PLASMA PROTEINS Flashcards

1
Q

Plasmapheresis is a process in which

A

Plasma can be extracted from the subject without removing the red blood cells

Blood is withdrawn
Plasma is separated and
Red blood cells are returned to the patient

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2
Q

Formation of plasma proteins

A

All albumins
All fibrinogen
50-80% globulin are formed in liver

Remaining globulin formed in lymphoid tissue

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3
Q

A person with sever Renal disease can loose as high as
20g plasma proteins per day

A

This is replaced by liver which can produce as high as 30g per day

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4
Q

Which liver cells produce plasma proteins

A

Parenchyma cells of liver
Reticuloendothelial cells

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5
Q

Transthyretin is also know as

A

Prealbumin

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6
Q

Function of transthyretin

A

Transport of thyroid hormone and retinol

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7
Q

Fibrinogen function

A

Blood coagulation
Precursor of fibrin

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8
Q

Albumin function

A

Maintenance of osmotic pressure in plasma which prevents plasma loss from capillaries

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9
Q

Immunoglobulins function

A

Humoral immunity

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10
Q

Transferrin

A

Iron transport

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11
Q

Ceruloplasmin

A

Copper transport

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12
Q

Haptoglobin function

A

Hemoglobin transport outside the RBC

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13
Q

The thousands of plasma proteins that are present in our blood are collectively called

A

PLASMA PROTEOME

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14
Q

The normal A/G ratio is

A

2:1
4.9gram Albumin per dL
2.3gram Globulin per dL

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15
Q

What happens during decrease of plasma proteins concentration as a result of starvation

A

Proteins in the plasma cause colloidal osmotic pressure or ONCOTIC PRESSURE
During prolonged starvation fluid goes from intravascular space to interstitial space

Thereby causing generalised edema

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16
Q

Osmotic pressure is determined not by the mass of molecules but by the

A

Number of molecules present

17
Q

Maximum to minimum number of plasma proteins molecules order

A

Albumin > Globulin > Fibrinogen

18
Q

Heaviest to lighted plasma proteins

A

Fibrinogen > Globulin > Albumin

19
Q

80% of total colloidal osmotic pressure by

A

Albumin

20
Q

Remaining 20% ONCOTIC pressure by

A

Globulin

Almost 0% by fibrinogen

21
Q

Albumin also acts as a carrier for

A
  1. Steroid hormones
  2. Fatty acids
  3. Thyroid hormones
22
Q

SHBG
CBG
TBG

A

Sex hormone binding globulin
Corticosteroid binding globulin
Thyroxine binding globulin

23
Q

Overall functions of plasma proteins

A
  1. Source of amino acids for the tissues ( reserve proteins )
  2. Plasma proteins as carrier proteins(transport mechanism) Eg. TBG SBG SHBG
  3. Maintenance of ONCOTIC pressure or colloidal osmotic pressure
  4. Role in blood coagulation
  5. Role in defence mechanism of body
  6. Regulation of acid base balance
  7. Maintain Viscosity of blood
  8. Role in ESR (globulin and Fibrinogen accelerate roleaux formation by RBCs
24
Q

Roleaux formation by RBCs is accelerated by

A

Globulin
Fibrinogen

25
Q

In embryonic stage plasma proteins are synthesized from

A

Mesenchyme cells

26
Q

Plasma protein that is synthesized first in embryos is

A

ALBUMIN

27
Q

Gamma Globulin is synthesized from

A

B lymphocytes