Plasma proteins Flashcards

(31 cards)

1
Q

what is the diff between serum and plasma

A

serum = liquid part of blood after coagulation
plasma = blood with anticoagulants in it to prevent clotting

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2
Q

where are plasma proteins produced

A

made in liver, except immunoglobulins

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3
Q

how many plasma proteins have been discovered

A

> 300

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4
Q

what are the functions of proteins

A

transport
maintaining oncotic pressure
buffer pH changes
defense (immunoglobulins)
coagulation + fibrinolysis
misc specialised functions

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5
Q

what are the three main fractions of plasma proteins

A

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

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6
Q

what are the diff globulins

A

a1-globulin (5.3%)
a2-globulin (8.6%)
B-globulin (13.4)
y-globulin (11%)

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7
Q

how can plasma proteins be measured

A
  • quantitatively: measure a specific protein
  • semi-quantitatively: electrophoretic measurement where the proteins are separated into bands which change in disease
  • measurement of biological activity
  • immunoassays
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8
Q

write a gen note on albumin

A

single polypeptide chain, 585aa length, most abundant in blood plasma (36-47g/L)

made in liver (12g per day) half life in plasma 2-3 weeks

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9
Q

transport functions of albumin

A

-bind and transport diverse molecules- have low specificity for transporting thinfs such as
-metal ions (calcium and copper)
- free fatty acids released by adipose tissues and facilitates transfer to other tissues
-bilirubin which protects from toxicity of unconjugated bilirubin
-bile acids that were recycled in the intestine to the liver in the hepatic portal vein

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10
Q

how does albumin maintain osmotic pressure

A

helps maintain colloid osmotic pressure which is a form of osmotic pressure caused by proteins that can pull water into the circulatory sys

reduction in plasma proteins = reduction of osmotic pressure = fluid retention issues

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11
Q

what can an abnormal synth of albumin be related to

A

hereditary defects, liver disease, malnutrition, malabsorptive disease

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12
Q

what can an abnormal distribution of albumin cause

A

capillary permeability leakage of proteins into extravascular fluid

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13
Q

what is an a1 globulin example

A

a1-anti-trypsin

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14
Q

what can be caused by homozygous alleles coding for a1-anti-trypsin

A

pulmonary emphysema(80% incidence), hepatic disorders

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15
Q

what can a1-anti-trypsin deficiency cause

A

cause 5% of emphemysa, whic is associated with lung infections and causes activity of macrohpages- leading to them producing elastase that damages the lung tissues

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16
Q

how can a1-anti-trypsin affect the liver

A

forms aggregates to form polymers which cause liver damage as well as an accumulation of collagen causing cirrhosis

17
Q

write note on a2-macroglobulin

A

is a major a2 globulin, it binds and inactivates endopeptidases like trypsin, and can be seen increased in nephrotic syndrom and sometimes in cirrhosis

18
Q

write a note on haptoglobulins

A

binfs Hb to form HbHp complexes. conserves iron stores in body. has decreased levels in intravascular haemolysis and liver disease. increased in acute infections and nephrotic syndrome

19
Q

write a note on caeuroplasmin

A

is a copper transport protein, binds around 90% of copper. is reduced in wilson’s disease, malnutritin and nephrotic syndrome

see increased levels in pregnancy and in women taking birth control

20
Q

write a note on a - fetoprotein

A

helps detect potential miscarraige in pregnancy. presnet in tissue and plasma of foetus. can detect minute amounts in adults via sensitive immunoassays

50% cases of heptocellular carcinoma have gross increases of FP levels

21
Q

write a note on transferrin

A

is the principal plasma transport protein for iron.
congenital deficiency of transferrin = atransferrinaemia

22
Q

where is low transferrin seen

A

inflammation and malignancy

23
Q

where is increased transferrin seen

A

in iron deficiecny

24
Q

write a note on complement proteins

A

has at least 20 proteins in blood and tissue fluids. these proteins interact:
- sequentially with Ag-Ab complexes
- with one another
- with cell membranes
in order to destroy viruses and bacteria

25
what are immuno globulins
structurally related plasma proteins that function as antibodies
26
where are immunoglobulins synthesised
cells of the lymphoreticular system
27
how are immunoglobulins classed
according to heavy chains: gamma, alpha, mu, delta and epsilonwh
28
what are the light chains in Ig
kappa and lambda
29
function of IgG, IgA, IgM, IgD, IgE
IgG: secondary immune response IgA: submucus secretions IgM: primary response IgD: on B lymphocytes- antigen recognition IgE: on mast cells and basophils -allergies
30
write a note on paraproteins
found in myeloma, waldenstrom's macroglobulinaemia and heavy chain diseases (malignant diseases) can arise from any Ig types. monoclonal light chains are made in excess of heavy chain in 50% of myeloma and in 15% cases only light chains are found the light chains spill in urine- known as Bence Jones protein- do not show in serum electrophoresis - may need to do urine tests to demonstrate the protein
31
how can paraproteinaemia be diagnosed
serum protein electrophoreseis- detection of discrete band -> immunoelectrophoresis to determine paraprotein type and conc urine protein electrohporesis -> detection of bence jones protein