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Lecture Enzymes

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    ENZYMES

    Siv Milliscent E. Balbas, RMT

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    What are Enzymes?

    CHON catalyst of chemical reactions andcatalyzes all metabolic reactions of cells

    (eg. Respiration, photosynthesis, digestion,)

    biological catalyst

    specific for its substrate

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    Parts of an Enzyme

    Active site- portion of the enzyme wherereaction takes place

    Substrate- binds to Active site of an enzyme

    Allosteric site Other site besides the active site

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    ENZYME

    SUBSRTATE

    LOCK AND KEY FIT

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    ENZYME

    SUBSRTATE

    INDUCED FIT

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    Cofactor

    Nonprotein molecule which maybe necessary forenzyme activity

    Coenzyme- Organic cofactor (NAD, heme,

    vitamins)

    Activators- Inorganic cofactor (eg. Chloride or

    magnesium ions, and other metals)

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    ENZYME

    SUBSRTATE

    Cofactor

    HOLOENZYME

    APOENZYME

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    NOTE:

    Holoenzyme- complete, active enzyme system Proenzyme (zymogen)- inactive enzyme

    Isoenzyme- enzymes that have differentphysical properties but have the same

    catalytic functions

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    Classification of Enzymes

    OXIDOREDUCTASES

    Catalyze an oxidation-reduction reaction between2 substrates

    TRANSFERASES

    Catalyze the transferof a group from one

    substrate to another

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    HYDROLASES

    Catalyzes hydrolysis of various bonds

    LYASES

    Removalof groups without hydrolysis

    ISOMERASES Catalyze the interconversion of geometric, optical

    or positional isomers

    LIGASES Catalyze the joining of two substrate molecules,

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    Factors the Influence

    Enzymatic Reactions SUBSTRATE CONCENTRATION

    pH ( 7.0- 8.0)

    TEMPERATURE

    ENZYME CONCENTRATION

    COFACTORS

    INHIBOTORS Competitive inhibitors

    Noncompetitive inhibitor

    Uncompetitive inhibitor

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    Competitive Inhibitors

    Competes with substrate for binding to active site

    Non-Competitive Inhibitors

    Does not bind to the active site, but removes

    cofactors of the enzyme

    Uncompetitive Inhibitors

    Inhibitor binds to E-S complexpreventingdissociation

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    Enzyme Tissue Specificity

    High Moderate Low

    ACP(RBC, Prostate)

    AST(Liver, heart, skeletal

    muscle))

    LD(In ALL tissues)

    ALT(Liver)

    CK(Heart, skeletal muscle,

    brain)

    AMS(Pancreas, salivary glands) ALP(liver, bone, kidney)

    LPS(Pancreas)

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    Hepatic Enzyme Profile

    ALP

    AST

    LD (LDH)

    GGT

    ChE

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    Alkaline Phosphatase (ALP)

    optimum pH : 10

    highest concentration in liver, kidney,placenta, intestine, WBC

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    Increase levels in:

    Bone formation

    Pagets disease

    Rickets

    Osteoblastic tumors

    Cancer

    Sever fracture

    Liver disease

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    Collection:

    AVOID using citrate, oxalate, EDTA

    Substrate: Organic phosphates (eg. -glyceroPO4 and -nitrophenylPO4)

    Methods:

    Bodansky(-glyceroPO4)

    Shenowara Jones (-glyceroPO4) King- Armstrong (-nitrophenylPO4)

    Bessy Lowry-Brock(-nitrophenylPO4)

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    Alkaline AminoTransferase

    (ALT) Serum Glutamic PyruvicTransaminase (SGPT) Found in the LIVER and RBCs

    More specific for liver than AST

    Marked elevation with viral hepatitis

    Collection: AVOID HEMOLYSIS

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    Catalyzes the reaction:

    Alanine + ketoglutaric acid Pyruvic Acid

    Method:

    Reitman Frankel

    Addition of DNPH (2,4- dihydrophenylhydrazine) topyruvic acid to produce color

    ALT

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    ALT (Liver)

    AST (Heart)Glutamate

    oxalacetatetransaminase

    Substrate Alanine - Keto Aspartate keto

    End Product Pyruvic Acid Oxaloacetic Acid

    Location Heart, LIVER HEART, Liver

    HighConcentration

    LIVER HEART

    Significance Liver DiseaseMycocardial

    Infarction

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    ALT/AST RATIOde ritis ratio

    Differentiates VIRAL from NON-VIRAL etiology

    Viral Etiology: High ALT If ALT/AST is >1 = VIRAL

    Non-viral: High AST If ALT/AST is

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    Lactate DeHydrogenase

    (LD/LDH)

    Catalyzes reversible lactate pyruvate

    using NAD+

    as a cofactor

    5 isoenzymes (electrophoresis):

    LD1, LD2, LD3, LD4, LD5

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    4 SUBUNITS in each Isoenzyme

    ISOENZYME SUBUNITS SHORTHANDSUBUNITS

    HIGHCONCENTRATION

    LD1 HHHH LD H4 Heart, RBC, Brain

    LD2 HHHM LD H3M Heart, RBC, Brain

    LD3 HHMM LD H2M2Brain, Kidney,

    Lung

    LD4 HMMM LD HM3 Liver, Skeletalmuscle, kidney

    LD5 MMMM LD M4Liver, Skeletalmuscle, ileum

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    Collection: AVOID HEMOLYSIS

    clot must be separated from serum

    quickly to prevent increase in LD1 and LD2

    Storage: 25C upto 24 hours

    Only LD4 and LD5 are utilized to test LIVERDISORDERS. May also be elevated duringskeletal muscle damage

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    Gamma-Glutamyl

    Transferase/Transpeptidase

    (GGT)

    Increase in liver disease, metastaticcarcinoma , alcoholism and hepatobiliary

    obstruction

    Marker for daily consumption of largeamount of alcohol or drugs (barbituates,

    phenytoin)

    Method: SZAZ- substrate: gammaglutamyl

    -nitroanilide

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    Pseudocholinesterase (ChE)

    Cholinesterase (true and Pseudo)

    Cleaves Acetylcholine: the bodys majorneurotransmitter

    True ChE

    high activity in the CNS, RBC, lungs and spleen.

