Podcast
Questions and Answers
Which statement accurately describes the function of enzymes?
Which statement accurately describes the function of enzymes?
- Enzymes increase the rate of biochemical reactions. (correct)
- Enzymes decrease the activation energy of a reaction, but do not affect the reaction rate.
- Enzymes are consumed in the reactions they catalyze.
- Enzymes alter the equilibrium of biochemical reactions.
The systematic classification of enzymes, developed by the International Enzyme Commission, divides enzymes into how many major classes?
The systematic classification of enzymes, developed by the International Enzyme Commission, divides enzymes into how many major classes?
- Six major classes (correct)
- Five major classes
- Four major classes
- Seven major classes
Where does enzyme synthesis primarily occur within a cell?
Where does enzyme synthesis primarily occur within a cell?
- Lysosomes
- Ribosomes attached to the rough endoplasmic reticulum (correct)
- Smooth endoplasmic reticulum
- Golgi apparatus
Which statement accurately distinguishes between intracellular and extracellular enzymes?
Which statement accurately distinguishes between intracellular and extracellular enzymes?
What is the term for the specific region of an enzyme where substrate binding and catalysis occur?
What is the term for the specific region of an enzyme where substrate binding and catalysis occur?
What does the term 'turnover number' (kcat) represent in enzyme kinetics?
What does the term 'turnover number' (kcat) represent in enzyme kinetics?
Which of the following describes a holoenzyme?
Which of the following describes a holoenzyme?
NAD, derived from niacin, serves as what type of molecule for enzymes?
NAD, derived from niacin, serves as what type of molecule for enzymes?
What is a key difference between a prosthetic group and a coenzyme?
What is a key difference between a prosthetic group and a coenzyme?
An enzyme without its necessary cofactor is called?
An enzyme without its necessary cofactor is called?
According to the 'lock and key' model, how does an enzyme interact with its substrate?
According to the 'lock and key' model, how does an enzyme interact with its substrate?
Which statement best describes the 'induced fit' model of enzyme-substrate interaction?
Which statement best describes the 'induced fit' model of enzyme-substrate interaction?
In enzyme kinetics, what does the Michaelis-Menten constant ($K_m$) represent?
In enzyme kinetics, what does the Michaelis-Menten constant ($K_m$) represent?
An enzyme catalyzed reaction's rate increases until a maximum velocity is reached. Which factor explains why the reaction rate plateaus at high substrate concentrations?
An enzyme catalyzed reaction's rate increases until a maximum velocity is reached. Which factor explains why the reaction rate plateaus at high substrate concentrations?
Which of the following assumptions is essential for the Michaelis-Menten equation to accurately model an enzyme-catalyzed reaction?
Which of the following assumptions is essential for the Michaelis-Menten equation to accurately model an enzyme-catalyzed reaction?
In enzyme kinetics, what does a Lineweaver-Burk plot accomplish?
In enzyme kinetics, what does a Lineweaver-Burk plot accomplish?
What is the primary effect of a competitive inhibitor on enzyme kinetics?
What is the primary effect of a competitive inhibitor on enzyme kinetics?
How does a noncompetitive inhibitor affect enzyme kinetics?
How does a noncompetitive inhibitor affect enzyme kinetics?
What distinguishes irreversible inhibitors from reversible inhibitors?
What distinguishes irreversible inhibitors from reversible inhibitors?
Aspirin inhibits cyclooxygenase (COX) enzymes by covalently modifying a serine residue in the active site. What type of inhibition does aspirin exemplify?
Aspirin inhibits cyclooxygenase (COX) enzymes by covalently modifying a serine residue in the active site. What type of inhibition does aspirin exemplify?
How can cells regulate enzyme activity through allosteric control?
How can cells regulate enzyme activity through allosteric control?
In allosteric regulation, what characterizes a homotropic effector?
In allosteric regulation, what characterizes a homotropic effector?
What is the role of heterotropic effectors in enzyme regulation?
What is the role of heterotropic effectors in enzyme regulation?
How does covalent modification regulate enzyme activity?
How does covalent modification regulate enzyme activity?
How does enzyme induction and repression affect metabolic pathways?
How does enzyme induction and repression affect metabolic pathways?
What is the significance of measuring plasma enzyme levels in clinical diagnosis?
What is the significance of measuring plasma enzyme levels in clinical diagnosis?
Following a myocardial infarction (MI), which enzyme or protein is commonly measured to assess cardiac damage?
