(b) The results in the table below were extracted from clinical reports of pediatric age infants (3 – 5 yr.) who had marked lactic acidosis, elevated blood ammonia, poor motor coordination, and showed mental retardation. From skin fibroblast cell cultures, enzyme assays were carried out, providing the results given below. PDH = pyruvate dehydrogenase; E1, E2, E3 signify the three enzyme activities of the PDH complex measured separately. It should be noted that measurement of the overall activity of the PDH complex employs a different assay system than those used for measurement of the activi- ties of the separate, individual component enzymes. PDH Complex activity Patient or Control E1 E2 E3 nmol/min/mg protein Native nmol/h/mg protein 3.69 ± 1.21 +dichloroacetate Patient 1 0.318 + 0.054 0.322 + 0.053 1.54 土0.29 15.1 + 3.0 Patient 2 0.050 ± 0,031 0.044 + 0.027 0.21 + 0.06 6.5 + 3.1 9.8 + 1.3 Patient 3 0.092 + 0.022 0.068 + 0.037 0.21 + 0.06 8.48 13.5 + 2.0 Control 1 0.932 ± 0.076 1.368 ± 0.085 1.33 ± 0.21 10.9 + 1.65 9.4 + 0.73 Control 2 1.07 + 0.067 1.360 + 0.065 11.73 + 2.1 13.1 + 2.2 (b1) ( strates ana cofactors added to measure enzyme activity have direct access to the PDH complex. In mammalian systems the PDH enzyme is regulated by reversible phosphorylation of three specific Ser residues. Dichloroacetate has been found to inhibit the PDH-kinase enzyme. Explain why addition of this reagent ensures measurement of the maximum activity of the PDH complex. Fibroblast cells are homogenized to disrupt cell and mitochondrial structure so that sub-

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Chapter21: Carbohydrate- Controlled Diets For Diabetes Mellitus
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(b) The results in the table below were extracted from clinical reports of pediatric age infants (3 – 5
yr.) who had marked lactic acidosis, elevated blood ammonia, poor motor coordination, and showed
mental retardation. From skin fibroblast cell cultures, enzyme assays were carried out, providing the
results given below. PDH = pyruvate dehydrogenase; E1, E2, E3 signify the three enzyme activities
of the PDH complex measured separately. It should be noted that measurement of the overall activity
of the PDH complex employs a different assay system than those used for measurement of the activi-
ties of the separate, individual component enzymes.
Patient or
PDH Complex activity
nmol/min/mg protein
Native
E1
E2
Ез
Control
+dichloroacetate
nmol/h/mg protein
Patient 1
0.318 + 0.054
0.322 + 0.053
1.54 0.29
3.69 + 1.21
15.1 + 3.0
Patient 2
0.050 ± 0,031
0.044 + 0.027
0.21 + 0.06
6.5 ± 3.1
9.8 ± 1.3
Patient 3
0.092 + 0.022
0.068 + 0.037
0.21 + 0.06
8.48
13.5 + 2.0
Control 1
0.932 + 0.076
1.368 + 0.085
1.33 + 0.21
10.9 + 1.65
9.4 + 0.73
Control 2
1.07 + 0.067
1.360 + 0.065
11.73 + 2.1
13.1 + 2.2
(b1) (
strates ana cofactors added to measure enzyme activity have direct access to the PDH complex. In
mammalian systems the PDH enzyme is regulated by reversible phosphorylation of three specific Ser
residues. Dichloroacetate has been found to inhibit the PDH-kinase enzyme. Explain why addition of
this reagent ensures measurement of the maximum activity of the PDH complex.
Fibroblast cells are homogenized to disrupt cell and mitochondrial structure so that sub-
Transcribed Image Text:(b) The results in the table below were extracted from clinical reports of pediatric age infants (3 – 5 yr.) who had marked lactic acidosis, elevated blood ammonia, poor motor coordination, and showed mental retardation. From skin fibroblast cell cultures, enzyme assays were carried out, providing the results given below. PDH = pyruvate dehydrogenase; E1, E2, E3 signify the three enzyme activities of the PDH complex measured separately. It should be noted that measurement of the overall activity of the PDH complex employs a different assay system than those used for measurement of the activi- ties of the separate, individual component enzymes. Patient or PDH Complex activity nmol/min/mg protein Native E1 E2 Ез Control +dichloroacetate nmol/h/mg protein Patient 1 0.318 + 0.054 0.322 + 0.053 1.54 0.29 3.69 + 1.21 15.1 + 3.0 Patient 2 0.050 ± 0,031 0.044 + 0.027 0.21 + 0.06 6.5 ± 3.1 9.8 ± 1.3 Patient 3 0.092 + 0.022 0.068 + 0.037 0.21 + 0.06 8.48 13.5 + 2.0 Control 1 0.932 + 0.076 1.368 + 0.085 1.33 + 0.21 10.9 + 1.65 9.4 + 0.73 Control 2 1.07 + 0.067 1.360 + 0.065 11.73 + 2.1 13.1 + 2.2 (b1) ( strates ana cofactors added to measure enzyme activity have direct access to the PDH complex. In mammalian systems the PDH enzyme is regulated by reversible phosphorylation of three specific Ser residues. Dichloroacetate has been found to inhibit the PDH-kinase enzyme. Explain why addition of this reagent ensures measurement of the maximum activity of the PDH complex. Fibroblast cells are homogenized to disrupt cell and mitochondrial structure so that sub-
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