    Pseudo-ChE or acylcholine acylhydrolase primarily produced in the liver

    Also produced by myocardium and pancreas

    Important in cleaving SUCCINYLCHOLINE

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    Significant decrease seen after exposure tophosphorus compounds found in insecticide,

    nerve gases and pesticide.

    Also seen in anesthetic poisoning.

    Substrate: acetylcholine

    Method:

    Michael

    Ellman

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    CARDIAC DISORDER PROFILE

    CK-MB

    AST

    LD (LDH) 1 & 2

    LD/HBD ratio

    MI Biomarkers

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    Creatine Kinase (CK)

    found in cardiac, skeletaland brainmuscle

    Has 3 isoenzymes:

    CK-BB (CK1)= Brain

    CK-MB (CK2)= Heart, muscle

    CK-MM (CK3)= Muscle, heart

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    Catalyzes

    phosphocreatine + ADP creatine + ATP

    Methods:

    Tanzer-Gilvarg: (forward)

    Phospho Kinase + LD Lactate + NAD

    Oliver- Rosalki: (reverse)

    Hexokinase + G6PD 6-P Gluconate + NADPH

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    ASpartate aminoTransferase

    (AST)

    Most sensitive enzyme foe skeletal muscle

    disease

    Collection: AVOID HELOLYSIS

    Inhibited by all anticoagulants except heparin(do not use ammonium heparin)

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    Lactate DeHydrogenase 1 & 2

    LD 1 (Anodic), while LD 5 is (cathodic)

    LD 1 and LD2 (HEAT STABLE)

    LD5 (COLD LABILE)

    Used in evaluating Cardiac Disorders

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    Normally LD1< LD2

    Normal Ratio is 0.5-0.75 or LD2 it is called a flipped ratio Flipped ratio is seen in MI (provided sample is not

    hemolyzed)

    50% MI: flipped ratio in 48hours 80% MI: flipped ratio in 72 hours

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    LD/HBD(hydroxybutiric

    dehydrogenase) Ratio

    Normal LD/HBD ratio: 1.2- 1.6

    If ratio is 0.8-1.2, MI is suspected

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    Non-Enzymatic MI Markers

    MYOGLOBIN Major protein responsible for oxygen supply of

    striated muscle

    TROPONIN the troponin complex is a component of the thin

    filament of striated muscle linked to actin

    Three Subunits: Troponin I: an inhibitory subunit

    Troponin T: tropomyosin-binding subunit

    Troponin C: Calcium-binding subunit

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    ACUTE PANCREATITIS PROFILE

    AMYLASE

    LIPASE

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    Amylase

    found in the SALIVARY GLANDS andPANCREAS

    Breaks down starch to simple sugars

    Substrate: starch

    starch/ amylum maltose glucoseAMS Maltase

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    Substrates:

    Pancreatic AMS: diastase

    Salivary AMS: ptyalin

    Serum AMS is usually pancreatic in origin

    microAMS: unbound, free. 50,000 dal. AMS

    found in urine

    macroAMS: bound to IgG, IgA. High MW.

    Measured in serum

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    Methods

    SaccharogenicMeasures amount of maltoseproduced (glucose: Somogyi)

    Iodometric/amyloclastic Measures starch remaining

    ChromogenicMeasures dye released frombreakdown of polysaccharide

    Kinetic Method Measures change of NAD toNADH at 340nm

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    Lipase

    Breaksdown Triglyceride into fatty acids andglycerol

    Significance: Acute Pancreatitis

    Substrate: Olive Oil

    End Product: Fatty Acids

    Methods: Cherry-Crandall

    Sigma-Tietz

    Titration

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    PROSTATIC CANCER PROFILE

    ACP

    PSA

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    ACP (pACp)

    Optimum pH: 5

    Very Labile, Add 5M acetate buffer or citrate

    tablet to preserve

    ACP are found in Prostate, RBC, bone, liver,kidneys, platelets

    Substrate: organic Phosphate such as-glyceroPO4 and -nitrophenylPO4

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    Method

    Chemical Inhibition Test

    If Total ACP is normal: Stop test

    If elevated: suggestive of prostatic CA

    do p-ACP by Chemical Inhibition Test

    Cu++ Tartrate C4H4O6-2

    RBC-ACP Inactivated (+) Unaffected (-)

    p-ACP Unaffected (-) Inactivated (+)

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    PSA (Prostate-Specific Antigen)

    Member of the kallikrein familyof sereinproteases uniquely produced form theepithelial cells of the prostate gland

    Most useful TM for Prostate Cancer

    Drawback: weak in distinguishing prostate CA

    from nonmalignant prostate lesions

    Reference range: 0-4ng/mL

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    Good luck and God bless!

    Study well and Pray Harder!


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