ENZYMES INTRO/CK/LDH Flashcards

(91 cards)

1
Q

Enzymes

— _______; is a biological substance that catalyzed a reaction [make the chemical reaction faster]
􏰀 When the enzymes are absent, the reaction would continue but _______.

— Location of enzymes: within the cells [______, ______,intestines and stomach]

􏰀 Cellular injury/degradation → the enzymes would be ?

  • Detection of _____ when certain enzymes are high.
A

biocatalyst

slower

saliva
pancreas

released into circulation

disorder

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2
Q

Essential to Physiologic Functioning:
✔ Hydration of _____—> ____ maintenance of the blood. as hydrogen can combine with it as acidic/ basic substances.

✔ _______ conduction
✔ ________ contraction
✔ ________ degradation􏰀 found in _____ tract [______, _____]
✔ _______ use

A

CO2
pH maintenance

Nerve conduction
Muscle contraction
Nutrient degradation [GI: amylase, lipase]
Energy use

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3
Q

For a fast chemical reaction to occur, there must be the presence of ________[enzymes] + _________.

● _________ site [the substrate]— water-free cavity, where the substance on which the enzyme acts
- ideal environment, such as a slightly [basic/acidic] or [polar/non- polar] environment, for the reaction to occur.

o _________ complex— fast chemical reaction
● _________ site— area other than the active site: water- free

A

reactants
substrates

Active
basic
non-polar

ES
Allosteric

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4
Q

A chemical reaction may occur spontaneously if the [2] is higher for the reactant than the products.

􏰀 _________— reactants have enough energy to break their bond and collide to form new bond [bond between the enzyme & substrate]

A

free energy [reactants]
available kinetic energy

Activation Energy

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5
Q

􏰀 _________ Specificity– [strictest] enzyme + only 1 substrate and catalyzed a single reaction

􏰀 _________ Specificity– + all substrates containing a particular chemical group

􏰀 _________ Specificity– other enzymes are specific to chemical bonds [hydrogen bonds]

􏰀 _________ Specificity + predominantly combine with only 1 optical isomer [mirror image] of a certain compound.

A

Absolute

Group

Bond

Stereoisomeric

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6
Q

_________: gen. temperature for preservation

_________: long term preservation

_________: for cold-labile enzymes
Examples [2]

_________ temperature– reversible inactivation enzyme

_________= NOT RECO → inactivates the enzymes

A

-20C

2-8C

RT
LD4,LD5

Cold temperature

Repeated Thawing

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7
Q

Enzymes that increase in terms of hemolysis:

A

KLAMP
potassium
LDH
AST
ACP
Aldolase
Magnesium
Phosphate/Phosphorus

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8
Q

A lactescence and milky specimen means that there is a [INC/DEC] in concentration, and there is the presence of______.

A

DEC

chylomicrons

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9
Q

Once the counterpart reactant is saturated, and an additional reactants are applied, what will happen to the reaction?

A

it will not result to faster reaction

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10
Q

In substrate and enzyme concentration, it follows the hypothesis of _______ “even in low substrate conc→ the substrate can ______with free enzyme”

A

Michaelis & Menten

readily bind

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11
Q

Enzymatic Reaction can be:
✔ _________– the rxn rate is directly proportional to substrate concentration.

✔ _________– rxn rate depends only on enzyme concentration.

A

First Order kinetic

Zero Order Kinetic

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12
Q

In First Order Kinetic, there is the addition of more _______ to easily find its counterpart.

In Zaro Order Kinetic, there is the addition of more _______ to easily find its counterpart.

A

substrate

enzyme

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13
Q

_________Enzymes are protein that carry a net molecular charge

— # physiologic enzymatic reactions occur in the pH range of _________ but some enzymes are active in wider pH ranges than others.
[2 Examples]

A

pH

7.0-8.0

ACP- acid
ALP- basic

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14
Q

TEMPERATURE
[INC] = [INC/DEC] chemical rate rxn

Temperature coefficient
– In every increase of [#] degree = [#]x increase rate rxn; until, of course, the
________ is denatured.

