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cofactor
nonprotein molecule necessary for enzyme activity
activator = inorganic (Mg)
coenzyme = organic (NAD+)
factors that influence enzymatic reactions
substrate concentration
enzyme concentration
pH
temperature
cofactors
inhibitors
common (concentration) measurements of enzyme activity
increased product
decreased substrate
decreased coenzyme
increased concentration of altered coenzyme
enzyme concentrations are always performed in ______-order kinetics
zero
in laboratory reactions, __________ must be lacking and other variables carefully controlled
inhibitors
types of measurement of enzymatic reactions
fixed time
continuous monitoring (kinetic assay)
creatine kinase CK
associated with ATP regeneration in contractile or transport systems
storage or high energy creating phosphate
tissue source of creatine kinase
skeletal muscle
heart muscle
brain tissue
creatine kinase CK: assay enzyme activity
catalyzes both forward and reverse reactions involving phosphorylation of creatine or ADP
creatine kinase CK analysis: source of error
hemolysis can elevate CK activity
CK is inactivated by light → dark storage
reference range of CK
male = 15-160 U/L
female = 15-130 U/L
enzymatic reaction rate is governed by:
enzyme concentration (rate is proportional)
substrate concentration
temperature
pH
michaelis-menten curve axes
x = substrate concentration
y = reaction velocity
michaelis-menten equation
v = Vmax*[S] / Km + [S]
michaelis constant
[S] at which v = half Vmax
decreased Km = ________ affinity
increased
first order kinetics
rate is proportional to the substrate concentration
zero order kinetics
rate is proportional to enzyme concentration
enzyme reaction phases
lag phase
linear phase
substrate depletion phase
lineweaver-burk plot intercepts
y = 1/Vmax
x = -1/Km
optimal pH of clinical enzyme activity
7-8
optimal temperature of clinical enzyme activity
37 C or 30 C
competitive inhibition: Km _________, Vmax __________
increases, unchanged
noncompetitive inhibition: Km ____________, Vmax __________
unchanged, decreases
activator ion examples
Mg2+
Fe2+
Ca2+
Cl-
activator ions can be ___________ or ___________ bound to enzymes
permanently, transiently
coenzyme examples
NAD+
NADP+
coenzymes are ___________ bound to enzymes
transiently
prosthetic groups
permanently bound coenzymes
pyridoxal phosphate PP is added to _______ and _______ substrate reagents
AST, ALT
coupled enzyme: primary reaction
rate limiting step
enzyme whose activity is to be determined
reaction catalyzed by creatine kinase
creatine phosphate + ADP → creatine + ATP (Mg++ cofactor)
coupled enzyme: auxiliary reaction
one or more subsequent reactions
coupled enzyme: indicator reaction
final reaction that produces product
absorbance measured
directly proportional to primary reaction
CK coupled enzymes: primary, auxiliary, and indicator enzymes
CK
HK
GPD
reaction catalyzed by hexokinase
ATP + glucose → 6-glucose-6-phosphate + ADP
reaction catalyzed by GPD
G-6-P + NADP+ → 6-phosphogluconate + NADPH
continuous monitoring can detect loss of __________ over reaction
linearity
steps if result is above linear range
reassay
less sample volume
dilute sample
reduce incubation time