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Enzymes

Chapter 8

Copyright © 2017 by Elsevier, Inc. All rights reserved.

Introduction to Enzymes

 Biological catalysts
➢ Neither consumed nor permanently altered
 Enzyme concentrations
➢ Detect cellular injury
➢ Identify abnormalities that cause disease

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Enzyme Structure

 Enzyme structure and properties


➢ Primary structure
➢ Secondary structure
➢ Tertiary structure
➢ Quaternary structure

 Enzyme naming

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Enzyme Activity

 Very efficient
 Substrate: what it uses to create product
 Active site: where substrate binds by
noncovalent bond
 Enzyme substrate complex
 Allosteric site: binding of regulator molecules
(can change the shape of the enzyme)
 Enzyme locations

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Reaction Rates of Chemical


Reactions
 Enzyme kinetics:
➢ rate of chemical reaction
➢ can change over the course of rxn
 Product formation
➢ Affected by enzyme concentration
➢ Proportional to enz. concentration as long as there
is substrate excess
 Reaction rate factors: pH, temp, cofactors,
inhibitors
 Assessing enzyme activity: linear phase
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Reaction rate curves with 3 different


amounts of enzyme.
1 has low-enzyme activity,
2 has medium-enzyme activity,
3 has high-enzyme activity.
Increased enzyme activity results in
decreased lag phase, decreased linear
phase, and a plateau phase of substrate
depletion that is reached faster.
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Thermodynamics

 Transition state: energy barrier to be overcome


 Activation energy: needed energy for
➢ Enzymes lower activation energy
 Two-step reaction

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Michaelis-Menten Model
 Based on concentration of enzyme and
substrate

Vmax [S]
V0 =
Km + [S]
➢ V0 is the initial velocity (product concentration is
zero). S is the substrate concentration. Both V max
and Km are constants that characterize specific
enzymes
 Increased reaction rate until substrate binding
sites are depleted
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Enzyme Inhibition

 Competitive
➢ competitor binds to the active binding site on the
enzyme, prevents substrate from binding
➢ reversible

 Noncompetitive
➢ competitor binds to allosteric site
➢ irreversible
 Uncompetitive
➢ Binds the enzyme substrate complex

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Activators, Coenzymes, and


Prosthetic Groups
 Activators—molecules that bind and increase
activity
➢ Cofactors: magnesium and calcium
 Coenzymes—organic substances loosely
bound,
➢ help the rxn; ex - NAD
 Prosthetic groups—tightly bound molecules

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Enzyme Reaction Conditions

 pH and temperature
 Enzyme concentration
➢ Zero order kinetics
 Substrate concentration
➢ First order kinetics
 Presence of activators
 Presence of inhibitors

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Isoenzymes

 Catalyze same reaction, different structural


and biochemical properties
 Commonly measured isoenzymes
➢ CK-MB
 Laboratory techniques
➢ Electrophoresis
➢ Immunoassay

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Enzyme Measurements
 Performed on serum, plasma, body fluids
 Very low concentrations
 End point assays
➢ Fixed time period, amount of product is measured
 Kinetic assays
➢ Reaction monitored continuously over time
➢ Most assays
➢ Needs to be read in zero order
 IU/L
➢ Measure of activity
➢ amount of enzyme required to convert 1 μmol of
substrate into product in 1 minute
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Aminotransferases
 Physiology: catalyze the transfer of amino
groups from amino acids to form 2-oxo-acids
➢ AST: Makes L-glutamate and oxaloacetate
➢ ALT: Makes L-glutamate and pyruvate
 Clinical significance:
➢ Both found in all major organs
➢ AST is primarily found in the heart, liver, skeletal
muscle, and kidney, and is found in the cytoplasm
and the mitochondria.
➢ ALT is found in the cytoplasm only, and is
primarily seen in the liver and kidney.
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Aminotransferases
 Clinical significance:
➢ AST & ALT are part of the comprehensive
metabolic panel (CMP)
➢ AST & ALT measured when evaluating a patient
for liver disease (elevated in liver disease).
• Reflect hepatocellular destruction (viral hepatitis)
• Elevated enzyme levels, often seen before the patient
has symptoms.
• Elevations of AST and ALT can be seen as much as 100
times the reference range.
➢ ALT has greater specificity for liver disease than
does AST.

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Aminotransferases
 Laboratory procedures
➢ measured using a coupled reaction to a specific
dehydrogenase reaction
➢ ultimately measuring the conversion of NAD to
NADH at 340 nm.
 Hemolysis should be avoided when
measuring AST or ALT because both are
present in large quantities in cellular
cytoplasm.

