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ENZYMES 
Muhammad Ramzan Ul Rehman 1
OVERVIEW of ENZYMES 
Enzymes – are biologic catalysts. 
Catalysts are substances that increase the 
speed of a chemical reaction, it is not 
permanently changed, nor does it cause the 
reaction to occur, that is, a catalyst can increase 
the speed of a reaction but cannot cause that 
reaction if it would not occur in the absence of 
catalyst. Since catalysts are not used up, they can 
be used over and over again. 
Muhammad Ramzan Ul Rehman 2
OVERVIEW of ENZYMES 
Enzymes – are organic catalyst produced by an 
organisms. The reactant in an enzyme-catalyzed 
reaction is called “substrate”. 
Muhammad Ramzan Ul Rehman 3
OVERVIEW of ENZYMES 
The small portion of the molecule that is 
responsible for the catalytic action of the enzyme 
is the “active site”. 
Muhammad Ramzan Ul Rehman 4
OVERVIEW of ENZYMES 
Enzymes are superior to other catalysts in several 
ways: 
1. They have a much greater catalytic power. 
CO2 + H2O carbonic anhydrase H2CO3 
Muhammad Ramzan Ul Rehman 5
OVERVIEW of ENZYMES 
2. Enzymes are highly specific with varying degrees 
of specifity. 
Absolute specifity – they act on one substrate and 
only on that substrate. 
Stereospecifity – such enzymes that can detect the 
difference between optical isomers (mirror 
images) and select only one of such isomers. 
Reaction specifity – enzymes that catalyze certain 
types of reactions. 
Muhammad Ramzan Ul Rehman 6
OVERVIEW of ENZYMES 
Group specifity – enzymes that catalyzes a 
group of substances that contain specific 
compounds. 
3. The activity of enzymes is closely regulated, 
whereas the catalyst is difficult to control. 
Muhammad Ramzan Ul Rehman 7
ENZYME REACTION 
Enzymes are proteins and therefore undergo all the 
reactions that proteins do. That is, enzymes 
can be coagulated by heat, alcohol, strong 
acids, and alkaloidal reagents. 
Temperature Requirement 
The higher the temperature, the faster the 
rate of reaction. The best temperature for enzyme 
function – the temperature at which the rate of a 
reaction involving an enzyme is the greatest – is 
called the “optimum temperature”. 
Muhammad Ramzan Ul Rehman 8
Role of pH 
ENZYME REACTION 
Each enzyme has a pH range within which it 
can best function. This is called “optimum pH 
range” for that particular enzyme. For example, the 
optimum pH range of pepsin, an enzyme found in 
gastric juice, is approximately 2.0, whereas the 
optimum pH range of trypsin, an enzyme found in 
pancreatic juice, is near 8.2. 
Muhammad Ramzan Ul Rehman 9
ENZYME REACTION 
If the pH of a substrate is too far from the 
optimum pH required by the enzyme, that enzyme 
cannot function at all. However, since body fluids 
contains buffers, the pH usually does not vary too 
far from the optimum values. 
Muhammad Ramzan Ul Rehman 10
ENZYME REACTION 
Effect of Concentration 
As with the all chemical reactions, the speed 
is increased with an increase in concentration of 
reacctants. With an increased concentration of 
substrate, the rate of the reaction will increase until 
available enzyme becomes saturated with 
substrate. 
Also with an increase in the amount of 
enzyme, the rate of reaction will increase, assuming 
an unlimited supply of substrate. 
Muhammad Ramzan Ul Rehman 11
ACTIVATORS and INHIBITORS 
Activators – inorganic substances that tend to 
increase the activity of enzyme. 
Inhibitors – any substance that will make the 
enzyme less active or render it inactive. 
Competitive inhibitors – binds reversibly in 
the active site and so block the access by the 
substrate. 
Incompetitive inhibitors – bind to another site 
on the enzyme to render it less active or inactive. 
Muhammad Ramzan Ul Rehman 12
ACTIVATORS and INHIBITORS 
Irreversible inhibitors – form strong covalent 
bonds with the enzymes, rendering it inactive. This 
effect can’t be overcome by increasing the 
concentration of the substrate. 
