proteins and enzymes chem path Flashcards

1
Q

whats the difference between serum and plasma

A

plasma is the fluid component of blood in ones circulation, to preserve this we use anticoagulants
seruum is produced when the plasma is removed without adding anticoagulants.

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2
Q

what enzyme has the most diagnostic value for diagnosis of a myocardial infarction

A

troponin T tests

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3
Q

what is an isoenzyme

A

structural variants of an enzyme which catalyse the same chemical reaction, but may be produced by different cells in different tissues or organs

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4
Q

whats an example of an isoenzyme

A

creatine kinase. this enzyme catalyses the phosphorylation of creatine, storing energy from ATP as phosphocreatine. creatine kinase has no function in the plasma hence its a good indicator of specific cell damages.
CK-MM is an isoenzyme in skeletal muscle
CK-BB is an isoenzyme in brain tissue
CK-MV is an isoenzyme in heart tissue.

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5
Q

what are the proteins in the alpha globulins bands

A

alpha 1 and alpha 2, proteins like alpha 1 antitrypsin, alpha 2 macroglobulin and haptoglobin

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6
Q

what are the proteins in the beta globulins band of electrophoresis

A

beta one and beta two bands exist, they can be merged as a single band. proteins like transferrin, plasminogen, IgA, beta lipoprotein.

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7
Q

what are the proteins in the gamma globulin band of electrophoresis

A

mostly immunoglobulin such as IgG and IgM

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8
Q

what is protein electrophoresis

A

a separation of proteins into major bands. done based on their net charge in the ph buffer. separation is mostly dependant on the amino acid sequence of the proteins.

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9
Q

what do the width and the height of the band on the electrophoresis tell us

A

the wider the band the more heterogeneity in the region.
the height is the quantity of the proteins in that region

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10
Q

why might we see changes in the size of the albumin peak

A

reduction may indicate loss or some kind of reduced production
increase may indicate haemoconcentration - dehydration

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11
Q

why might we see a change in the spike for alpha 1 globulins

A

decrease in size may indicate A1AT deficiency which can lead to emphysema
increase of A1AT may occur during inflammatory state

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12
Q

why might we see a change in the alpha 2 spike

A

increased alpha 2 may occur duing inflammation, it macroglobulin may be accumulating in nephrotic syndrome
decrease in beta 2 could be haemolysis.

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13
Q

why might we see a peak in the beta 1 area

A

increase might be increased transferrin

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14
Q

why might we see changes in the gamma peak on electrophoresis

A

increase is hypergammaglobulinaemia
decrease indicates hypogammaglobulinaemia

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