Table 1. Serum protein synthesis by the liver during the acute phase response.
Proteins induced in APR | Examples | Immune function |
---|---|---|
Complement proteins | C3, C4 and C9 | Enhance phagocytosis, act as chemoattractants, induce cell degranulation, enhance vascular permeability and induce bacterial cell lysis |
Iron-binding proteins | Haptoglobin, hemopexin, ferritin and hepcidin | Act to reduce free iron in the serum and antimicrobial functions |
Antimicrobial proteins | Liver expressed antimicrobial peptide 2, hepcidin | Antimicrobial activity |
Clotting factors | Fibrinogen, prothrombin, factor VIII, factor IX and Von Willebrand factor | Enhance coagulation |
Inflammatory proteins | IL-6, lipopolysaccahride-binding protein and secreted phospholipase A2 | Enhance pro-inflammatory signals and potentiate the APR |
Lectins, pentraxins, ficolins and collectins | C-reactive protein, mannose-binding lectin, collectin liver 1, ficolin-2 and serum amyloid P | Active complement and enhance phagocytosis |
Protease inhibitors | α2-Macroglobulin, α1-antichymotrypsin and α1-antitrypsin | Anti-inflammatory functions via the inhibition of coagulation, neutrophils and mast cells |
Abbreviation: ARP, acute phase response.