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WorksheetsCCHM2 LEC_ENZYMES
Total questions: 199
Worksheet time: 2hrs 12mins
Act as catalyst; makes the reaction proceed on optimum speed depending on different factors
(a)
Not included in the reactants and product so it cannot be consumed/destroyed unless exposed to external factors not normally involved in the reaction
(a)
6 major classifications of enzymes
(a)
Specific enzymes:
(a)
optimum activity seen in alkaline pH
(a)
optimum activity seen in acid pH
(a)
Specific enzymes derived from different cell or tissue origin
(a)
Aspartate aminotransferases (AST) old name
(a)
Alanine aminotransferases (ALT) old name
(a)
biologic proteins that catalyze biochemical reactions without altering the equilibrium point of the reaction or being consumed or changed in composition
(a)
liberated as free enzyme at the end of the reaction
(a)
Commonly used and recommended name of an enzyme molecule
Practical/Trivial name
Systematic name (EC nomenclature)
The name of enzyme can readily tell the specific function as it is included in the name and can also tell the specific substrate of a particular enzyme.
Practical/Trivial name
Systematic name (EC nomenclature)
Enzymes acting on lipids
lipase
protease
Enzymes acting on proteins
lipase
protease
transfer of amino group from substrate to another
Transferase
Kinase
Phosphatase
Dehydrogenase
transfer to phosphate group from a high energy phosphate compound to its substrate
Transferase
Kinase
Phosphatase
Dehydrogenase
effect of hydrolysis on phosphate esters
Transferase
Kinase
Phosphatase
Dehydrogenase
removal of hydrogen atoms from its substrate
Transferase
Kinase
Phosphatase
Dehydrogenase
Standardized by the Enzyme Commission specifically by International Union of Biochemistry
Practical/Trivial name
Systematic name (EC nomenclature)
Systematic name is standardized by the Enzyme Commission (EC) specifically by (a)
E. C. 1. 1. 1. 7
lactate dehydrogenase
amylase
alanine aminotransferase
E. C. 3. 2. 1 .1
lactate dehydrogenase
amylase
alanine aminotransferase
E. C. 2. 6.1. 2
lactate dehydrogenase
amylase
alanine aminotransferase
The first number defines the _____ to which the enzyme belongs
class
subclass
specific serial number
the next two numbers indicate _____, to which the enzyme is assigned
class
subclass
specific serial number
last number is a _______ to each enzyme in its sub-class.
class
subclass
specific serial number
More specific systematic name for Lactatate Dehydrogenase
(a)
General Classification of Enzymes
(a)
1. Oxidoreductases
"ODR"
creatine kinase
oxidases
dehydrogenase
reductases
aldolases
2. Transferases
"COAAG"
Creatine kinase (CK)/ Creatine phosphokinase (CPK)
Ornithine Carbamyl Transferase (OCT)
Alanine aminotransferase (ALT)
Aspartate aminotransferase (AST)
Gamma Glutamyl Transferase (GGT)
oxidation reaction
Oxidases
Reductases
Dehydrogenase
involved in reduction reaction
Oxidases
Reductases
Dehydrogenase
oxidation-reduction reaction
Oxidases
Reductases
Dehydrogenase
3. Hydrolases
"PEG"
Pyruvate decarboxyiase
Peptides
Esterases
Glycosidases
4. Lyases
"GAPT"
Glutamate decarboxylase
Aldolases
Pyruvate decarboxylase
Tryptophan
5. Isomerases
"GR"
Glucose phosphate isomerase
Ribose phosphate isomerase
Glycogen synthase
6. Ligases/Synthetases
Glycogen synthase
Glucose phosphate
Glycosidase
removal or addition of electrons (reduction-oxidation ["redox"] reaction.)
Oxidoreductases
Transferases
Hydrolases
Lyases
Isomerases
catalyze the transfer of a chemical group from one substrate to another
Oxidoreductases
Transferases
Hydrolases
Lyases
Isomerases
hydrolyze the splitting of a bond by the addition of water (hydrolysis reaction)
Oxidoreductases
Transferases
Hydrolases
Lyases
Isomerases
remove groups from substrate without hydrolysis, leaving only double bonds in the molecular structure of the product.
