CC LEC 2 - Enzymes II Flashcards
128,000 Daltons
Interconversion of lactic acid and
pyruvic acid
LD - Lactate Dehydrogenase
Atypical LD
LD-6: ??
alcohol dehydrogenase
Atypical LD Migrates cathodal to LD-5 Present in patients with arteriosclerotic cardiovascular failure Grave prognosis, signifies impending death
alcohol dehydrogenase
Atypical LD
LD complexed with IgA or IgG, migrates between LD-3 and LD-4
Macro-LD:
– to measure LD-1(HHHH) because H-units have great affinity
*a-Hydroxybutyrate dehydrogenase activity
Methods for LD forward reaction - mixture of phenazine methosulfate and nitroblue - tetrazolium reacts with NADH producing blue purple color - pH8.3–8.9
- Wacker method
Methods for LD – reverse reaction - NADH is cosubstrate, consumed during reaction
- pH7.1–7.6
Wroblewski La Due method
Methods for LD - 3 times faster, smaller sample, shorter reaction time - Susceptible to substrate exhaustion and loss of linearity
Wroblewski La Due method
Transfer of amino group between aspartic acid and a-ketoacids
Aspartate Aminotransferase
ast coenz
Pyridoxal phosphate is coenzyme
ast isoenz
predominant form in serum
Cytoplasmic Isoenzyme –
ast isoenz
increased during cell necrosis
Mitochondrial Isoenzyme
AST Method – coupled enzymatic reaction - Malate dehydrogenase is indicator enzyme - Decrease in absorbance at 340nm - Optimal pH 7.3-7.8
Karmen method
AST Method
– ketoacids react with 2,4 – DNPH to form ketoacid hydrazines
- Product is intense brown color measured at 505nm
Reitman-Frankel Method
- Catalyzes transfer of amino groups from alanine to a-ketoglutarate
Alanine Aminotransferase
Liver specific enzyme
Alanine Aminotransferase
Not elevated in heart disease unless accompanied with liver disease
Alanine Aminotransferase
Tends to be higher and lasts longer than AST in acute inflammatory conditions of the liver
Alanine Aminotransferase
Requires Mg2+ and Mn2+ as activators
Alkaline Phosphatase
class 3 enz
ALP
Hydrolysis of various phosphomonoesters; making it nonspecific in alk
ALP
ALP isoenz Increased in B and O secretors
Intestinal ALP
Abnormal ALP isoenz
Regan
Nagao
Abnormal ALP
Variant of Regan
- Detected in metastatic carcinoma of pleural surfaces and in adenocarcinoma of pancreas and bile duct
nagao
Abnormal ALP
Highest in ovarian and gynecologic cancers
- Used for monitoring treatment because it disappears upon successful therapy
regan