Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department ELECTROPHORESIS FRACTIONATION ILO of the current topic: By the end of this topic, the student will be able to: Interpret electrophoresis results for serum proteins and hemoglobin. 1 Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department ELECTROPHORESIS FRACTIONATION Definition Electrophoresis is the migration of charged particles such as proteins dissolved in a buffer on, or in, a supporting medium when an electric current is passed through them. gel electrophoresis used to separate macromolecules as proteins and nucleic acids Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Principle of Separation • According to charge • According to size Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department (1) According to charge • When charged molecules are placed in an electric field, they migrate toward either the positive (anode) or negative (cathode) pole according to their charge. 4 Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department (2) According to size 5 Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Instruments and Reagents • Power supply • Tank ( Buffer ,Supporting media) • Detection and Quantification 6 Electrophoresis tank Cathod e Paper support medium Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Additional accessories may be required for gel electrophoresis as combs, glass plates with their separators. paper electrophoresis apparatus Gel electrophoresis apparatus Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Factors affecting the rate of migration of charged molecules: • charge • Size • shape • Nature • Pore size • intensity Molecules Electric current Supporting media Buffer • pH Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Electrophoresis pattern of normal serum proteins 1 2 3 4 5 Alb 1 2 Densitometer scanning from cellulose acetate strip. Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Interpretation of the results: Albumin is the fastest protein , forming the largest band , and is closest to the positive electrode. The next 4 bands are globulins; alpha 1, apha 2, beta and gamma globulins, respectively. Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Serum Protein Electrophoresis is useful in detecting: clinical disorders . Albumin 1 – antitrypsin deficiency Immunoglobins Hypoalbuminemia • Liver disease • Kidney disease Hypogammaglobinemia Hypergammaglobinemia Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Interpretation of results require knowledge of common patterns. You should always interpret according to the normal pattern Normal Pattern Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Monoclonal Gammopathy Pattern The large spike in the gamma region is indicative of an increase in one immunoglobulin class typically seen in monoclonal gammopathies such as multiple myeloma. Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department -1 Antitrypsin Deficiency 1-antitrypsin deficiency appears as either a decrease or complete absence of the 1 band depending on whether the condition is heterozygous or homozygous. Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Nephrotic Syndrome The nephrotic syndroma pattern is characterized by decreases in all protein fractions except -2. -2- Macroglobulin is retained by the kidney owing to its large molecular size. Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Liver Cirrhosis The typical electrophoresis pattern of liver cirrhosis shows a merging of the and fraction, known as the - bridge Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Lab activities 1-You are provided with a protein sample ,estimate total serum protein with photometer 2-Interpret the results of your sample according to electrophoresis diagram Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Calculation of the results Determination of the total serum proteins concentration • Total serum proteins (g/dl) =AT/AS X conc. of standard- Absolute concentration (gm/dl) of protein fractions: • Absolute concentration of a fraction = P/100 X C. • Where P = the percent of each zone and • C = the total serum protein concentration. In gm/dl. Faculty of Medicine Ain Shams University Medical Biochemistry & Molecular Biology Department Interpretation of results: Normal serum protein electrophoresis using cellulose acetate paper and by elution gives a pattern in which the various protein fractions as follows: Protein Fraction Percentage (%) Absolute Concentration (gm/dl) 1- Albumin 55 –65% 3.5 – 5.0 2- 1 Globulins 1.0 –5% 0.17 – 0.33 3- 2 globulins 4.9 –11.2% 0.42 – 0.90 4- Globulins 7 – 13% 0.52 – 1.05 5- Globulins 9.8 – 18.2% 0.71 – 1.65