Functional proteins or nucleic acids (Ribozymes) that facilitate the execution of biochemical reactions at rates suitable for normal functioning, growth, and proliferation of living systems
Enzymes
They can remain viable and perform catalytic activities even outside their source organism, allowing them to be exploited for industrial processes that rely on chemical transformations
Digestive and metabolic enzymes
Can be used alone or with other therapies to treat diseases like leukemia, skin ulcers, cardiovascular diseases, Parkinson's, inflammation, digestive disorders, pancreatic disorders; also used in diagnosis, investigation, and monitoring of diseases
Amylolytic enzymes/Carbohydrases
Include diastase, amylase, salivary diastase, pancreatic diastase, invertase, zymase, emulsin
Esterases
Include lipase, pectase, steapsin, urease
Proteolytic enzymes
Include pepsin, trypsin, chymotrypsin, papain, fibrinolysin, streptokinase, urokinase
Oxidizing enzymes
Include peroxidases, thrombin, zymase
Malt
Obtained from barley, contains malt diastase that converts starch to maltose, used in brewing and alcohol industries
Diastase
Obtained from malt, can convert 50x its weight of starch into sugars
Lactase
Commercially from Saccharomyces lactis, used as Lactaid to help digest dairy products
Pepsin
Proteolytic enzyme from the stomach lining of hogs, assists gastric digestion, often combined with pancreatin
Pancreatin
Substance containing enzymes like amylase, lipase, and protease, obtained from the pancreas of hogs or oxen, used as a digestive aid and to treat pancreatic deficiencies
Pancrelipase
More concentrated form of pancreatin, used as a digestive aid to increase fat absorption and control steatorrhea
Papain
Proteolytic enzyme from the latex of unripe papaya fruit, used as a digestant, meat tenderizer, and in contact lens solutions
Chymopapain
Proteolytic enzyme from papaya latex, injected into herniated disks to dissolve part of the disk and relieve pain
Bromelains
Protein-digesting and milk-clotting enzymes from pineapple, used to reduce inflammation and edema, and accelerate tissue repair
Trypsin
Proteolytic enzyme from the pancreas, used as a digestive aid, in combination with other enzymes for osteoarthritis, and for debridement of lesions
Chymotrypsin
Proteolytic enzyme from the pancreas, available as an ophthalmic solution
Hyaluronidase
Mucolytic enzyme that depolymerizes hyaluronic acid, acts as a spreading and diffusing factor
Sources of enzymes
Fungus
Plants
Bacteria
Commercial use
Pancreas of livestock
Uses of enzymes
Digestive aid
Treatment of osteoarthritis and many other conditions (in combination with bromelain and rutin)
Debridement of necrotic and pyogenic surface lesions (orally, topically, or by inhalation or local injection)
Trypsin
Notable enzyme
Chymotrypsin
Proteolytic enzyme crystallized from an extract of the pancreas gland of the ox, Bos taurus Linné (Fam. Bovidae)
Chymotrypsin contains not less than 1000 USP chymotrypsin units in each mg
Chymotrypsin
Occurs as a white to yellowish white, odorless, crystalline or amorphous powder
Chymotrypsin for ophthalmic solution
Available form
Hyaluronidase
Mucolytic enzyme capable of depolymerizing and catalyzing hyaluronic acid and similar hexosamine-containing polysaccharides
Hyaluronidase
Spreading and diffusing factor
Sources of hyaluronidase
Human testes
Various bacterial cultures as a metabolic product
Heads of leeches
Snake venoms
Hyaluronidase for injection
Spreading agent
Streptokinase
Purified bacterial protein elaborated by group C B-hemolytic streptococci
Streptokinase
Acts to convert plasminogen to the proteolytic enzyme plasmin, which degrades not only fibrin clots but also fibrinogen and other plasma proteins
Uses of streptokinase
Pulmonary embolism
Deep vein thrombosis
Arterial thrombosis
Embolism
Arteriovenous cannula occlusion
Coronary artery thrombosis
Urokinase
Enzyme isolated from human urine or obtained from human kidney cells by tissue culture techniques
Urokinase
Acts on the endogenous fibrinolytic system, converting plasminogen to the enzyme plasmin, which degrades fibrin clots as well as fibrinogen and other plasma proteins
Uses of urokinase
Treatment of pulmonary embolism
Treatment of coronary artery thrombosis
Restoring the patency of intravenous catheters
Urokinase
Reduced probability of serious allergic reactions, presumably owing to its human origin
Usual dosage regimen of urokinase
Priming dose followed by administration of 4400 units per kg of body weight per hour for 12 hours by IV infusion
Fibrinolysin
Protease in the blood serum and the inactive precursor, profibrinolysin (or plasminogen), in plasma