W1-11 plasma proteins
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Questions and Answers

Which proteins are used for the diagnosis of different diseases?

  • Acute phase proteins and enzymes
  • Albumin and immunoglobulins
  • Acute phase proteins and albumin (correct)
  • Immunoglobulins and enzymes
  • What is the main function of colloid osmotic pressure created by plasma proteins?

  • To hold water within the vascular space (correct)
  • To facilitate diffusion across the capillary membrane
  • To increase enzyme synthesis
  • To decrease inflammation
  • Which proteins do not diffuse readily across the capillary membrane?

  • Immunoglobulins
  • Albumin (correct)
  • Enzymes
  • Acute phase proteins
  • What type of proteins increase or decrease in response to inflammation?

    <p>Acute phase proteins and immunoglobulins</p> Signup and view all the answers

    Which organ synthesizes most plasma proteins?

    <p>Liver</p> Signup and view all the answers

    What is the main function of transport acute phase proteins?

    <p>To respond to inflammation</p> Signup and view all the answers

    Which substance is known for its ability to bind to free hemoglobin?

    <p>Haptoglobin</p> Signup and view all the answers

    What is the function of prealbumin/transthyretin?

    <p>Retinol transport</p> Signup and view all the answers

    Which enzyme catalyzes the oxidization of iron II to iron III?

    <p>Ferroxidase</p> Signup and view all the answers

    What is the main function of cortisol-binding globulin or transcortin?

    <p>Binds glucocorticoids</p> Signup and view all the answers

    Which protein is a zymogen of plasmin and angiostatin?

    <p>Plasminogen</p> Signup and view all the answers

    Which substance regulates opsonization and can form pentameric structures?

    <p>IgM</p> Signup and view all the answers

    What is the primary function of angiotensinogen?

    <p>Regulates blood pressure</p> Signup and view all the answers

    Which glycoprotein does not contain any saccharide residues?

    <pre><code>ext{Albumin} </code></pre> Signup and view all the answers

    ext{Ethylenediaminetetraacetic acid (EDTA)} is known for its ability to bind to which ion?
    

    <pre><code>ext{Ca}^{2+} </code></pre> Signup and view all the answers

    Which protein functions as an apolipoprotein of HDL and binds cholesterol?

    <p>Serum amyloid A</p> Signup and view all the answers

    What are nearly all plasma proteins part of?

    <p>Glycoprotein family</p> Signup and view all the answers

    What is the main function of ext{alpha-1-antitrypsin}?

    <p>Inhibits neutrophil elastase and other proteases</p> Signup and view all the answers

    Which enzyme is found in high concentrations in the cells of liver, skeletal and cardiac muscle, and kidney?

    <p>Alanine transaminase (ALT)</p> Signup and view all the answers

    What is the main characteristic of nonalcoholic fatty liver disease (NAFLD)?

    <p>Buildup of fats in liver cells</p> Signup and view all the answers

    Which enzyme is mainly found in the cell membranes of the liver, bile duct, kidney, pancreas, and several other organs?

    <p>Gamma-glutamyltransferase (GGT)</p> Signup and view all the answers

    What causes an increase in levels of alkaline phosphatase (ALP) associated with physiological changes?

    <p>Bone diseases</p> Signup and view all the answers

    Which enzyme is used to differentiate tissues of origin between diseases of the bile duct and bone?

    <p>Gamma-glutamyltransferase (GGT)</p> Signup and view all the answers

    What is the main function of plasma cholinesterase (BuChE)?

    <p>Hydrolytic cleavage of various esters of choline</p> Signup and view all the answers

    In which conditions would one observe very high levels of aspartate transaminase (AST)?

    <p>Viral hepatitis</p> Signup and view all the answers

    What is the normal AST/ALT ratio?

    <p>Approximately ~ 0.8</p> Signup and view all the answers

    What is a primary cause of chronic liver disease in Western nations?

    <p>Alcoholic liver disease</p> Signup and view all the answers

    Which protein is used as a tumor marker to help detect and diagnose cancers of the liver, testicles, and ovaries?

    <p>Alpha-fetoprotein (AFP)</p> Signup and view all the answers

    What is the main function of haptoglobin?

    <p>Clear free hemoglobin from the circulation</p> Signup and view all the answers

    What is the role of hemopexin?

    <p>Transport free heme to the liver</p> Signup and view all the answers

    What condition may be indicated by an increased level of haptoglobin?

    <p>Severe infection</p> Signup and view all the answers

    What is the main function of α1-Antitrypsin?

    <p>Synthesize antiprotease activity in the lung</p> Signup and view all the answers

    What is the function of acute phase proteins such as C-Reactive Protein (CRP)?

    <p>Assist in complement binding to foreign and damaged cells</p> Signup and view all the answers

    What is one possible cause of increased red blood cell destruction?

    <p>[Hereditary spherocytosis]</p> Signup and view all the answers

    Which enzyme converts free cholesterol into cholesteryl ester, sequestering it into the core of a lipoprotein particle?

    <p>[Lecithin:cholesterol acyltransferase (LCAT)]</p> Signup and view all the answers

    [Wilson disease] is characterized by excess copper stored in various body tissues, particularly the liver, brain, and corneas of the eyes. What is one possible consequence if left untreated?

    <p>[Impaired vision]</p> Signup and view all the answers

    [Alpha-fetoprotein (AFP)] is used as a tumor marker to help detect and diagnose which type of cancers?

    <p>[Liver, testicles, and ovaries]</p> Signup and view all the answers

    [C-Reactive Protein (CRP)] is thought to assist in which process related to innate immunity?

    <p>[Complement binding to foreign and damaged cells]</p> Signup and view all the answers

    What is one possible result of Lecithin–cholesterol acyltransferase (LCAT) deficiency?

    <p>[Impaired vision]</p> Signup and view all the answers

    Study Notes

    • Plasma proteins are essential for maintaining colloid osmotic pressure and transporting various substances in the body.
    • Most plasma proteins are glycoproteins, with oligosaccharide chains linked by N- or O-atoms, except for albumin.
    • Albumin serves multiple functions, including maintaining oncotic pressure and transporting drugs.
    • Hypoalbuminemia can lead to edema due to decreased oncotic pressure and altered distribution or metabolism.
    • Heparin, citrate, oxalate, and EDTA are anticoagulants used to prevent blood clotting.
    • Plasma proteins are labeled based on electrophoresis band patterns, including α1-, α2-, β-, and γ-globulins.
    • α1-Globulins are mostly transport proteins and protease inhibitors, while α2-Globulins are protease inhibitors and transport proteins.
    • Immunoglobulins, or γ-globulins, are the predominant immunoglobulins in plasma and play roles in agglutination, opsonization, and pathogen recognition.
    • Prealbumin and thyroxine binding globulin are binding proteins responsible for transporting retinol, thyroid hormones, and cortisol.
    • Acute-phase proteins, such as α-fetoprotein, ceruloplasmin, haptoglobin, and hemopexin, increase or decrease in response to inflammation and can be used for diagnostic purposes.
    • C-reactive protein is an acute-phase reactant that binds to phosphocholine on micro-organisms and enhances phagocytosis by macrophages.
    • Haptoglobin is a protein used to clear free hemoglobin from the circulation and is elevated in many inflammatory diseases.

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    Test your knowledge of biochemical lab tests used in the detection of genetic disorders such as Down's syndrome, Neural Tube Defects, Wilson's disease, and Nephrotic Syndrome.

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