Blood plasma-type enzymes

A blue, copper-containing glycoprotein present in mammalian blood plasma and containing type 1, type 2, and type 3 copper centers. The type 2 and type 3 copper centers are close together, forming a trinuclear copper cluster. Ceruloplasmin has an important role in the transport and storage of copper ions. Thus, it participates in the metabolism of copper-containing enzymes. 

Most of the signs and symptoms resulting from diazinon poisoning are due to the inhibition of an enzyme called acetylcholinesterase in the nervous system. This enzyme is also found in your red blood cells and a similar enzyme (serum cholinesterase) is found in blood plasma. The most common test for exposure to many organophosphorus insecticides, including diazinon, is to determine the level of cholinesterase activity in the red blood cells or plasma. This test requires only a small amount of blood and is routinely available in your doctor s office. It takes time for this enzyme to completely recover to normal levels following exposure. Therefore, a valid test may be conducted a number of days following the suspected exposure. This test indicates only exposure to an insecticide of this type. It does not specifically show exposure to diazinon. 

It is relevant to ask how often the routine measurement procedures currently used in laboratory medicine provide results that are traceable to high-level calibrators and reference measurement procedures (Lequin personal communication). It turns out that primary reference measurement procedures and primary calibrators are only available for about 30 types of quantity such as blood plasma concentration of bilirubins, cholesterols and sodium ion. International reference measurement procedures from the International Federation of Clinical Chemistry and Laboratory Medicine (IFCC) and corresponding certified reference material from BCR are available for the catalytic activity concentration of a few enzymes such as alkaline phosphatase and creatine kinase in plasma. For another 25 types of quantity, such... 

The types of enzymes that bring about hydrolysis are hydrolase enzymes. Like most enzymes involved in the metabolism of xenobiotic compounds, hydrolase enzymes occur prominently in the liver. They also occur in tissue lining the intestines, nervous tissue, blood plasma, the kidney, and muscle tissue. Enzymes that enable the hydrolysis of esters are called esterases, and those that hydrolyze amides are amidases. Aromatic esters are hydrolyzed by the action of aryl esterases and alkyl esters by aliphatic esterases. Hydrolysis products of xenobiotic compounds may be either more or less toxic than the parent compounds. 

The blood plasma of a healthy individual typically contains 60-80 g/L of protein. This protein can be separated into five classes designated a through "y. The separation is based on the overall surface charge on each of the types of protein. (See A Clinical Perspective Enzymes, Isoenzymes, and Myocardial Infarction in Chapter 20 for a discussion of the separation of proteins based on surface charge.)... 

The inhibition of two cholinesterase activities in blood can also be used to confirm exposure to certain organophosphate ester compounds. Red blood cell acetylcholinesterase is the same cholinesterase found in the gray matter of the central nervous system and motor endplates of sympathetic ganglia. Synonyms for this enzyme include specific cholinesterase, true cholinesterase, and E-type cholinesterase. Plasma cholinesterase is a distinct enzyme found in intestinal mucosa, liver, plasma, and white matter of the central nervous system. Synonyms for this enzyme include nonspecific cholinesterase, pseudocholinesterase, butyrylcholinesterase, and S-type cholinesterase (Evans 1986). Nonspecific cholinesterase is thought to be a very poor indicator of neurotoxic effects. 

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