L3: Plasma proteins Flashcards

1
Q

What is the composition of plasma?

A

Water: 90 %

Inorganic substances: 0.9%

  • Cations: Na+ / K+
  • Anions: Cl / HCO3 / PO4 / SO4

Organic substances: 9.1 %

  • Plasma proteins: (6-8 gm%) (6-8GM/DL)
  • Lipids
  • Others
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2
Q

What is the level of total proteins in plasma?

A

about 7-7.5 g/dl. “dl=100ml”

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3
Q

What is the composition of plasma proteins?

A

Plasma proteins include not only simple proteins but also conjugated proteins as glycoproteins and lipoproteins.

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4
Q

What are the types of plasma proteins?

A

Plasma proteins can be classified into 3 main groups: albumin, globulins (α1, α2, β and y ) and fibrinogen.

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5
Q

Where are plasma proteins synthesized?

A

Most plasma proteins are synthesized in the liver. However, Y globulins “antibodies” are synthesized by plasma cells and B cells of lymphoid tissues.

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6
Q

What is the definition of albumin and what is its levels in blood?

A
  • Is the major human plasma protein (60% of total plasma protein).
  • 3.5-5.5 g/dl
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7
Q

What are the functions of albumin?

A

“Osmotic pressure - carrier - treatment of hemorrhage and burns”

  • Responsible for 70 to 80% of osmotic pressure of human plasma.
  • Helps in transport of several substances e.g., FFA, unconjugated bilirubin, Ca++ and steroid hormones”also carried by globulins”.
  • Certain drugs also bind to albumin, e.g., sulphonamides, aspirin, penicillin and are transported to target tissue.
  • Preparations of human albumin have been widely used in treatment of hemorrhagic shock and burns.
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8
Q

What are alpha-1 globulins? “Markers”

A

α1-acid glycoprotein (orosomucoid)

α1-antitrypsin (α- AT)

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9
Q

What is the function of alpha 1 - acid Glycoproteins (Orosomucoid)?

A

A reliable indicator of acute inflammation. “Its increase”

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10
Q

What is the function of alpha 1 - antitrypsin?

A

It is the principal protease inhibitor (Pi) of human plasma: It inhibits trypsin, elastase and other proteases by forming complexes with them.

  • It is deficient in emphysema.
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11
Q

What are alpha-2 globulins? “Carriers”

A

Haptoglobin

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12
Q

What is the function of haptoglobulin?

A
  • Bind free Hb and minimizes urinary loss of Hb.
  • After binding, Hp-Hb complex circulates in the blood,
    which cannot pass through glomerular filter and ultimately the complex is destroyed by RE cells.
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13
Q

What are beta globulins?

A

β- Lipoproteins (LDL) “bad”

Transferrin “carrier”

C-reactive Protein

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14
Q

What is the function of transferrin?

A

transport of Fe between intestine and site of synthesis of Hb and other Fe containing proteins.

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15
Q

What is the function of C-reactive proteins?

A
  • It precipitates with group C polysaccharide of pneumococci, in the presence of Ca, hence the name.
  • It can bind to T-lymphocytes and can activate complement.
  • Used as a marker of tissue injury & inflammation.
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16
Q

What are gamma globulins?

A

These are immunoglobulins having antibody activity.

17
Q

What is fibrinogen?

A
  • also called clotting factor I,

- as it takes part in coagulation of blood.

18
Q

What are the functions of plasma proteins?

A
Nutritive
Fluid exchange (colloid osmotic pressure)
Buffering action
Binding and transport function
Blood coagulation and fibrinolysis
Immunological function
Enzymes
Carriage of CO2
19
Q

What is the nutritive function of plasma proteins?

A

contribute amino acids for tissue protein synthesis.

20
Q

How do plasma proteins affect fluid exchange?

A

Regulation of blood volume and tissue fluid formation: plasma proteins exert osmotic pressure across the capillary wall which tend to pull water into the blood.

21
Q

What is the buffering action of plasma proteins?

A

The serum proteins, like other proteins, are amphoteric, they have free acidic (R-COOH) and basic (R-NH2) end so can act as weak acid or base and thus can combine with acids or bases.

22
Q

What do plasma proteins transport?

A

✓ Albumin → binds various ligands (thyroxine, steroids, a a, vitamins and FA).

✓ Haptoglobin→binds extra corpuscular HB

✓ Apolipoproteins → Lipoproteins

✓ Thyroid-binding globulin → binds T3 & T4
✓ Transferrin → transports iron.

✓ Ceruplasmin → copper

✓ Steroid hormone – binding globulin → steroid hormone

✓ Transcobalamin→vit B12 “cobolamin”

23
Q

What is the Immunological function of plasma proteins?

A

Y-globulins protect the body against microbial infections.

24
Q

What is the enzymatic function of plasma proteins?

A

Enzymes are proteins.

25
How do plasma proteins Carry co2?
Co2 combines with the amino group of the plasma proteins and is carried as carbamino compounds.
26
What is the most common method of analyzing plasma proteins?
Electrophoresis
27
Mention a method used to analyze plasma proteins.
Serum protein electrophoresis: By cellulose acetate electrophoresis, the serum can be separated into a number of fractions (albumin, α1, α2, β and γ globulins).
28
What does deficiency of albumin in Cellulose acetate electrophoresis indicates?
Nephrotic syndrome or cirrhosis of liver
29
What are acute phase proteins (or reactants)?
Levels of certain proteins in plasma increase during acute inflammatory states or secondary to certain types of tissue damage. These proteins are called Acute phase proteins or reactants.
30
What are examples of acute phase proteins?
C-reactive protein (CRP) Haptoglobin (Hp) α1 antitrypsin α1 acid glycoprotein (orosomucoid) and fibrinogen "All studied except LDL and transferrin"
31
What are the causes of hypoproteinemia?
 Hemodilution: overload from IV infusion.  Hypoalbuminemia:  Hypogammaglobulinemia
32
What are the causes of hypoalbuminemia?
Loss from the body: - Renal: Loss of albumin in urine in nephrotic syndrome. - - GI Tract: Protein losing enteropathy. - Skin: Burns and other exudative skin lesions. Decreased synthesis of albumin: - Severe liver diseases: Chronic hepatitis, cirrhosis liver. - Genetic deficiency: Analbuminaemic "rare, the gene responsible" Miscellaneous: Pregnancy, chronic illness
33
What are the causes of hypogammaglobinemia?
✓ Protein loss: Same as above. ✓ Decreased synthesis: o Primary: Genetic deficiency "very rare" o Secondary" suppressing the immunity" : Certain toxins/and drugs: uremia, cytotoxic therapy, corticosteroid therapy, AIDS ✓ Miscellaneous: Pregnancy.
34
What are the effects of hypoproteinemia?
- Swelling of face and other parts of the body. "Due to loss of oncotic pressure" - Edema L.L. "Due to loss of oncotic pressure" - Loss of muscle mass "Deficiency of proteins" - Infections "Decreased immunity" - Fatigue "Decreased immunity" - Dry brittle hair - Lack of growth in children.