Following a myocardial infarction (MI), which enzyme or protein is commonly measured to assess cardiac damage?
What is the fundamental difference between isoenzymes?
What is the fundamental difference between isoenzymes?
One of the enzyme involved in glycolysis, aldolase, uses $Zn$ for catalysis. Under conditions of zinc deficiency, the enzyme would be referred to as a(n) _________.
One of the enzyme involved in glycolysis, aldolase, uses $Zn$ for catalysis. Under conditions of zinc deficiency, the enzyme would be referred to as a(n) _________.
Which of the following statements is true about enzyme catalysts?
Which of the following statements is true about enzyme catalysts?
Where does an inhibitor bind on the enzyme, during competitive inhibition?
Where does an inhibitor bind on the enzyme, during competitive inhibition?
The rate-determining step of Michaelis-Menten kinetics is _____________________.
The rate-determining step of Michaelis-Menten kinetics is _____________________.
Which of the following is true about this reaction: $Apoenzyme + Coenzyme \rightarrow Holoenzyme$?
Which of the following is true about this reaction: $Apoenzyme + Coenzyme \rightarrow Holoenzyme$?
Which statement below accurately reflects the role of enzymes in chemical reactions?
Which statement below accurately reflects the role of enzymes in chemical reactions?
In which class of enzymes does lactate dehydrogenase (which catalyzes the conversion of lactate to pyruvate) belong?
In which class of enzymes does lactate dehydrogenase (which catalyzes the conversion of lactate to pyruvate) belong?
Glycogen phosphorylase requires pyridoxal phosphate, a derivative of vitamin B6. What type of molecule is pyridoxal phosphate in this context?
Glycogen phosphorylase requires pyridoxal phosphate, a derivative of vitamin B6. What type of molecule is pyridoxal phosphate in this context?
Which of the following conditions accurately describes the relationship between Km and enzyme-substrate affinity?
Which of the following conditions accurately describes the relationship between Km and enzyme-substrate affinity?
Which statement is true regarding the effect of temperature on enzyme activity?
Which statement is true regarding the effect of temperature on enzyme activity?
Which of the following processes can alter enzyme activity?
Which of the following processes can alter enzyme activity?
Following an acute myocardial infarction (MI), why are cardiac troponins measured?
Following an acute myocardial infarction (MI), why are cardiac troponins measured?
If the concentration of enzyme in a reaction is halved, what is the expected effect on $V_0$ and $V_{max}$, assuming substrate concentration is not limiting?
If the concentration of enzyme in a reaction is halved, what is the expected effect on $V_0$ and $V_{max}$, assuming substrate concentration is not limiting?
A new drug is designed to resemble the transition state of a reaction. What type of inhibitor is this drug most likely to be?
A new drug is designed to resemble the transition state of a reaction. What type of inhibitor is this drug most likely to be?
Which characteristic is associated with allosteric enzymes but not with enzymes that follow Michaelis-Menten kinetics?
Which characteristic is associated with allosteric enzymes but not with enzymes that follow Michaelis-Menten kinetics?
During an enzymatic reaction, what is the direct effect of lowering the activation energy?
During an enzymatic reaction, what is the direct effect of lowering the activation energy?
Which of the following is most likely to be observed when an enzyme's environment deviates significantly from its optimal pH?
Which of the following is most likely to be observed when an enzyme's environment deviates significantly from its optimal pH?
How do enzymes enhance reaction rates?
How do enzymes enhance reaction rates?
Which of the following best describes the relationship between enzyme structure and function?
Which of the following best describes the relationship between enzyme structure and function?
Which statement accurately compares the 'lock and key' and 'induced fit' models of enzyme-substrate interaction?
Which statement accurately compares the 'lock and key' and 'induced fit' models of enzyme-substrate interaction?
Carbonic anhydrase enhances reaction rates by millions-fold. How would you classify its enzymatic efficiency?
Carbonic anhydrase enhances reaction rates by millions-fold. How would you classify its enzymatic efficiency?
In enzyme nomenclature, what does the suffix '-ase' typically indicate?
In enzyme nomenclature, what does the suffix '-ase' typically indicate?
How do oxidoreductases facilitate biochemical reactions?
How do oxidoreductases facilitate biochemical reactions?
What role does DNA play in enzyme synthesis?
What role does DNA play in enzyme synthesis?
Which best describes enzymes with absolute specificity?
Which best describes enzymes with absolute specificity?
