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Everything about Acute Phase Proteins totally explained

Acute-phase proteins are a class of proteins whose plasma concentrations increase (positive acute phase proteins) or decrease (negative acute phase proteins) in response to inflammation. This response is called the acute-phase reaction (also called acute phase response). In response to injury, local inflammatory cells (neutrophil granulocytes and macrophages) secrete a number of cytokines into the bloodstream, most notable of which are the interleukins IL-1, IL-6 and IL-8, and TNF-α.
   The liver responds by producing a large number of acute-phase reactants. At the same time, the production of a number of other proteins is reduced; these are therefore referred to as "negative" acute phase reactants.

Positive

Positive acute-phase proteins serve different physiological functions for the immune system. Some act to destroy or inhibit growth of microbes, for example C-reactive protein, Mannose-binding protein, complement factors, ferritin, ceruloplasmin, Serum amyloid A and haptoglobin. Others give negative feedback on the inflammatory response, for example serpins. Alpha 2-macroglobulin and coagulation factors affect coagulation.
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Protein Immune system function
C-reactive protein Opsonin on microbes
D-dimer protein fibrin degradation product
Mannose-binding protein Mannan-binding lectin pathway
Alpha 1-antitrypsin serpin, downregulates inflammation
Alpha 1-antichymotrypsin serpin, downregulates inflammation
Alpha 2-macroglobulin
Fibrinogen, prothrombin, factor VIII, von Willebrand factor, plasminogen coagulation factors
Complement factors Complement system
Ferritin Binding iron, inhibiting microbe iron uptake
Serum amyloid P component (see amyloid)
Serum amyloid A
  • recruitment of immune cells to inflammatory sites
  • induction of enzymes that degrade extracellular matrix
  • Ceruloplasmin Oxidizes iron, facilitating for ferritin, inhibiting microbe iron uptake
    Haptoglobin Bind hemoglobin, inhibiting microbe iron uptake

    Negative

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