Enzymes are proteins that speed up chemical reactions without being used up in the process. They have an active site that binds to specific substrates to catalyze reactions. Enzyme activity is affected by factors like temperature, pH, and substrate/product concentration. Enzymes play essential roles in digestion, cell signaling, movement, and other processes. They are also used clinically for treating digestive disorders, stopping bleeding, and diagnosing conditions like diabetes by testing for enzymes in the blood. Abnormal enzyme levels can indicate diseases of organs like the heart, liver, and pancreas.