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Alkaline Phosphatase

 Physiology
➢ Hydrolase releases inorganic phosphate from its
substrates
➢ found on membranes and cell surfaces of the
small intestines, kidneys, liver, bone, and
placenta.
 Clinical significance
➢ Part of CMP
➢ increases in ALP activity are commonly seen in
obstructive hepatobiliary diseases as well as in
osteoblast-mediated diseases
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Alkaline Phosphatase

 Clinical significance
➢ Reference ranges for infants and children are
higher than in adults due to elevated activity
during growth periods
➢ Pregnancy elevates ALP

 Laboratory procedures
➢ Hemolysis
➢ Heat inactivation
• distinguish ALP activity derived from liver or bone.
• ALP from the liver will remain after heating the sample;
that from bone will be destroyed by heat.
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γ-Glutamyl Transferase

 Physiology
➢ exact function of GGT is unknown;
➢ catalyzes the transfer of a γ-glutamyl from a
peptide.
➢ found on the cell surface and in the cytoplasm.
➢ GGT found in serum is primarily of hepatic origin.

 Clinical significance
➢ Increased GGT levels are seen in a majority of
liver disorders with unusually high levels seen in
patients with primary and metastatic
hepatocellular carcinoma.
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γ-Glutamyl Transferase

 Clinical significance
➢ Patients with alcoholic cirrhosis or chronic
alcoholics also display elevated GGT activity.
 Laboratory methods
➢ often measured when ALP activity is elevated
➢ If the elevated ALP activity is of hepatic origin,
both the GGT and ALP will be elevated;
➢ if elevated ALP is from bone, GGT will be normal.
➢ Hemolysis does not affect GGT levels.

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Creatine Kinase (CK)

 Physiology
➢ CK catalyzes the reversible phosphorylation of
creatine to creatine phosphate by ATP.
➢ The forward reaction occurs in the mitochondria.
• ATP -> ADP and stores energy in the form of creatine
phosphate.
➢ The reverse reaction occurs in the cytoplasm:
• ADP -> ATP. This production of energy is necessary for
muscular contraction
 Isoforms
➢ Subunits: M and B (CK-MM (98%), CK-MB, CK-BB)
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Creatine Kinase (CK)


 Clinical significance
➢ Total CK elevations are seen after any kind of
muscular injury or trauma.
➢ Muscular diseases such as muscular dystrophy
and rhabdomyolysis show extreme elevations.
➢ Acute myocardial infarctions (AMI) also increase
the total CK.
 Laboratory procedures
➢ CK by coupled reaction; final step is the oxidation
of NADP+ to NADPH
➢ Immunoassay: CK-MB for heart attacks

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Lactate Dehydrogenase (LD)

 Physiology:
➢ LD catalyzes the reversible oxidation of lactate to
pyruvate.
➢ LD activity exists in all cells with concentrations
higher in cytoplasm than in serum.
➢ Significant activity is seen in heart, liver, red blood
cells, kidney, and skeletal muscle.
➢ Isoenzymes (M and H)

 Clinical significance
➢ elevations can be seen in a variety of disorders

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Lactate Dehydrogenase (LD)

 Clinical significance
➢ Significant elevations can be seen in pernicious
anemia, megaloblastic anemia, and some
cancers.
 Laboratory methods
➢ LD activity is measured using the forward
catalyzed reaction of lactate to pyruvate.
➢ LD is found in red blood cells; thus, hemolyzed
samples are unacceptable for analysis.

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Amylase

 Physiology
➢ catalyzes the hydrolysis of α-glycosidic bonds in
order to release various sugars from starches
➢ from acinar cells of the pancreas and the salivary
glands
 Clinical significance
➢ greatest elevations of serum amylase activity are
seen in acute pancreatitis and salivary gland
inflammation
• to diagnose acute pancreatitis need AMY and LIP
• peaks at 12 hours and returns to normal in 3-4 days
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Amylase

 Laboratory methods
➢ Coupled enzyme reactions resulting in the
measurement of NAD+ at 340 nm.
➢ Testing is available to measure the activities of p-
AMY and s-AMY.

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Lipase
 Physiology:
➢ catalyzes the hydrolysis of triglycerides into
glycerol and fatty acids.
➢ Lipase exists almost exclusively in the pancreas

 Clinical significance
➢ pancreatic origin (almost exclusively)
➢ During acute pancreatitis, lipase levels peak at 24
hours and don’t return to normal until 8 to 14 days
later.
➢ Increased lipase activity is more specific than
amylase activity when diagnosing acute
pancreatitis.
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