Acute-phase reactants Flashcards

1
Q

What are the 5 Positive upregulated in an acute phase reactants

A
  • Serum amlyoid A
  • C-reactive protein
  • Ferritin
  • Fibrinogen
  • Hepcidin
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2
Q

What are the 2 negative downregulated in acute phase reactants?

A
  • Albumin
  • Transferrin
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3
Q

Acute phase reactants

  • what is it?
  • what organ produces factors that cause this
  • What are the factors
A
  • Factors whose serum concentrations change significantly in response to inflammation
  • produce by the liver in both acute and chronic inflammatory states
  • Induced by IL-6, IL-1, TNF-alpha, and IFN-gamma
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4
Q

Positive (upregulated)

Serum amyloid A

A

Prolonged elevation can lean to amyloidosis

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5
Q

Positive (upregulated)

C-reactive protein

A
  • Opsonin: fixes complement and facilitates phagocytosis
  • Measured clinical as a sign of ongoing inflammation
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6
Q

Positive (upregulated)

Ferritin

A

Binds and sequesters iron to inhibit microbial iron scavenging

*This is a defense mechanism by taking away Fe from the bacteria which causes it not to grow (b/c of the ETC is how bacteria develop energy) *

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7
Q

Positive (upregulated)

Fibrinogen

A
  • Coagulation factor
  • promotes endothelial repair
  • correlates with ESR
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8
Q

Positive (upregulated)

Hepcidin

A
  • Prevents release of iron bound by ferritin
  • anemia of chronic disease
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9
Q

Negative (downregulated)

Albumin

A

Reduction conserves amino acids for positive reactants

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10
Q

Negative (downregulated)

Transferrin

A

Internalized by macrophages to sequester iron

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