AMS Flashcards

(44 cards)

1
Q

What is the systematic name of amylase?

A

E.C.3.2.1.1

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2
Q

What is the chemical name of AMS?

A

a-1,4-glucan-4-glucanohydrolase

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3
Q

What does the amylase hydrolyze?

A

1,4-a-glucocidic linkage in
polysaccharides.

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4
Q

The only enzyme that can be found in the urine

A

Amylase

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5
Q

What is the MW of amylase?

A

45,000

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6
Q

What is the optimum pH of Amylase?

A

Optimum pH: 6.9 – 7.0 in serum

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7
Q

Without this, amylase cannot perform its duty.

A

Calcium

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8
Q

Where is the amylase secreted in the pancreas?

A

Acinar cells

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9
Q

Responsible in the hydrolysis of starch from the food
that we eat.

A

Salivary gland

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10
Q

Small amount of Amylase can be found

A

SEMINAL FLUID, TESTIS, OVARIES, FALLOPIAN TUBES, STRIATED
MUSCLE, LUNGS AND ADIPOSE TISSUE

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11
Q

first milk produced by a lactating
mother

A

Colostrum

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12
Q

it hydrolyses the 1,4-a-glucocidic
linkage to form the following 3 products:

A

a. Glucose
b. Maltose
c. Dextrin

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13
Q

What are the reactions catalyzed by amylase?

A

Starch digestion
Splits complex CHO made up of a-D glucose units

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14
Q

 Inhibited by monoclonal antibody
 Inhibited by protein isolated from wheat
 Accounts for the 2/3 of the Amylase activity in
the normal serum

A

S-type Isoamylase

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15
Q

Fastest migrating in electrophoresis

A

S1 isoamylase

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16
Q

 Inhibited by monoclonal antibody
 Not inhibited by protein isolated from wheat

A

P-type Isoamylase (Pancreas)

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17
Q

What is the most common fraction type of isoenzyme?

A

P2, S1 AND S2

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18
Q

What p-type isoenzyme is predominant in cases of acute pancreatitis?

19
Q

Abnormal amylase in combination with Immunoglobulins
(IgA or IgG) or other high MW proteins can also bind to Stype isoenzyme

20
Q

What specific immunoglobulins do abnormal amylase combine to?

21
Q

Sudden inflammation of the pancreas causing
abdominal pain.

A

Acute pancreatitis

22
Q

Predisposal for acute pancreatitis

23
Q

Cause of ACUTE PANCREATITIS?

A

Gallstone formation

24
Q

Viral infection (Paramyxoviridae) that mainly
effect the parotid gland and the salivary gland

25
Two-folds increase
Perforated peptic ulcer
26
Three-folds increase
Appendicitis
27
Mimics acute pancreatitis
Ruptured ectopic pregnancy
28
 Tear in the inner layer of the aorta took place  Mimic acute pancreatitis
Dissecting aortic aneurysm
29
Example of billiary tract disease.
Cholecystitis
30
Four-folds increase in the ULN of Amylase
Billiary tract disease
31
Improved the reaction stoichiometry – employ the use of small oligosaccharide as a substrate.
CONTINUOS MONITORING METHOD
32
more controlled and consistent hydrolysis conditions
CONTINUOS MONITORING METHOD
33
Saccharogenic is by?
Nelson Somoyogi modification by Henry and Chiamon
34
- Uses starch as a substrate - It measures the appearance of products
Saccharogenic
35
Hydrolysis of starch by amylase causes a decrease in color intensity
Amyloclastic (iodometric method)
36
Starch attached to chromogenic dye to form an insoluble dye substrate complex.
Chromogenic (Klein, Foreman, Searcy)
37
Counterpart of Amyloclastic because we are looking at the color intensity (pagkaroon ng kulay)
Chromogenic (Klein, Foreman, Searcy)
38
Measures the change in turbidity of starch solution over a short reaction period.
Turbidimetry and Nephelometry (Peralta and Reinhart)
39
waste product of normal/physiological muscle metabolism
Creatinine
40
Normal amylase/ creatinine ratio:
1.0% - 4.0% (0.01 – 0.04)
41
A:C ratio (Acute pancreatitis) =
>4.0% (Up to15%)
42
Enumerate the sources of amylase
Pancreas Salivary gland
43
Enumerate the most effective activators of amylase
Bromide Chloride
44
HISTORICAL METHOD OF AMYLASE
Saccharogenic Amyloclastic (Iodometric method) Chromogenic (Klein, Foreman, Searcy) Turbidimetry and Nephelometry (Peralta and Reinhart)