Clinical enzymology effect

When one of the substrates is water (i.e., when the process is one of hydrolysis), with the reaction taking place in aqueous solution, only a fraction of the total number of water molecules present participates in the reaction. The small change in the concentration of water has no effect on the rate of reaction and these pseudo-one substrate reactions are described by one-substi ate kinetics. More generally the concentrations of both substrates may be variable, and both may affect the rate of reaction. Among the bisubstrate reactions important in clinical enzymology are the reactions catalyzed by dehydrogenases, in which the second substrate is a specific coenzyme, such as the oxidized or reduced forms of nicotinamide adenine dinucleotide, (NADH), or nicotinamide adenine dinucleotide phosphate, (NADPH), and the amino-group transfers catalyzed by the aminotransferases. 

Secchi GC, Chiappino G, Lotto A, et al. 1968. [Acutal chemical composition of commercial trilenes and their hepatotoxic effects Clinical and enzymological study.] Med Lav 59(8-9) 486-497. 

We will consider in this chapter the general processes by which enzymes achieve enhancement of reaction rates, basic chemical and enzymatic kinetics and inhibition, the roles of cofactors and coenzymes, the effects of environmental factors, the regulation of enzyme activity, and some clinical applications of enzymology. 

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