Proteins Flashcards
Contain peptide chains on hydrolysis yield only amino acids. (Classification of Proteins)
Simple Proteins
Proteins are synthesized in the liver and secreted by hepatocytes into circulation except:
Immunoglobulins
*secreted by plasma cells
Comprise of a protein and a non-protein moeity/ prosthetic grp. (Classification of Proteins)
Conjugated proteins
Also known as transthyretin.
Half-life of 2 days.
Used as landmark to confirm if specimen is really CSF.
Prealbumin
*rich in tryptophan, contain 0.5% carbohydrate
Prealbumin
Increased in:
Decreased in:
Increased:
Alcoholism
Chronic Renal Failure
Steroid treatment
Decreased:
POOR NUTRITION
Why is it in Cirrhosis we find patients with normal Total Protein?
Increased Globin, decreased albumin
Makes total protein NORMAL.
A1-anti-trypsin deficiency is seen in:
Emphysema
Juvenile hepatic cirrhosis
Increased in:
Inflamation
Pregnancy
Contraceptive use
A glycoprotein that migrates between albumin and a-1 globulin band.
Alpha-feto protein
- AFP screening is done between 15-20 weeks of gestational age when the maternal level increases gradually.
Decreased levels of alpha-feto protein.
Down’s syndrome
*increased in: Hepatoma >1000ng/ml Spina bifida Nueral tube defects GIT atresia Ataxia telangiectasia Tyrosinosis HDN Anencephaly
Protein that contains high percentage of CHO and sialic acid ( 45% and 11-12% respectively)
Also known as OROSMUCOID.
a1-Acid Glycoprotein
*greatest affinity for PROGESTERONE; binds with quinidine
Protein / serine protease with CATHEPSIN G.
Migrates between the a1 and a2 zones
a1-Antichymotrypsin
- binds and inactivates PSA (prostate specific Antigen)
- seen in Alzheimer’s disease
Binds heme released by degradation of hemoglobin; has the strongest affinity with heme.
Helps in the diagnosis of EARLY HEMOLYSIS
Hemopexin
*migrates in the Beta region
Protein that exhibits affinity with vitamin D and Actin.
Group-specific component (Gc)-Globulin
*migrates between a1 and a2
Indicator of Wilson’s disease. (Decreased)
Ceruloplasmin
*features of Wilson’s disease:
Deposition of copper in the skin, brain and cornea (Kayser-Fleisher ring)
Largest major non-immunoglobulin protein in plasma.
a2-Macroglobulin /AMG
*increase 10x in nephrosis