________– optimum temp.
________— [INC] denaturation rate increases as the temp
increases and is usually [significant/nonsignificant]

________— enzymes inactivation _______temperature— enzymes inactive
- ___________→ prevent activity loss until analysis.

A

10 degree
2x
protein

37C
40-50%

60-65%
Low
Frozen/Refrigerated

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15
Q

___________ non-protein entities that must bind with enzyme for a rxn to occur

  1. ___________—made up of inorganic cofactors
    — function by alternating the enzyme ___________ [enzyme ___________ change that corresponds to the substrate] for proper substrate binding

—Linking substrate to the enzyme/coenzyme, or undergoing ___________.

✔ Metallic: [5]
✔ Non-metallic: [2]

A

COFACTORS

Activatiors
spatial configuration
shape

oxidation-reduction

Ca, Fe, Mg, Mn, Zn, K
Br, Cl

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16
Q

___________— made up of organic cofactors
— as 2nd substrates for enzymatic rxn.
▪ ___________ between the enzyme and substrate [↑ ___________ of the rxn]

___________– when bound tightly to the enzyme, coenzymes
o E.g. [3]

A

Coenzymes

Bridge
velocity

Prosthetic groups
Vit, NAD, NADP

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17
Q

Interfere with the reaction= Enzymatic reactions may not progress normally

A

Inhibitors

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18
Q

physically bind to the active site of an enzyme and compete with the substrate for the active site.
[same shape with the active site= NO ES complex formed]

A

Competitive Inhibition

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19
Q

Is competitive inhibition reversible or not? If yes, how?

A

Reversible

By increasing the substrate concentrate, so the possibility of its binding capacity is higher than the inhibitor.

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20
Q

binds an enzyme at a place other than the active site [allosteric site]= NO ES complex produced= NO RXN CATALYZED

A

Non-competitive Inhibition

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21
Q

Is Noncompetitive inhibition reversible, irreversible or both? explain.

A

Both

Reversible, by other substances that can bind other than the inhibitors.

Irreversible, when the inhibitors destroys the active site.

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22
Q

True or False

In NonCompetitive Inhibition, Increasing the substrate concentration would not reverse the reaction as it binds the enzyme independently from the substrate [binds to allosteric site]

A

True

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23
Q

inhibitor binds to the ES complex.