Oxidoreductases
Transferases
Hydrolases
Lyases
Isomerases
catalyzes the intramolecular rearrangement of the substrate compound.
Lyases
Isomerases
Ligases/Synthetases
joins two substrate molecules together using the energy released from hydrolyzing a pyrophosphate bond to a high-energy phosphate compound.
** Counterpart of lyases
Lyases
Isomerases
Ligases/Synthetases
An enzyme molecule could either be released as an active/inactive enzyme molecule
true
false
- an active substance formed by combination of a
coenzyme (cofactor) + apoenzyme.
- Readily functional and capable of catalyzing certain reaction
Holoenzymes
Apoenzyme
Cofactors
Metalloenzyme
- the protein portion subject to denaturation, in which the enzyme loses its activity.
Holoenzymes
Apoenzyme
Cofactors
Metalloenzyme
- Catalytically inactive protein when cofactor is removed.
- Heat labile and dialyzable.
Holoenzymes
Apoenzyme
Cofactors
Metalloenzyme
- these are non-protein substance/compounds needed by an enzyme before enzymatic activity can be manifested
Holoenzymes
Apoenzyme
Cofactors
Metalloenzyme
- Thermostable (heat stable) and dialyzable
Holoenzymes
Apoenzyme
Cofactors
Metalloenzyme
Cofactor with organic molecule
coenzyme
prosthetic group
activators
metalloenzyme
Ex: NAD, NADP
coenzyme
activators
Ex: Fe, Mg, Mn, Br, Cl molecule
coenzyme
activators
Coenzyme + Apoenzyme
coenzyme
prosthetic group
activators
metalloenzyme
Cofactor with inorganic molecule
coenzyme
prosthetic group
activators
metalloenzyme
Sometimes activators could be made up of metal ion like metal irons
coenzyme
prosthetic group
activators
metalloenzyme
enzyme whose metal ions are intrinsically part the molecule such as catalases and cytochrome oxidase.
coenzyme
prosthetic group
activators
metalloenzyme
inactive precursor of enzymes, also referred to as zymogens
Metalloenzyme
Proenzyme
Isoenzyme
Holoenzymes
Initially released as inactive enzyme like pepsinogen in stomach which would require the presence of HCl so it can be converted to pepsin (active molecule)
Metalloenzyme
Proenzyme
Isoenzyme
Holoenzymes
enzymes present it an individual with similar enzymatic activity but differ in their physical biochemical and immunologic characteristics
Metalloenzyme
Proenzyme
Isoenzyme
Holoenzymes
Ex: Alkaline phosphatase – bone, placental, and liver
*** They are classified as ALP because they catalyze same type of reaction but under ALP, it has specific isoenzymes which differ in particular organ of origin, and different reactions when subjected to heat and exposed to chemicals.
Metalloenzyme
Proenzyme
Isoenzyme
Holoenzymes
Variety of enzyme molecule which has already undergone post-translational mutations in its genetic makeup specifically its sequence
Isoforms
Substrates
substances acted upon by the enzymes which are specific for each of their particular enzyme.
Isoforms
Substrates
site where substrate interconnects with enzyme
** enzyme + substrate
active site
allosteric site
the rest of the site; area where no substrate is bound to enzyme molecule (where inhibitor or other compounds bind with enzyme molecule)
** inhibitor + enzyme
active site
allosteric site
For an enzyme to be able to catalyze certain reaction, it must 1st create an (a) which occurs when an enzyme binds with substrate molecule
Cofactors
coenzyme
activator
isoforms
substrates
Organic molecule
activator
coenzyme
It hastens enzymatic reaction but undergoes a change or is consumed to another product.
activator
coenzyme
example of coenzyme
(a)
Metal ion
activator
coenzyme
In such, the metal ion may serve as:
** a bridge to hold the substrate and enzyme together
** the primary catalytic center
** stabilizing agent In the conformation for catalytic activity.
activator
coenzyme
Examples:
Amylase Cl , Br-
LDH Zn2
LipaseCa++
(a)
excess energy that would serves as driving force to make the reaction go faster
(a)
An enzyme (E) catalyses a reaction by combining with its substrate (S) to create an enzyme—substrate complex (ES). The enzyme-substrate complex according to Michaelis and Menten can either dissociate back to E + S or breakdown to product (P) and free enzyme (provided that the product has a low affinity for the enzyme).
