Falkenberg C, Blom A, Fries E, Ekström G, Särnstrand B, Salier J-P, Å kerström B. a 1 -Microglobulin and Bikunin in Rats with Collagen II-Induced Arthritis: Plasma Levels and Liver mRNA Content. Scand J Immunol 1997;46:122-128 The plasma proteins a 1 -microglobulin (a 1 -m) and bikunin are synthesized in the liver as a common precursor which is cleaved just before secretion. Half of plasma a 1 -m is covalently linked to fibronectin and a 1 -inhibitor-3, and more than 95% of bikunin is part of pre-a-inhibitor, inter-a-inhibitor and related large molecules. Both a 1 -m and bikunin have been shown to be involved in inflammation, but the regulation of their synthesis is not clear. The authors have measured the plasma and urinary concentrations of a 1 -m and bikunin as well as their hepatic mRNA levels in rats during the development of collagen-induced arthritis. Also, the plasma concentrations of acknowledged acute-phase proteins were measured. The results suggested a biphasic inflammatory reaction: an early response after 1 week, represented by an elevated fibronectin level; and a late response after 3 weeks, represented by elevated a 1 -acid glycoprotein and decreased albumin and a 1 -inhibitor-3 levels. The a 1 -m-bikunin mRNA content in liver was slightly reduced after 1 week and elevated after 3 weeks, but the total concentrations of free and bound a 1 -m and bikunin in plasma were unchanged. The free bikunin fraction as well as the fibronectin/a 1 -m complex in plasma, however, were elevated after 1 week. Urinary bikunin levels were also elevated after 1 week, whereas urinary a 1 -m levels remained unchanged. The results thus suggest that free bikunin in plasma is increased and excreted in the urine at an early stage during the development of collagen-induced arthritis. Later, when the synthesis rate of a 1 -m-bikunin is elevated, both proteins are most likely directed to other locations in the body.