A

Uncompetitive Inhibition

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24
Q

2 METHODS IN MEASURING THE ENZYMATIC RXN
— Measure based on their _______ and not the absolute ______.
[2]

A

activity

value

Fixed-time/End point
Continuous Monitoring/Kinetic Assay

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25
1. _____________ – single measurement of sample ----- reactants are combined → rxn proceeds for a designated _______ → rxn stopped [most enzyme inactivation is by the help of _______] A measurement is made of the ________ that has occurred [larger reaction= more enzymes are present]
Fixed time/End point time weak acid amount of reaction
26
_________________ Assay– multiple measurement of enzyme activity at specific time intervals
Continuous monitoring/Kinetic assay
27
Continuous Monitoring/Kinetic Assay is preferred because? It is also the most common deviation where enzyme is so ________ → all ________ is used early in the reaction time.
any deviation from linearity is readily observable elevated substrate
28
results in structural cavities.
Tertiary structure
29
made up of polypeptide chain twisting
Secondary structure
30
enzyme contains more than one polypeptide unit: spatial relationships between the subunits
Quarternary structure
31
Catalyze an oxidation–reduction reaction between two substrates Catalyze the transfer of a group other than hydrogen from one substrate to another Catalyze hydrolysis of various bonds o Breaks substances with the use of _______.
Oxido-reductase Transferase Hydrolase
32
Catalyze removal of groups from substrates without hydrolysis; the product contains double bonds
Lyase
33
Catalyze the interconversion of geometric, optical, or positional isomers
Isomerase
34
Catalyze the joining of two substrate molecules, coupled with breaking of the ____________ bond in ATP or a similar compound
Ligases pyrophosphate
35
digit of subclass and sub-subclass
2nd + 3rd
36
digit of class
1st
37
digit of the serial number specific to each enzyme in a sub- subclass
4th
38
Dimer w/ 2 subunits
CK Isoenzymes
39
Dimer w/ 2 subunits Enzymes with same catalytic function but DIFF physical PROPERTIES.
CK Isoenzymes
40
Percentage from the total CK: CK1/BB- CK2/MB- CK3/MM-
1% <6% 94-100%`
41
CK that is of : Brain type: Brain tissue
CK-BB
42
CK that is hybrid type [muscle + brain]: more on from the _______.
CK-MB/2 heart
43
CK that is muscle type: mostly ______ muscle [Examples]
CK-MM/3 skeletal LD1-5
44
— Associated w/ ATP generation in contractile system and is related with muscular system
Creatine Kinase/Phosphokinase
45
CK function in the muscle cells, it stores Creatine phosphate that is important in ______ production.
ATP
46
Creatine Kinase/Phoshphokinase is differentiated by 3 methods:
Electrophoresis Solubility Inactivation resistance
47
CK's arrangement in electrophoresis. [from cathode to anode]
Cathode- CK3- CK2- CK1- Anode
48
— Seldomly found in the plasma Short half life: 1-5 hrs
CK-BB
49
_____________ Have a high molecular size → cannot pass through the x Blood Brain Barrier → Confined to the ______ or ______.
CK-BB brain cranium
50
May be seen in the circulation of neonates as this is not developed fully.
CK-BB
51
— MOST IMPORTANT part of CK
CK-MB
52
A tissue that compromises 20% of CK-MB and very little to other tissues
Cardiac tissue
53
is the only tissue from which CK-MB enters the serum, meaning it is quite specific to the ________ muscle
Myocardium cardiac
54
CK-MB as indicator of AMI 􏰀 Rise= _______ 􏰀 Peak= _________ 􏰀 Normalize= ________
4-8 hrs 12hrs-1day 2-3days
55
􏰀 Other cardiac markers aside from CK-MB: [3]
LDH AST Troponin
56
— SERUM MAJOR FRACTION 􏰀 @ Skeletal/Cardiac muscle
CK-MM
57
CK- MM [INC]: [3]
Hypothyroidism IM Injection Muscle activity
58
o Hypothyroidism: [INC] ___________ + [DEC] ________ due to slow _________ o Muscle activity: __________ o IM: ___________
membrane permeability CK clearance slow metabolism vigorous exercise muscle damage
59
MACRO-CK – midway between MM AND MB – related to age and sex: associated to ____________. 2 FORMATION THEORIES: - CK ____ that is found in IgG - CK ____ that is bound to lipoprotein 􏰀 NO clinical significance
MACRO-CK age, sex >50 yrs old female BB MM
60
________________ — Found before MM. — Bound to the exterior surface of mitochondrial membrane of [3] Clinical significance: [3]
Mitochondrial CK [CK-Mi] mitochondrial muscle brain, liver severe illness malignant tumors cardiac abnormalities
