reviewJournal of HepatologyApr 18, 2014HYBRID OA

Human serum albumin, systemic inflammation, and cirrhosis

Consorci Institut D'Investigacions Biomediques August Pi I Sunyer · Fundació Clínic per a la Recerca Biomèdica · +5 more institutions

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Abstract

Human serum albumin (HSA) is one of the most frequent treatments in patients with decompensated cirrhosis. Prevention of paracentesis-induced circulatory dysfunction, prevention of type-1 HRS associated with bacterial infections, and treatment of type-1 hepatorenal syndrome are the main indications. In these indications treatment with HSA is associated with improvement in survival. Albumin is a stable and very flexible molecule with a heart shape, 585 residues, and three domains of similar size, each one containing two sub-domains. Many of the physiological functions of HSA rely on its ability to bind an extremely wide range of endogenous and exogenous ligands, to increase their solubility in plasma, to…

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