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Enzymes
Chapter 8
Introduction to Enzymes
Biological catalysts
➢ Neither consumed nor permanently altered
Enzyme concentrations
➢ Detect cellular injury
➢ Identify abnormalities that cause disease
Enzyme 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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Thermodynamics
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
Copyright © 2017 by Elsevier, Inc. All rights reserved. 8
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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
pH and temperature
Enzyme concentration
➢ Zero order kinetics
Substrate concentration
➢ First order kinetics
Presence of activators
Presence of inhibitors
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Isoenzymes
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
Copyright © 2017 by Elsevier, Inc. All rights reserved.
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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.
Copyright © 2017 by Elsevier, Inc. All rights reserved. 15
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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.
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.
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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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)
Copyright © 2017 by Elsevier, Inc. All rights reserved. 22
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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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.
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
Copyright © 2017 by Elsevier, Inc. All rights reserved. 26
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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Copyright © 2017 by Elsevier, Inc. All rights reserved.
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