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8/6/2020
ENZYMES
Biomarkers for diseases
Mehak Saeed
MSC. BIOTECHNOLOGY
UNIVERSITY OF KARACHI
ENZYMES AS MARKERS FOR DISEASE:
Some enzymes are found only in specific tissues or in a limited number
of such tissues.
LACTATE DEHYDROGENASE(LDH):
The enzyme lactate dehydrogenase (LDH) has two different types of
subunits:
1. found primarily in heart muscle (H)
2. found in skeletal muscle (M).
The two different subunits differ slightly in amino acid composition;
consequently, they can be separated electrophoretically or
chromatographically based on charge.
Because LDH is a tetramer of four subunits, and because the H and M
subunits can combine in all possible combinations, LDH can exist in five
different forms, called isozymes, depending on the source.
An increase of any form of LDH in the blood indicates some kind of
tissue damage. A heart attack used to be diagnosed by an increase of
LDH from heart muscle.
CREATINE KINASE(CK):
There are different forms of creatine kinase (CK), an enzyme that
occurs in:
1. Brain
2. Heart
3. Skeletal muscle.
Appearance of the brain type can indicate a stroke or a brain tumor,
whereas the heart type indicates a heart attack. After a heart attack,
CK shows up more rapidly in the blood than LDH.
Both enzymes help in the diagnosis of even the mild heart attack. An
elevated level of the isozyme from heart muscle in blood is a definite
indication of damage to the heart tissue.
ACETYLCHOLINESTERASE (ACE):
A particularly useful enzyme to assay is acetylcholinesterase (ACE),
which is important in controlling certain nerve impulses. Many
pesticides interfere with this enzyme, so farm workers are often tested
to be sure that they have not received inappropriate exposure to these
important agricultural toxins.
• The possible isozymes of lactate dehydrogenase. The symbol M
refers to the dehydrogenase form that predominates in skeletal
muscle, and the symbol H refers to the form that predominates in
heart (cardiac) muscle.

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Enzymes as Biomarkers for Diseases

  • 1. 8/6/2020 ENZYMES Biomarkers for diseases Mehak Saeed MSC. BIOTECHNOLOGY UNIVERSITY OF KARACHI
  • 2. ENZYMES AS MARKERS FOR DISEASE: Some enzymes are found only in specific tissues or in a limited number of such tissues. LACTATE DEHYDROGENASE(LDH): The enzyme lactate dehydrogenase (LDH) has two different types of subunits: 1. found primarily in heart muscle (H) 2. found in skeletal muscle (M). The two different subunits differ slightly in amino acid composition; consequently, they can be separated electrophoretically or chromatographically based on charge. Because LDH is a tetramer of four subunits, and because the H and M subunits can combine in all possible combinations, LDH can exist in five different forms, called isozymes, depending on the source. An increase of any form of LDH in the blood indicates some kind of tissue damage. A heart attack used to be diagnosed by an increase of LDH from heart muscle. CREATINE KINASE(CK): There are different forms of creatine kinase (CK), an enzyme that occurs in: 1. Brain 2. Heart 3. Skeletal muscle.
  • 3. Appearance of the brain type can indicate a stroke or a brain tumor, whereas the heart type indicates a heart attack. After a heart attack, CK shows up more rapidly in the blood than LDH. Both enzymes help in the diagnosis of even the mild heart attack. An elevated level of the isozyme from heart muscle in blood is a definite indication of damage to the heart tissue. ACETYLCHOLINESTERASE (ACE): A particularly useful enzyme to assay is acetylcholinesterase (ACE), which is important in controlling certain nerve impulses. Many pesticides interfere with this enzyme, so farm workers are often tested to be sure that they have not received inappropriate exposure to these important agricultural toxins. • The possible isozymes of lactate dehydrogenase. The symbol M refers to the dehydrogenase form that predominates in skeletal muscle, and the symbol H refers to the form that predominates in heart (cardiac) muscle.