(a)
The enzyme-substrate complex according to ____ and ____ can either dissociate back to E + S or breakdown to product (P) and free enzyme (provided that the product has a low affinity for the enzyme).
(a)
- the ES complex would catalyze the reaction until the reactants are converted into products.
- An enzyme is neither consumed/changed so at the end of reaction, the enzyme will be liberated as free enzyme until all substrate molecules has already been consumed and converted.
Positive Rate Limiting Step
Negative Rate Limiting Step
- the ES complex would dissociate into separate substrate and enzyme molecule
Positive Rate Limiting Step
Negative Rate Limiting Step
gives the means to determine total enzyme concentration in serum and other body fluids
(a)
it is created a specific equation to determine the rate/velocity of reaction.
- Accurately describes virtually all single-substrate enzyme-catalyzed reactions and many bisubstrate reactions in which the concentration of one substrate is constant throughout the course of the reaction.
(a)
used by chemist if want to charaterized a particular enzyme using a specific amount of substrate
(a)
molar absorptivity equivalent
(a)
Another means of showing how the speed of reaction occurs based on the given Michaelis-Menten constant, maximum velocity, and substrate concentration.
(a)
Less specific:
group
bond
stereoisomeric
absolute specificity
- enzymes combine with only one substrate and catalyzes only one corresponding reaction
- will not look for certain bond/group
Absolute Specificity
Group Specificity
Bond Specificity
Stereoisomeric Specificity
enzymes combining with all substrates containing a particular chemical group
Absolute Specificity
Group Specificity
Bond Specificity
Stereoisomeric Specificity
will look for a compound containing an organic phosphate group
Absolute Specificity
Group Specificity
Bond Specificity
Stereoisomeric Specificity
Ex: Phosphatases such as ALP and ACP (3. Hydrolases)
Absolute Specificity
Group Specificity
Bond Specificity
Stereoisomeric Specificity
enzymes are specific to chemical bonds
Absolute Specificity
Group Specificity
Bond Specificity
Stereoisomeric Specificity
Ex: Esterases – such as those involved in reesterification of lipids which looks for an ester bond (3. Hydrolases)
Absolute Specificity
Group Specificity
Bond Specificity
Stereoisomeric Specificity
enzymes that predominantly combine with only one optical isomer of a certain compound
Absolute Specificity
Group Specificity
Bond Specificity
Stereoisomeric Specificity
pertains to the capability of enzyme to determine a substrate according to its isomers
Absolute Specificity
Group Specificity
Bond Specificity
Stereoisomeric Specificity
Ex: L –glucose and D – glucose – capable of identifying which type of stereoisomer of glucose there is
Absolute Specificity
Group Specificity
Bond Specificity
Stereoisomeric Specificity
It is based on the rigid enzyme molecule into which the substrate fits.
The shape of the KEY (substrate) must conform into the LOCK (enzyme).
Emil Fisher's LOCK and KEY THEORY
Daniel Koshland's INDUCED FIT THEORY
It is based on the attachment of a substrate to the active site of an enzyme, which then causes conformational changes in the enzyme.
Emil Fisher's LOCK and KEY THEORY
Daniel Koshland's INDUCED FIT THEORY
This theory is more acceptable because the protein molecule Is flexible enough to allow conformational changes and also allow some explanation on the influence of hormones on enzymatic activity.
