Proteins

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Polymers of amino acid
Proteins
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Proteins are synthesized in what part of the body?
Liver
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How many amino acids a typical protein have?
200-300 AA
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Smaller amino acids (<200)
Peptides
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Larger amino acids (>300)
Titin
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Proteins found in the muscles
Titin
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Macromolecules produced by the chains of amino acid
Proteins
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Dna-encoded genes are first used to produce mRNA
Transcription
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Synthesis of CHON from an mRNA template
Translation
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Processes involved in the protein synthesis
Transcription and Translation
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Where does transcription occurs in eukaryotic cells
Nucleus
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Is used as template to make mRNA
DNA
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Where does translation occurs
Ribosome in the cytoplasm
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In what process does the transfer of genetic instructions from DNA to mRNA occurs?
Transcription
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Contains genetic code which is read to make proteins
mRNA
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Central Dogma of Molecular biology
DNA - > RNA-> Protein
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Steps in Transcription process
Initiation, elongation, termination
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Beginning of the transcription process
Initiation
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What enzyme binds to the promoter during initiation?
Enzyme RNA polymerase
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What signals the DNA to unwind?
Binding of the enzyme and the promoter
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Complementary of the DNA
mRNA
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Addition of the nucleotides to make it longer
Elongation
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mRNA strand is complete and detaches from DNA
Termination
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Ending of transcription
Termination
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What are anabolic hormones
Thyroxine, Growth Hormone, Insulin & Testosterone
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Catabolic Hormones
Glucagon and Cortisol
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Hormones that participates in the synthesis of proteins
Anabolic
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Hormones involved to breakdown protein
Catabolic hormones
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Sum of all enzyme-catalyzed reactions in a living organism
Metabolism
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Building up
Anabolism
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Destruction or breaking down
Catabolism
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Building block molecules are incorporated into larger, more complex molecules
Anabolic pathway
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Larger complex molecules into smaller molecules
Catabolic pathway
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Captured and used to drive anabolic rxns
Energy fraction
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Intake of nitrogen exceeds their loss as net protein synthesis proceeds
Positive nitrogen balance
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Pregnant women, growing children, and adults recovering from major illness
Positive nitrogen balance
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More nitrogen is excreted then incorporated into the body
Negative Nitrogen Balance
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Excessive tissue destruction, such as burns, wasting disease, continual high fevers, or starvation
Negative Nitrogen balance
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Less intake, greater elimination
Negative nitrogen balance
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Greater intake, less elimination
Positive nitrogen balance
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Difference between the intake and the output of nitrogen
Nitrogen balance
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Equal intake of nitrogen and the amount of nitrogen that was released outside the body
Nitrogen balance
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Reflect the equilibrium between the protein intake and the protein loss
Nitrogen balance
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Nitrogen excretion is greater than the nitrogen intake
Negative nitrogen balance
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Intake of nitrogen is greater than the output
Positive nitrogen balance
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Degradation of extracellular proteins or possible little intracellular degradation into the amino acid
Lysosomal pathway
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Degradation of intracellular proteins into an amino acid
Cytosolic pathway
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Two pathways that are necessary to convert intracellular proteins to free amino acids
Cytosolic and Lysosomal pathway
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4 distinct levels of proteins structure
Primary, secondary, tertiary, quaternary
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Protein is losing its naturally occurring fold
Denaturation
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Factors that can denature proteins
Exposure to heat, hydrolysis with strong acid, hydrolysis with strong base, enzymatic rxn, exposure to urea and exposure to UV light
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Easiest structure to denature
Primary protein structure
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Structure that is most likely the hardest to denature
Quaternary protein structure
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What are the elements that consist proteins?
Carbon, oxygen, hydrogen, nitrogen, sulfur
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What sets protein apart from carbohydrates
Nitrogen
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Results from increased pH in the environment where the protein is exposed
Conversion of Carboxyl group to carboxylate and conversion of ammonium groups to amino groups
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pH at which an amino acid or protein has no net charge
Isoelectric point (pl)
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Number of positively charged groups equals the number of negatively charge group in protein
Isoelectric point
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What is the pH range of most proteins where isoelectric point occurs?
5.5 to 8
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What happens if the pH is greater than the isoelectric point?
Proteins will become negatively charged
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What happens if the pH is less than the isoelectric point?