Muhammad Ramzan Ul Rehman 13
Poisons 
ACTIVATORS and INHIBITORS 
Many enzymes inhibitors are poisonous 
because their effect on enzyme activity. Mercury 
and Lead compounds are poisonous because they 
react with sulfhydryl groups ( - SH) of an enzymes 
and so change its conformation. The subsequent 
loss of enzyme activity leads to the various 
symptoms of lead and mercury poisoning, such as 
loss of equilibrium, hearing, sight, and touch, which 
are generally irreversible. 
Muhammad Ramzan Ul Rehman 14
Drugs 
ACTIVATORS and INHIBITORS 
While some enzyme inhibitors are poisonous, 
others are beneficial to life. Pencillin acts as an 
enzyme inhibitor for transpeptide, a substance that 
bacteria need to build their cell walls. If the cell wall 
is lacking, osmotic pressure causes the bacterial cell 
to burst and die. However, new strains of bacteria 
have developed an enzyme, penicillinase, that 
inactivates penicillin. To destroy these new strains, 
synthetically modified penicillins have been 
prepared so that this antibiotic remains effective. 
Muhammad Ramzan Ul Rehman 15
MODE OF ENZYME ACTIVITY 
Muhammad Ramzan Ul Rehman 16
MODE OF ENZYME ACTIVITY 
Muhammad Ramzan Ul Rehman 17
ACTIVATORS and INHIBITORS 
Lock-and key Model 
Wherein the substrate must “fit” into the 
active site of the enzyme – hence the specifity of 
the enzyme. 
Induced-Fit Model 
Suggests that the active site is not rigid as the 
Lock-and-Key Model, but flexible. That is, the site 
changes in conformation upon binding to a 
substrate in order to yield an enzyme-substrate fit. 
Muhammad Ramzan Ul Rehman 18
APOENZYMES and COENZYMES 
Other enzymes are conjugated proteins – they 
contain a protein and non-protein part. Both parts 
must be present before the enzyme can function. 
The protein part is called the “apoenzyme” 
and the non-protein (organic part) is called 
“coenzyme”. 
Muhammad Ramzan Ul Rehman 19
Coenzymes 
APOENZYMES and COENZYMES 
are not proteins and so are not inactivated by 
heat. Examples of coenzymes are the vitamins or 
compounds derived from vitamins. The reaction 
involving a coenzyme can be written as follows: 
coenzyme + apoenzyme = enzyme 
Coenzyme A is essential in the metabolism of 
carbohydrates, lipids, and proteins in the body. 
Muhammad Ramzan Ul Rehman 20
NOMENCLATURE 
Formerly enzyme were given names ending in 
“-in”. With no relation being an indicator between 
the enzyme and the substance it affects – the 
substrate. 
The current system for naming enzymes uses 
the name of the substrate or the type of reaction 
involved, with the ending “-ase”. 
Muhammad Ramzan Ul Rehman 21
NOMENCLATURE 
ENZYME SUBTRATE or REACTION TYPE 
Maltase Maltose 
Urease Urea 
Proteases Proteins 
Carbohydrases Carbohydrates 
Lipases Lipids 
Hydrolases Hydrolysis Reaction 
Deaminases Removing amines 
Dehydrogenases Removing hydrogens 
Muhammad Ramzan Ul Rehman 22
CLASSIFICATION 
Oxidoreductases – are enzymes that catalyze 
oxidation-reduction reactions between two 
substrates. The enzymes of the oxidation-reduction 
reactions in the body are important 
because these reactions are responsible for the 
production of heat and energy. 
Transferases – are enzymes that catalyze the 
transfer of a functional group between two 
substrates. 
Muhammad Ramzan Ul Rehman 23
Hydrolases – hydrolytic enzymes – catalyze the 
hydrolysis of carbohydrates, esters and 
proteins. 
Lyases – are enzymes that catalyzes the removal of 
groups from substrates by means other than 
hydrolysis, usually with the formation of 
double bonds. 
CLASSIFICATION 
Muhammad Ramzan Ul Rehman 24
CLASSIFICATION 
Isomerases – are enzymes that catalyze the 
interconversion of cis-trans isomers. 
Ligases – or synthetases, are enzymes that catalyze 
the coupling of two compounds with breaking of 
pyrophosphate bonds. 
