Powanda M C, Moyer E D
Surg Gynecol Obstet. 1981 Nov;153(5):749-55.
In response to injury, the concentrations of several plasma proteins are characteristically altered. In part, these changes reflect an essential contribution of many of these proteins, acting in concert, to the processes involved in wound healing. There is evidence that plasma proteins support tissue repair by metabolic as well as functional activity. Specifically, plasma proteins may directly facilitate wound healing by: provision of carbohydrates, lipids and amino acids in a usable form as biosynthetic precursors and energetic substrates; the transport of trace metal cofactors involved in various wound repair processes; adhesion of regenerating tissue; modulation of the rate of structural protein synthesis; alignment of collagen subunits; organization of cellular elements wound repair; prevention of autoimmune reactions; hormone transport and local modulation of hormonal effects; neutralization of the potentially toxic products of the inflammatory response and the inhibition of microbial invasion and colonization.
作为对损伤的反应,几种血浆蛋白的浓度会发生特征性改变。这些变化部分反映了许多此类蛋白协同作用对伤口愈合过程的重要贡献。有证据表明,血浆蛋白通过代谢和功能活动来支持组织修复。具体而言,血浆蛋白可通过以下方式直接促进伤口愈合:以可用形式提供碳水化合物、脂质和氨基酸作为生物合成前体和能量底物;运输参与各种伤口修复过程的微量金属辅因子;促进再生组织的黏附;调节结构蛋白合成速率;使胶原亚基排列整齐;组织伤口修复中的细胞成分;预防自身免疫反应;激素运输和局部调节激素作用;中和炎症反应中潜在的毒性产物以及抑制微生物入侵和定植。