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Total Serum Protein

 

The total protein test is a rough measure of all of the proteins in the plasma portion of your blood. Proteins are important building blocks of all cells and tissues; they are important for body growth and health. Total protein measures the combined amount of two classes of proteins, albumin and globulin. Albumin is a carrier of many small molecules, but its main purpose is to keep fluid from leaking out of blood vessels, while globulin proteins include enzymes, antibodies, and more than 500 other proteins. The ratio of albumin to globulin (A/G ratio) is calculated from values obtained by direct measurement of total protein and albumin. It represents the relative amounts of albumin and globulins.

 

Albumin

 

   Albumin is the most abundant protein in the blood plasma It keeps fluid from leaking out of blood vessels; nourishes tissues; and transports hormones, vitamins, drugs, and ions like calcium throughout the body. Albumin is made in the liver and is extremely sensitive to liver damage.  The concentration of albumin drops when the liver is damaged, with kidney disease (nephrotic syndrome), when a person is malnourished, if a person experiences inflammation in the body, or with shock. Albumin increases when a person is dehydrated.  

 

Globulin

 

  Total protein measures the combined amount of two classes of proteins, albumin and globulin. Albumin is a carrier of many small molecules, but its main purpose is to keep fluid from leaking out of blood vessels, while globulin proteins include enzymes, antibodies, and more than 500 other proteins. The immunoglobulin  are the globulins of our immune systems and of antibodies while many other globulin are carriers of hormones or important components of enzymes.

 

 A/G Ratio

 

 The total protein test is a rough measure of all of the proteins in the plasma portion of your blood. Proteins are important building blocks of all cells and tissues; they are important for body growth and health. Total protein measures the combined amount of two classes of proteins, albumin and globulin. Albumin is a carrier of many small molecules, but its main purpose is to keep fluid from leaking out of blood vessels, while globulin proteins include enzymes, antibodies, and more than 500 other proteins. The ratio of albumin to globulin (A/G ratio) is calculated from values obtained by direct measurement of total protein and albumin. It represents the relative amounts of albumin and globulins. Normally, there is a little more albumin than globulins, giving a normal A/G ratio of slightly over.

 

Alkaline Phosphatase

 

   Alkaine phosphate is an enzyme, a protein that helps cells work. You find alkaline phosphate in high concentrations in the cells that make bone and in the liver. In the liver, it is found on the edges of cells that join to form bile ducts (tiny tubes that drain bile from the liver to the bowels where it is needed to help digest fat in the diet). Smaller amounts of ALP are found in the placenta (afterbirth) of women who are pregnant, and in the bowel. Each of these body parts makes different forms of ALP. The different forms are called isoenzymes.    

 

Total Bilirubin

 

As red blood cells normally age and break down, bilirubin—a by-product—is released into the blood and is cleared by the liver.  Bilirubin is an orange-yellow pigment found in bile. Red blood cells (RBCs) normally degrade after 120 days in the circulation. At this time, a component of the RBCs, hemoglobin (the red-colored pigment of red blood cells that carries oxygen to tissues), breaks down into bilirubin. Approximately 250 to 350 mg of bilirubin is produced daily in a normal, healthy adult, of which 85% is derived from damaged or old red cells that have died, with the remaining amount from the bone marrow or liver.  High bilirubin values may indicate a liver function problem, bile duct blockage, or excessive destruction of red blood cells.

 

AST {Aspartate aminotransferase}

 

  AST {Aspartate aminotransferase} which used to be called SGOT is an enzyme found mostly in the heart and liver, and to a lesser extent in other muscles. When liver or muscle cells are injured, they release AST into the blood. Testing for AST is usually used to detect liver damage.
   AST levels are also often compared with levels of other liver enzymes, alakline phosphatase ( ALP) and alanine aminotransferase ( ALT), to determine which form of liver disease is present.   
 

ALT  (Alanine Aminotransferase)

 

ALT (Alanine Aminotransferase) which used to be called SGTP is an enzyme found mostly in the liver; smaller amounts of it are also in the kidneys, heart, and muscles. Under normal conditions, ALT levels in the blood are low. When the liver is damaged, ALT is released into the blood stream, usually before more obvious symptoms of liver damage occur, such as jaundice (yellowing of the eyes and skin).The ALT test detects liver injury. ALT values are usually compared to the levels of other enzymes, such as alkaline phosphatase ( ALP) and aspartate aminotransferase ( AST) to help determine which form of liver disease is present.

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