Which statement correctly describes the function of a holoenzyme?
Which statement correctly describes the function of a holoenzyme?
What is the function of coenzymes in enzyme-catalyzed reactions?
What is the function of coenzymes in enzyme-catalyzed reactions?
How are organic cofactors categorized?
How are organic cofactors categorized?
Which scenario exemplifies irreversible inhibition?
Which scenario exemplifies irreversible inhibition?
In competitive inhibition, how does increasing the substrate concentration affect the inhibitor's influence on enzyme activity?
In competitive inhibition, how does increasing the substrate concentration affect the inhibitor's influence on enzyme activity?
What is the primary effect of a noncompetitive inhibitor on the $V_{max}$ of an enzyme-catalyzed reaction?
What is the primary effect of a noncompetitive inhibitor on the $V_{max}$ of an enzyme-catalyzed reaction?
What is the main purpose of the Lineweaver-Burk plot in enzyme kinetics?
What is the main purpose of the Lineweaver-Burk plot in enzyme kinetics?
Which of the following is an accurate comparison of the effects of temperature on enzyme activity?
Which of the following is an accurate comparison of the effects of temperature on enzyme activity?
In the context of enzyme regulation, what is enzyme induction?
In the context of enzyme regulation, what is enzyme induction?
Following tissue damage, why are plasma enzyme levels clinically significant?
Following tissue damage, why are plasma enzyme levels clinically significant?
Following a myocardial infarction, which specific diagnostic marker appears in plasma within 4-6 hours and remains elevated for 3-10 days?
Following a myocardial infarction, which specific diagnostic marker appears in plasma within 4-6 hours and remains elevated for 3-10 days?
How does the presence of isoenzymes contribute to clinical diagnosis?
How does the presence of isoenzymes contribute to clinical diagnosis?
Which effect would be seen if the concentration of the enzyme exceeds the concentration of the substrate by a substantial amount?
Which effect would be seen if the concentration of the enzyme exceeds the concentration of the substrate by a substantial amount?
Flashcards
Enzymes
Enzymes
Biological catalysts that accelerate biochemical reactions.
Recommended Enzyme Name
Recommended Enzyme Name
Short, common name for an enzyme, often ends in '-ase'.
Systematic Enzyme Name
Systematic Enzyme Name
Complex, systematic enzyme name based on classification and reaction.
Oxidoreductases
Oxidoreductases
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Transferases
Transferases
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Hydrolases
Hydrolases
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Lyases
Lyases
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Isomerases
Isomerases
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Ligases
Ligases
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Intracellular Enzymes
Intracellular Enzymes
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Extracellular Enzymes
Extracellular Enzymes
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Active Site
Active Site
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Turnover Number (kcat)
Turnover Number (kcat)
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Holoenzyme
Holoenzyme
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Apoenzyme
Apoenzyme
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Nonprotein part
Nonprotein part
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Prosthetic Group
Prosthetic Group
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Cofactor
Cofactor
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Coenzymes
Coenzymes
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Inorganic Cofactors
Inorganic Cofactors
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Lock and Key Model
Lock and Key Model
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Induced Fit Model
Induced Fit Model
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Enzyme Kinetics
Enzyme Kinetics
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Michaelis Constant (Km)
Michaelis Constant (Km)
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Vmax
Vmax
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Lineweaver-Burk Plot
Lineweaver-Burk Plot
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Inhibitors
Inhibitors
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Irreversible Inhibition
Irreversible Inhibition
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Competitive Inhibition
Competitive Inhibition
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Noncompetitive Inhibition
Noncompetitive Inhibition
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Allosteric Effectors
Allosteric Effectors
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Homotropic Effectors
Homotropic Effectors
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Heterotropic Effectors
Heterotropic Effectors
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Covalent modification
Covalent modification
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Enzyme-Synthesis Induction/Repression
Enzyme-Synthesis Induction/Repression
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Clinical Diagnosis Enzymes
Clinical Diagnosis Enzymes
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Isoenzymes
Isoenzymes
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Diagnosis of MI
Diagnosis of MI
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Study Notes
- This section consists of 12 lectures covering enzymes, vitamins, hormones, minerals, amino acid metabolism, and the urea cycle.
- The class will use "Lippincott's Illustrated Reviews: Biochemistry 6th Edition," with copies in English and turkish.
- Required Texts for lab are “Experimental Biochemistry for Medical Sciences Students” by T. Yigitbasi, S.S.Erdem, P.Bozaykut, and “Lehningers Principals of Biochemistry”.
