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Biochemistry Plasma Proteins and Immunoglobulins

Functions and Clinical Significance

Topic overview

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Albumin helps maintain colloid osmotic pressure and transports substances such as bilirubin and drugs; low levels can contribute to edema. The albumin-to-globulin ratio and protein patterns also offer diagnostic context. Among the globulins, α₁-antitrypsin inhibits neutrophil elastase, haptoglobin binds free hemoglobin, ceruloplasmin carries copper, and transferrin transports iron. Complement contributes to innate immunity, fibrinogen supports coagulation, and C-reactive protein is an acute-phase marker. Immunoglobulins mediate antibody responses. Changes in individual proteins or electrophoretic patterns—such as a monoclonal spike or a polyclonal γ-globulin increase—can point toward underlying disease, although interpretation depends on the clinical context.

Learning objectives

What you'll learn

  • Describe albumin’s roles in fluid balance and transport.
  • Relate selected α₁-, α₂-, and β-globulins to their functions and clinical changes.
  • Explain the diagnostic relevance of the A/G ratio and serum protein patterns.
  • Summarize the roles of complement, fibrinogen, CRP, and immunoglobulins.
  • Distinguish monoclonal from polyclonal γ-globulin elevation.
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