“…However, the precise molecular mechanism for the reduction of albumin synthesis has still not been completely elucidated. Nevertheless, a number offactors have been suggested to play an important role in the regulation of liver synthesis of acute phase proteins, such as hormones, fibrinogen-, or fibrin degradation products, and monocytic products, including IL-1 (15,25,26). From our previous studies (7,25,26) and other investigations (data not shown) we have demonstrated that corticosteroids, growth hormone, insulin, adrenaline, fibrinogen, and fibrin degradation products cannot be implicated in modulating the hepatic synthesis of albumin during the acute-phase response, because administration of these hormones in vivo in rats or in vitro in experiments using primary cultures of rat hepatocytes did not lead to a reduced synthesis of albumin, although in other studies, the fibrinogen synthesis in rats could be stimulated by in vivo administration of fibrinogen or fibrin degradation products (26).…”