Proteins will become positively charged
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Neutral pH
Proteins are negatively charged and that includes their charges at neutral pH
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Proteins that have charges on their surfaces
Hydrophilic
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What is the pH range required in solubility of proteins in blood
7.36-7.45 pH
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Where does solubility of proteins depend?
1. Number and the type of amino acid 2. Dependent on the pH of the environment, where these proteins are being exposed.
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What are the classification by protein function
Enzyme, hormones, transport proteins, immunoglobulins, structural proteins, storage proteins, energy source, osmotic force
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Catalyst of chemical rxn. Speeds up the chemical reaction
Enzymes
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Why do we have to avoid using hemolyzed samples
Bcoz constituents inside the rbc will be released in the plasma and will affect the results
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Proteins that act as chemical messenger
Hormones
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Controls the action of specific cell or a particular organ
Chemical messenger (Hormones)
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Hormone that promotes entry of glucose goint to the cell or it promotes the uptake of glucose going to the cell
Insulin
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Transport movement of ions, small molecules, or macromolecules
Transport protein
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Produced by the B cell of the bone marrow
Immunoglobulin
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Protects the body against foreign substances
Immunoglobulins
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Supports or help the structure and maintenance of the structure of the cells, in tissue like in tendons, and matrix of the bone.
Structural proteins
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Reserves of metal ions and amino acids
Storage proteins
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Stores iron
Ferritin
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What will be the function of the storage proteins if they are needed Iike metal ions and AA
They will be mobilized and released in the circulation
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Reserve source of energy for tissue and muscles
Energy sources
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Alternative energy source
Proteins
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Conversion of proteins from the muscles and tissues into amino acids and then the amino acids will be converted to glucose
Gluconeogenesis
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Involved in the distribution of H2O throughout the body compartments
Osmotic force
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Does not allow proteins to cross the capillary membranes
Colloid osmotic force
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One of the signifcant function of proteins
Osmotic force
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Specific term for osmotic force
Oncotic pressure
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Do proteins have the ability to cross the capillary walls
No unlike other nutrients such as glucose, water, amino acids and oxygen. Proteins are only in the blood vessels
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Why can't proteins cross from the blood vessels to the capillary membrane to the tissues
Proteins macromolecules. They are large molecules and does have high oncotic pressure.
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What will happen if there is high oncotic pressure
There will be absorptiin of water from the tissues to the capillary walls or blood vessels
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Responsible in pulling water back from the tissues to the blood vessels
Oncotic pressure (possessed by our proteins)
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What will happen if there is low oncotic pressure
Abnormal accumulation of fluid in the tissues (edema)
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Retention of fluid in the tissues
Edema
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How does edema occurs
If there is an accumulation of fluid in the tissues because of decreased oncotic pressure
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What decreases oncotic pressure
If there is decreased plasma proteins.
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What causes decreased protein in the blood
Great loss of protein because of the damage in the kidney
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What generates large majority of oncotic pressure in capillaries
Presence of high quantities of albumin
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Considered to be the major plasma protein
Albumin
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What are the classification by protein structure
Database (manual), database (automated), simple proteins, conjugated proteins
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To provide a detailed and comprehensive description of the structural domains based on similarities of their amino acid sequences and three-dimensional structures
Database (manual)
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Utilizes four of the structural classifications
SCOP (Structural classification of proteins)
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What are the 4 of structural classifications
Class, fold, superfamily, family
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FSSP is also known as
Fold classification based on the structure-structure alignment of proteins
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Based on a three-dimensional structure comparison of protein structure in the Protein Data Bank
Database (Automated)
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Contains peptide chains composed of only amino acids
Simple proteins
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What are the shapes of simple proteins
Can be : Globular or Fibrous
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Globe like, round and symmetrical. They are easily dissolved in water (soluble in water)
Globular
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What proteins are classified under globular proteins
Enzymes, tranporters, hormones/messenger proteins
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Examples of globular proteins that are transport proteins
Albumin, Hemoglobin, Immunoglobulins
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Long, filamentous, asymmetrical (insoluble in water)
Fibrous proteins
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What makes fibrous proteins insoluble in water
R group of Fibrous proteins are hydrophobic (making them insoluble in water)
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Examples of proteins classified as fibrous proteins
Troponin, collagen
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Important for structural support of our connective tissues, tendons, bones, and muscles
Fibrous proteins (troponin, collagen)
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Can be detected or determined using electrophoresis
Major Plasma proteins
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Fraction of protein that migrates in a position faster than albumin towards the anode
Pre-Albumin
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Closest protein among all proteins in our body to the anode
Pre-albumin
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Has a significant role in the transport of vitamin A throughout the body
Pre-albumin
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Why is the function of Pre-albumin indirect in the transport of vitamin A
Bcoz Pre albunin does not directly bind with vit A
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Low level of Pre-albumin results to...?
