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Clinical Biochemistry of Domestic Animals (Sixth Edition) - UMK ...

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122<br />

Chapter | 5 Proteins, Proteomics, and the Dysproteinemias<br />

from the pancreas, and parathyroid hormone and calcitonin<br />

from the parathyroid gland. Similarly, the adipose tissue<br />

releases adiponectin and leptin, peptides affecting the<br />

appetite and nutritional status, whereas the cytokines are<br />

derived from cells <strong>of</strong> the immune system. The plasma<br />

also contains tissue proteins lost during normal turnover<br />

<strong>of</strong> cells, which can be valuable biomarkers <strong>of</strong> disease in<br />

identifying when pathological events occur. For example,<br />

enzymes determined in clinical enzymology for liver or<br />

muscle damage and the troponins released from cardiac or<br />

skeletal muscle are minor plasma proteins.<br />

B . Functions <strong>of</strong> the Plasma Proteins<br />

The functions <strong>of</strong> proteins in the body <strong>of</strong> animals are innumerable<br />

and include forming the basis <strong>of</strong> structure <strong>of</strong> cells,<br />

organs, and tissues; maintaining colloid osmotic pressure;<br />

catalyzing biochemical reactions; and buffering acid-base<br />

balance. The proteins are also multifunctional in plasma.<br />

The functions <strong>of</strong> specific plasma proteins will be described<br />

later in this chapter, but main functions <strong>of</strong> protein in blood<br />

are in blood coagulation (fibrinogen), in host defenses<br />

against pathogens (immunoglobulins, complement), in<br />

transport <strong>of</strong> metabolites (transferrin, albumin), in regulation<br />

<strong>of</strong> cellular metabolism (hormones), in prevention <strong>of</strong><br />

proteolysis ( α 1 -antitrypsin), in provision <strong>of</strong> nitrogen balance<br />

for nutrition (albumin), and in maintaining osmotic<br />

pressure (albumin). The biological activities <strong>of</strong> the plasma<br />

proteins in these functions depend ultimately on their primary,<br />

secondary, tertiary, and quaternary structures.<br />

C . Factors Influencing the Plasma Proteins<br />

1 . Age<br />

At birth, plasma proteins <strong>of</strong> most species are low because<br />

<strong>of</strong> minimal quantities <strong>of</strong> immunoglobulins . As the newborn<br />

animal ingests colostrum, a rapid rise in immunoglobulins<br />

occurs as a result <strong>of</strong> absorbed maternal immunoglobulins.<br />

As the maternal immunoglobulins reduce in concentration<br />

because <strong>of</strong> natural turnover, the neonate rapidly gains<br />

immunocompetence and begins to synthesize its own<br />

immunoglobulins. Upon reaching young adulthood, adult<br />

levels <strong>of</strong> globulins are reached. In contrast to this general<br />

trend, α 1 - acid glycoprotein is elevated in serum at birth in<br />

piglets but declines over the first few months <strong>of</strong> life ( Itoh<br />

et al. , 1993b ). With increasing age, the plasma protein concentration<br />

increases as a result <strong>of</strong> a small decrease in albumin<br />

and a progressive increase in globulins.<br />

2 . Hormones, Pregnancy, and Lactation<br />

In some species , the total plasma protein concentration in<br />

the maternal blood decreases during gestation because <strong>of</strong><br />

a decline in albumin, even though there is a slight increase<br />

in globulins. In a number <strong>of</strong> species pregnancy associated<br />

proteins have been observed during pregnancy. The only<br />

one in regular diagnostic use is equine chorionic gonadotropin<br />

(formerly pregnant mare serum gonadotropin) used<br />

to confirm pregnancy in mares ( Henderson et al. , 1998 ).<br />

In pregnant bitches, an acute phase reaction occurs about<br />

21 days after fertilization and acute phase proteins, especially<br />

C-reactive protein, increase in the maternal serum<br />

( Eckersall et al. , 1993 ; Vannucchi et al., 2002 ). In cattle<br />

approaching term, there is a rise in γ -globulins and a corresponding<br />

rise in total plasma protein, but at term a fall<br />

occurs in this fraction because <strong>of</strong> transfer to colostrum<br />

( Weaver et al. , 2000 ). The acute phase protein, serum amyloid<br />

A (SAA), also increases in the maternal plasma around<br />

parturition in cows ( Alsemgeest et al. , 1993 ). During lactation,<br />

the total plasma protein decreases in some species<br />

because <strong>of</strong> albumin decrease.<br />

Some hormones (testosterone, estrogens, growth hormone)<br />

promote an increase in total plasma protein because<br />

<strong>of</strong> their anabolic effects, whereas others (thyroxine, cortisol)<br />

tend to decrease the total plasma protein because <strong>of</strong><br />

their catabolic effects.<br />

D . Handling and Identification <strong>of</strong> Proteins<br />

Protein denaturation is the net effect <strong>of</strong> alterations in the<br />

biological, chemical, and physical properties <strong>of</strong> the protein<br />

by mild disruption <strong>of</strong> its structure. When blood samples<br />

are taken for protein analysis, it is important that they are<br />

handled correctly so that no artifacts are introduced that<br />

could affect the investigation and its interpretation. If the<br />

protein is allowed to even partially degrade, the assay will<br />

not be accurate. Therefore, it is essential that denaturation<br />

is avoided. The ability <strong>of</strong> plasma proteins to resist denaturation<br />

in a blood sample taken for diagnostic analysis varies<br />

between proteins; consequently, the sample should be handled<br />

according to the analysis required. Fortunately, most<br />

major plasma proteins are relatively resistant to denaturation<br />

and can be assayed in samples that have been handled<br />

carefully and have been kept away from elevated temperatures.<br />

However, separation <strong>of</strong> plasma or serum from the<br />

blood cells by centrifugation should be performed as early<br />

as possible. Thereafter, many proteins are stable at 4°C<br />

for several days and at –20°C for much longer (months to<br />

years). Some proteins are less stable, with enzymes being<br />

particularly susceptible to loss <strong>of</strong> activity with time, while<br />

the stability <strong>of</strong> the peptide hormone ACTH is so low that<br />

samples should be snap-frozen immediately to preserve the<br />

intact peptide.<br />

For identification and quantification <strong>of</strong> serum protein,<br />

the protein component in serum must either be separated or<br />

individual proteins must be measured independently. The<br />

primary separation <strong>of</strong> the proteins in serum is between albumin<br />

and the globulins. Albumin is a water-soluble, globular<br />

protein that is usually identifiable as a single discrete

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