1. Albumin 3.5-5g/dl Fatty Acids , Bilirubin Billirubin, ca+, competes with Liver thyroxine, heavy aspirin for metals , drugs binding sites on e.gaspirin , sulpha albumin. Human albumin is clinically useful in treatment of liver diseases, hemorrhage, shock and burns. 2. Prealbumin 25–30 mg/dl Steroid hormones Rich in Trans Liver Thyroxine , Retinol tryptophan. Half-life is 1day It is a negative acute phase protein. thyretin) Transports T3 and T4 losely
ALPHA 0.6 to 1.4 binds the hormone rises in acute
GLOBULINS gm per litre progesterone and chronic 3. A-1 Acid carry needed inflammation Glycoprotei Liver carbohydrate at site of cirrhosis of the n injury ch20 content (41%) liver (orosomuco malagnincies id) decrease in ; hepatic diseases, cachexia, malnutrition and in nephrotic syndrome. 4. α1- less than 1 in determining fetoglobulin μg/100 ml. Liver TUMOR MARKER presence of hepatocellular carcinoma or teratoblastomas (tumour marker 5. α1- Liver Inhibitor inhibit some globulins- digestive inhibitors enzymes like trypsin and chymotrypsin 6.α1-antitrypsin (α1- it is the principal Role in AT) protease Emphysema inhibitor (Pi) of human Lung plasma. It inhibits trypsin, IV elastase administration of α1-AT in patients with lung emphysema Role in cirrhosis Role as tumor marker As an Inhibitor of Fibrinolysis Reference synthesized Ceruloplasmin is also Increase: t is α2-GLOBULINS blood levels by the called Ferroxidase, an found in of hepatic enzyme which helps in pregnancy, 6. Caeruloplas ceruloplasm parenchyma the incorporation of iron inflammatory min in are: l cells and a into transferrin processes, Adults small It is an important anti- malignancies, Males- 22- portion by oxidant in plasma oral oestrogen 40 mg/dl lymphocyte therapy and Females 25- s and contraceptive 60 mg/dl macrophage Pill Females on s Decrease : In oral Wilson’s disease contraceptiv and in Menke’s es: 27-66 disease mg/dl Pregnancy 30-120 mg/dl
7. Haptoglobin 40-175mg/ Liver Hemoglobin Synthesized in
dl liver. Low level indicates hemolysis. Half- life of Hp is 5 days; but that of Hb-Hp is only 90 minutes. It is an acute phase protein 8. β- GLOBULINS less than 1 it precipitates with group C reactive mg/100 ml Liver C polysaccharide of bind heme Protein pneumococci, in the bind to T-lymphocytes (CRP) presence of Ca++ and can activate complement formation of heme proteins or as an ‘opsonin’ 9. Hemopexin 50–100 Liver Free heme Helps in mg/dl preventing loss of heme (and so iron also) from body 10. LDL The lipoprotein Low density contains lipo protein apoprotein-A Serves to Liver Cholesterol , transport Phospholipid cholesterol from lipoprotein) tissues to liver for elimination through bile. It is anti- atherogenic 11. Transferrin 200–300 Liver Iron 33% Conserves iron mg/dl saturated by preventing iron loss through urine 12. Complemen precursors for These proteins t C1q certain active participate in proteins immune circulating in reaction in the blood body. 13. . β2- tumour marker increased in MICROGLO renal diseases BULINS 14. γ- synthesised These are GLOBULINS by plasma immunoglobulin cells and B- s having cells of antibody lymphoid activity tissues (RE system) 15. Retinol 3–6 mg/dl α1 . RBP has a Level indicates Synthesized short binding vitamin A by liver (Vitamin A) status. protein half-life (RBP) Useful to assess the protein turn over rate 16. Thyroxine 1–2 mg/dl Liver Thyroxine α1 TBG binding is important in studying thyroid function. 17. Transcortin; 3–3.5 mg/d Cortisol α1 Corticosterone . Increased in Cortisol Synthesized and pregnancy. Free by liver unbound fraction of binding Corticosterone hormone is biologically active. 18. HDL Liver . (High density . It is anti-atherogenic Cholesterol Phospholipids The lipoprotein contains α Serves to apoprotein-A transport cholesterol from lipoprotein) tissues to liver for elimination through bile