

0membros
0novidades