Enzymes play an important role in metabolism, diagnosis, and therapeutics. They are proteins that catalyze biochemical reactions and increase reaction rates by lowering activation energy. Enzyme structure and activity can be affected by environmental conditions, cofactors, and inhibitors. Blood enzyme levels are diagnostically important, as increased levels of intracellular enzymes released into blood plasma indicate tissue damage. Measurement of specific enzymes elevated in certain tissues, like ALT in the liver, helps evaluate the extent and site of injury.