Isoenzyme determined

Winkelman, J. Nadler, S. Demetrio, J. and Pileggi, V. J. Clinical usefulness of alkaline phosphatase isoenzyme determinations. Am. J. Clin. 

The second main class of blood constituents used as genetic markers are the polymorphic enzymes. The enzymes of interest to the forensic serologist are primarily located within the red blood cell and are commonly referred to as isoenzymes. These can briefly be described as those enzymatically active proteins which catalyze the same biochemical reactions and occur in the same species but differ in certain of their physicochemical properties. (This description does not exclude the tissue isoenzymes that occur within the same organism however, our consideration deals only with those of the red blood cell in particular.) The occurrence of multi-molecular forms of the same enzyme (isoenzymes) has been known for several decades however, it was not until the Metropolitan Police Laboratory of Scotland Yard adapted electrophoretic techniques to dried blood analysis that these systems were catapulted to the prominence they presently receive (.2). For many of the forensic serologists in the United States, the use of electrophoresis and isoenzyme determination is a recently-inherited capability shared by only a few laboratories. 

C. A. Broyles, Creatine Kinase Isoenzymes Determination by Selective Inhibition and by Flow Injection Analysis. Diss. Abstr. Int. B, 46 (1985) 1144. 

HBD is a biochemical rather than electrophoretic assessment of the LD isoenzyme which is associated with heart. All five isoenzymes of LD exhibit some activity toward cx-hydroxy-butyrate as substrate, but heart LD shows the greatest activity. Serum HBD measurement is not as valuable as the electrophoretic determination of heart LD isoenzyme. High HBD activity has also been found in diseases of the liver. Rises associated with the hepatic effects of congestive heart failure can be disconcerting in the differential diagnosis of myocardial infarction. Wilkinson has used the serum HBD/LD ratio for the differentiation of myocardial disease from other disorders in which HBD activity is elevated, whereas Rosalki has not found the ratio to be helpful (39). 

Rao et. al recently published another method for the quantitation of the MB fraction. The method is based on the selective activating capacity of dithiothreitol on CR isoenzyme MB, after isoenzyme MM is activated by glutathione (51). Apparently the MB isoenzyme is not activated by glutathione" Eut is activated by dithiothreitol. The difference between CR activities obtained in the presence of glutathione alone and those obtained with both glutathione and dithiothreitol represent MB activity. The correlation is excellent (r 0.998) between the activity of MB in the isoenzyme mixture determined by this method, and the activity of isolated MB. 

Wagner et. al (46) studied 376 patients to evaluate the importance of identification of the myocardial-specific MB isoenzyme in the diagnosis of acute myocardial infarction. An attempt was made to determine the incidence of falsely positive (mb). No acute infarction was diagnosed in all patients in whom neither total CK nor the isoenzymes of LD indicated myocardial necrosis. Incidence of falsely negative (MB) was zero in 33 patients. They concluded that determination of the isoenzymes of CK provides both a sensitive and specific indication of acute myocardial infarction. 

New manual and automated method for determining activity of creatine kinase isoenzyme MB by use of dithiothreitol Clinical applications. Clin. Chem. (1975), 1612-1618. 

HPAEC analyses were carried out to determine the oligomeric products released from various pectic substrates after depolymerization by the PL isoenzymes. Action pattern analyses for the concerted action of PL isoenzymes utilized 68% esterified pectin as substrate. One-ml reaction mixtures in a buffer system as detailed in section 2.2. comprising 0.5% (w/v) substrate and 5 U of enzyme were incubated for 30 s to 18 h, and then thermoinactivated. Samples of 750 pi were applied to a Carbopac PA-1 (Dionex) column before the carbohydrates were eluted over a period of 70 min using a gradient of 0.2 M KOH, 0.05 M K-acetate to 0.2 M KOH, 0.7 M K-acetate. Detection employed a Pulsed Electrochemical Detector (PED, Dionex) in the integrated amperometry mode according to the manufacturer s recommendations. 

The determination of the amino acid sequences of the sarcoplasmic reticulum Ca -ATPase [42] and of the closely related Na, K -ATPase [43,44] have opened a new era in the analysis of ion transport mechanisms. Since 1985, several large families of structurally related ion transport enzymes were discovered [3,34,45-50] that are the products of different genes. Within each family several isoenzymes may be produced from a single gene-product by alternative splicing (Table I). 

