Proteins and lipids Flashcards

1
Q

Total protein is made up of which 2 proteins?

A

Albumin and globulins

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2
Q

Serum/plasma total protein can be measured by which 2 methods?

A

Refractometry or biuret method

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3
Q

What cells is albumin produced by?

A

Hepatocytes

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4
Q

Albumin acts as a carrier protein for which molecules?

A
Bilirubin
Bile acids
Free fatty acids
Drugs
Hormones
Calcium
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5
Q

What is the half life of albumin in dogs and horses?

A
Dogs = 8 days
Horses = 20 days
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6
Q

Which cells produce globulins?

A

B-lymphocytes

Plasma cells

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7
Q

Describe serum protein electrophoresis - which molecules do not travel very far

A

Separate protein electrophoresis into bands based on electrical charge and size of molecules
Antibodies are very large molecules with a lack of charge so do not travel far

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8
Q

What is the main cause of hyperalbuminaemia?

A

Dehydration

- can also be caused by inflammation

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9
Q

What other signs can be seen with hyperalbuminemia?

A
  • Increased PCV, RBC
  • Azotaemia
  • Increase in all proteins
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10
Q

Describe monoclonal hyperglobulinaemia

A

The production of a single type of immunoglobulin and is due to neoplasia

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11
Q

The amounts of which type of protein increase during inflammation?

A

Positive acute phase proteins e.g. fibrinogen

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12
Q

Give examples of negative acute phase proteins and when do their levels decrease?

A

Albumin

Decrease during inflammation

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13
Q

Give 2 examples of delayed response proteins

A

Immunoglobulins

Complement

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14
Q

Acute phase proteins are under the influence of which cytokines?

A

IL-1

IL-6

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15
Q

Which type of acute phase proteins levels increase fastest?

A

Positive acute phase proteins

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16
Q

Hyperfibrinogenaemia is caused by?

A

Inflammation

Dehydration

17
Q

Hypofibrinogenemia is caused by?

A

Decreased synthesis by the liver

Increased fibrinogen consumption

18
Q

Name 4 tests that an be affected by decreased fibrinogen consumption

A
  • PTT
  • PT
  • Fibrinogen conc
  • Total protein
19
Q

What is panhypoproteinemia?

A

Defined by low albumin and low globulin and therefore also low total protein

20
Q

What are the most common causes of a loss of protein?

A
  • Acute haemorrhage associated with anaemia

- GI loss (inflammatory bowel disease)

21
Q

What are the causes that lead to a decreased production of albumin, causing hypalbuminaemia?

A
  • Chronic liver disease: lack of hepatocytes to make albumin
  • Prolonger malnutrition
  • Maldigestion/malabsorption
22
Q

What are the causes that lead to an increased loss of albumin, causing hypalbuminaemia?

A
  • Kidney glomerular leakage of albumin
  • GI loss
  • Burns
23
Q

What is the main cause of hyperglobulinaemia?

A

Failure of passive transfer in neonates

- failure to nurse before foregut closes

24
Q

What are the two main lipids in the body?

A

Cholesterol and triglycerides

25
How are lipids, triglycerides and cholesterol transported?
As lipoprotein complexes | Associated with specific proteins known as apolipoproteins
26
Give some lipoprotein examples and what they deliver to cells/tissues?
- Chylomicrons: dietary triglycerides to cells - VLDL: triglycerides made by the liver to cells - LDL: cholesterol to tissues - HDL: tissue cholesterol for elimination in bile
27
Lipaemia is caused by an increase in?
Chylomicrons and VLDL's
28
What effect does lipaemia have on the morphology of plasma?
Makes it opaque
29
What artefactual effects can lipaemia have?
- Falsely high Hb value - Falsely high total protein - Unreliable fructosamine - Incorrect mean corpuscular haemoglobin concentration - Incorrect mean corpuscular haemoglobin
30
Are chylomicrons low or high density?
Very low - lowest of the lipoproteins
31
What are some differential diagnosis for hypertriglyceridemia?
- Endocrine disease - Pancreatitis - Liver disease - Steroid administration
32
What are some differential diagnosis for hypercholesterolaemia?
- Diet - Endocrine disease - Hepatic disease - Steroid administration