61
Hypothyroidism, malignant hyperpyrexia, Reye’s syndrome, Vibrio Vulnificus --- are clinically significant to what CK?
CK-MM
62
METHODS USED FOR THE MEASUREMENT OF ISOENZYMES OF CK [4] [+2 subtypes]
1. Electrophoresis 2. Ion Exchange Chromatography 3. Ab used for CK MB/AMI Diagnosis 4. Immunoassay -- Tanzer-Gilbarg Assay --Oliver- Rosalki Assay
63
REFERENCE method of CK
Electrophoresis
64
More SENSITIVE, PRICY > electrophoresis Problem with the _______: CK-____ merge with CK-____ CK-____ eluted with CK-____
Ion exchange chromatography Bad column BB MB MM MB
65
__________ inhibits ALL the activity of M subunit. o _________: 2 Subunits M - entire activity would be inhibited o _________: 1 M subunit - half of the activity would be inhibited ▪ B is left ▪ CK B Activity X [#] = reflect CK___ activity o _________: NO M subunits - not affected; isolated to the _______
Anti-M antibody CK3 CK2 2x CK1 brain
66
􏰀 Detects MB reliably with minimal reactivity 􏰀 Detects enzyme protein rather than activity
Immunoassay
67
In immunoassay for CK, with RBC hemolysis, it will release __________= resulting to falsely [increased/decreased] values of CK
Adenylate kinase/AK increased
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CK IMMUNOASSAY Storage: _____C: CK may last for up to 7 days _____: CK may last for 1 month Reference values: Total CK Male: ______U/L - much muscular > Female: _____ U/L
-20C 4 15-160 15-130
69
TANZER-GILBARG ASSAY [_____pH @340 nm] [Forward/Direct reaction or Reverse/Indirect reaction] OLIVER-ROSALKI ASSAY [_____pH @_____ nm) [Forward/Direct reaction or Reverse/Indirect reaction]
9.0pH Forward/Direct 6.8 pH 340 Reverse/Indirect
70
Reactions in: Tanzer Gilbarg
Creatine + ATP --[CK]-- Creatine phosphate + ADP ADP + Phoshoenol pyruvate ---ATP + Pyruvate Pyruvate + NADH + H --[LD]-- Lactate + NAD
71
Reactions in: Oliver Rosalki Assay
Creatine phosphate + ADP --[CK] -- Creatine + ATP ATP + glucose -- ADP + G6P G6P + NADPH-- [GDPD]-- 6phosphogluconate + NADP
72
Catalyzes the interconversion of lactic acid and pyruvic acid o Lactate + ______ —> Pyruvate + ______. Coenzyme: ________.
Lactate dehydrogenase NAD NADH NAD
73
Tetrametric molecules containing 4 subunits of 2 possible forms [H-heart, M-Muscle]
LD Isoenzymes
74
LD HHHH & LD HHHM are indicators for these 2 conditions
heart, RBC AMI Intravascular hemolysis
75
LD HHMM is an indicator for this condition
pulmonary disorders [pulmonary carcinoma]
76
LD HMMM is an indicator for this condition
intrahepatic disorder
77
LD MMMM is an indicator for this condition
muscular dystrophy
78
Abnormal type of LD Isoenzymes ✔ _____ Band to the electrophoresis ✔[2 conditions] → could lead to ______ damage.
6th impending death arteriosclerotic cardiovascular failure liver
79
LD isoenzyme designated for liver
LD HMMM/4
80
LD isoenzyme designated for lungs, lymphocyte, spleen, pancreas
LD HHMM/3
81
LD isoenzyme designated for the skeletal muscle
LD MMMM/5
82
LD isoenzyme designated for heart and RBC
LD HHHH/1 LD HHHM/2
83
LD is NON-SPECIFIC, thus it should be differentiated through their concentration. [Concentration order from highest to lowest] - LD 1& 2 have same tissue sources but LD___ has more. _____________ --Concentration of LD1 becomes higher than LD2. --Indicates [2]
LD2--LD3--LD1--LD4--LD5 1 Flipped pattern AMI Hemolyzed sample
84
MEASUREMENT OF LD ISOENZYMES
Electrophoresis Immunoinhibition/Chemical Inhibition Substrate affinity
85
DIAGNOSTIC SIGNIFICANCE LDH is increased in these 6 disorders: [Highest] in: [2] - LDH is a ______ marker
Renal disorder Hepatic disorder Cardiac disorder Skeletal disorder Hematologic disorder Neoplastic disorder pernicious hemolytic disorder AMI Cardiac
86
LDH in AMI - Rise: _____ hrs - Peak: _____ hrs - Normalize: _____days
12-24hrs 48-72hrs 10 days
87
LDH Isoenzymes METHODS [2]
1. Wacker 2. Wrobleuski and La Due
88
Reference value of LDH
100- 225 U/L
89
1. Wacker Method [_____ pH @ 340 nm] 2. Wrobleuski and La Due [______pH @_____nm]
8.3-8.9 pH 7.1-7.4 pH 340nm
90
__________________. ✔ 3X faster > to wacker method, [small/large] sample is needed ✔ Susceptible due to [2] ✔ HEMOLYSIS should be prevented because? o LDH is a ______ labile 􏰀 use ____ in storage ▪ LD___ is the MOST LABILE.
Wrobleuski and La Due small substrate exhaustion loss of linearity RBC contains 100-150x the LDH concentration. cold RT 5
91