Acute phase proteins and markers of proteosynthetic activity reflect the clinical activity in Crohn´s disease (CD). The impact of anti-tumor necrosis factor antibody (anti-TNF) therapy on serum levels of acute phase proteins and proteosynthetic markers was studied. Fourteen patients with active CD were treated with 5 mg per kg of anti-TNF in intravenous infusion. Clinical activity (assessed by Crohn´s disease activity index - CDAI), α-1-acid glycoprotein, haptoglobin, cholinesterase and prealbumin were assessed before and in months 1 and 5 after treatment. A sustained decrease in CDAI was observed. This was accompanied by a significant decrease in α-1-acid glycoprotein and haptoglobin in month 1 (p=0.005 and p=0.01, respectively) while in month 5 the levels of both acute phase proteins rose significantly (p=0.003 for α-1-acid glycoprotein and p=0.02 for haptoglobin). Cholinesterase and prealbumin significantly increased in month 1 after the treatment (p=0.02 and p=0.0006, respectively), the increase was sustained in cholinesterase while prealbumin levels diminished in month 5. We conclude that the clinical improvement after anti-TNF therapy for CD is accompanied by changes of acute phase proteins and proteosynthetic markers. The assessment of these laboratory markers may be useful in the management of CD patients treated with anti-TNF., V. Kupčová, L. Turecký, Z. Detková, M. Príkazská, A. Keleov., and Obsahuje bibliografii
Quantitative and qualitative changes of serum proteins, apart from glycation, have not been sufficiently studied in streptozotocin-induced diabetic rats (D), the most common experimental model for diabetes. Thus, we decided to analyze the serum of diabetic rats by concanavalin A-blotting in comparison with rats with acute inflammation induced by fermented yeast (Y), in which characteristic alterations of serum proteins have been described. Two months after the streptozotocin treatment, the blood glucose levels were highly elevated (456± 24 vs. 124± 10 mg/dl, p<0.001, n=12), the body weight was significantly lower than normal (279± 10 vs. 392± 6 g, p<0.001, n=12), and serum proteins appeared to be highly glycated (p<0.001) when analyzed by the fructosamine assay, without any significant change in the total serum protein concentration. Analysis by concanavalin A-blotting, revealed a significant decrease of a1-inhibitor-3 (a1-I3, p<0.05) and an increase of the b chain of haptoglobin (b-Hp, p<0.05) in both D and Y rats (n=3) compared with control animals. However, acute inflammation caused a marked rise of two prominent acute phase proteins, a2-macroglobulin and hemopexin, which did not change appreciably in diabetic rats. Further work will be necessary to evaluate the physiopathological significance of these phenomena which could result from changes of both concentration and glycosylation of the aforementioned proteins., L. Saso, P. Tommasino, G. Italiano, E. Grippa, M.G. Leone, M.T. Gatto, B. Silvestrini., and Obsahuje bibliografii
Hepcidin is a key regulator of iron metabolism and a mediator of anemia in inflammation. Recent in vitro studies recognized prohepcidin as a type II acute phase protein regulating via interleukin-6. The aim of the present study was to investigate the time course of plasma prohepcidin after a large cardiac surgery in relation to IL-6 and other inflam matory parameters. Patients with chronic thromboembolic hypertension (n=22, males/females 14/8, age 51.9±10.2 years) underwent pulmonary endarterectomy using cardiopulmonary bypass and deep hypothermic circulatory arrest were included into study. Arterial concentrations of prohepcidin, IL-1β , IL-6, IL-8, tumor necrosis factor-α , and C-reactive protein were measured before/after sternotomy, after circulatory arrest, after separation from bypass, and then 12, 18, 24, 36, 48 h and 72 h after the separation from bypass. Hemodynamic parameters, hematocrit and markers of iron metabolism were followed up. Pulmonary endarterectomy induced a 48 % fall in plasma prohepcidin; minimal concentrations were detected after separation from cardiopulmonary bypass. Prohepcidin decline correlated with an extracorporeal circulation time (p<0.01), while elevated IL-6 levels were inversely associated with duration of prohepcidin decline. Postoperative prohepcidin did not correlate with markers of iron metabolism or hemoglobin concentrations within a 72-h period after separation from CPB. Prohepcidin showed itself as a negative acute phase reactant during systemic inflammatory response syndrome associated with a cardiac surgery. Results indicate that the evolution of prohepcidin in postoperative period implies the antagonism of stimulatory effect of IL-6 and contraregulatory factors inhibiting prohepcidin synthesis or increasing prohepcidin clearance., P. Maruna ... [et al.]., and Obsahuje seznam literatury
Lipokaliny tvoří velkou skupinu malých extracelulárních proteinů. Vykazují velkou rozmanitost na úrovni sekvenčního uspořádání, terciární struktura je oproti tomu vysoce konzervovaná a představuje ji β-válec tvořený osmi antiparalelními strukturami β-skládaného listu. Vazebné místo ligandu se nachází uvnitř β-válce. Zastávají rozličné funkce, např. transportují retinoidy, steroidy, biliny, feromony, účastní se syntézy prostaglandinů, tvorby ochranného zbarvení bezobratlých, vytváření čichových vjemů, jsou zapojené do regulace buněčné homeostázy a modulace imunitní odpovědi. Lipokalin-2 (neutrofilní s gelatinázou asociovaný lipokalin), časný marker různých typů renálního poškození, vykazuje pleiotropní biologické aktivity v různých typech buněk a tkání. Hraje významnou roli v angiogenezi, apoptóze, organogenezi, zánětu, hematopoeze, v procesu hojení ran, v renální fyziologii, v nádorové a reprodukční biologii., The lipocalin protein family is a large group of small extracellular proteins. The family demonstrates great diversity at sequence level; however, lipocalin crystal structures are highly conserved and comprise a single eight-stranded antiparallel β-barrel, which encloses an internal ligand-binding site. They have been associated with a variety of different functions, among them transport of retinoids, steroids, bilins, pheromones, enzymic synthesis of prostaglandins, cryptic coloration, olfaction, immune response, cell regulation. Lipocalin-2 (also known as neutrophil gelatinase-associated lipocalin), which is a useful biomarker for early detection of various renal injuries, shows pleiotropic bioactivities in a variety of different cell types and tissues. It plays important roles in angiogenesis, apoptosis, organogenesis, inflammation, hematopoiesis, wound healing, renal physiology, tumor and reproductive biology., Fořtová M., Průša R., Vajtr D., and Literatura