Biomedical Engineering Reference
In-Depth Information
Table 5.5 Concentrations of Hcy carried on proteins in normal human blood (Recalculated from
the data of [79])
Protein
Protein N-linked Hcy (nM)
Protein S-linked Hcy (nM)
Hemoglobin a
27,800
3,300
Albumin b
2,800
7,300
-Globulin b
γ
700
3,500
Fibrinogen b
14
19
<
Transferrin b
28
5
<
Antitrypsin b
24
7
HDL b
23
47
LDL b
17
9
a Concentrations in erythrocytes
b Plasma concentrations
Table 5.6 N-
homocysteinylation at Lys525
of albumin is increased in
human CBS deficiency (Data
from [213])
Genotype (n)
N-Hcy-Lys525 peptide (%)
CBS +/+ (29)
1.02
1.21
CBS / (15)
3.99
2.60*
*P ¼ 0.0007
concentration of N-linked Hcy carried on hemoglobin in erythrocytes is 27.8
M
(Table 5.5 ), exceeding the concentration of plasma tHcy. Similar recalculation
shows that albumin and
μ
-globulin carry micromolar concentrations of N-linked
Hcy, whereas fibrinogen, transferrin, antitrypsin, HDL, and LDL carry nanomolar
concentrations of N-linked Hcy.
The value calculated for N-Hcy-albumin (0.36 mol%
γ
M in plasma,
Table 5.4 ) is higher than the value of N-Hcy-protein measured directly with normal
human plasma (0.51
¼
2.8
μ
M) and closer to the mean values measured in plasma from
hyperhomocysteinemic CBS- and MTHFR-deficient patients on a Hcy-lowering
therapy (3.02
μ
M, respectively) [115]. The relatively high content of N-
linked Hcy in the commercial albumin preparations may possibly be due to
demethylation of methionine residues of albumin during its purification from
plasma. The values obtained for N-Hcy-albumin using a chemical assay [115] are
similar to the values obtained with the LC-MS assay, which shows that N-Hcy-
Lys525-albumin constitutes 1.0 % and 4.0 % of plasma total albumin in healthy
controls and CBS-deficient patients, respectively (Table 5.6 ) [213].
The value calculated for N-Hcy-fibrinogen (0.1 mol%
μ
M and 4.4
μ
14 nM, Table 5.4 )is
consistent with direct assays of fibrinogen isolated from human subjects, which
show that in normal plasma, N-Hcy-fibrinogen levels are 35.8
¼
14.3 nM [115].
The N-linked Hcy carried on N-Hcy-fibrinogen constitutes about 10 % of total N-
linked Hcy present in normal plasma protein (0.35
0.13 to 0.51
0.11
μ
M [79,
115, 300, 301].
The value calculated for N-Hcy-HDL (0.04 mol%
23 nM) is much smaller
than that obtained by a semiquantitative Western blot immunoassay of N-Hcy-
ApoAI in HDL isolated from human plasma (0.46-5.2
¼
M or 1.0-7.4 % of total
ApoAI) [303]. Possible reasons for the discrepancy are discussed in Sect. 5.5.4 of
this topic.
μ
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