Learning Objectives:
- Cover:
- Major enzyme classes
- Enzyme properties
- Enzyme kinetics
- Enzyme inhibition
- Mechanisms regulating enzyme activity
- Enzymes in clinical diagnosis
Overview of Enzymes:
- Enzymes are biological catalysts.
- Enzymes speed up biochemical reactions.
- Most are globular 3D proteins.
- Enzymes have tertiary and quaternary structures.
- Enzymes direct metabolic events by selectively channeling substrates into pathways.
Rate Enhancement
- The rate enhancement by enzymes can be significant, ranging from 10^6 to 10^17 times faster compared to non-enzymatic reactions.
Enzyme Nomenclature:
- Recommended name:
- Short and for everyday use.
- The suffix "-ase" is added to the substrate or action description. (e.g., glucosidase, lactate dehydrogenase).
- Systematic name:
- It is a more complex classification developed by the International Enzyme Commission.
- Enzymes are divided into six major classes with numerous subgroups, each with the "-ase" suffix.
Major Enzyme Classes
- Oxidoreductases:
- Catalyze oxidation-reduction reactions.
- Transferases:
- Transfer C-, N-, or P-containing groups.
- Hydrolases:
- Cleave bonds by adding water.
- Lyases:
- Cleave C-C, C-S, and certain C-N bonds.
- Isomerases:
- Catalyze racemization of optical or geometric isomers.
- Ligases:
- Form bonds between carbon and O, S & N, coupled to hydrolysis of high-energy phosphates.
Enzyme Synthesis Sites
- Enzymes are synthesized by ribosomes attached to rough endoplasmic reticulum.
- DNA carries information for enzyme synthesis.
- Specific enzymes are formed as amino acids bond together based on DNA codes.
Intracellular and Extracellular Enzymes
- Intracellular Enzymes:
- Synthesized and retained for cellular use
- Found primarily in the cytoplasm, nucleus, mitochondria & chloroplasts.
- Oxydoreductase catalyzes biological oxidation.
- Enzymes participate in mitochondrial reduction.
- Extracellular Enzymes:
- Synthesized inside cells but secreted for external work.
- Digestive pancreatic enzymes are transported to the duodenum.
Enzyme Properties:
- Enzymes are protein catalysts that increase reaction velocity.
- They are highly specific, acting only on one substrate.
- Enzymes have absolute specificity.
- Enzymes are localized in cell compartments.
- Stereospecificity:
- The ability to differentiate between optical isomers.
- Reaction Specificity:
- Enzymes that catalyze certain types of reactions.
Active Site
- The active site of an enzyme is a small pocket or cleft.
- It constitutes less than 5% of the enzyme's total surface area.
- Active sites have amino acid side chains for substrate binding.
- Binding induces conformational changes, enabling catalysis.
Enzyme Efficiency
- Enzyme-catalyzed reactions are highly efficient.
- Reactions proceed 10^3 to 10^8 times faster.
- Turnover Number (kcat):
- The number of substrate molecules converted to product per enzyme molecule per second.
- kcat typically ranges from 10^2 to 10^4 s^-1.
Holoenzymes, Apoenzymes, Cofactors, and Coenzymes:
- Some enzymatic activity requires non-protein molecules.
- Holoenzyme:
- Is an active enzyme with its nonprotein component.
- Apoenzyme:
- Is an inactive enzyme without its nonprotein component.
- Nonprotein Part:
- Coenzymes, cofactors, etc.
- Prosthetic Group:
- Permanently associated coenzyme (e.g., FAD).
- Apoenzyme (inactive) + Coenzyme (active) = Holoenzyme (active
Non-Protein Parts:
- Cofactors are non-protein molecules that carry out chemical reactions that standard amino acids cannot.
Types of cofactors
- Organic cofactors (coenzymes).
- Inorganic cofactors.
Inorganic Cofactors are inorganic molecules:
- Are required for proper enzyme activity.
- Carbonic anhydrase requires Zn.
- Hexokinase needs Mg.
Coenzymes (Organic Co-factors):
- Derived from vitamins and required for enzyme activity.
- E.g., Glycogen phosphorylase needing pyridoxal phosphate.
- NAD comes from niacin.
- FAD from riboflavin.
Types of Organic Co-factors:
- Prosthetic Group: Example: Flavins, heme groups, and biotin
- Tightly bound organic co-factor.
