Lecture 5- Proteins Chemistry Flashcards

1
Q

What are the layers of spun blood

A
  1. Plasma
  2. Buffy coat
  3. Formed elements
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What globins are in blood?

A
albumins (most abundant)
⍺1-globulins 
 ⍺2 -globulins 
 β-globulins  
 ɣ-globulins
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What is protein synthesis and the cells involved

A

Synthesis - Hepatocytes and B cells

Hepatocytes synthesis many of the proteins, those of the complement system are synthesis both in these cells and by macrophages.
Immunoglobulins are mainly derived from the B cells of the immune system.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is protein catabolism and the cells involved

A

Catabolism- Pinocytosis

Plasma proteins are taken up by pinocytosis into the capillary endothelial cells or mononuclear phagocytes where they are catabolized.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What are the key roles of proteins (4)

A

Maintenance of colloid osmotic pressures- mainly a function of albumin

Transport functions, carried out by various carrier proteins

Defence reactions- functions that depend on:
Immunoglobulins, synthesized in the lymphoreticular system.
the complement system.

Complement and fibrinolysis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What method is used to detect total protein

A

Biruet Method

colorimetric

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is total protein?

A

Albumin and globin in the whole body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the body defences?

A

Inflammatory response

Immune response

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

In general, what are acute phase reactants?

A

Are inflammation markers that increase or decrease in the patient’s serum during times ofacutetissue injury or inflammation.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is an example of an acute phase reactant and how does it change during infection

A

C reactive protein

CRP concentration is elevated during infection or inflammation as part of the innate immune response and alteration of CRP plasma concentration is dependent on the rate of CRP synthesis and the severity of infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is an acute phase protein

A

A protein whose plasma concentrations increase during certain inflammatory disorders.

Are proteins that change their serum concentration by >25% in response to inflammatory cytokines (IL-1, IL-6, TNFα).

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Role of acute phase response (3)

A

directly neutralize inflammatory agents

help to minimize the extent of local tissue damage, as well as participate in tissue repair and regeneration.

There is a rapid increase in the plasma concentration of many complement cascade components the activation of which ultimately results in the local accumulation of neutrophils, macrophages and plasma proteins

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the first mechanism of the acute phase reaction?

A

The cells that most commonly initiate the APR are tissue macrophages and blood monocytes.
These cells release cytokines such as IL-1 and TNF

Interleukins(ILs) are a group of cytokines which control the migration of leukocytes into tissue and control the inflammatory response.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What is the second mechanism of the acute phase reaction?

A

Various kinds of white blood cells are attracted to the area of inflammation. The types of white blood cells that arrive at an inflamed site depend on the nature of the injury or infecting pathogen.

For example, aneutrophilis an early arriving white blood cell that engulfs and digests pathogens.

Macrophages follow neutrophils and take over the phagocytosis function and are involved in the resolution of an inflamed site, cleaning up cell debris and pathogens.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Acute phase reaction diagram

A

Infection/inflam

1. Fever             2. Cortisol
Macrophages       |
Monocytes           |
(phagocytosis)      |
|                           Liver
|                              |
Release                acute
cytokines            Phase
(IL-6, TNF            Protocol
|                      (inflammation)
|
Neutrophils
(bacteria)
Lymphocytes
(viral)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is multiple Myeloma

A

Cancer formed in plasma cells in the bone marrow

17
Q

Symptoms of MM

A

Pain in bones (ribs, sternum, chest), lytic lesions in bone (skull commonly), elevated M protein, osteoporeosis

18
Q

List the methods used to diagnose MM

A

Serum protein electrophoresis (SPEP)

Serum immunofixation electrophoresis

Urinary protein electrophoresis with immunofixation

19
Q

Describe Serum protein electrophoresis (SPEP)

A

Quantifies M protein
Can be normal in oligosecretary (M protein conc below detectable threshold) and nonsecrtery (there is no M protein in blood or urine)

20
Q

Describe Serum immunofixation electrophoresis (IFE)

A

This is more sensitive than SPEP.

Early detection of M proteins

Theimmunofixation blood testis used to identify proteins called immunoglobulins inblood which cause multiple myeloma
is done to identify the specific type of protein that is being produced by the malignant plasma cells.

21
Q

Describe Urinary protein electrophoresis (UPEP) with immunofixation

A

In plasma cell dyscrasia, a proteinuria pattern may show discrete band in the a2, B, gamma region

22
Q

Step one of diagnosing MM

A

Electrophoresis specifically for M protein which cause a spike

23
Q

Where are examples of M protein found during MM

A

Blood and urine

24
Q

What does high beta mean?

A

Liver or kidney failure.

25
Q

What is the purpose of the immunifixation blood test

A

identify proteins called immunoglobulins inblood which cause multiple myeloma

is done to identify the specific type of protein that is being produced by the malignant plasma cells.

26
Q

what is paraprotein and its relation to MM

A

Paraprotein are monoclonal heavy chains, light chains, or intact immunoglobulins present in the blood or urine produced by a Multiple myeloma

27
Q

Why does MM cause increased…
1. total protein
2. Globulins

A

Total Protein is albumin and globulin. In MM the myeloma cells are making M-protein/high circulating levels of monoclonal immunoglobulins (M component) so the amount of globulin in the blood rises, which results in elevated total protein.

28
Q

why does MM cause
increased Calcium
Normocytic/normochromic anaemia
Renal failure

A

the destruction of bone from the lesions caused by multiple myeloma. Osteolytic lesionsresult from increased bone resorption due to osteoclast stimulation and decreased bone formation due to osteoblast inhibition.
When bones are destroyed, they release extra calcium into your bloodstream and increase your calcium levels. Marked increase in osteoclastic bone resorption by local factors in the bone marrow

Multiple myeloma triggers an overgrowth of plasma cells in the bone marrow. Too many of these cells in the bone marrow crowd and decrease the number of normal blood-forming cells. This response causes a low red blood cell count

The significant excess of light chains causing them to accumulate and deposit in the kidney leading to blockage, inflammation and fibrosis. Therefore kidney failure.

29
Q

CRAB is…

A

MM symptoms:
increase Calcium
Renal failure
Anemia
Bone disease (lytic lesion, bone pain)