Emil Fisher's LOCK and KEY THEORY
Daniel Koshland's INDUCED FIT THEORY
Factors affecting enzyme reactions
enzyme concentration
substrate concentration
temperature
hydrogen ion concentration/ pH
An increase in the concentration of enzyme produces an increase in the rate of reaction, provided that the other conditions remain the same (ex: no changes in temp/pH) and that a constant but excess amount of substrate Is present (ES complex would only happen in the presence of substrate). Meaning, if the amount of enzyme is doubled, the reaction proceeds twice as fast.
enzyme concentration
substrate concentration
temperature
hydrogen ion concentration/ pH
An increase in the concentration of substrate produces also an increase in the rate of reaction, provided all other conditions are kept constant. However, the rate of the reaction reaches a maximal value at a particular concentration of substrate, and higher concentrations of substrate do not result in increased rate of reaction (Saturation kinetics).
enzyme concentration
substrate concentration
temperature
hydrogen ion concentration/ pH
means even if the concentration of substrate molecule is increased, if it already reached the maximal value, it would no longer have an impact or effect.
(a)
It is also the same on the amount of enzyme present in the reaction. If all enzyme has already been bound to a substrate molecule, it would no longer cause an increase in the rate of reaction until there’s free enzymes.
(a)
Q-10 - The rate of any chemical reaction is usually increased 2-3 times for every I0 degrees Celcius rise in temperature.
enzyme concentration
substrate concentration
temperature
hydrogen ion concentration/ pH
- The rate of any chemical reaction is usually increased 2-3 times for every I0 degrees Celcius rise in temperature.
(a)
If the temp would be 47*C, this would result to
doubling of rate of reaction
reaction would go slower
if the temp is about 27*C
doubling of rate of reaction
reaction would go slower
Majority of enzymes are maintained up to ________ (above this will undergo denaturation).
40-50*C
20*C
the activity will stop
40-50*C
20*C
Enzymatic reactions proceed at their fastest rate at an optimum pH and are considerably slowed or even stopped at higher or lower pH values.
enzyme concentration
substrate concentration
temperature
hydrogen ion concentration/ pH
Majority of the enzymes work at its optimal pH of (a) (normal blood pH).
But, several enzymes will require different pH levels:
*** Acid phosphatase (ACP) – ___ pH (acidic)
3-5 pH
8-10 pH
But, several enzymes will require different pH levels:
*** Alkaline phosphatase (ALP) – ___ pH (basic)
3-5 pH
8-10 pH
is the rate of reaction linear with time, independent of concentration of substrate and directly proportional to enzyme concentration.
Zero Order Reaction
First Order Reaction
If in case all substrate has been bound to an enzyme molecule, and is independent of the substrate concentration. It is only dependent in enzyme concentration.
Zero Order Reaction
First Order Reaction
In enzyme determination activity, we follow ________ to know the actual activity of enzyme in the body based on the standardized concentration of substrate. The components of reaction must not be altered unnecessarily.
Zero Order Reaction
First Order Reaction
the rate of reaction is determined by the concentration of substrate as well as of enzymes (the rate of reaction changes continuously with time as the substrate is consumed.)
Zero Order Reaction
First Order Reaction
There are 2 factors involved: substrate and enzyme. Every time we increase the substrate and enzyme concentration, the rate of reaction will also increase. But, there will be a point where a substrate will reach its optimal/maximal act (saturation kinetics)
Zero Order Reaction
First Order Reaction
occurs when a certain compound binds to the enzyme molecule;
thereby inhibiting the reaction wherein it causes the enzymatic reaction not to progress normally.
(a)
3 Factors to Determine the Type of Inhibition
Substrate
Inhibitor
Enzyme
These are substances that compete with the substrate for enzyme binding because they are chemically analogous to the substrate and bind to the active sites of enzymes
Competitive Inhibitor
Non- competitive Inhibitor
Uncompetitive Inhibition
Competition between substrate and inhibitor. The enzyme will have an active site that would be the target of both substrate and inhibitor.
** reversible inhibition
Competitive Inhibitor
Non- competitive Inhibitor
Uncompetitive Inhibition
substances that do not resemble the substrate and bind to the enzyme in areas other than the active site
Competitive Inhibitor
Non- competitive Inhibitor
Uncompetitive Inhibition
The inhibitor doesn’t need to be chemically analogous to the substrate and it doesn’t target the active site.
Competitive Inhibitor
Non- competitive Inhibitor
Uncompetitive Inhibition
Both reversible and irreversible – there’s still a competition between the substrate and inhibitor on which to bind first with the enzyme. If inhibitor is 1st to bind, this would cause disruption in the normal act. of enzymatic reaction.
