Professional Documents
Culture Documents
Proteolytic enzyme
biochemistry
Prepared by Supervisor
(Lock) (Key)
Aromatic amino acid
Animal sources of pepsin
Escherichia coli
Salmonella typhimurium
Pseudomonas aeruginosa
Staphylococcus aureus
Listeria monocytogenes
Disease associated with reflux and identified by the
presence of pepsin
Reflux of pepsin into the esophagus and larynx causes
many damages
Laryngopharyngeal reflux (LPR)
Gastro- oesophageal reflux disease (GORD)
Otitis media with effusion (OME)
Laryngomalacia
Vocal fold leucoplakia (associated with LPR)
Rhinitis and sinusitis
Lung transplant rejection
Oesophageal atresia
Measuring pepsin (why and how)
• Pepsin is not secreted at proximal sites in the gastrointestinal
tract.
• Therefore, it represents a rational and objective marker of
recent reflux events when detected in biological samples from
the aerodigestive tract, like saliva and sputum.
• We have isolated pepsin using anion exchange HPLC, from
human gastric juice obtained at endoscopy.
• This Figure shows pepsin eluting at 10–15 minutes from the
HPLC column has a molecular weight just below 37,000. The
fraction collected between 10–15 minutes also showed
proteolytic activity at pH 2.2 using an N-terminal plate assay
Oral Salivary Pepsin Testing
(Peptest)
to detect pepsin in saliva/sputum has been considered as a
valuable method for diagnosing laryngopharyngeal reflux
(LPR) and gastroesophageal reflux disease (GERD).
Pepsin Defficiency
If you have low levels of stomach acid, you also
likely have low levels of pepsin.