HRP is a hemoprotein containing photohemin IX as its prosthetic group. The presence of the heme structure gives the enzyme its characteristic color and maximal absorptivity at 403 nm.The ratio of its absorbance in solution at 403 nm to its absorbance at 275 nm, called the RZ or Reinheitzahl ratio, can be used to approximate the purity of the enzyme. However, at least seven isoenzymes exist for HRP (Shannon et al., 1966 Kay et al., 1967 Strickland et al., 1968), and their RZ values vary from 2.50 to 4.19. Thus, unless the RZ ratio is precisely known or determined for the particular isoenzyme of HRP utilized in the preparation of an antibody-enzyme conjugate, subsequent measurement after crosslinking would yield questionable results in the determination of the amount of HRP present in the conjugate. 

AP isoenzymes can cleave associated phosphomonoester groups from a wide variety of substrates. The exact biological function of these enzymes is not well understood. They can behave in vivo in their classic phosphohydrolase role at alkaline pH, but at neutral pH AP isoenzymes can act as phosphotransferases. In this sense, suitable phosphate acceptor molecules can be utilized in solution to increase the reaction rates of AP on selected substrates. Typical phosphate acceptor additives include diethanolamine, Tris, and 2-amino-2-methyl-lpropanol. The presence of these additives in substrate buffers can dramatically increase the sensitivity of AP ELISA determinations, even when the substrate reaction is done in alkaline conditions. 

Spaldin, V., Madden, S., Adams, D.A., Edwards, R.J., Davies, D.S. and Park, B. K. (1995) Determination of human hepatic cytochrome P4501A2 activity in vitro use of tacrine as an isoenzyme-specific probe. Drug Metabolism and Disposition, 23 (9), 929-934. 

Time-resolved approaches for multi-analyte immunoassays have been described recently. Simultaneous determination of LH, follicle stimulating hormone (FSH), hCG, and prolactin (PRL) in a multisite manual strip format has been reported. 88 Four microtiter wells are attached to a plastic strip, two-by-two and back-to-back, such that the wells can be read on a microtiter plate reader. In a quadruple-label format, the simultaneous quantitative determination of four analytes in dried blood spots can be done using europium, samarium, dysprosium, and terbium. 89 In this approach, thyroid-stimulating hormone, 17-a-hydroxyprogesterone, immunoreactive trypsin, and creatine kinase MM (CK-MM) isoenzyme are determined from dried blood samples spotted on filter paper in a microtiter well coated with a mixture of antibodies. Dissociative fluorescence enhancement of the four ions using cofluorescence-based enhancement solutions enables the time-resolved fluorescence of each ion to be measured through four narrow-band interference filters. 

These CYPs are isoenzymes (or isozymes), catalysing essentially the same reaction, but for different substrate ranges with specificity determined by their different amino acid sequences. CYPs (and other metabolic enzymes) often react with individual substrates in a highly regio-, chemo- or stereo-selective manner, each isozyme displaying its own unique selectivity. Some examples of selective CYP-catalysed transformations are shown in Scheme 1.3. 

The presence of calcium in horseradish peroxidase was demonstrated originally by Haschke and Friedhoff, working with the C and A (imspec-ified, but likely to have been predominantly A2) isoenzymes (209). HRP C and HRP A contain 2.0 0.13 and 1.4 0.19 moles calcium per mole enzyme, respectively, as determined by atomic absorption spectroscopy. Incubation in 6 M guanidinium hydrochloride and 10 mM EDTA for 4 hours at neutral pH and room temperature gave calcium-depleted enzymes with specific activities decreased by 40% and 15%, respectively. The thermal stability of calcium-depleted HRP C was also reduced compared to native enzyme. Reconstitution was successful only with calcium-depleted HRP C (209). It remains to be established whether this reflects true structural differences between the calcium binding sites of the two isoenz5unes, or is a consequence of the relatively harsh... 

The apphcations described here illustrate the wide range of uses for robotic systems. This chapter is not intended to he exhaustive there are many other examples of successful applications, some of which are referenced below. For instance, Brodach et al. [34] have described the use of a single robot to automate the production of several positron-emitting radiopharmaceuticals and TTiompson et al. [3S] have reported on a robotic sampler in operation in a radiochemical laboratory. Both of these apphcations have safety imphcations. CHnical apphcations are also important, and Castellani et al. [36] have described the use of robotic sample preparation for the immunochemical determination of cardiac isoenzymes. Lochmuller et al. [37], on the other hand, have used a robotic system to study reaction kinetics of esterification. 

IM use May increase creatine phosphokinase levels. Use of the enzyme determination without isoenzyme separation, as a diagnostic test for acute Ml, may be compromised. 

Thiogiucosidase (myrosinase) has iong been considered, at ieast de factof to consist of oniy a singie enzyme activity (4). However, myrosinase has been determined to be a famiiy of isoenzymes (aiso giycoprote ins) (27). 

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