Problems with the transport of vit A.
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Also involved in the transport of the hormone thyroxine
Prealbumin
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Another name of Pre-albumin
Thyroxine-binding Pre albumin (TBPA)
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What is the major transporter of thyroxine
Thyroxine-binding globulin
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What are the different conditions wherein prealbumin is decreased
Hepatic damage, acute-phase inflammatory response and Tissue necrosis
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Proteins present in highest concentration in the plasma
Albumin
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Responsible for nearly 80% of the colloid osmotic pressure of the intravascular fluid
Albumin
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Buffers pH and is a negative acute phase reactant protein
Albumin
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Major function of albumin
Colloid osmotic pressure
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Serves as a mobile repository of amino acids
Albumin
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Act as transport protein, a carrier protein
Albumin
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When can we use glycosylated albumin or the determination of fructosamine
Used to monitor glucose control for individuals with hemolytic anemia due to easy disintegration of their RBCs and the HbA1c cannot be longer used.
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Consists of a1, a2, B, and y fractions
Globulin
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Major component of a1 globulin
A1-Antitrypsin
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Enzyme involved in proteolysis
Protease
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Inhibitor of protease
A1-antitrypsin
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At what conditions A1-antitrypsin level is increased
Pregnancy, inflammatory conditions, use of contraceptives
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Largest major non-immunoglobulin protein found in the plasma and increased in nephrotic syndrome
A2 Macroglobulin
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What will happen to the a2 macroglobulins if there is nephrotic syndrome
Increased by 10 folds higher than the normal level
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Inactivates proteases
A2 macroglobulin
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Other major proteins that migrates in the a2 region
Haptoglobin
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Combines with Hgb to preserve body iron and protein store
Haptoglobin
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When is haptoglobin released
Released durinh lysis of cells, particulary RBCs in order to preserve iron store/level in the body
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What conditions increase haptoglobin
During stress, infection, acute inflammation, or tissue necrosis
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Life span of Haptoglobin
Half-life is about 4days if not bound to hgb
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Transferrin
Major beta globulin
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Transports ferric ions from the iron stores of intracellular or mucosal ferritin to the bone marrow
Transferrin
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Has an antibacterial effect by complexing iron
Transferrin
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Clot formation
Fibrinogen
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Lipid transport
B-lipoprotein
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Component of complement system
C3
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Surface immunity
Immunoglobulin A
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Binds to mast cells; hypersensitivity rxns
Immunoglobulin E
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Humoral immunity
IgG
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Primary response; humoral immunity
IgM
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Single chain, globular, 153 AA
Myoglobin
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Primary O2 carrying protein
Myoglobin
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Used in conjuction with troponin to diagnose or rule out heart attack
Myoglobin
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Found in cardiac muscle
Myoglobin
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Has higher affinity to oxygen than oxygen to myoglobinqui
Hemoglobin
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Allowing early detection of acute myocardial infarction (AMI) / heart attack
Myoglobin
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Restoration of blood flow to a particular organ/tissue
Reperfusion
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Quickly open the block in the arteries by dissolving the clot or by quick restoration of blocked blood supply in the heart
Reperfusion
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What happens to the myoglobin once reperfusion is done
Myoglobin level decreases
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Something to do with the skelatal muscle
Rhabdomyolysis
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Due to vigorous exercise, elevatuon of myoglobin
Muscle trauma
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Progressive increase of myoglobin, can be toxic to the kidney
Renal failure
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Muscle weakness
Myopathies
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Elevated myoglobins due to vaccine
Intramuscular injection
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Tonic, stiffening of muscle; cloning, twitching/jerking of muscle
Seizures (tonic-clonic)
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Blockage in the blood flow
Arterial thrombosis
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Cardiac marker
Cardiac troponin (cTn)
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Specific to the heart muscles, in the striated muscle.
