摘要：

The presence of ischaemic tissue excites an inflammatory reaction and synthesis of acute phase proteins (APhPs). Ceruloplasmin (Cp) protein binds 90% of the copper in plasma and it is one of the positive APhPs, and its concentration increases in infection, inflammation or necrosis. The study presents the relationship of the oxidase activity of Cp and concentrations of Cu and Zn in serum of men with different degrees of ischaemia of the lower limbs. The subjects were 32 men with chronic arterial occlusion (AO) of the lower limbs. The oxidase activity of Cp was measured in serum with o-dianisidine as a substrate. Concentrations of Cu and Zn were determined by using atomic absorption spectrometry. The mean activity of Cp in serum in AO (173±69.2 U/l) was higher as compared with the control group (123.7±28.6 U/l), and in men with critical ischaemia (≥194.8 U/l) than in men with a moderate level of ischaemia (109.3±31.6 U/l). The mean concentrations of Cu and Zn in serum were found to be higher in AO (22.2±4.2 and 19.1±6.9 μmol/l, respectively) than in the control group (16.3±1.8 and 15.2±2.3 μmol/l), and in men with critical ischaemia (≥22.2 and 19.1 μmol/l) than in men with a moderate level of ischaemia (18.5±3.3 and 14.5±4.3 μmol/l). Significant positive correlation coefficients were calculated for the activities of Cp and concentrations of Cu in the control group (r=0.86) and the AO group (r=0.76), and low, but significant, correlations for Cp and Zn in the AO group (r=0.66). The increase in the oxidase activity of Cp and concentration of Cu in serum in ischaemia is caused by the acute phase response. The relationship of Zn concentration and Cp activity in ischaemia is indirect and needs further study.

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