Competitive Inhibitor
Non- competitive Inhibitor
Uncompetitive Inhibition
inhibits enzyme by binding to the enzyme substrate complex
Competitive Inhibitor
Non- competitive Inhibitor
Uncompetitive Inhibition
This inhibition is very effective in a way that even if there’s already an ES complex, the reaction would not yield product due to the presence of inhibitor.
Competitive Inhibitor
Non- competitive Inhibitor
Uncompetitive Inhibition
has the capability to bind either only on the enzyme or ES complex. It would not wait for substrate to bind to create the ES complex.
(a)
Its difference from competitive is that the activity/characteristic of inhibitor is different from the substrate but also targets the active site of enzyme molecule.
(a)
This phenomenon states that a certain enzyme has the ability to adapt to their biochemical systems
(a)
enzyme has the capability to conform to changes.
(a)
The concentration of an enzyme is NOT directly measured. Rather, it is measured according to its activity.
true
false
Measuring the enzyme activity is called
(a)
* Reaction is initiated by addition of substrate
* Reaction is allowed to proceed for a period of time
* Measurement is done at the end of the reaction
ENDPOINT ANALYSIS / FIXED TIME ANALYSIS
MULTI-POINT AND KINETIC ASSAY (CONTINUOUS MONITORING TYPE OF MEASUREMENT)
USE OF COUPLED REACTIONS
Only single measurement is done
ENDPOINT ANALYSIS / FIXED TIME ANALYSIS
MULTI-POINT AND KINETIC ASSAY (CONTINUOUS MONITORING TYPE OF MEASUREMENT)
USE OF COUPLED REACTIONS
Disadvantage: underestimation of the “true” enzyme activity and linearity of reaction cannot be observed
ENDPOINT ANALYSIS / FIXED TIME ANALYSIS
MULTI-POINT AND KINETIC ASSAY (CONTINUOUS MONITORING TYPE OF MEASUREMENT)
USE OF COUPLED REACTIONS
Change in concentration of the indicator substance at several intervals
ENDPOINT ANALYSIS / FIXED TIME ANALYSIS
MULTI-POINT AND KINETIC ASSAY (CONTINUOUS MONITORING TYPE OF MEASUREMENT)
USE OF COUPLED REACTIONS
Continuous measurement of change in concentration as function of time (multiple readings are done at a certain period of time)
ENDPOINT ANALYSIS / FIXED TIME ANALYSIS
MULTI-POINT AND KINETIC ASSAY (CONTINUOUS MONITORING TYPE OF MEASUREMENT)
USE OF COUPLED REACTIONS
Example:
ALP testing – test will be done for 2 mins and the reading will be done every 30 secs.
Another is to get reading at certain time interval (3-5 absorbance reading within a particular reaction time)
ENDPOINT ANALYSIS / FIXED TIME ANALYSIS
MULTI-POINT AND KINETIC ASSAY (CONTINUOUS MONITORING TYPE OF MEASUREMENT)
USE OF COUPLED REACTIONS
Advantage 1: Discrepancy can be identified and parallel run can be done if the process is slightly questionable.
ENDPOINT ANALYSIS / FIXED TIME ANALYSIS
MULTI-POINT AND KINETIC ASSAY (CONTINUOUS MONITORING TYPE OF MEASUREMENT)
USE OF COUPLED REACTIONS
Advantage 2: No underestimation because the activity is derived based on the changes of absorbance.
ENDPOINT ANALYSIS / FIXED TIME ANALYSIS
MULTI-POINT AND KINETIC ASSAY (CONTINUOUS MONITORING TYPE OF MEASUREMENT)
USE OF COUPLED REACTIONS
One type of enzyme testing: Optical means
(a)
Enzymatic activity is measured by coupling the activity with colorimetric reaction
ENDPOINT ANALYSIS / FIXED TIME ANALYSIS
MULTI-POINT AND KINETIC ASSAY (CONTINUOUS MONITORING TYPE OF MEASUREMENT)
USE OF COUPLED REACTIONS
Only additional; can be applicable on both end-point and continuous monitoring
ENDPOINT ANALYSIS / FIXED TIME ANALYSIS
MULTI-POINT AND KINETIC ASSAY (CONTINUOUS MONITORING TYPE OF MEASUREMENT)
USE OF COUPLED REACTIONS
- Significant in optical method such as the use of spectrophotometric reading of analytes to determine enzyme activity.
