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Protein electrophoresis - serum


When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing.


Why the test is performed:


Proteins are made from amino acids and are important constituents of all cells and tissues. There are many different kinds of proteins in the body with many different functions, for example, enzymes, some hormones, hemoglobin (oxygen transport), LDL (cholesterol transport), fibrinogen (blood clotting), collagen (structure of bone and cartilage), and immunoglobulins (antibodies).

Serum proteins are separated into albumin and globulins. In other words, total protein = albumin + globulin. Albumin is the protein of highest concentration in the serum. It carries many small molecules, but is also of prime importance in maintaining the oncotic pressure of the blood (that is, keeping the fluid from leaking out into the tissues).

Globulins are roughly divided into alpha-1, alpha-2, beta, and gamma globulins. These can be separated and quantitated in the laboratory by electrophoresis and densitometry.

The alpha-1 fraction or portion includes alpha-1 anti-trypsin (see alpha-1 antitrypsin) and thyroxine binding globulin (see T3, T4, RT3U). The alpha-2 fraction contains haptoglobin, ceruloplasmin, HDL, and alpha-2 macroglobulin.

In general, alpha-1 and alpha-2 proteins levels increase in the presence of inflammation. The beta fraction includes transferrin (see iron - serum), plasminogen (see Factor VIII assay), and beta-lipoproteins (see LDL). The gamma fraction includes the various types of antibodies (immunoglobulins M, G, and A).




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