Muhammad Ramzan Ul Rehman 25
ENZYMES of the KIDNEY 
If an individual’s blood pressure drops, as in 
the case of hemorrhaging or in hypokalemia, the 
kidneys secrete the enzyme renin (sometimes 
considered as a hormone) into the bloodstream. 
angiotensinogen renin angiotensin I converting enzyme angiotensin II 
Angiotensin II increases the force of the 
heartbeat and constricts the arterioles, thus 
causing an increase in blood pressure. 
Muhammad Ramzan Ul Rehman 26
ENZYMES of the KIDNEY 
Angiotensin II brings about the contraction of 
smooth muscle and also triggers the release of the 
hormone aldosterone which aids in the retention of 
water. Actually, angiotensin I is the most powerful 
vasoconstrictor known. It is an octapeptide; 
Angiotensin I is a decapeptide. 
Muhammad Ramzan Ul Rehman 27
ENZYMES of the KIDNEY 
Other kidney enzymes include glucose-6- 
phosphatase, which is involved in the removal of 
the phosphate group from glucose-6-phosphate, 
thereby enabling glucose to diffuse from the cell 
into the blood stream; 
Glutaminase, which is involved in the 
conversion of glutamine into glutamic acid and 
NH4+ ; and a 
hydroxylase, which is involved in the 
synthesis of calcitriol. 
Muhammad Ramzan Ul Rehman 28
CHEMOTHERAPY 
Chemotherapy is the use of chemicals to destroy 
infectious microorganisms and cancerous 
cells without damaging the host’s cells. These 
chemicals function by inhibiting certain cellular 
enzyme reactions. Among the 
chemotherapeutic agents are the antibiotics and 
the antimetabolites. 
Muhammad Ramzan Ul Rehman 29
CHEMOTHERAPY 
Antibiotics – are compounds produced by one 
microorganisms that are toxic to another 
microorganisms. Among the most commonly 
used are the penicillin and tetracyclin. 
Muhammad Ramzan Ul Rehman 30
ENZYMES Elino, M.M.H. 
CHEMOTHERAPY 
Penicillin 
Tetracycline 
Muhammad Ramzan Ul Rehman 31
CHEMOTHERAPY 
Antimetabolites – are chemicals that have 
structures closely related to those of the substrate 
enzymes act on, thus inhibiting enzyme activity. 
Mercaptopurine are used in the treatment 
of leukemias. Some are antibiotics. 
Muhammad Ramzan Ul Rehman 32
CHEMOTHERAPY 
One of the most promising new 
chemotherapeutic agent in decades is taxol, a 
natural product obtained from the bark of Pacific 
yew trees. Taxol acts by interfering with cellular 
growth and function and is very effective in 
shrinking a variety of tumors, particularly in 
advanced cases of ovarian and breast cancer. 
Muhammad Ramzan Ul Rehman 33
CLINICAL SIGNIFICANCE OF PLASMA ENZYME CONCENTRATIONS 
The measurement of plasma enzyme levels can be 
of great diagnostic value. Many other plasma 
enzymes are useful in the diagnosis of various 
diseases. 
Muhammad Ramzan Ul Rehman 34
CLINICAL SIGNIFICANCE OF PLASMA ENZYME CONCENTRATIONS 
SERUM ENZYME MAJOR DIAGNOSTI C USE 
Glutamic oxaloacetic transaminase 
(SGOT) 
Myocardial Infarction 
Glutamic pyruvic transaminase 
(SGPT) 
Infectious Hepatitis 
Trypsin Acute pancreatic disease 
Ceruloplasmin Wilson’s Disease 
Muhammad Ramzan Ul Rehman 35
CLINICAL SIGNIFICANCE OF PLASMA ENZYME CONCENTRATIONS 
SERUM ENZYME MAJOR DIAGNOSTI C USE 
Amylase Liver and pancreatic disease 
Acid phosphate Prostate Cancer 
Alkaline phosphatase Liver or bone disease 
Creatine phosphokinase Myocardial infarction, muscle 
disorders 
Lactate dehydrogenase Myocardial Infarction, leukemia, 
anemia 
Renin Muhammad Ramzan Ul Rehman Hypertension 36
ISOZYMES 
Isozymes or Isoenzymes 
are enzymes with the same function but 
slightly different structural features. The reason for 
their existence is not unknown, but they are made 
use of clinically. Lactate dehydrogenase (LDH), 
creatine kinase, and alkaline phosphatase all occur 
in isoenzyme form and are diagnostic value. LDH 
has five forms. 
