Interpretation of tracer studies on plasma protein turnover: comparison of methods and optimization of techniques

A comparison of several published methods for analysing plasma protein turnover data was made with particular reference to rapidly metabolized proteins such as members of the complement series. With the exception of the equilibrium time method, most methods proved adequate for the determination of overall fractional catabolic rates. A further exception is that the renal clearance method becomes invalid when the fractional catabolic rate approaches the renal iodide clearance. For the measurement of the ratio of extra to intra vascular protein pool size a clear preference emerged for the Matthews method. For rapidly metabolized proteins the calculations must be preceded by a correction for the non-protein bound iodide retained in the intra and extra vascular spaces. The accurate calculation of fractional catabolic rate in the extravascular pool generally requires more experimental data than are commonly collected as well as an accurate correction for non-protein bound label that remains unexcreted. Only two techniques hold promise of accurate results: Nosslin's rate equations method and a development of Vitek's deconvolution method. Nosslin's integrated rate equations method is particularly affected by systematic errors in renal iodide clearance estimates and should probably not be further used for this purpose. (author)