Cardiac troponin
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Gold standard in the diagnosis of acute coronary syndrome
Cardiac troponin
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Indicative of Myocardial injury
Increased troponin
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Troponin test is run for approx. ______
45 mins - 1hr
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What are cardiac markers
Myoglobin, Creatinine kinase (CK), CK-MB & troponin
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Replaces CK and CK-MB; more specific for detecting heart injury
Troponin I and Troponin T
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Not specific because they are present in the skeletal muscle along with myoglobin
CK and CK-MB
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Level of myoglobin 18 to 30 hrs after myocardial infarction or heart attack
Goes back to its normal level
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What happens to the troponin 18hrs to 30 hrs after myocardial infarction
Remain elevated for a longer period of time
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Increased CK, CK-MB and myoglobin, normal troponin
Either lesser degree of injury or the injury took place more than 24 hrs in the past
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Normal First troponin twst, all subsequent 6-12hrs troponin was tested again
Heart injury likely occurred w/in couple of hours prior to the first test and had not time to increase
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Normal CK-MB and Troponin, increased CK
Due to another cause such as skeletal muscle injury
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What is the advantage of troponin over the other cardiac markers
Troponin starts to decline to their baseline level about 5-10 days after the attack and is also dependent on how big the blood clot is
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Reference interval of cTnT
<0.1 ng/mL (mg/L)
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Value of equal to 0.1 could be consider____
There is damage already but in lesser degree
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cTnI cut off concentration for immunoassays
0.1 to 3.1 ng/mL (mg/L)
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It is produced in the kidney
Atrial natriuretic peptide
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Produced in the brain
B-Type (or brain) natriuretic peptide (BNP)
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Produced in the endothelium or endothelial cells
C-type natriuretic peptide
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Family of structurally related hormones that include Atrial natriuretic peptide, BNP, C-type and Dendroaspis natriuretic peptide
Natriuretic peptide
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Found in plasma and on cell surfaces
Fibronectin
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Synthesized in the liver hepatocytes, endothelial cells, peritoneal macrophages, and fibroblasts
Fibronectin
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Multifunctional glycoprotein; maintains adhesion
Fibronectin
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Important in tissue repair and regulating cell to cell attachment plus the motility of the cells
Fibronectin
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To predict the short term risk of premature delivery
Fetal fibronectin (fFN)
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Produced atthe boundary between the amniotic sac and the decidua
Fetal fibronectin
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Maintains the adherence of placenta to the uterus
Fetal fibronectin
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Glycoprotein that acts as a glue or adhesive between the lining of the uterus
Fetal fibronectin
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Cannot be detected after 24 weeks of gestation
Fetal fibronectin
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Good marker for impending labor (preterm labor)
Increased fFN r is detectable ate 24 weeks of pregnancy
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247 amin acid fat hormone produced by adipocyte
Adiponectin
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Composed of an N terminal collagen like domain and a C terminal globular domain
Adiponectin
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Individual is at greater risk to develop a heart disease, type 2 diabetes, metabolic syndrome and obesity
Decreased adiponectin
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Synonym prostaglandin D synthase; 168 amino acid
B-trace protein
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Accurate marker of CSF leakage
B-trace protein
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Not a diagnostic efficient test for glomerular filtration rate
B-trace protein
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Used as a sensitive marker in detecting renal function
B-trace protein
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Used to determine extent of damage in the kidneys
B-trace protein
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Better marker of kidney damageenal function
Cystatin
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Promising marker in the diagnosus of perilymphatic fluid fistulas
Cystatin
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What happens to the BTP in the blood if CSF leaks
Increased concentration of BTP
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Proteolytic fragments of collagen I formed during bone resorption (turnover)
Cross-linked C-Telopeptide (CTXs)
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Protein which is a producy of collagen breakdown
Cross-linked C-telopeptide (CTXs)
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The osteoclasts starts to breakdown the tissue in the bones to release the chemical present, particularly calcium which is to be transported into the blood
Bone resorption
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There is bone resorption ; greater breakdown of osteoclasts than normal
Increased CTXs
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How will we know that the therapy is effective?
If the conc. of the CTXs decreased by 35-55% from the baseline level
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Measurement of CTXs prior to therapy
Baseline level
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Prevents or slows down bone resorption
Antiresorption therapy
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Not a specific biochemical marker (cannot replace bone mineral density to diagnose osteoporosis)
CTXs
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Low molecular mass, 120 AA; cysteine proteinase inhibitor
Cystatin C
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More sensitive to diagnose or check any kidney damage
Cystatin C
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Completely fully reabsorbed and metabolized by the proximal tubule for recycling
Cystatin C
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