Muhammad Ramzan Ul Rehman 37
CLINICAL SIGNIFICANCE OF RELATIVE AMOUNT OF LDH 
Condition Isoenzyme Pattern 
Myocardial Infarction 
Moderate elevation of LDH1; 
Slight elevation of LDH2 
Acute Hepatitis 
Large elevation of LDH5; 
Moderate elevation of LDH4 
Muscular Dystrophy Elevation of LDH1, LDH2, LDH3 
Megaloblastic Anemia Large elevation of LDH1 
Sickle-cell Anemia Moderate elevation of LDH1, LDH2 
Arthritis with Joint effusions Elevation of LDH5 
Muhammad Ramzan Ul Rehman 38
ALLOSTERIC REGULATION 
Allosteric regulation 
is the regulation of an enzyme or 
other protein by binding an effector molecule at 
the enzyme's allosteric site (that is, a site other 
than the active site). 
Effectors that enhance the protein's 
activity are referred to as allosteric enzymes, 
whereas those that decrease the protein's 
activity are called noncompetitive inhibitors. 
Muhammad Ramzan Ul Rehman 39
ALLOSTERIC REGULATION 
Allosteric regulation 
This control of key enzymes is utmost 
importance to ensure that biologic processes 
remain coordinated at all times to meet the 
immediate metabolic needs of the cells. 
Muhammad Ramzan Ul Rehman 40
ZYMOGENS 
Zymogens 
are inactive pprecursors of enzymes. 
Most digestive and blood-clotting enzymes exist in 
the zymogen form, until activated. 
In the case of digestive enzymes, this is 
necessary to prevent digestion of pancreatic and 
gastric tissue. For blood clotting, it is to avoid 
premature of blood cells. 
Muhammad Ramzan Ul Rehman 41
ZYMOGENS 
ZYMOGEN ACTIVE FORM OF ENZYME 
pepsinogen pepsin 
trypsinogen trypsin 
prothrombin thrombin 
Muhammad Ramzan Ul Rehman 42
ZYMOGENS 
Lactose Intolerance 
Individuals who cannot eat food 
containing lactose are said to be lactose intolerant. 
They lack enzyme lactase, which is requires for the 
hydrolysis of lactose. 
As a result, lactose acuumulates in the 
intestinal tract and pulls water out of the tissues by 
osmosis. This is turn causes abdominal cramps, 
distention, and diarrhea. 
Muhammad Ramzan Ul Rehman 43
ZYMOGENS 
Lactose Intolerance 
To overcome such an effect today, an 
individual may take Lactaid orally to supply the 
missing enzyme. 
Muhammad Ramzan Ul Rehman 44
GOD BLESS! 
Muhammad Ramzan Ul Rehman 45

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Enzymes Biochemistry

  • 2. OVERVIEW of ENZYMES Enzymes – are biologic catalysts. Catalysts are substances that increase the speed of a chemical reaction, it is not permanently changed, nor does it cause the reaction to occur, that is, a catalyst can increase the speed of a reaction but cannot cause that reaction if it would not occur in the absence of catalyst. Since catalysts are not used up, they can be used over and over again. Muhammad Ramzan Ul Rehman 2
  • 3. OVERVIEW of ENZYMES Enzymes – are organic catalyst produced by an organisms. The reactant in an enzyme-catalyzed reaction is called “substrate”. Muhammad Ramzan Ul Rehman 3
  • 4. OVERVIEW of ENZYMES The small portion of the molecule that is responsible for the catalytic action of the enzyme is the “active site”. Muhammad Ramzan Ul Rehman 4
  • 5. OVERVIEW of ENZYMES Enzymes are superior to other catalysts in several ways: 1. They have a much greater catalytic power. CO2 + H2O carbonic anhydrase H2CO3 Muhammad Ramzan Ul Rehman 5
  • 6. OVERVIEW of ENZYMES 2. Enzymes are highly specific with varying degrees of specifity. Absolute specifity – they act on one substrate and only on that substrate. Stereospecifity – such enzymes that can detect the difference between optical isomers (mirror images) and select only one of such isomers. Reaction specifity – enzymes that catalyze certain types of reactions. Muhammad Ramzan Ul Rehman 6
  • 7. OVERVIEW of ENZYMES Group specifity – enzymes that catalyzes a group of substances that contain specific compounds. 3. The activity of enzymes is closely regulated, whereas the catalyst is difficult to control. Muhammad Ramzan Ul Rehman 7
