CC2 LEC

    Cards (381)

    • Factors that influence Enzymatic Reaction
    • Enzymes
      • Proteins that catalyze chemical reactions
      • Biocatalysts that make chemical reactions faster
    • Catalytic Mechanism of Enzymes
      1. A chemical reaction may occur spontaneously if the free energy or available kinetic energy is higher for the reactant than the products (lower energy)
      2. Activation Energy→ reactants have enough energy to break their bond and collide to form new bond (bond between enzyme and substrate)
    • Enzymatic Reaction can be: First-Order Kinetic – the rate of reaction is directly proportional to the substrate concentration. Zero-order kinetic – the rate of reaction is dependent on the enzyme concentration. Saturation kinetic - even if we add more reactant to the reaction once the counterpart reactant has been saturated, it will no longer result in a fast reaction
    • Co-factors are non-protein entities that must bind to an enzyme for a reaction to occur. Activators are made up of inorganic cofactors to alter the spatial configuration of the enzyme, e.g., metallic→ Ca, Fe, Mg, Mn, Zn, K, non-metallic→ Br, Cl. Coenzyme are organic cofactors to serve as a second substrate to enzyme reaction, e.g., Vitamins, AD (nicotinamide adenine dinucleotide); bridge between the enzyme and the substrate
    • When the cell is injured, the enzyme will escape
    • Temperature increase results in an increase in reaction because the molecules' movements are more active in colder temperatures
    • Enzymes are highly specific
      • Absolute Specificity→ the enzyme combined with only one substrate and catalyzed single reaction
      • Group Specificity→ the enzyme combined with all substrates with a particular chemical group
      • Bond Specificity→ the enzyme combined with all substrates with a particular chemical bond such as hydrogen bond, etc.
      • Stereoisometric Specificity→ the enzyme combined with all substrate with the presence of optical isomer (mirror image)
      • Fast chemical reaction is the product of enzyme substrate complex
    • Reactants
      1. Enzymes
      2. Active site - substrate binds the enzyme
      3. Allosteric site – free of water
      4. Substrate
    • Factors that influence Enzymatic Reaction
      1. Substrate concentration/enzyme concentration
      2. Ph- 7-8pH
      3. Temperature
      4. Co-factors
    • Enzymes are essential to physiologic functioning
      • Hydration of CO2 maintains the pH of the blood
      • Nerve conduction in the brain, e.g., CK-BB
      • Muscle contraction for muscular contraction, e.g., CK-MM
      • Nutrient degradation in the GIT, e.g., aminase, lipase
      • Energy use
      • Cardiac enzymes in the heart
      • Liver enzymes in the liver
      • Skeletal muscle enzymes
    • Extreme pH can result in damage or breakdown of enzymes. Acid – ACP, Base – ALP
    • Temperature coefficient – every 10°C increase results in a two-fold increase in the activity of the enzyme. 40-50°C→ start of denaturation of enzyme. 60-65°C→ inactivation of enzyme. 37°C (25 or 30°C) → optimum temperature of enzymatic reaction
    • Storage
      1. Cold temperature can cause reversible inactivation of enzyme
      2. -20°C - long term preservation
      3. 2-8°C - general preservation
      4. Room Temperature - some enzymes are cold labile. Ex. LD (lactate dehydrogenase), LD4 and LD5
      5. Repeated thawing- putting in and out the enzyme forms the freezer can damage it
    • Lactescence/Milky specimen
      Increasing concentration, low measurement. Chylomicrons
    • Isoenzymes
      • Enzymes with the same catalytic function but different physical properties
      • CKBB (CK1) - brain
      • CKMM (CK3) - muscle
      • Differentiated by: Electrophoretic mobility, Solubility, Resistance to inactivation
    • Types of Enzymes
      • Oxido-reductase - catalyze an oxidation-reduction reaction between two substrates
      • Transferase - catalyzed the transfer of a group other than hydrogen from one substrate to another
      • Hydrolase - catalyzed hydrolysis of various bonds
      • Lyase - catalyzed removal of the groups from substrate without hydrolysis; the product contains double bonds
      • Isomerase - catalyzed the interconversion of geometric, optical, or positional isomers
      • Ligases - catalyze the joining of the two substrate molecules, coupled with breaking of the pyrophosphate bond in adenosine triphosphate (ATP) or a similar compound
    • Coenzyme
      • Organic cofactors; to serve as a second substrate to enzyme reaction
      • Ex. Vitamins, AD (nicotinamide adenine dinucleotide); bridge between the enzyme and the substrate
    • Enzymes
      Proteins (Amino Acid)
    • Inhibitors interfere with the chemical reaction
      1. Types of Inhibition: Competitive Inhibition - the target of the inhibitor is the active site
      2. Non-Competitive Inhibition - the target is the allosteric site
      3. Uncompetitive Inhibition - the target is the E.S complex
    • Enzymology Part ii
      1. Creatine Kinase - Associated with ATP generation in the contractile system (muscle tissue)
      2. Function: in the muscle cells, it stores Creatine phosphate that is important in ATP production
      3. Tissue sources: Skeletal muscle, Heart muscle, Brain tissue
      4. Isoenzymes: Dimer with 2 subunits
      5. CK-1 - <1% aka CK-BB - brain type
      6. CK-2 - <6% CK-MB - hybrid type
      7. CK-3 - 94-100% CK-MM - muscle type (blood)
      8. Isoenzymes: by electrophoresis, we can differentiate CK
      9. CK-1= <1% - most anodal (anode)
      10. CK-2= <6%
      11. CK-3= 94-100% - most cathodal (cathode)
    • Enzymatic Reactions
      1. 2 Methods in measuring the enzymatic reactions: Fixed-time - single measurement of the sample
      2. Continuous-Monitoring/Kinetic Assay - multiple measurement of enzyme activity
    • Enzyme structure
      • Primary Structure - specific sequence of amino acid
      • Secondary Structure - polypeptide chain twisting
      • Tertiary Structure - folding of the polypeptide chain/secondary structure
      • Quaternary Structure - combination of tertiary structure
    • Nomenclature-naming developed by the E.C. (Enzyme Commission)
    • Alter the spatial configuration of enzyme
      1. Metallic: Ca, Fe, Mg, Mn, Zn, K
      2. Non-metallic: Br, Cl
    • Hemolysis
      Destruction of RBC; K(Potassium) L(LDH) A(AST, ACP, aldolase) M(magnesium) P(phosphate) enzyme will increase during hemolysis
    • Rise in CK-MB
      1. 8 hrs
    • CK-1
      Less than 1%, most anodal (anode)
    • CK-BB
      • Seldomly found in plasma, short half-life, high molecular size
    • CK-3
      94-100%, most cathodal (cathode)
    • Normalization of CK-MB
      48-72 hrs
    • Macro CK
      Found midway between MM and MB
    • Oliver-Rosalki Assay

      Measurement of Creatine Phosphate + ADP to Creatinine + ATP
    • Methods used for the measurement of Isoenzymes of CK
      1. Electrophoresis
      2. Ion Exchange Chromatography
      3. Antibodies
      4. Immunoassay
    • Lactate dehydrogenase catalyzes the interconversion of lactic acid and pyruvic acid
    • For storage, CK can last up to 7 days at 4 degrees Celsius and 1 month at -20 degrees Celsius
    • CK-MM
      • Major fraction in serum; skeletal muscle
      • Elevated in hypothyroidism, muscle activity, IM injection
    • Peak in CK-MB
      12-24 hrs
    • CK-2
      Less than 6%
    • CK-MB
      • 20% of cardiac tissue contains CK-MB, specific to heart muscle, indicator of myocardial damage
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