Plasma Proteins Flashcards

1
Q

what does serum contain?

A

plasma and fibrinogen

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2
Q

what does plasma contain?

A

proteins, water and solutes

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3
Q

what are the functions of plasma proteins?

A

transport, maintaining osmotic pressure, maintaining pH, defense, coagulation

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4
Q

what are the main plasma proteins?

A

albumin (60-70%)
globulins (38%)
fibrinogen (4%)

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5
Q

how are plasma proteins measured?

A
  1. quantitative - changes in absorbance
  2. semiquantitative - SPE (bands)
  3. biological activity
  4. immunoassays
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6
Q

how does disease effect plasma proteins?

A
  1. impacts protein synthesis
  2. effects protein distribution
  3. rate of catabolism
  4. rate of excretion
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7
Q

what are the types of globulins?

A

a1, a2, B, Y

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8
Q

what does a1 antitrypsin do and when is it increased?

A

protects lungs from infections/irritants

pregnancy, acute infections, trauma, pulmonary emphysema and hepatic disorders

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9
Q

what does a2 macroglobulin do?

A

binds and inactivates endopeptidases, found in increased nephrotic syndrome

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10
Q

what are the a2 globulins?

A

macroglobulin, haptoglobin, ceruloplasmin, a-fetoprotein

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11
Q

what are the B globulins?

A

transferrin which transfers iron

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12
Q

what do complement proteins do?

A

interact with AgAb and destroy bacteria and viruses

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13
Q

what do gamma globulins do?

A

aka immunoglobulins

immune response, allergic response, mucosal secretions and antigen recognition

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14
Q

what does IgM and IgG do?

A

primary and secondary immune response

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15
Q

what does IgE do?

A

found on basophils and mast cells - allergic response

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16
Q

where are IgD produced?

A

B cells - antigen recognition

17
Q

where are paraproteins found?

A

in myeloma, in Waldenstrom’s macroglobulinaemia and in heavy chain diseases. These are malignant conditions

18
Q

how is paraproteinaemia diagnosed?

A

by serum protein electrophoresis and urine protein electrophoresis