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What are enzymes?
biological catalysts that speed up chemical reactions involving formation/ breaking of a covalent bond
they lower the activation energy of the reaction by stabilizing the transition state
they do NOT change the equilibrium constant or the standard free energy
What is the reaction model for enzymes?
E + S —> ES → E + P
enzyme binds substrate → forms complex → releases product
What is an active site?
pocket on the enzyme where the substrate binds
lock and key: substrate fits the rigid active site
induced fit: active site changes shape after substrate binding to optimize the catalyst
How are enzymes catalyzed?
based on the type of reaction catalyzed
most enzymes end in -ase
What type of enzyme involves the transfer of electrons (oxidation/reduction)
Oxidoreductases
oxidases
dehydrogenases (LDH)
What enzyme involves the transfer of a chemical group from one molecule to another?
Transferases
transaminases (AST/ALT)
transmethy;ases, transacetylase, kinases
What enzyme involves cleavage by addition of water?
Hydrolases
esterases
proteases
amylase
lipase
phosphatases (ALP/ACP)
What enzyme involves splitting or forming C-C, C-O, or C-N bonds without hydrolysis or oxidation?
Lyases (desmolases)
What enzyme involves rearrangement of atoms within a molecule (changing geometry/shape)?
Isomerases
What enzyme involves joining two molecules using energy from ATP (or another triphosphate) hydrolysis?
Ligases
What happens during first-order?
at LOW S (substrate concentration) v (velocity change) is directly proprtional to S
doubling S, doubles the rate
What happens during Mixed Order?
at intermediate (S), v is not simply proportional to S
What happens during zero-order?
at very HIGH (S), v reaches Vmax and is independent of (S)
all enzyme active sites are saturated
this region is used for chemical assays
What is the Michaelis-Menten equation?
v = (Vmax x S) / (Km + S)
Vmax = the maximum velocity reached when the enzyme is fully saturated with substrate
Km = Michaelis constant, substrate concentration at which v = ½ Vmax
reflects how tightly the enzyme binds substrate
LOW Km = high affinity
when S is much greater than Km, v = Vmax (zero - order kinetics)
Why is the Lineweaver-Burk plot used?
taking the reciprocal of the Michaelis-Menten equation gives a straight line, which makes Km and Vmax easier to determine
What is the Lineweaver-Burk equation?
1/v = (Km / Vmax) ( 1/S) + 1/Vmax
plot 1/v on y axis vs 1/S on the x axis
slope = Km / Vmax
y intercept = 1/Vmax
x intercept = -1/Km
Why do clinical assays use zero - order kinetics
we want to measure the amount of enzyme present, NOT how much substrate is around
What does zero-order mean?
S (substrate concentration) is no longer rate-limited, so the only thing that changes the reaction rate is the enzyme concentration itself
to ensure this, substrate concentration is set at 10-100 x km
ensures all enzyme is saturated regardless of patients enzyme level
What factors affect enzyme activity?
enzyme concentration
substrate concentration
temperature
pH
cofactors / activators
inhibitors
time
How does enzyme concentration affect enzyme activity?
rate is directly proportional to (E) when (S) is in excess
this is what zero-order assays measure
How does substrate concentration affect enzyme activity?
rate rises with (S) until saturation is at Vmax
must keep S > 10-100 x Km for valid assays
How does temperature affect enzyme activity?
rate doubles for every 10 C increase
denaturation occurs at 40 - 60 C
What is the optimal temperature for running enzyme assays?
37 C (body temp)
lab assays run at constant 30 - 37 C
How does pH affect enzyme activity?
optimal pH at 7-8
extreme pH alters ionized groups / denatures enzymes
must use proper buffer
How do cofactors/activators affect enzyme activity?
required for activity of many enzymes
ex: Mg2+ for CK and ALP
Cl- for amylase
Why are cofactors clinically relevant?
anticoagulants like EDTA and citrate bind metal cofactors and falsley lower activity
ex: use heparin for ALP
How do inhibitors affect enzyme activity?
reduce activity by binding the enzyme
can be competitive, noncompetitive, or mixed
How does time affect enzyme activity?
reaction progresses until substrate runs out or product builds up
kinetic assays must read during the zero-order phase
T/F: temperature MUST be held constant during an assay and MUST be identical from run to run?
True
What can happen to enzyme assays during low temperatures?
lower temps do NOT denature enzymes, repeated freezing/thawing damages them
What temps can enzymes be stored at?
