PROTEIN ANALYSIS OF BODY FLUIDS Protein Contant • 50 - 55 % Carbon • 6 - 8 % Hydrogen • 20 - 23 % Oxygen • 15 - 18 % Nitrogen Kjeldahl Technique (Analysis for Nitrogen Content) Protein precipitates upon the addition • of trichloroacetic acid (TCA) protein nitrogen titration by NaOH pH < 7 , heat ammonium ions pH > 7 acid NH3 100 protein = * N = 6.25 * N 16 Turbidometric Methods • Often used for a similar concenteration range in CSF or urine • protein precipitates upon the addition of TCA, sulfosalicilic acid or acetic acid • these techniques are not specific to protein since other acid - insoluble substances such as nucleic acid also percipitate Colorimetric Techniques Highly specific for proteins and peptids • Biuret Method • Folin - Ciocalteu (phosphotungastomolybdic acid) • Lowry (Biuret + Folin) • Bradford Method (coomassie brilliant blue G - 250) Biuret Method NH2 - CO - NH - CO - NH2 • copper salts in alkaline solution form a purple complex with substances contain two or more peptide bonds ++ • Biuret reagent is Cu in alkaline solution Biuret assay • This assay is based on Cu2+ interaction with protein • In alkaline solution, the copper ions form tetradentate complexes with opposite pairs of peptide bonded nitrogens • These complexes produce a blue color that can be measured at 550 nm • The reaction is dependent on in part on peptide bonds and not solely on amino acid moieties. Biuret Method Cupric ions react with • peptide bonds under alkaline conditions producing a violetpurplish color (copper sulfate + K- • Na-tartrate + NaOH) Measure color in • SPEC at 540 nm O O H N H R Cu O OH- H N 2+ H N H R O H N 2+ O N H H R Cu O N H Purple biuret complex The drawbacks of Biuret assay • Lacks sensitivity • It requires a relatively large sample size • Because large amounts of material are not always available, the Lowery assay, which uses the Folin reagent to increase sensitivity, was developed. Lowery method • This assay is essentially a biuret reaction that incorporates the use of of Folin-Ciocalteu reagent for enhanced color development • Its ten times more sensitive than the biuret assay • It is believed that the enhancement of the color reaction in the Lowery procedure occurs when the tetradentate copper complexes transfer electrons to the phospho-molybdic/phosphotungstic acid complex (Mo+6/W+6, Folin phenol reagent) • Reduction of the Folin phenol reagent yields a blue color read at 750 nm • Range of sensitivity: 5-100 mg/ml Lowery method • Advantages: – Reliable method for protein quantification – Little variation among different proteins • Disadvantages: – Many interfering substances • • • • Detergents Carbohydrates Glycerol ….. – Slow reaction rate (time required: 40 min) – Instability of certain reagents • Alkaline copper reagents is unstable and requires daily preparation • The assay is photosensitive • Proteins irreversibly denatured Coomassie dye binding method • This method is known as the Bradford method • This assay is based on the immediate absorbance shift from 465 nm to 595 nm that occurs when Coomassie Brilliant Blue G-250 binds to proteins in an acidic solution • The dye has been assumed to bind to protein via electrostatic attraction of the dye’s sulfonic acid groups. • The Coomassie blue has been shown to interact chiefly with arginine residues, but weakly with histidine, lysine, tyrosine, tryptophan and phenylalanine residues. Advantages: Rapid (10 min) Sensitive ( 25-200 mg/ml) Disadvantages: Some variability in response between different purified proteins Proteins used for this assay are irreversibly denatured Bicinchoninic acid (BCA) method • Proteins react with alkaline copper II to produce copper I. • BCA then reacts with copper I to form an intense purple color at 562 nm • The macromolecular structure of the protein, the number of peptide bonds and the presence of four amino acids (cysteine, cystine, tryptophan and tyrosine) have been reported to be responsible for color formation Advantages: Single reagent End product is stable Fewer interfering substances than Lowry assay Sensitive Standard assay: 10-1200 mg/ml Microassay: 0.5-10 mg/ml Disadvantages: Slow reaction time (40 min) Proteins irreversibly denatured Comments • Specimen Collection and Storage – Test specimens must be – Nonhemolyzed – Cell-free – Lipemic sera should not be assayed – Test tubes must remain covered • Dust and dirt particle contamination – Storage conditions – Use of outdated reagents Techniques of Protein Separation • Electrophorasis • Chemical Precipitation Serum Electrophorasis on cellulose acetate in pH=8.6 Cathod (-) anode (+) origin globulin albumin Serum Electrophorasis on cellulose acetate in pH=8.6 Cathod (-) gamma anode (+) alpha2 albumin beta alpha1 Serum Electrophorasis on cellulose acetate in pH=8.6 Chemical Precipitation • Sreum proteins have been devised to resolve albumin and the globulins • with the addition of sodium sulfate, ammonium sulfate or methanol the globulins lend to precipitate, leaving albumin in solution CLINICAL SIGNIFICANCES • Normal Range : –serum : 6 - 8 g/dL (albumin : 3.5 - 5 g/dL) (globulin : 2.5 - 3.5 g/dL) (Alb/ Glo : 1.3 - 2) –urine : 150 - 200 mg/dL –CSF : 15 - 45 mg/dL Hyperproteinemia • Dehydration –diarrhea –vomiting • cirrhosis • infection • tissue necrosis Hypoproteinemia • Nephrotic syndrome (incrase amount of protein [>2g/dL] loss by urine) • kwashiokor • burn • hemorrhage proteinuria • Orthostatic proteinuria • Bence - Jones proteinuria