W1-11 plasma proteins

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Which proteins are used for the diagnosis of different diseases?

Acute phase proteins and albumin

What is the main function of colloid osmotic pressure created by plasma proteins?

To hold water within the vascular space

Which proteins do not diffuse readily across the capillary membrane?

Albumin

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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