Albumin in Patients with Liver Disease Shows an Altered Conformation

Overview

Journal Commun Biol

Specialty Biology

Date 2021 Jun 15

PMID 34127764

Citations 12

Authors

Margret Paar

Vera H Fengler

Daniel J Rosenberg

Angelika Krebs

Rudolf E Stauber

Karl Oettl

Michal Hammel

Affiliations

Soon will be listed here.

Abstract

Human serum albumin (HSA) constitutes the primary transporter of fatty acids, bilirubin, and other plasma compounds. The binding, transport, and release of its cargos strongly depend on albumin conformation, which is affected by bound ligands induced by physiological and pathological conditions. HSA is both highly oxidized and heavily loaded with fatty acids and bilirubin in chronic liver disease. By employing small-angle X-ray scattering we show that HSA from the plasma of chronic liver disease patients undergoes a distinct opening compared to healthy donors. The extent of HSA opening correlates with clinically relevant variables, such as the model of end-stage liver disease score, bilirubin, and fatty acid levels. Although the mild oxidation of HSA in vitro does not alter overall structure, the alteration of patients' HSA correlates with its redox state. This study connects clinical data with structural visualization of albumin dynamicity in solution and underlines the functional importance of albumin's inherent flexibility.

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