4 C
-20 C
-80 C
What enzyme can be stable at room tmp for 24 hrs?
amylase
What enzyme has activity that INCREASES after freezing/thawing or lyphilization
ALP
What temperatures can LDH be kept at?
stable at RT
LD-4 and LD-5 : inactivated at 2-8 C
define cofactor.
non-protein helper required for enzyme activity
can be organic (coenzyme) or inorganic (metal ion)
define coenzyme.
organic, non-protein cofactor that is loosely bound and often shuttles between enzymes
ex:
NAD+, NADP+, biotin
thiamine pyrophosphate, pyroxal phosphate, coenzyme A
Define prosthetic group.
coenzyme that is tightly (often covalently) bound to the enzyme
Define Holoenzyme.
enzyme + prosthetic group (fully active form)
Define Apoenzyme.
enzyme without cofactor (inactive form)
ex: zinc deficiency, aldolase because it lacks Zn2+ cofacto
Define metal ion activators.
inorganic cofactors
Cl- for amylase
Mg2+ for ALP and CK
Zn2+ for aldolase and other enzymes
Mn2+, Fe2+, Ca2+, K+
What are Competitive Inhibitors?
resembles the substrate and competes with the active site
increases Km (lower apparent affinity), but Vmax is unchanged
you can overcome it with more substrate
What are Noncompetitive Inhibitors?
bind at a site other than the active site
decreases Vmax, Km is unchanged
adding substrate does NOT overcome it
What is a competitive/Mixed Inhibitor?
bind the ES complex or both E and ES with different affinities (mixed)
both Vmax and Km decrease (uncompetitive) or change (mixed)
What do enzyme assays measure?
plasma enzyme amount are too low to detect by direct mass measurement
measures enzyme activity
how fast the enzyme converts substrate into product
What does a reaction-rate (kinetic) assay measure?
enzyme activity
What does a end-point (one-point) assay measure
enzyme activity OR concentration depending on conditions
How does the Kinetic Assay work?
absorbance is read repeatedly throughout the incubation
advantages
can verify zero-order conditions
exclude lag phase
can detect substrate exhaustion
How does an endpoint assay work?
absorbance is read once at the end of a fixed incubation period
Abs/min is then calculated
allows batch processing of many samples at once
what reaction is used in many enzyme assays?
many are coupled to a reaction involving NAD+ —> NADH or NADP —> NADPH
What absorbs strongly at 340 nm?
reduced form (NADH or NADPH)
What does NOT absorb at 340 nm?
oxidized form NAD+ or NADP+
What does it mean if there is an increase in absorbance at 340 nm?
NADH is being produced
forward LDH reaction
forward ALP reactions in some assays
What does it mean if there is a decrease in absorbance at 340 nm?
NADH is being consumed
AST and ALT coupled assays
reverse LDH
What is 1 IU?
the amount of enzyme that catalyzes the conversion of 1 umol of substrate to product per minute under defined assay conditions
expresses activity NOT mass
What is important to know about the International Unit IU?
1 mU/mL = 1 IU/L
What is hemolysis?
rupture of red blood cells releasing their contents into serum/plasma
How does hemolysis falsely increase enzyme results?
Hemoglobin is colored (absorbs at 410 nm), which spectrophotometrically interferes with assays
RBC’s contain most of the same enzymes being measured
How does hemolysis and hemoglobin affect lipase?
it inhibits it so it falsley decreases results
What enzymes have their primary tissue source as the liver?
Alanine aminotransferase (ALT,SGPT) - most hepatospecific
Gamma-glutamyl transferase (GGT)
What enzyme has their primary tissue source in the pancreas?
Amylase - and salivary glands
Lipase - and some in stomach leukoytes and adipose
What enzyme has their primary tissue source in the prostate?
Acid phosphatase (ACP)
and bone osteoclasts and RBC
What enzyme has their primary tissue source in the liver, heart, and erythrocytes?
Lactate dehydrogenase (LDH)
What enzyme has their primary tissue source in the liver, heart, and skeletal muscle
Aspartate aminotransferase (AST, SGOT)
What enzyme has their primary tissue source in the heart, skeletal muscle, brain?
Creatine kinase (CK)
What enzyme has their primary tissue source in the liver, bones, intestines, and placenta?
Alkaline phosphatase (ALP)
What enzyme has their primary tissue source in the liver, brain, and RBC?
Cholinesterase (CHE)
What enzyme is tetrameric and has four subunits combined from two types: H (heart) and M (muscle/liver)
Lactate dehydrogenase
What are the 5 isomers of Lactate Dehydrogenase?
LD-1: HHHH
LD-2 HHHM
LD-3 HHMM
LD-4 HMMM
LD-5 MMMM
T/F: LD-1 migrates fastest to the anode in electrophoresis and LD-5 travels the slowest.
True
What is the normal pattern for Lactate Dehydrogenase
LD-2> LD-1
What is the “flipped LD ratio”
LD-1 > LD-2
indicates:
acute MI
hemolysis
renal infarction
What does it mean if LD-3 is elevated?
lung injury
What does it mean if LD-4/LD-5 are increased
liver and skeletal muscle injury
LD-5 alone is more suggestive of liver disease
What is the reaction for Lactate dehydrogenase (LDH)?
lactate + NAD+ → pyruvate + NADH + H+
measures absorbance of NADH at 340 nm
What is a major source of error for Lactate Dehydrogenase?
Hemolysis
RBC containing 100 - 150x more LDH
Store at room temp
LD4 and LD5 are destroyed by refrigeration.