Basic Proteins Flashcards
Positive APR
AAT, Haptoglobin, Ceruloplasmin, Fbg, CRP
Negative APR
Albumin, Pre-alb, Transferrin
Pre-albumin Fxn
Carries T3, T4, Retinol (Vit A) Malnutrition Marker (short half life of 2 days)
Pre-albumin Decreased Significance
Malnutrition, liver disease (decreased synthesis), negative APR
Pre-albumin Increased Significance
Chronic Renal Failure, Seen in patients receiving steroids, Alcoholism
Albumin Fxn
Maintain Osmotic Pressure, contributes 80% to this pressure, predominant protein lost in renal disease
Albumin acts a transport protein for
unconj bili, salicylic acid, Ca, water insoluble drugs, steroid hormones
Albumin Decreased Significance
Liver disease: decreased synthesis (Alcoholic cirrhosis)
renal disease: (inc urinary loss, glomerulonephritis)
GI loss, malabsorption, starvation
APR-
Hereditary conditions
Albumin Increased Significance
Dehydration (Relative Increase)
AAT Fxn
major component of alpha 1 globulin, neutralizes trypsin like enzymes that can cause hydrolytic damage to structural proteins
AAT phenotype MM
100% normal AAT fxn
AAT Decreased Sig
severe emphysema, juvi cirrhosis (hepatocytes cant release AAT)
AAT Increased Sig
APR +
AMG Fxn
one of the largest.
Fxn: inhibits proteases, contributes to more than 25% of the thrombin inhibition normally present in blood
AMG Increased Sig
Not indicated
AMG Decreased Sig
NS up to 10x inc.
Maintains Onc pressure when albumin decreased