Open AccessThe source of the inter‐alpha trypsin inhibitor in pathologic hyaluronateprotein
Author(s) -
Becker Alfred,
Sandson John
Publication year - 1971
Publication title -
arthritis & rheumatism
Language(s) - English
Resource type - Journals
eISSN - 1529-0131
pISSN - 0004-3591
DOI - 10.1002/art.1780140613
Subject(s) - synovial fluid , trypsin , pathology , alpha (finance) , medicine , chemistry , osteoarthritis , enzyme , biochemistry , surgery , construct validity , patient satisfaction , alternative medicine
Abstract Hyaluronateprotein isolated from pathologic synovial fluid has been shown to have different physical properties from hyaluronateprotein isolated from normal synovial fluid. The altered properties of hyaluronateprotein from pathologic synovial fluid are due to the presence of a serum protein identified immunologically as the inter‐alpha trypsin inhibitor (IATI). The IATI is undetectable in normal synovial fluid, but is present in pathologic synovial fluids. The IATI in pathologic synovial fluid is bound to hyaluronate. The concentration of IATI is always much higher in serum than synovial fluid indicating that the IATI in synovial fluid has passed from the serum into the diseased joint where it has become firmly bound to hyaluronate.