Brown W L, Bowler E G, Mason A D, pruitt B A
Am J Physiol. 1976 Aug;231(2):476-82. doi: 10.1152/ajplegacy.1976.231.2.476.
Incorporation of [2-14C]glycine was used to estimate serum protein synthesis in four groups of rats. These were the control (group C); 20% body surface burn (group B); 20% burn, seeded with Pseudomonas aeruginosa (group BI); and burned-infected treated topically with mafenide (alpha-amino-p-toluenesulfonamide) acetate (group BIS), a treatment which controls P, aeruginosa burn-wound infection in humans. On the 6th day postburn the relative specific activities of all fractions were increased in the order BI greater than BIS greater than B greater than C, as were the concentrations of the globulins; Serum albumin concentration fell, being lowest in BI. Tissue albumin contents, measured by radioimmunoassay, of eviscerated blood-free bodies of rats were (mg/100 g rat wt): C, 207; B, 294; BI, 256. Analyses of individual tissues showed that the difference was due to increased albumin content in the burn-wound area. The tissue albumin was of normal molecular size and was immunologically reactive. We conclude that the prolonged hypoalbuminemia following burn injury is not a consequence of impaired albumin synthesis, but a result of altered compartmentation.
采用[2-¹⁴C]甘氨酸掺入法来评估四组大鼠的血清蛋白合成情况。这四组分别为对照组(C组);20%体表烧伤组(B组);20%烧伤并接种铜绿假单胞菌组(BI组);以及烧伤感染后局部用醋酸磺胺米隆(α-氨基-对甲苯磺酰胺)治疗组(BIS组),该治疗方法可控制人类铜绿假单胞菌烧伤创面感染。烧伤后第6天,所有组分的相对比活性按BI组>BIS组>B组>C组的顺序升高,球蛋白浓度也是如此;血清白蛋白浓度下降,在BI组中最低。通过放射免疫测定法测得的大鼠去内脏无血尸体的组织白蛋白含量(mg/100 g大鼠体重)分别为:C组,207;B组,294;BI组,256。对各个组织的分析表明,差异是由于烧伤创面区域白蛋白含量增加所致。组织白蛋白的分子大小正常且具有免疫反应性。我们得出结论,烧伤后持续性低白蛋白血症不是白蛋白合成受损的结果,而是分布改变的结果。