  • 8. ENZYME REACTION Enzymes are proteins and therefore undergo all the reactions that proteins do. That is, enzymes can be coagulated by heat, alcohol, strong acids, and alkaloidal reagents. Temperature Requirement The higher the temperature, the faster the rate of reaction. The best temperature for enzyme function – the temperature at which the rate of a reaction involving an enzyme is the greatest – is called the “optimum temperature”. Muhammad Ramzan Ul Rehman 8
  • 9. Role of pH ENZYME REACTION Each enzyme has a pH range within which it can best function. This is called “optimum pH range” for that particular enzyme. For example, the optimum pH range of pepsin, an enzyme found in gastric juice, is approximately 2.0, whereas the optimum pH range of trypsin, an enzyme found in pancreatic juice, is near 8.2. Muhammad Ramzan Ul Rehman 9
  • 10. ENZYME REACTION If the pH of a substrate is too far from the optimum pH required by the enzyme, that enzyme cannot function at all. However, since body fluids contains buffers, the pH usually does not vary too far from the optimum values. Muhammad Ramzan Ul Rehman 10
  • 11. ENZYME REACTION Effect of Concentration As with the all chemical reactions, the speed is increased with an increase in concentration of reacctants. With an increased concentration of substrate, the rate of the reaction will increase until available enzyme becomes saturated with substrate. Also with an increase in the amount of enzyme, the rate of reaction will increase, assuming an unlimited supply of substrate. Muhammad Ramzan Ul Rehman 11
  • 12. ACTIVATORS and INHIBITORS Activators – inorganic substances that tend to increase the activity of enzyme. Inhibitors – any substance that will make the enzyme less active or render it inactive. Competitive inhibitors – binds reversibly in the active site and so block the access by the substrate. Incompetitive inhibitors – bind to another site on the enzyme to render it less active or inactive. Muhammad Ramzan Ul Rehman 12
  • 13. ACTIVATORS and INHIBITORS Irreversible inhibitors – form strong covalent bonds with the enzymes, rendering it inactive. This effect can’t be overcome by increasing the concentration of the substrate. Muhammad Ramzan Ul Rehman 13
  • 14. Poisons ACTIVATORS and INHIBITORS Many enzymes inhibitors are poisonous because their effect on enzyme activity. Mercury and Lead compounds are poisonous because they react with sulfhydryl groups ( - SH) of an enzymes and so change its conformation. The subsequent loss of enzyme activity leads to the various symptoms of lead and mercury poisoning, such as loss of equilibrium, hearing, sight, and touch, which are generally irreversible. Muhammad Ramzan Ul Rehman 14
  • 15. Drugs ACTIVATORS and INHIBITORS While some enzyme inhibitors are poisonous, others are beneficial to life. Pencillin acts as an enzyme inhibitor for transpeptide, a substance that bacteria need to build their cell walls. If the cell wall is lacking, osmotic pressure causes the bacterial cell to burst and die. However, new strains of bacteria have developed an enzyme, penicillinase, that inactivates penicillin. To destroy these new strains, synthetically modified penicillins have been prepared so that this antibiotic remains effective. Muhammad Ramzan Ul Rehman 15
  • 16. MODE OF ENZYME ACTIVITY Muhammad Ramzan Ul Rehman 16
  • 17. MODE OF ENZYME ACTIVITY Muhammad Ramzan Ul Rehman 17
  • 18. ACTIVATORS and INHIBITORS Lock-and key Model Wherein the substrate must “fit” into the active site of the enzyme – hence the specifity of the enzyme. Induced-Fit Model Suggests that the active site is not rigid as the Lock-and-Key Model, but flexible. That is, the site changes in conformation upon binding to a substrate in order to yield an enzyme-substrate fit. Muhammad Ramzan Ul Rehman 18
  • 19. APOENZYMES and COENZYMES Other enzymes are conjugated proteins – they contain a protein and non-protein part. Both parts must be present before the enzyme can function. The protein part is called the “apoenzyme” and the non-protein (organic part) is called “coenzyme”. Muhammad Ramzan Ul Rehman 19
