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PII: S0307- 4412 (97)00070-8 Table 1 Initial velocity data obtained from the effect of various
concentrations of alanine on the enzyme glutamine synthetase at
Enzyme Kinetics: Partial and Complete different levels of glutamate
Competitive Inhibition Initial Velocity (Izmol dm 3 min 1)
CHRIS G WHITELEY [Ala] pmol dm 3/ 0.0 1.0 2.0 3.0 4.0 5.0
Department of Biochemistry and Microbiology
[Glu] (llrnol dm 3)
Rhodes University 2.0 0.242 0.213 0.195 0.182 0.172 0.165
Grahamstown 6140 2.5 0.271 0.242 0.223 0.209 0.199 0.191
South Africa 3.33 0.308 0.279 0.260 0.246 0.235 0.227
5.0 0.356 0.330 0.312 0.298 0.288 0.279
Introduction
The inhibition of enzyme activity is one of the major
ingly, this method has not met with overwhelming support
regulatory devices of living cells and one of the most
in undergraduate and/or postgraduate teaching areas. In
important diagnostic procedures of the enzymologist.
this department s it has been found that this type of
Such studies indicate specificity of an enzyme, the physical
and chemical architecture of the active site and the kinds approach, is an excellent replacement for the more usual
of enzyme-substrate and enzyme product complexes. Michaelis-Menten and/or Lineweaver Burk methods.
To illustrate Yoshino's method 7 in teaching enzyme
Enzyme inhibition is divided into two types: complete
and partial inhibition, otherwise known as linear and kinetics and to point out its advantages over conventional
procedures, a general rate equation is derived and specific
hyperbolic inhibition because graphs of reciprocal velocity
versus inhibitor concentration give a straight line and a kinetic interpretations are presented for competitive
hyperbola respectively? With complete enzyme inhibi- inhibitors.
tion, the velocity tends to zero when the concentration of From Scheme I it is possible to derive a generalised
the inhibitor increases while with partial inhibition the equation to relate [v/(Vo-v)] to the parameters in the
enzyme is converted into a modified, but still functional, scheme. Note: Vo is the velocity attained by the system in
enzyme-substrate-inhibitor (EIS) complex [Scheme I]. the presence of a fixed amount of substrate and no
inhibitor.
It follows that
E+$~ • E$ ~E+P
Solution 9,1°
From eqn 10 and the data (Table 1) fractional velocities
[v/(Vo- v)] can be calculated at the different substrate [S]
and inhibitor [I] concentrations. From this representation
(Fig 1) a series of lines, having slopes equal to
Kj (1 + [S]/Km), are seen which converge on the abscissa at
S (gmol/dm-3) -1//(,.' and intercept the ordinate axis at Ki(I+[S]/K,O/
Figure 3 A secondary plot of the intercepts on they axis of Fig 1 K/. This reflects a partial competitive inhibition
versus glutamate concentration mechanism.
B I O C H E M I C A L E D U C A T I O N 25(3) 1997
146
The parameters Kin, K~and K,' may be determined from model developed at the University of New Mexico,2 but
the two secondary plots of slope and intercept versus written by clinical and basic science faculty at WVU. The
substrate concentration (Fig 2 and Fig 31°). stated objectives of the integrated PBL course are to:
Hence, Km= 2.33/~mol dm 3, K, = 3.6/~mol dm -3 and
Ki' = 8.33/~mol dm 3. (1) integrate information across the basic science
The parameter, Vmaxmay be calculated from simple disciplines,
substitution into the Michaelis-Menten equation: (2) demonstrate the relevance of basic sciences in clinical
v = (V~,~[S])/(Km+ [S]). Hence Vm~x= 0.52/tmol issues,
dm -3 min -1. (3) enhance the retention of basic science knowledge,
Equation 8 can also be suitably rearranged to allow (4) increase the student's ability to acquire knowledge
analysis of partial and complete non-competitive inhibi- independently and to apply basic science concepts to
tion and partial and complete uncompetitive inhibition. clinical cases,
The author will be happy to supply the derivations and (5) develop the student's communication and interper-
suitable example problems to any interested reader. 9 sonal skills in a group setting, and
(6) increase the level of intrinsic interest in the subject
References matter, creating the motivation for learning.
