Determination of Serum/Plasma Proteins Serum Proteins Types of Samples • Plasma Water + solids (e.g. glucose, urea, albumin, fibrinogen) No cells • Serum Serum = plasma – clotting factors Plasma vs. Serum Plasma Serum - Anticoagulant - No anticoagulant - Contains clotting factors - Advantage: time saving - Contains no clotting factors - Advantage: less interference Preparation of sample: Plasma Plasma anticoagulant Add venous blood Mix then centrifuge Transfer the clear supernatant to specimen tube cells Cent. tube Preparation of sample: Serum Serum Venous Blood Allow blood to clot (20min.) Remove the clot and centrifuge Transfer the clear supernatant to specimen tube cells Cent. tube Determination of serum proteins Requirements: Automatic pipettes Tips Cuvettes Spectrophotometer Reagent Specimen: Serum, heparinised or EDTA-plasma Determination of serum proteins BIURET METHOD Principle Cupric ions complex with the groups involved in the peptide bond. In an alkaline medium and in the presence of at least 2 peptide bonds, a violet- colored chelate is formed Methods: 1- Manual 2- Kit Determination of serum proteins Procedure Blank Standard Sample Determination of serum proteins Procedure (kit) Reagents Blank Standard Sample Distilled water (ml) 50 - - Standard (ml) - 50 - Sample (ml) - - 50 Biuret reagent (ml) 2 2 2 Procedure Add the reagents and sample as directed Mix and let stand at room temperature for 10 min. Read the absorbance at 540 nm. Zero the spectrophotometer with the blank reagent. Read the absorbance's of the standard and samples within 30 min. Enter the absorbance's readings and calculated the concentration of the sample. Determination of serum proteins Calculation: Total proteins (g/dl)= Ab. of the sample x conc. of st.(7) Ab. of the standard Normal values Reference Value: New Born: 5.2-9.1 g/dl Children: 5.4-8.7 g/dl Adults: 6.7-8.7 g/dl Clinical significance Hyperproteinemia Definition An increase in total protein concentration in serum, above normal Causes Dehydration Asthama Mineral deficiencies Allergies Heart Disease Clinical significance Hypoproteinemia Definition A decrease in total protein concentration below the reference causes Renal diseases Bleeding Malabsorption Malnutrition Burns High fever Liver diseases