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Presentation:
Clinical Use of Enzymes
Presented By: Mahrukh Shehzadi
Clinical use of
enzyme
Enzymes
Enzymes are both proteins and biological catalyst ( biocatalysts ) within living
cells.
Catalyst:
Catalyst increase the rate at which chemical reactions occur without being
consumed or permanently altered themselves.
Chemical reaction
A process that converts one or more substances( know as reagents, reactants, or
substances) to another type of substance( the product )
Structure of enzymes
Like all proteins, enzymes are composed of one or more long chains of
interconnected amino acids. Each enzymes possesses a unique sequence of amino
acid that cause it to fold into a characteristic shape.
Introduction:
 Enzymes are proteins which catalyze the biochemical
reaction in an animal.
They are responsible for supporting almost all the chemical
reactions that maintain the animal’s homeostasis.
Almost all significant life processes depend on enzymes
activity.
Enzymes enhance the rate of reaction about 106 times
more than non-catalysed reactions.
 Enzyme are found in all most all tissues and
fluids of the body
 Intra-cellular cellular enzymes catalyze the reaction of
metabolic .
Clinical enzymology
 Clinical Enzymology deals with the application of
enzymes analysis for diagnosing and treating disease. It
gained importance with the introduction of serum
alkaline phosphate (ALP) as a diagnostic aid by King and
Armstrong in 1927.
 The measurement of serum levels of
numerous enzymes in the plasma is used
as an indicator of disease of a particular
organ.
Enzyme Source of blood elevation
ALT hepatopathy
AST MI, hepatopathy
GMT hepatopathy ( alcohol, drugs )
ALP Biliary tract diseases, bone diseases
ACP prostatic cancer
CK MI (CK-MB ), muscle diseases
AMS pancreatitis
LPS pancreatitis
CHS hepatopathy ( alcohol, drugs ) – decreased
Enzymes of clinical significance
There are nine enzymes a of clinical significance
Aspartate
Amino
transferase
Alanine Amino
Transferase
Glucose-6-
phosephate
dehydrogenase
Lactate
Dehydrogenase
AST catalyses L- aspartame to oxaloacetate and
oxo-glutarate to glutamate. The normal level of AST
in serum is 0-41 IU/L. AST is widely measured in
the investigation of liver disease.
2-Alanine amino transferase (ALT)
Figure: Synthesis of creatine kinase
7-Amylase (AMS)
AMS catalyses the hydrolysis of complex
carbohydrates. Significance is diagnosis of
pancreatitis, renal failure or disorder. AMS is the
smallest of all enzymes (55-60KD) and can easily
pass through renal tubules.
)
Clinical use of enzymes

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Clinical use of enzymes

  • 1. Presentation: Clinical Use of Enzymes Presented By: Mahrukh Shehzadi
  • 3.
  • 4. Enzymes Enzymes are both proteins and biological catalyst ( biocatalysts ) within living cells. Catalyst: Catalyst increase the rate at which chemical reactions occur without being consumed or permanently altered themselves. Chemical reaction A process that converts one or more substances( know as reagents, reactants, or substances) to another type of substance( the product ) Structure of enzymes Like all proteins, enzymes are composed of one or more long chains of interconnected amino acids. Each enzymes possesses a unique sequence of amino acid that cause it to fold into a characteristic shape.
  • 5.
  • 6.
  • 7.
  • 8. Introduction:  Enzymes are proteins which catalyze the biochemical reaction in an animal. They are responsible for supporting almost all the chemical reactions that maintain the animal’s homeostasis. Almost all significant life processes depend on enzymes activity. Enzymes enhance the rate of reaction about 106 times more than non-catalysed reactions.
  • 9.  Enzyme are found in all most all tissues and fluids of the body  Intra-cellular cellular enzymes catalyze the reaction of metabolic . Clinical enzymology  Clinical Enzymology deals with the application of enzymes analysis for diagnosing and treating disease. It gained importance with the introduction of serum alkaline phosphate (ALP) as a diagnostic aid by King and Armstrong in 1927.
  • 10.  The measurement of serum levels of numerous enzymes in the plasma is used as an indicator of disease of a particular organ.
  • 11. Enzyme Source of blood elevation ALT hepatopathy AST MI, hepatopathy GMT hepatopathy ( alcohol, drugs ) ALP Biliary tract diseases, bone diseases ACP prostatic cancer CK MI (CK-MB ), muscle diseases AMS pancreatitis LPS pancreatitis CHS hepatopathy ( alcohol, drugs ) – decreased Enzymes of clinical significance
  • 12.
  • 13. There are nine enzymes a of clinical significance Aspartate Amino transferase Alanine Amino Transferase Glucose-6- phosephate dehydrogenase Lactate Dehydrogenase
  • 14. AST catalyses L- aspartame to oxaloacetate and oxo-glutarate to glutamate. The normal level of AST in serum is 0-41 IU/L. AST is widely measured in the investigation of liver disease.
  • 15.
  • 17.
  • 18. Figure: Synthesis of creatine kinase
  • 19.
  • 20.
  • 21.
  • 22.
  • 23.
  • 24.
  • 25. 7-Amylase (AMS) AMS catalyses the hydrolysis of complex carbohydrates. Significance is diagnosis of pancreatitis, renal failure or disorder. AMS is the smallest of all enzymes (55-60KD) and can easily pass through renal tubules.
  • 26.
  • 27.
  • 28. )