- The colorimetric reaction would help to identify if there are changes in the substrate, product, and cofactor
ENDPOINT ANALYSIS / FIXED TIME ANALYSIS
MULTI-POINT AND KINETIC ASSAY (CONTINUOUS MONITORING TYPE OF MEASUREMENT)
USE OF COUPLED REACTIONS
conventional unit
International Unit (I.U. or U)
Katal Unit (K.U.)
SI unit
International Unit (I.U. or U)
Katal Unit (K.U.)
Equivalent to the amount of enzyme that catalyzes the conversion of 1 micromole of substrate per minute under controlled conditions.
**** IU/L
International Unit (I.U. or U)
Katal Unit (K.U.)
Equivalent to the amount of enzyme that catalyzes the conversion of 1 mole of substrate per second under controlled conditions.
*** mol/s
International Unit (I.U. or U)
Katal Unit (K.U.)
one of the most common method done in the laboratory
Change in Coenzyme Concentration
Increase in Product Concentration
Decrease in Substrate Concentration
ex: Reduction of NAD → NADH measured ad 340nm
Many enzymes bind to coenzyme (NAD) in which the reaction such as oxidation-reduction rxn would undergo spectrophotometric/optical changes specially if coupled with colorimetric rxn
Change in Coenzyme Concentration
Increase in Product Concentration
Decrease in Substrate Concentration
In a reaction, reactants are converted into products so it will increase. It may be an end-point or multi-point analysis but the following conditions must always be met.
Change in Coenzyme Concentration
Increase in Product Concentration
Decrease in Substrate Concentration
* Avoid any icteric, lipemic, or hemolyzed sample.
* There must be no chemical interferences
* The substrate must not be fully exhausted immediately during the incubation period. There must be enough amount of substrate to finish the reaction especially in end-point analysis.
Change in Coenzyme Concentration
Increase in Product Concentration
Decrease in Substrate Concentration
Substrate will decrease because they are converted to products
Change in Coenzyme Concentration
Increase in Product Concentration
Decrease in Substrate Concentration
as the reaction proceeds, the reduction in substrate will have an effect on the absorbance reading. Decrease in absorbance reading is typically seen.
(a)
Pitfalls in enzyme activity
enzymes are intracellular components
hemolysis
lactescent/milky serum
storage
Hemolysis cause (a) values due to the release of enzymes from red blood cells.
Preferred specimen: (a) rather than plasma - due to the adverse effects of anticoagulants on enzyme activity
Most enzymes are stable at ref temperature of
2-8*C esp. (a) for at least 24 hrs within a day of keeping
Few enzymes are inactivated at refrigerator temp
LD 4
LD 5
LD 5
is a challenging process in the laboratory
(a)
QUALITY CONTROL PROGRAM FOR ENZYME ACTIVITY
Strict adherence to zero-order kinetics
Proportionality with increments of sample
Use of pooled frozen serum or stable reference materials as controls
Replicate measurements to evaluate precision of assays
Enzyme measurement is used for several purposes:
To detect possible injury to a tissue where the enzymes are coming from
To identify possibility of presence of abnormalities or absence of enzymes which may lead to a certain condition like inborn errors
true
false
there’s absence of certain enzyme which causes accumulation of compounds in the different cells in the body specifically in tissues where this particular analyte in the body is stored.
(a)
Alkaline phosphatase – optimum activity seen in alkaline pH:
8-10 pH
3-5 pH
Acid phosphatase - optimum activity seen in acid pH:
8-10 pH
3-5 pH
Characterized by its ability to hydrolyze a large variety of organic phosphate esters with the formation of an alcohol and a phosphate ion
(a)
Phosphatases are classified as
(a)
are considered to be non-specific or very low specificity. They identify multiple types of substrate containing an organic phosphate group. In terms of tissue sources, they have several varieties so it is low in specificity in identifying a particular organ that may be affected.
