Plasma Proteins

Albumin-globulin ratio

r

the number obtained when total albumin is measured and dividied by the total globulin fraction. should be ~2.0

5 Major Plasma Proteins

Albumin

r

Ref Range: 35 - 47 g/LHighest content in serum (largest peak on electrophoresis)Synthesied by liver.Colloid - helps maintain osmotic pressure of blood.Maintain tissue fluid levels.MW: 69 kDa.Most soluble in water due to net negative charge.

High albumin

r

Rarely increased except in dehydration

Hypoalbuminemia

Urinary loss

GI loss

Infection

Liver disease

Anemia

Genetic abnormalities

Trauma

r

Excessive catabolism due to trauma loss or inflammation

Malnutrition

Gamma increases

Alpha 1 Globulins

r

Ref Range: 1 - 4 g/LSmallest fraction (quantity)Is a heterogenous mix of lipoproteins, antitypsin, glycoprotein.Hepatic origin.Decreased by liver necrosis, renal disease, genetic abnormalities. Elevated by hormones (estrogens)

Alpha 1 acid glycoprotein (AAG)

r

AAG is increased by inflammation, tissue destruction, and APR

Alpha 1 antitrypsin (AAT)

r

Elevated by APR and estrogenDecreased by RDS, Pancreatitis

Alpha 1 Fetoprotein (AFP)

r

used to determine presence of birth defects in uteru (neural tube, open abdominal wall, multiple fetus, detal death, Down's syndrome)Maternal serum is used (part of MSS)

Alpha 2 Globulins

Beta Globulins

Gamma Globulins

Fibrinogen

High protein: Hyperproteinemia

Multiple Myeloma

r

Abnormal quantities of antibodies produced in multiple myeloma --> increase in gamma portion

Low Protein: Hypoproteinemia

r

Negative nitrogen balance in the body

Kidney failure

r

Over-excretion in renal system due to kidney failure

GI tract inflammation

r

leakage

Blood loss and internal bleeding

Malnutrition

Malabsorption

Liver Disease

Inherited immunodeficiency diseases