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absorbance pattern of biomarkers
What is measured in clinical chemistry
Endpoint Colorimetric
Endpoint Enzymatic
Kinetic Reactions
3 types of Chemical Reactions:
Endpoint Colorimetric Spectrophotometry
measures a colored product that is formed by a chemical reaction with the chemical of interest
measures visible light
ex: Glucose, Cholesterol, Triglycerides, Creatinine
complementary color
What color should we set our spectrophotometry for max absorbance
**hint: if we measure blue, we set to orange
Endpoint Enzymatic Spectrophotometry
measures an enzyme's activity
can measure a chemical compound as a result of enzymatic cleavage, or coenzymes (produced or consumed)
ex: Alkaline phosphatase, Glucose hexokinase
Kinetic Spectrophotometry
takes multiple measurements as the reaction is going
measured as average absorbance change per minute
Significance of Kinetic Measurements
measurement of enzymes in body fluids is most clinically significant when the results closely relate to recent release from diseased or damaged tissue
more measurement = more accurate
ex of clinically sig enzymes: AST, ALT, ALP, CK, GGT
organ or tissue damage before pt exhibits outward signs of disease
Serum enzyme activity is often a sensitive predictor of:
the ability of an active enzyme to catalyze/accelerate the rate of a chemical reaction
methods of enzyme analysis involve measuring:
change in absorbance per min
In kinetic spectrophotometry, the rate of product formation is determined by:
first order
rate is directly proportional to concentration of substrate
doubling the concentration increases the rate by a factor of 2
concentration of substance and availability of enzyme
First order is dependent on what 2 things:
zero order
rate is independent of the concentration of substrate
doubling the concentration has NO effect on rate
aka max velocity
only only dependent on the amount of enzyme available
Zero order is dependent on:
change in absorbance remains constant
Kinetic analysis is most accurate when:
zero order
When is measurement made in kinetic analysis?
all active sites on the enzyme are filled with substrate
Zero-order kinetics is the most accurate indication of enzyme activity because:
quaternary structure
Structural differences include differences in peptide structure of one of several protein chains of which structure of a protein unit
Isoenzyme
forms of the same enzyme that arise from unique gene sequences
specificity
Isoenzymes increase the ___________________ of a method
Electrophoresis
Most common lab testing for isoenzymes
other: chromatography and immunochemistry methods