(a)
ALKALINE PHOSPHATASES (ALP) or EC 3.1.3.1 aka
(a)
ALKALINE PHOSPHATASES (ALP) or EC 3.1.3.1 ref value:
(a)
is an enzyme involved in the cleavage of phosphate containing compounds in alkaline pH
(a)
facilitates movement of substances across cell membranes.
(a)
catalyze the same reaction but differ in tissue sources and in biochemical reaction
(a)
only in pregnant individuals
** peak level: 16th-20th week of gestation
placental isoenzyme
intestinal isoenzyme
liver isoenzyme
bone isoenzyme
good marker for being pregnant but is not typically used and not specific.
placental isoenzyme
intestinal isoenzyme
liver isoenzyme
bone isoenzyme
Blood types A and AB
placental isoenzyme
intestinal isoenzyme
liver isoenzyme
bone isoenzyme
blood types ___ have LOWER placental isoenzyme
A
B
AB
O
- released by the GIT cells
- individuals have significant differences according to blood type
placental isoenzyme
intestinal isoenzyme
liver isoenzyme
bone isoenzyme
Type B and O indiv – have higher. They have secretor genes so it is expected that their ALP is higher most importantly about after 2-3hrs of eating.
placental isoenzyme
intestinal isoenzyme
liver isoenzyme
bone isoenzyme
have HIGHER.
They have secretor genes so it is expected that their ALP is higher most importantly about after 2-3hrs of eating.
A
B
AB
O
Released by liver cells specifically those cells lining the canaliculi significant in post-hepatic and obstructive liver disease
placental isoenzyme
intestinal isoenzyme
liver isoenzyme
bone isoenzyme
- Released by osteocytes
- Vary per age group
placental isoenzyme
intestinal isoenzyme
liver isoenzyme
bone isoenzyme
In bone isoenzymes, ______ (in period of rapid growth) – higher ALP because their osteocytes are actively replicating
children
geriatrics
In bone isoenzymes, ______ (>50yrs old) – have higher ALP due to increased possible damage to the osteocytes thereby releasing ALP in bloodstream
children
geriatrics
One of the most common method to separate isoenzymes is using (a)
- The sample can be subjected at 56*C.
- Enzymes have variability in its activity when exposed to very high temp because it is protein in nature
(a)
is used to differentiate the bone and placental ALP
(a)
(most heat-labile) – readily be denatured upon exposure to heat
bone ALP
placental ALP
(most heat stable) – will remain in the sample even after heat exposure. It will still undergo denaturation at a higher temp. of >60-65oC.
bone ALP
placental ALP
There are several chemicals that inhibit the activity of specific isoenzyme.
Phenylalanine rgt – inhibits the placental and intestinal ALP
5M urea – inhibits bone ALP
Levamisole – inhibits liver and bone ALP
(a)
inhibits the placental and intestinal ALP
Phenylalanine rgt
5M urea
Levamisole
inhibits bone ALP
Phenylalanine rgt
5M urea
Levamisole
inhibits liver and bone ALP
Phenylalanine rgt
5M urea
Levamisole
ALP isoenzymes that are present only during conditions involving the presence of cancer cells/ during cases of carcinoma.
(a)
- seen in lung, breast, ovarian and gynecological cancers
- bone ALP co-migrator: same migration pattern of bone ALP in electrophoresis
- most heat STABLE, inhibited by phenylalanine reagent
Regan ALP
Nagao ALP
Kasahara ALP
- (variant of Regan)
- adenocarcinoma of the pancreas and bile duct, pleural cancer
- inhibited by L-leucine and phenylalanine
Regan ALP
Nagao ALP
Kasahara ALP
hepatoma/hepatocellular Carcinoma
Regan ALP
Nagao ALP
Kasahara ALP
For liver tissue sources, there are 2 types of ALP
Liver isoenzymes
Kasahara ALP
In enzyme activity determination, there is only a specific method of choice standardized by several agencies such as IFCC and CLSI.
(a)
Bowers and Mc Comb(continuous-monitoring technique)
(a)
