Albumin conjugated bilirubin binding

Some Conjugated Bilirubin Can Bind Covalently to Albumin... 

When levels of conjugated bilirubin remain high in plasma, a fraction can bind covalently to albumin (delta bilirubin). Because it is bound covalently to albumin, this fraction has a longer half-life in plasma than does conventional conjugated bilirubin. Thus, it remains elevated during the recovery phase of obstructive jaundice after the remainder of the conjugated bilirubin has declined to normal levels this explains why some patients continue to appear jaundiced after conjugated bilirubin levels have returned to normal. 

Electrophoretic studies (G2, M2) have shown that both types of bilirubin are bound to albumin and sometimes a-globulin. Klatskin and Bungards (K6) found that this binding occurs between pH 6 and pH 9 and that below pH 5 separation occurs almost completely with respect to bilirubin but only partially with the conjugated pigment. This suggests that bilirubin and conjugated bilirubin are attached in different ways to plasma proteins. 

Both conjugated bilirubin and unconjugated bilirubin may be present in plasma. Conjugated bilirubin is water. soluble. Unconjugated bilirubin is not water soluble and binds to albumin from which it may be transferred to other proteins such as those in cell membranes. It is neurotoxic, and if levels rise too high in neonates, permanent brain damage can occur. 

For the construction of artificial metalloproteins, protein scaffolds should be stable, both over a wide range of pH and organic solvents, and at high temperature. In addition, crystal structures of protein scaffolds are crucial for their rational design. The proteins reported so far for the conjugation of metal complexes are listed in Fig. 1. Lysozyme (Ly) is a small enzyme that catalyzes hydrolysis of polysaccharides and is well known as a protein easily crystallized (Fig. la). Thus, lysozyme has been used as a model protein for studying interactions between metal compounds and proteins [13,14,42,43]. For example, [Ru(p-cymene)] L [Mn(CO)3l, and cisplatin are regiospecificaUy coordinated to the N = atom of His 15 in hen egg white lysozyme [14, 42, 43]. Serum albumin (SA) is one of the most abundant blood proteins, and exhibits an ability to accommodate a variety of hydrophobic compounds such as fatty acids, bilirubin, and hemin (Fig. lb). Thus, SA has been used to bind several metal complexes such as Rh(acac)(CO)2, Fe- and Mn-corroles, and Cu-phthalocyanine and the composites applied to asymmetric catalytic reactions [20, 28-30]. 

BNIrubm (which Is hydrophobic) binds to albumin In the plasma and Is t-ransport-ed to the llvar. Here llgandin serves as tha Intracellular transporter and carries bilirubin to tha endoplasmic reticulum where It Is made hydrophilic by conjugation with UPP-glucuronate... 

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