NEET MDS Lessons
Biochemistry
| Enzyme | Clinical Use | Indicates |
|---|---|---|
| CK (Total) | Muscle injury, rhabdomyolysis | Trauma, statin-induced myopathy |
| CK-MM | Skeletal muscle-specific | Muscular dystrophies |
| AST | Also elevated in muscle damage | Used alongside CK |
| LDH | Non-specific marker | Muscle, liver, or cardiac damage |
Glycogen Storage Diseases are genetic enzyme deficiencies associated with excessive glycogen accumulation within cells.
- When an enzyme defect affects mainly glycogen storage in liver, a common symptom is hypoglycemia (low blood glucose), relating to impaired mobilization of glucose for release to the blood during fasting.
- When the defect is in muscle tissue, weakness and difficulty with exercise result from inability to increase glucose entry into Glycolysis during exercise.
Various type of Glycogen storage disease are
|
Type |
Name |
Enzyme Deficient |
|
I |
Von Geirke’s Disease |
Glucose -6-phosphate |
|
II |
Pompe’s Disease |
(1, 4)glucosidase |
|
III |
Cori’s Disease |
Debranching Enzymes |
|
IV |
Andersen’s Disease |
Branching Enzymes |
|
V |
McArdle’s Disease |
Muscles Glycogen Phosphorylase |
Weak Acids and pKa
• The strength of an acid can be determined by its dissociation constant, Ka.
• Acids that do not dissociate significantly in water are weak acids.
• The dissociation of an acid is expressed by the following reaction: HA = H+ + A- and the dissociation constant Ka = [H+ ][A- ] / [HA]
• When Ka < 1, [HA] > [H+ ][A- ] and HA is not significantly dissociated. Thus, HA is a weak acid when ka < 1.
• The lesser the value of Ka, the weaker the acid.
• Similar to pH, the value of Ka can also be represented as pKa.
• pKa = -log Ka.
• The larger the pKa, the weaker the acid.
• pKa is a constant for each conjugate acid and its conjugate base pair.
• Most biological compounds are weak acids or weak bases.
Functions of lipids
1. They are the concentrated fuel reserve of the body (triacylglycerols).
2. Lipids are the constituents of membrane structure and regulate the membrane permeability (phospholipids and cholesterol).
3. They serve as a source of fat soluble vitamins (A, D, E and K).
4. Lipids are important as cellular metabolic regulators (steroid hormones and prostaglandins).
5. Lipids protect the internal organs, serve as insulating materials and give shape and smooth appearance to the body.
The Effects of Enzyme Inhibitors
Enzymes can be inhibited
- competitively, when the substrate and inhibitor compete for binding to the same active site or
- noncompetitively, when the inhibitor binds somewhere else on the enzyme molecule reducing its efficiency.
The distinction can be determined by plotting enzyme activity with and without the inhibitor present.
Competitive Inhibition
In the presence of a competitive inhibitor, it takes a higher substrate concentration to achieve the same velocities that were reached in its absence. So while Vmax can still be reached if sufficient substrate is available, one-half Vmax requires a higher [S] than before and thus Km is larger.
Noncompetitive Inhibition
With noncompetitive inhibition, enzyme molecules that have been bound by the inhibitor are taken out
- enzyme rate (velocity) is reduced for all values of [S], including
- Vmax and one-half Vmax but
- Km remains unchanged because the active site of those enzyme molecules that have not been inhibited is unchanged.
Pepsin
- Primary enzyme for protein degradation in stomach
- Optimal pH: 1.5-2.0 (acidic)
- Secreted as inactive pepsinogen
- Cleaves proteins into smaller peptides
Histone
- Protein rich in basic amino acids (lysine and arginine)
- Packages DNA in chromosomes
- Forms nucleosomes with DNA
- Types: H1, H2A, H2B, H3, H4
Casein
- Example of phosphoprotein
- Major protein in milk
- Contains phosphate groups attached to serine residues
- Forms micelles in milk
Antibodies (Immunoglobulins)
- Structure composed of 2 long (heavy) & 2 short (light) peptide chains
- Y-shaped structure
- Connected by disulfide bonds
- Variable regions bind to antigens
- Constant regions determine antibody class
Insulin Receptors
- Tetrameric glycoprotein
- Consists of 2 α and 2 β subunits
- α subunits: Extracellular, insulin-binding
- β subunits: Transmembrane, tyrosine kinase activity
- Essential for glucose homeostasis
Collagen
- Contains triple helix structure
- Most abundant protein in mammals
- Composed of three polypeptide chains (tropocollagen)
- Amino acid sequence: Gly-X-Y (where X is often proline, Y is often hydroxyproline)
- Provides structural support to tissues
Riboflavin: Vitamin B2
Riboflavin, or vitamin B2, helps to release energy from foods, promotes good vision, and healthy skin. It also helps to convert the amino acid tryptophan (which makes up protein) into niacin.
RDA Males: 1.3 mg/day; Females: 1.1 mg/day
Deficiency : Symptoms of deficiency include cracks at the corners of the mouth, dermatitis on nose and lips, light sensitivity, cataracts, and a sore, red tongue.