Biochemistry · MU Plovdiv

6. Clinical significance of enzymes: functional and non-functional plasma enzymes – examples. Role in the diagnosis of myocardial infarction, hepatitis, pancreatitis, prostatitis, cancer of the bones, etc.

Inside: 13 sections · 4 labelled pictures · 1 table · 10 flashcards · 5 min

Topic 6 of 63 in the MU Plovdiv syllabus for Biochemistry (Dental Medicine, Year 2). The free AceMed note covers it in 12 sections, about 698 words (5 min of reading), with 10 flashcards.

In this note

  1. Importance of Enzymes for Clinical Practice
  2. ENZYMES IN DIAGNOSTIC USE
  3. Isozymes
  4. Electrophoresis of Lactate Dehydrogenase Isozymes
  5. What are Non-Functional Plasma Enzymes?
  6. Increase in Levels of Non-functional Plasma Enzymes
  7. Changes in Functional Plasma Enzyme
  8. Genetically Determined Enzymopathies
  9. Enzymes in Therapy (Myocardial Infarction)
  10. Restriction Endonucleases
  11. MCQ
  12. Answers

Importance of Enzymes for Clinical Practice

  • Catalysis: Enzymes catalyze biochemical reactions, accelerating the rate of chemical reactions crucial for metabolism.
  • Diagnostic Tools: Enzyme activity levels in blood or tissues can serve as diagnostic markers for various diseases and conditions.
  • Therapeutic Targets: Enzymes are targets for drug development, allowing modulation of specific metabolic pathways.
  • Monitoring Treatment Response: Changes in enzyme levels can indicate the effectiveness of treatments and disease progression.
  • Prognostic Indicators: Enzyme levels can provide prognostic information about disease severity and patient outcomes.

Isozymes

  • Definition: Isozymes are enzymes that catalyze the same reaction but have different amino acid sequences and structures.
  • Tissue-specific Expression: Isozymes may be expressed in different tissues or organs, contributing to specialized functions.
  • Physiological Variants: Isozymes can have different kinetic properties, allowing adaptation to specific metabolic demands.
  • Clinical Significance: Variations in isozyme expression can be used diagnostically to identify tissue damage or dysfunction.

Isozymes

The enzyme Lactate Dehydrogenase is made of two(B-form and A-Form) different sub units

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