  • 20. Coenzymes APOENZYMES and COENZYMES are not proteins and so are not inactivated by heat. Examples of coenzymes are the vitamins or compounds derived from vitamins. The reaction involving a coenzyme can be written as follows: coenzyme + apoenzyme = enzyme Coenzyme A is essential in the metabolism of carbohydrates, lipids, and proteins in the body. Muhammad Ramzan Ul Rehman 20
  • 21. NOMENCLATURE Formerly enzyme were given names ending in “-in”. With no relation being an indicator between the enzyme and the substance it affects – the substrate. The current system for naming enzymes uses the name of the substrate or the type of reaction involved, with the ending “-ase”. Muhammad Ramzan Ul Rehman 21
  • 22. NOMENCLATURE ENZYME SUBTRATE or REACTION TYPE Maltase Maltose Urease Urea Proteases Proteins Carbohydrases Carbohydrates Lipases Lipids Hydrolases Hydrolysis Reaction Deaminases Removing amines Dehydrogenases Removing hydrogens Muhammad Ramzan Ul Rehman 22
  • 23. CLASSIFICATION Oxidoreductases – are enzymes that catalyze oxidation-reduction reactions between two substrates. The enzymes of the oxidation-reduction reactions in the body are important because these reactions are responsible for the production of heat and energy. Transferases – are enzymes that catalyze the transfer of a functional group between two substrates. Muhammad Ramzan Ul Rehman 23
  • 24. Hydrolases – hydrolytic enzymes – catalyze the hydrolysis of carbohydrates, esters and proteins. Lyases – are enzymes that catalyzes the removal of groups from substrates by means other than hydrolysis, usually with the formation of double bonds. CLASSIFICATION Muhammad Ramzan Ul Rehman 24
  • 25. CLASSIFICATION Isomerases – are enzymes that catalyze the interconversion of cis-trans isomers. Ligases – or synthetases, are enzymes that catalyze the coupling of two compounds with breaking of pyrophosphate bonds. Muhammad Ramzan Ul Rehman 25
  • 26. ENZYMES of the KIDNEY If an individual’s blood pressure drops, as in the case of hemorrhaging or in hypokalemia, the kidneys secrete the enzyme renin (sometimes considered as a hormone) into the bloodstream. angiotensinogen renin angiotensin I converting enzyme angiotensin II Angiotensin II increases the force of the heartbeat and constricts the arterioles, thus causing an increase in blood pressure. Muhammad Ramzan Ul Rehman 26
  • 27. ENZYMES of the KIDNEY Angiotensin II brings about the contraction of smooth muscle and also triggers the release of the hormone aldosterone which aids in the retention of water. Actually, angiotensin I is the most powerful vasoconstrictor known. It is an octapeptide; Angiotensin I is a decapeptide. Muhammad Ramzan Ul Rehman 27
  • 28. ENZYMES of the KIDNEY Other kidney enzymes include glucose-6- phosphatase, which is involved in the removal of the phosphate group from glucose-6-phosphate, thereby enabling glucose to diffuse from the cell into the blood stream; Glutaminase, which is involved in the conversion of glutamine into glutamic acid and NH4+ ; and a hydroxylase, which is involved in the synthesis of calcitriol. Muhammad Ramzan Ul Rehman 28
  • 29. CHEMOTHERAPY Chemotherapy is the use of chemicals to destroy infectious microorganisms and cancerous cells without damaging the host’s cells. These chemicals function by inhibiting certain cellular enzyme reactions. Among the chemotherapeutic agents are the antibiotics and the antimetabolites. Muhammad Ramzan Ul Rehman 29
  • 30. CHEMOTHERAPY Antibiotics – are compounds produced by one microorganisms that are toxic to another microorganisms. Among the most commonly used are the penicillin and tetracyclin. Muhammad Ramzan Ul Rehman 30
  • 31. ENZYMES Elino, M.M.H. CHEMOTHERAPY Penicillin Tetracycline Muhammad Ramzan Ul Rehman 31
  • 32. CHEMOTHERAPY Antimetabolites – are chemicals that have structures closely related to those of the substrate enzymes act on, thus inhibiting enzyme activity. Mercaptopurine are used in the treatment of leukemias. Some are antibiotics. Muhammad Ramzan Ul Rehman 32