- Coenzyme: Example: NAD+
- Loosely bound organic co-factor.
Types of Co-factors
- An enzyme without its co-factor is called an apoenzyme.
- A protein with necessary small molecules (metal ions, other components) is a holoenzyme.
How Enzymes Work
- Enzyme catalytic efficiency is explained through:
- Thermodynamic changes
- Processes at the active site
Thermodynamic Changes:
- Enzymes increase reaction rates.
- They provide an alternate pathway for conversion of substrate into products.
- Only a few substances can cross the activation barrier.
- Consequently, uncatalyzed reactions proceed slowly.
- Increased reaction rate: Enzymes increase the reaction rate many folds.
- System Energy: The system's total energy remains constant.
Lock and Key Model:
- Proposed by Emil Fischer in 1894.
- Assumes active site shape is rigid.
- There is no change in the active site before and after the chemcial reaction.
Induced Fit Model:
- Proposed by Daniel Koshland in 1958.
- Enzyme exposure to substrate causes a change in the enzyme.
- It allows active site to change its shape to allow enzyme-substrate binding.
Active Site Chemistry:
- Transition state stabilization increases the concentration of the reactive intermediate.
- Active site catalytic groups enhance transition state probability.
- Analogy:
- Baby = substrate
- Parent = enzyme
- Undressed baby = product
Introduction to Enzyme Kinetics:
- Enzyme kinetics is the study of enzyme catalyzed reaction rates.
- Kinetic analysis reveals the number and order of individual steps as enzymes transform substrate into product.
- An enzyme's kinetics can reveal its catalytic mechanism and how its activity is regulated.
Factors Affecting Reaction Velocity:
- Substrate Concentration:
- Reaction rate (v) increases with substrate concentration.
- [Substrate] correlates to velocity until max. velocity.
- Most show Michaelis-Menten kinetics with hyperbolic shape.
- Allosteric enzymes disobey Michaelis-Menten kinetics and have a sigmoidal curve.
Other Factors Affecting Reaction Velocity:
- Temperature:
- Enzymes for humans can experience stability temperature increase up to 35 - 45 °C.
- An optimal temperature helps enzymatic reactions.
- pH:
- Proton concentrations affect reaction velocity as catalytic activity requires ionized or unionized forms.
- Extreme pHs may denature enzymes.
- Most enzymes have optimal activity in pH 5-9.
Michaelis-Menten Kinetics:
- The Model:
- An enzyme reversibly combines with a substrate to form an ES complex.
- This yields product and regenerates free enzyme.
Michaelis-Menten Equation:
- Describes how reaction velocity varies with substrate concentration.
- Vo = (Vmax[S]) / (Km + [S])
- Vo is the initial reaction velocity.
- Vmax is the maximum velocity.
- Km is the Michaelis constant = (k-1 + k2) / k1.
- [S] is the substrate concentration.
Assumptions for Michaelis-Menten Equation:
- Relative concentrations of enzyme E and substrate S.
- [S] >> [E].
- The steady-state of ES does not change with time.
- The rate of ES formation is equal to the rate of breakdown.
- The rate of the reaction is measured as soon as enzyme and substrate are mixed. The back-rxn of product to substrate is negligible.
Conclusions
- Km represents an enzyme's affinity for its substrate.
- The Michaelis-Menten constant is characteristic of an enzyme.
- Km = [S] at ½ Vmax.
- Km is inversely proportional to affinity.
- If [E] is halved, Vo and Vmax are also halved.
- When [S] << Km, the velocity ~ [S], resulting in a 1st order of rxn.
- When [S] >> Km, the velocity = Vmax, representing a 0 order rxn that is independent of [S].
Lineweaver-Burk Plot:
- It's a double-reciprocal plot.
- Used to calculate Km and Vmax.
- It's difficult to determine when Vmax is reached given the gradual upward slope of the graph.
Enzyme Activity Inhibition:
- It prevents an enzyme process as a an action brought by the interaction between inhibitors with enzyme.
- Inhibitors:
- Any compound lowering enzyme catalyzed reaction rates.
Inhibition Types:
- Irreversible Inhibitors:
- Bind to enzymes through covalent bonds.
- Reversible Inhibitors:
- Bind to enzymes through non-covalent bonds.
- Complex dilution leads to dissociation of the reversibly bound inhibitor.
Irreversible Inhibition:
- Involves the covalent attachment of an inhibitor to the enzyme.
