Prof Bagiada
CBM team
Definition
Enzymes : Specific protein catalyzed
for chemical reactions
Why it is specific ?
Catalyze: protein catalyze and non
protein catalyze.
Non protein catalyze: will catalyzed
many kind of reaction (H+, OH-, Cu+
+, etc)
Nomenclature and
classification
Enzyme : En=In, Zyme =yeast
Firstly : depend on the founder (ptyalin)
Then : ase, after substrate
(amylase, lipase, protease)
IUBS :
1.Enzyme classified into 6 mayor class.
(1. oxido reductase, 2 transferase, 3
Hydrolase, 4. lyase, 5. Isomerase
6.ligase)
Enzyme constituent
Enzyme : apo-enzyme and co-enzyme
holo enzyme
Coenzyme : non protein part of the
enzyme, which is partly resistance to
heating, can be dialyzed, frequently
contain of B vitamin as part of their
structure.
Classification of coenzyme:
1. CoE that transfer H+
2. CoE that transfer non H
Substarte concentration
V
K
m
Km = Constanta Michaelis
When concentration S
less than Km.
When S is very much greater
When concentration S = Km
v=V
Temperature
Temp. optimum
V
Temperature
(0 C)
37
70
Inhibition of an Enzyme
Two broad classes of inhibition:
1. Competitive inhibition
2. Non competitive inhibition
Competitive inhibition=substrate analog
inhib.
E + S ES E + P
Enz
EnzI
EnzS
Enz + P
Enz + P
Irreersible NCI
A wide of enzyme poison such as
Iodoacetamide, heavy metal (Hg, Ag)
Oxidizing agent reduce enzyme
activity
ISOZYMES
Isozyme = iso enzyme
Are distinct form of the same catalytic
activity.
Medical interest in isozymes start in
1957: where human sera contained
several lactate de-hydrogenase
isozymes.
LDH isozymes differ from one another at
the level of quarternary structure
CK/CPK
CREATINE KINASE
3 ISOZYM: CK-MM, CK-MB, CK-BB
CK-MB MOST PROMINENT IN AMI
M=Muscle B=Brain
Enzymes in clinical
diagnosis
A. Functional plasma enzyme
B. Nonfunctional plasma enzyme.
Ad A)
Are present all time in the circulation.
Level activity in plasma always high
Its substrate are in the blood.
Eg lipoprotein lipase, pseudocholin
esterase, enzyme for blood clot and blood
clot dissolution
Ad B)
Non functional plasma enzyme.
No physiologic function in blood
Their substrate frequently absents from
plasma.
Its made in tissue/organ.
Its level activity in plasma much lower than in
the tissue.(10-6)
Elevated its activity in plasma, suggest as
increase tissue destruction
ALKALINE PHOSPHATASE
Alkaline phosphatase: capable of catalyzing the
hydrolysis of phosphate ester at alkaline pH.
Increase in rickets, hyperparathyroidsm, Pagets
disease, osteoblastic sarcoma, obsrtuctive
jaundice and metastatic Ca, conghestive heart
failur e (AS A RESULT TO THE LIVER)
Its isozyme are present in body fluids and
originate from bone, liver, placenta and
intestine
Have a great value to distinguish liver lesion
and bone lesion in case of metastatic Ca.
ACID PHOSPHATASE
CATALYSIS THE HYDROLISIS OF
PHOSPHATE ESTER IN ACID pH
Increase in metastatic prostatic Ca.
TRANSAMINASES
TWO IMPORTANT TRANSAMINASES
SGPT=ALT
SGOT=AST
SGOT: Capable to catalyze transfer of amino group of
aspartic acid to alpha keto glutaric acid forming
glutamic and oxaloacetic acid
SGPT: transfer the amino group of alanin to alpha
ketoglutaric acid forming glutaric acid and pyruvic
acid.
Heart muscle rich in transaminase enzyme AMI are
followed by rapid and stricking increases in serum
transaminase level decrease towards normal
within a few days(GOT/AST
Liver tissue both rich in Ast and ALT, but ALT is more
spesific indicator. Extensive skeletal muscle damage,
elevate transaminases
3 THEORIES
1. NECROTIC THEORY
2. CELL MEMBRANE LEAKAGE
3. IRRITATION AND PROLIFERATION
THEORY