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Amino acids serve as the structural subunits of…
peptides and proteins
Amino acids play a diverse role in these three things…
metabolism, neurotransmission, and intracellular signaling
Peptides serve as ___ and control ___
autocrine and endocrine signaling molecules
appetite, vascular tone, electrolyte homeostasis, carbohydrate and mineral metabolism
Longer peptide chains are
proteins
Proteins serve as these 8 things
intracellular and extracellular structural components
biologic catalysts
mediators of contractility and motility
agents of molecular assembly
ion channels and pumps
molecular transporters
mediators of immunity
components of intracellular and intercellular signaling networks
Define proteome
represents the complete set of proteins in an organism or compartment of an organism such as the plasma space
CLS focuses on the plasma space
Amino acids are organic compounds consisting of what 2 groups
amino group (-NH2)
carboxyl group (-COOH)
At physiologic pH (7.4), the amine and carboxyl group carry what charges
amine group (+)
carboxyl group (-)
The pH at which ionizable groups exist equally as charged and uncharged forms is referred to as the…
pK
the pH at which an amino acid or other molecule has a net charge of 0 is referred to as the…
isoelectric point (pI)
Women vs Men daily protein requirements
W = 46 g/day
M = 56 g/day
Dietary protein is digested by…
proteases in the stomach and small intestine to yield amino acids
8 amino acids that are not synthesized by humans, so they are essential in our diets are
isoleucine
leucine
lysine
methionine
phenylalanine
threonine
tryptophan
valine
meat, milk, eggs, and fish offer full range of essential amino acids
albumin and prealbumin are sometimes used to assess the adequacy of ___ supply
amino acid
amino acid metabolism serves as scaffolds for the synthesis of many…
…that play a role in energy production
hormones, nucleotides, lipids, signaling molecules, and metabolic intermediates
When do amino acid concentrations tend to peak
12pm to 8pm
When do amino acid concentrations tend to trough
12am to 4am
most amino acids undergo glomerular filtration, but are efficiently reabsorbed in the…
proximal renal tubules
assessment of amino acids in blood, urine, and spinal fluid has been applied to the detection of…
inborn errors of metabolism
ex. homocysteine as a marker for vitamin B12 and folate status
Natriuretic peptides consist of…
atrial natriuretic peptide (ANP), B-type natriuretic peptide (BNP), and C-type natriuretic peptide (CNP)
Which natriuretic peptides are highly expressed in cardiac tissue
ANP and BNP
circulating concentrations increase rapidly in response to increased cardiac filling pressures that are characteristic of heart failure
Angiotensin (peptide)
Renin is secreted by the afferent arterioles of the kidney in response to decreased blood flow and sodium delivery
Vasopressin (peptide)
Arginine vasopressin (AVP) or antidiuretic hormone (ADH)
stored and secreted by the posterior pituitary gland
primary target is the distal convoluted tubule and collecting duct, where it acts to promote water reabsorption (inhibits urine production)
Conditions affecting Vasopressin secretion
Diabetes insipidus: faulty secretion or end-organ resistance
Head injury, tumors, and some meds may induce secretion, resulting in fluid overload
Protein structure classes
primary, secondary, tertiary, quaternary
Proteins: ligands and prosthetic groups
provide additional functional and structural elements, such as metals or lipids
proteins without their associated ligand are referred to as apoproteins
apolipoproteins lack a full complement of lipid
What physical properties serve as the basis of methods to seperate proteins
differential solubility
molecular size
molecular mass
electrical charge
surface adsorption
affinity chromatohraphy
the 12 most abundant proteins represent more than __% of total protein mass
95%
Albumin alone represents more than __% of the total mass of protein
50%
Proteins and substances smaller than albumin are cleared from circulation by glomerular filtration, unless…
they are bound to a larger carrier molecule
Define plasma
fluid portion of blood in presence of an anticoagulant
Define serum
fluid component of blood after the blood is allowed to clot
*typically used for chemistry tests
Proteins in serum and plasma: Prealbumin
transports 10% of circulating T3 and T4
concentrations often used as an indicator of protein nutrition
proportionally greater component of CSF
Proteins in serum and plasma: Albumin
most abundant plasma protein in most body fluids
most lab assay albumin in plasma or serum samples by dye-binding
Proteins in serum and plasma: a1-Antitrypsin (AAT)
concentration typically 70-200 mg/dL
deficiency is inherited in an autosomal codominant resulting in liver and pulmonary disease
Proteins in serum and plasma: Ceruloplasmin (Cp)
contains 95% of circulating copper
failure to incorporate copper into Cp causes Wilson disease
Proteins in serum and plasma: Haptoglobin
scavenges hemoglobin
depletion indicates intravascular hemolysis
measurement performed to assess possible transfusion reactions or other causes of hemolysis
Proteins in serum and plasma: Transferrin
principle plasma transport for ion
indirect assessment of concentrations may be inferred by TIBC
Proteins in serum and plasma: B2-Microglobulin
noncovalently bound light chain subunit of class I MHC molecules
High [ ] seen in renal failure, inflammation, and neoplasms associated with B lymphocytes
*More light chains created than needed to make Ig
Proteins in serum and plasma: C-reactive protein (CRP)
strongest acute phase reactants
plasma [ ] rising 1000-fold after MI, stress, trauma, infection, inflammation, surgery, or neoplastic proliferation
[ ] higher in bacterial infection
mildly elevated [ ] associated with cardiovascular disease
Proteins in serum and plasma: Complement
> 20 proteins
recruit phagocytes for clearance of foreign pathogens and destruction of foreign organisms
classical, alternative, and lectin
lab analysis divided into 5 categories
complement function/activity
individual component [ ]
activation fragments of complement components
autoantibodies against complement components
genetic studies of complement genes
Proteins in serum and plasma: Immunoglobulins
IgA, IgG, IgM, IgD, and IgE
free light chains
BJ proteins if found in urine (kappa or lambda)
Acute Phase Reactants
systemic inflammation in response to infection, tissue injury, or inflammatory disease triggers changes in hepatic production
mediated by IL-6 and other cytokines
Negative acute-phase reactants
synthesis is downregulated
albumin, transferrin, prealbumin
Positive acute-phase reactants
increase several fold and reach max within 2-5 days after an acute insult
AAT, Hp, Cp, C4, C3, fibrinogen, and CRP
Serum protein electrophoresis
serum used to avoid a fibrinogen band
only a few of the most abundant proteins are visible
detection of monoclonal gammopathies
multiple myeloma
“overabundance of protein”
Immunofixation electrophoresis
employs antisera targets to specific proteins rather than nonspecific dyes
specific lanes of the gel are overlaid with antisera to kappa and lambda light chains, as well as gamma, mu, and alpha heavy chains
helps identify the “specific” type of Ig
CSF and proteins
protein [ ] 100-fold lower than plasma
different protein composition
obtained by lumbar puncture
prealbumin, albumin, and transferrin predominate
viral meningitis, encephalitis, increased intracranial pressure, trauma, and hemorrhage may all compromise the BBB resulting in increased CSF protein