- It causes loss of the enzyme's catalytic activity.
- Enzymatic reactions are only restored by synthesizing molecules.
Irreversible Inhibition Examples:
- Aspirin is an irreversible inhibitor.
- Covalently modifies key enzymes involved in inflammation.
Competitive Inhibition:
- Inhibitors compete with substrate for the active site.
- The Formation of E.S complex is reduced: as a new E.I complex is formed.
- The Effect of inhibitor decreases as [S] increases.
- At a certain [S], Vmax can be reached.
- With more substrate, the effects of inhibitors lessen.
- Inhibitor: increases Km, which means more substrate is needed to reach ½ Vmax in the prescence of inhibitor.
- Has a characteristic Lineweaver-Burk plot: shows inhibited and uninhibited reactions intersect on the y axis at ½ Vmax.
Competitive Inhibition Example:
- Statin drugs inhibit HMG-CoA reductase in the cholesterol synthesis rate limiting step.
- Analog drugs that compete effectively for this enzyme.
Noncompetitive Inhibitor:
- It does not compete for the active site.
- It bind to an allosteric site.
- It cannot be overcome by increasing [S].
- It does not interfere with substrate binding; Km does not change.
- It does lower Vmax.
Enzyme Activity Regulation:
- Cells use regulation to turn on, turn off, or modulate metabolic pathways by regulating enzyme activity output.
- A great demand for a product may spark pathways to produce more necessary substances.
- [S] ~ reaction velocity.
- Enzyme activity is altered through allosteric effectors and/or covalent modification.
Allosteric Enzymes Regulation:
- Allosteric Enzymes:
- Change conformation upon effector binding.
- This causes a change in apparent binding affinity at a different ligand binding site.
- Effectors:
- Regulate allosteric enzymes by binding noncovalently at alternate sites.
- Positive and Negative modifiers:
- They Affect enzymatic activity.
- These have the capability to affect affinity (Kd), Vmax or both.
Homotropic Effectors:
- This shows the substrate as the effector.
- An allosteric substrate functions as a positive effector.
- Shows sigmoidal curve pattern.
- Contrasts enzymes with hyperbolic curves (Vo vs. [S]), following Michaelis-Menten kinetics.
Heterotropic Effectors:
- Heterotropic effectors describes a different from substrate.
- It is also a form of feedback which provides appropriate product amount by regulating substrate flow.
Regulation of Enzymes through Covalent Modification:
- Enzymes can have their activity controlled by either adding or removing phosphate groups.
- Protein Kinases:
- Phosphorylation, often mediated by hormones, is catalyzed.
- Phosphatases:
- Enzymes which Cleave phosphate groups.
Enzyme Synthesis Induction and Repression:
- Cells have an active regulatory role through synthesis and degradation.
- The total population of active sites are altered through synthesis (induction) and degradation (repression).
- For example, elevated levels of insulin can cause increase in the synthesis of enzymes in glucose metabolism.
- Enzymes that are constant use are not regulated by rate of synthesis.
Mechanisms for Regulating Enzyme Activity:
- Substrate Availability.
- Product Inhibition.
- Allosteric Control.
- Covalent Modification.
- Synthesis or Degradation of Enzyme.
Enzymes in Clinical Diagnosis:
- Plasma enzymes split into groups:
- Actively secreted into the blood by tissues. Liver secretion of zymogen triggers blood coagulation.
- Many enzymes are discharged in normal cell turnover. Increased plasma levels may indicate tissue damage.
Alteration
- Alterations in plasma enzyme levels result diseases.
- Activity of many enzymes are routinely checked for in purposes of diagnosis related to diseases of key organs.
As diagnostic tools
- Some Enzymes: display high tissue activity. Increased plasma levels suggest tissue damage.
- Liver function tests include ALT (alanine aminotransferase).
- Isoenzymes catalyze the same reactions but differ structurally and are separated by AA electrophoresis.
Diagnosis of MI with the Following.
- Plasma Creatine Kinase (CK) and Troponin:
- Plasma levels of Creatine levels are commnoly assessed.
- Following onset of chest pain, CK2 shows 4-8 hours and its peak activity comes at 24 and returns to baseline at 48-72 hours.
- In infarction of the myocardium, this hybrid isoenzyme makes an apperance.
- Troponin:
- Troponin I is seen in hours, and has a peal in 8-28.
- Both these are regulatory proteins involved in related ailments
- Plasma levels of Creatine levels are commnoly assessed.
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