MRCEM Notes

Plasma Proteins

Plasma contains a number of important proteins. These proteins are typically synthesised in the liver, the exception being immunoglobulins (γ globulins or antibodies) which are synthesised by lymphocytes (mainly B-cells or plasma cells).

There are 3 main classes of plasma protein:
  • Albumin
  • Fibrinogen
  • Globulins (which are subdivided into α, β, and γ globulins)

The normal plasma protein concentration is 60-80 g/L

The normal albumin concentration is 35-50 g/L

The typical distribution of plasma proteins is shown in the table below:

ProteinConcentration (g/L)Function
Albumin35-50Oncotic pressure
Drug and hormone binding
α globulins5.5Copper transport
antiproteases
β globulins
  • Transferrin
  • Prothrombin
  • Plasminogen
  • Complement

3
1
0.7
1.6

Iron tansport
Blood clotting
Blood clotting
Immune response
Fibrinogen3Blood clotting
γ globulins13Immune response

Buffers
Plasma proteins have the ability to accept or donate H+ ions, which means they can cat as buffers and become cations (positively charged) or anions (negatively charged).

This ability to accept and donate hydrogen ions is due to the presence of amino (NH2) and carboxyl (COOH) groups.

At normal pH most plasma proteins are in their anionic form.
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