  • 33. CHEMOTHERAPY One of the most promising new chemotherapeutic agent in decades is taxol, a natural product obtained from the bark of Pacific yew trees. Taxol acts by interfering with cellular growth and function and is very effective in shrinking a variety of tumors, particularly in advanced cases of ovarian and breast cancer. Muhammad Ramzan Ul Rehman 33
  • 34. CLINICAL SIGNIFICANCE OF PLASMA ENZYME CONCENTRATIONS The measurement of plasma enzyme levels can be of great diagnostic value. Many other plasma enzymes are useful in the diagnosis of various diseases. Muhammad Ramzan Ul Rehman 34
  • 35. CLINICAL SIGNIFICANCE OF PLASMA ENZYME CONCENTRATIONS SERUM ENZYME MAJOR DIAGNOSTI C USE Glutamic oxaloacetic transaminase (SGOT) Myocardial Infarction Glutamic pyruvic transaminase (SGPT) Infectious Hepatitis Trypsin Acute pancreatic disease Ceruloplasmin Wilson’s Disease Muhammad Ramzan Ul Rehman 35
  • 36. CLINICAL SIGNIFICANCE OF PLASMA ENZYME CONCENTRATIONS SERUM ENZYME MAJOR DIAGNOSTI C USE Amylase Liver and pancreatic disease Acid phosphate Prostate Cancer Alkaline phosphatase Liver or bone disease Creatine phosphokinase Myocardial infarction, muscle disorders Lactate dehydrogenase Myocardial Infarction, leukemia, anemia Renin Muhammad Ramzan Ul Rehman Hypertension 36
  • 37. ISOZYMES Isozymes or Isoenzymes are enzymes with the same function but slightly different structural features. The reason for their existence is not unknown, but they are made use of clinically. Lactate dehydrogenase (LDH), creatine kinase, and alkaline phosphatase all occur in isoenzyme form and are diagnostic value. LDH has five forms. Muhammad Ramzan Ul Rehman 37
  • 38. CLINICAL SIGNIFICANCE OF RELATIVE AMOUNT OF LDH Condition Isoenzyme Pattern Myocardial Infarction Moderate elevation of LDH1; Slight elevation of LDH2 Acute Hepatitis Large elevation of LDH5; Moderate elevation of LDH4 Muscular Dystrophy Elevation of LDH1, LDH2, LDH3 Megaloblastic Anemia Large elevation of LDH1 Sickle-cell Anemia Moderate elevation of LDH1, LDH2 Arthritis with Joint effusions Elevation of LDH5 Muhammad Ramzan Ul Rehman 38
  • 39. ALLOSTERIC REGULATION Allosteric regulation is the regulation of an enzyme or other protein by binding an effector molecule at the enzyme's allosteric site (that is, a site other than the active site). Effectors that enhance the protein's activity are referred to as allosteric enzymes, whereas those that decrease the protein's activity are called noncompetitive inhibitors. Muhammad Ramzan Ul Rehman 39
  • 40. ALLOSTERIC REGULATION Allosteric regulation This control of key enzymes is utmost importance to ensure that biologic processes remain coordinated at all times to meet the immediate metabolic needs of the cells. Muhammad Ramzan Ul Rehman 40
  • 41. ZYMOGENS Zymogens are inactive pprecursors of enzymes. Most digestive and blood-clotting enzymes exist in the zymogen form, until activated. In the case of digestive enzymes, this is necessary to prevent digestion of pancreatic and gastric tissue. For blood clotting, it is to avoid premature of blood cells. Muhammad Ramzan Ul Rehman 41
  • 42. ZYMOGENS ZYMOGEN ACTIVE FORM OF ENZYME pepsinogen pepsin trypsinogen trypsin prothrombin thrombin Muhammad Ramzan Ul Rehman 42
  • 43. ZYMOGENS Lactose Intolerance Individuals who cannot eat food containing lactose are said to be lactose intolerant. They lack enzyme lactase, which is requires for the hydrolysis of lactose. As a result, lactose acuumulates in the intestinal tract and pulls water out of the tissues by osmosis. This is turn causes abdominal cramps, distention, and diarrhea. Muhammad Ramzan Ul Rehman 43
  • 44. ZYMOGENS Lactose Intolerance To overcome such an effect today, an individual may take Lactaid orally to supply the missing enzyme. Muhammad Ramzan Ul Rehman 44
  • 45. GOD BLESS! Muhammad Ramzan Ul Rehman 45