Enzyme Inhibition
Drugs utilizing kinetics and inhibition and its clinical utility
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Enzyme Kineticsthe quantitative measurement of the rates of enzyme-catalyzed reactions
and the systematic study of factors that affect these rates
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Catalysts
Increase rate of reaction by factor of 106
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Highly selective and specificNot changed as a result of catalysis
Does not change the equilibrium constant
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Enzymes Alter Only the Reaction Rate
and Not the Reaction Equilibrium
Factors affecting reaction velocity
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Substrate concentration
The rate of an enzyme-catalyzed reaction increases with substrate
concentration until a maximal velocity (Vmax) is reached
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Temperature
Bell shaped curve
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Increase of velocity with temperatureDecrease of velocity with higher temperature
pH
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Bell shaped curveEffect of pH on the ionization of the active site
Effect of pH on enzyme denaturation
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Variable pH optimum
Kinetic Order of Reaction
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Sum of the molar ratios of the reactants defines the kinetic order of thereaction
First order
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Second order
Pseudofirst order reaction
Michaelis Menten Equation
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Vmax
1/2Vmax
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[Vo]Km
Relationship between initial velocity and substrate concentration
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[S]
Km and its importance
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The Michaelis constant Km is the substrate concentrationat which Vi is half the maximal velocity (Vmax/2) attainable
at a particular concentration of the enzyme.
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Unit?Reflects the af inity of the enzyme for that substrate:
inverse relationship
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Specific for enzyme substrate combination
Order of reaction
Clinical importance of Km
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Hexokinase vs Glucokinase
Line-Weaver Burk plot
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Double Reciprocal GraphLinear curve
1
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=
Km
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+ 1V0
Vmax [S]
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Vmax
Linear form of Michaelis menten equation to
Determine Km and Vmax.
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Units of Enzyme activityAmount of substrate converted to product per unit time under standard
conditions of pH and Temperature
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IUB unit: Katal (?mol/min)
SI Unit: (mol/sec)
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Relative activities of EnzymesSpecific activity (Vmax/protein concentration): Impure Enzymes
Turnover number(Vmax/moles of enzyme): Homogenous Enzymes
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Catalytic constant, Kcat [Vmax/No. of active sites(St)]: unit time-1
Catalytic efficiency: Kcat/Km (Carbonic anhydrase, ADA,
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acetylylcholinesterase)Two substrate Reactions(Bi Bi
Reactions)
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Sequential:
Random
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Ordered
Ping Pong:
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Double displacement reactionsTwo substrate Reactions
Random
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Ordered/Sequential
Ping Pong/Double Displacement
Enzyme Inhibition
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Types of Inhibitions based on kinetics
Competitive Inhibition
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Non-Competitive InhibitionUn-Competitive inhibition
Competitive Inhibition
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Binding at substrate binding siteInhibitor similar to substrate
Km increased
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Vmax same
Clinical Application/Drugs
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Statin DrugsCompetitive Inhibitors of HMG CoA reductase
Sulpha Drug (Str. Analogues of PABA)
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Inhibits Folic acid synthesis in Bacteria
Methanol Poisoning
Non-Competitive Inhibition
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Substrate and inhibitor binds at dif erent sites
Not structural analogues
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Decrease VmaxKm same
Drugs/Toxins based on Non -
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Competitive Inhibition
Ferrochelatase (Inhibition by Lead)
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Acetylcholinesterase (Insecticides)Cytochrome oxidase(Cyanide)
Uncompetitive Inhibition
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Inhibitor binds to ES ComplexWith Inhibitor
Both Km and Vmax decreases
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1/V
1/S
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Examples of Drugs showingUncompetitive Inhibition
Lithium (Inositol monophosphatase)
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Phenylalanine(Placental ALP)
Classification based on Reversibility
Reversible
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Irreversible: Chemical modification or Covalent modification
Irreversible inhibitors Poison Enzymes
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Diisopropylflurophosphate (nerve gas): covalently bindsacetylcholinestrase
Aspirin(Cox)
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Penicil in (bacterial transpeptidase)
Mechanism Based Inhibition
Suicide Inhibition
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Contains chemical group that is transformed by catalytic machinery
Generates highly reactive group
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Binds covalently to catalytically essential residuesDrugs based on Suicide Inhibition
Al opurinol (inhibits xanthine oxidase: Oxypurinol)
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5 fluorouracil (inhibits thymidylate synthase: FdUMP)
Transition state Analogs & Abzymes
Transition state analog: A molecule with shape
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similar to transition state
Catalytic Antibodies
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Abzymes created using transition state analogas antigens
Clinical Scenario 1
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A 45-year-old man presents to emergency with bradycardia, blurred vision,
vomiting, increased and salivation. He is a farmer using OPC Spray for his field
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and pipe ruptured. Type of inhibition?(A) Competitive
(B) Noncompetitive
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(C) Uncompetitive(D) Irreversible
Clinical scenario 2
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A 35 year old lady comes to OPD with evening fatigue, eyelid drooping,dysphagia and slurred speech. A drug is administered with following effect.
What is true
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In presence of drug
a. Competitive: Vmax same, km increased
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b. Competitive : Vmax same, km decreased1/V
c. Non-competitive: Vmax decreased, Km same
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d. Non-competitive: Vmax decreased, Km decreased
1/S
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Clinical Scenario 3A patient wants to go to Manali for trekking. He took a medicine for mountain
sickness with following kinetics. What is the type of inhibition?
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With Drug
A. Competitive
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B. Noncompetitive1/V
C. Uncompetitive
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D. Allosteric
1/S
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