BACKGROUND: alpha 1-antitrypsin (A-1-AT) is an acute-phase protein. It is present in plasma and other extracellular fluids and in human trophoblastic tissue. It accounts for 80 to 90 per cent of antiprotease reactions occurring in plasma. It has the ability to greatly affect enzyme activity and plays an important role in immunomodulatory processes. MATERIALS AND METHODS: The purpose of the study was to determine the plasma concentration of A-1-AT in mothers giving birth to hypotrophic (small for gestational age, SGA), and eutrophic (appropriate for gestational age, AGA) infants. 33 women who gave birth to SGA infants and 36 women who gave birth to AGA infants participated in the study. The control group consisted of 30 non-pregnant women who were of reproductive age. All women gave birth at term. To measure A-1-AT concentration, we used the diffusion method described by Mancini et al. RESULTS: The highest concentration of A-1-AT (379 mg/dl) was found in women giving birth to SGA infants, compared with 345 mg/dl for women giving birth to AGA infants. In the control group, the concentration was found to be 270 mg/dl. CONCLUSIONS: Statistical analysis of the results showed a significant difference between the two groups of women gave birth and between each parturient compared with control subjects. Increasing concentration of A-1-AT in the plasma of women in labor may be the result of an acute phase reaction triggered by the stress during parturition. Additionally, increased concentrations of A-1-AT in women who gave birth to SGA rather than AGA infants suggest that it may play a role in the processes of intrauterine growth retardation (IUGR).

Acute-Phase Reaction↗

PubMedDate not supplied

Perioperative management of a post heart transplantation patient with renal failure qualified to lung resection.

Since the first heart transplantation (1967, Christian Bernard), hundreds of similar procedures have been performed all over the world. Considerable advance made in immunosuppressive treatment improved survival rate and long-term efficiency of treatment improved survival rate and long-term efficiency of treatment. Many of these patients suffer from ailments requiring operations which are not connected with the transplanted organ. The present study describes a case of a post heart transplantation patient qualified to lung resection, in whom renal insufficiency occurred in the course of immunosuppressive therapy.

Heart Transplantation↗

PubMedDate not supplied

A study of the mechanism of fibrinolytic system activation by nicotinate in patients with liver cirrhosis.

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Adult↗

PubMedDate not supplied

Serum concentration of alpha-2-macroglobulin, alpha-1-antitrypsin and alpha-1-antichymotrypsin [correction of alpha-2-antichymotrypsin] in patients with Hodgkin's disease.

In twenty four patients diagnosed with Hodgkin's disease we have determined several antiproteases. Our findings have shown the decrease of concentration of alpha-2-macroglobulin and increase of alpha-1-proteinase inhibitor and alpha-1-antichymotrypsin. The observed changes were statistically significant p < 0.001. We did not find any correlation between the concentration of inhibitors and the clinical stage of carcinoma and histopathological data. The determination of the level of antiproteases in patients with cancer disease may be assumed to reflect partly at least the capability of anticancer mechanism in the host.

Adult↗