Grzebyk Ewa, Piwowar Agnieszka
Uniwersytet Medyczny im. Piastów Slaskich we Wrocławiu.
Pol Merkur Lekarski. 2013 Apr;34(202):239-42.
Human albumin is a major, multi-functional serum protein. As the other protein is subjected to many modifications, including glycation and oxidation, which occurs physiologically in low intensity, however, are significantly increased in various pathological conditions. They often co-occur with each other, reinforcing its negative effects, and therefore are referred to common name - glycoxidative processes. Glycation, increased especially in diabetes, causes structural and functional changes of many proteins, both short-and long-lived, and it may result in increased oxidative stress and protein oxidation, which secondarily may increase their susceptibility to glycation. Studies in vivo and in vitro processes of oxidation and glycation of albumin and other proteins allowed us to identify biochemical markers that are routinely used in the diagnosis and monitoring of diseases (ischemia modified albumin, fructosamine) and those commonly used in research (e.g. AGE, CML, SH and CO groups, AOPP), which in perspective could be used in clinical trials (especially AGEs and AOPP). The study presents current state of knowledge on the mechanisms, the importance and the possibility of using glycoxidative modified albumin in medical science.
人白蛋白是一种主要的多功能血清蛋白。其他蛋白质会经历多种修饰,包括糖基化和氧化,这些修饰在生理状态下以低强度发生,但在各种病理状况下会显著增加。它们常常同时出现,增强其负面影响,因此被统称为糖氧化过程。糖基化在糖尿病中尤其增加,会导致许多蛋白质(包括短期和长期存在的蛋白质)发生结构和功能变化,并且可能导致氧化应激增加和蛋白质氧化,而这继而可能增加它们对糖基化的敏感性。对白蛋白和其他蛋白质的体内外氧化和糖基化过程的研究使我们能够鉴定出常用于疾病诊断和监测的生化标志物(缺血修饰白蛋白、果糖胺)以及常用于研究的标志物(例如晚期糖基化终末产物、羧甲基赖氨酸、巯基和羰基基团、晚期氧化蛋白产物),从长远来看,这些标志物可用于临床试验(尤其是晚期糖基化终末产物和晚期氧化蛋白产物)。本研究介绍了关于糖氧化修饰白蛋白在医学中的机制、重要性及应用可能性的当前知识状态。