1 SegelI, Enzyme Kinetics, pp 100-226. John Wiley,New York, 1973.
2 DixonM (1953)BiochemJ 55, 170-171
3 Cornish-BowdenA (1974)Biochem J 137, 143-144
4 ClelandW (1970)Enzymes, third edition 2, 1-65 In this article we describe the integrated PBL experi-
5 LineweaverH and Burk D (1934)JAm Chem Soc 56, 658-666 ence at WVU SOM, and assess the effectiveness of the
6 Baici A (1981)EurJBiochem 119, 9-14 PBL process in identifying basic science issues relevant to
7 YoshinoM (1987)BiochemJ 248, 815-820
8 Department of Biochemistryand Microbiology,Rhodes University, biochemical principles. The case discussed here is a
Grahamstown, South Africa (http://www.ru.ac.za/departments/ patient with non-insulin-dependent diabetes mellitus and
biochem/cw/html) will serve to illustrate the approach. Since PBL groups
9 Suitable rearrangements of eqn 8 and sample problems may be
obtained fromthe author. (e-mail:chcw@giraffe.ru.ac.za) were led by basic science faculty who were not necessarily
10 Any suitable computer graphics package may be used. The authors experts in this area, we also assessed the uniformity of the
used Quattro.Pro (Borland.International) identified learning issues.
Background
The WVU SOM was established in 1902 with a two year
PII: S0307- 4412(97)00094-0
curriculum in affiliation with the College of Physicians
Integrated P r o b l e m B a s e d L e a r n i n g for First Year and Surgeons in Baltimore, MD. The School moved to its
M e d i c a l Students: Does it Teach B i o c h e m i c a l current location in 1957 and inaugurated its four year
Principles? program in 1960 with the opening of a 550 bed University
Hospital. The Charleston Area Medical Center became
CHARLES L HARRIS, a GUL GUNER,* affiliated with the WVU SOM in 1972 as a branch campus
JAMES ARBOGAST, b LISA SALATI, 8 and offers third and fourth year clerkships for approxi-
JAMES M SHUMWAY, c JOHN CONNORS d mately one-third of the class. In the last few years, there
and DIANA BEATTIE a has been increased emphasis on primary and rural health
Departments o f Biochemistry, a Family Medicine b care at this institution with the establishment of additional
Medicine and Pediatrics, Cand Physiology d health care and educational centers in rural areas of West
West Virginia University School o f Medicine Virginia. The WVU SOM admits approximately 88 new
Robert C Byrd Health Sciences Center medical students each year.
Morgantown W V 2 6 5 0 6 The curriculum is composed of two years of course
USA work in the basic sciences and two years of clinical clerk-
ships. The first year curriculum includes traditional
Introduction courses in gross anatomy, biochemistry, physiology,
The first year curriculum at West Virginia University, neuroanatomy, behavior medicine, community medicine
School of Medicine (WVU SOM), was recently altered to and histology. In order better to integrate these courses
include an integrated problem-based learning (PBL) the PBL approach was implemented, with the intent that
experience? The purpose of these PBL sessions was to exposure to clinical cases and the active learning process
equip first year medical students with skills in self-directed involved in PBL would better prepare students for clinical
learning and problem solving. A group of eight students is experiences in years three and four. Time spent in lectures
led by a facilitator and given clinical cases fashioned in the was reduced to make room for PBL. The present curri-
culum is currently undergoing revision, to an integrated
*Department of Biochemistry, Dokuz E'ylill University School of module approach, and will include earlier patient contact
Medicine, Inriralti 35340, Turkey. and self-directed learning methods such as PBL.