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Sec. 7.4   Enzymatic Reaction Fundamentals                     385

                                    Clearly, the greatest activity in the study of enzymes has been in relation
                                to bidogical reactions, because virtually every synthetic and degradation reac-
                                tion in all living cells has been shown to be controlled and catalyzed by  spe-
                                cific e~ymes.'~ Many of these reactions are homogeneous in the liquid phase;
                                that is, they  are type 111 reactions (soluble enzyme-soluble substrate). In  the
                                following  brief  presentation  we  limit  our  discussion  to  type  111  reactions,
                                although the resulting equations have been found to be applicable to type I and
                                type I][ reactions in certain instances.
                                     In  developing  some  of  the  elementary  principles  of  the  lunetics  of
                                enzyme reactions, we  shall discuss an enzymatic reaction that has been  sug-
                                gested by Levine and LaCourse as part of  a system that would reduce the size
                                of an sdficial kidney.14 The desired result is the production of  an artificial kid-
                                ney that could be worn by the patient and would incorporate a replaceable unit
                                for the elimination of the nitrogenous waste products such as uric acid and cre-
                                atinine. In the microencapsulation scheme proposed by  Levine and LaComse,
                                the enzyme urease would be used in the removal of urea from the bloodstream.
                                Here,  the  catalytic  action  of  urease  would  cause  urea  to  decompose  into
                                ammoilia and  carbon dioxide. The mechanism of  the reaction is believed  to
                                proceed by the following sequence of elementary reactions:
                                     1.  The  enzyme  urease  reacts  with  the  substrate  urea  to  form  an
                                        enzyme-substrate complex, E- S:
                     The reaction         NH2CONH2 + urease     kl   >  [NH2CONH2.urease]*   (7-72)
                      mechanism
                                     2.  This complex can decompose back to urea and urease:
                                          [NH2CONH2.urease]*     k2   >  urease + NH2CONH2   (7-73)

                                     3.  Or it can react with water to give ammonia, carbon dioxide, and urease:
                                                                                    +
                                      [NH2CONH2-urease]* + H20        >  ~NH, + CO~ urease  (7-74)
                                We  see that some of the enzyme added to the solution binds to the urea, and
                                some remains unbound. Although we can easily measure the total concentration
                                of enzyme, (Et), it is difficult to measure the concentration of free enzyme, (E).
                                     Letting E, S, W,  E-S, and P represent the enzyme, substrate, water, the
                                enzyme-substrate  complex,  and  the  reaction  products,  respectively, we  can
                                write R.eactions (7-72), (7-73), and (7-74) symbolically in the forms

                                                        E+S         >  E-S                   (7-75)
                                                          E-S  ''  3  E+S                    (7-76)

                                                      E*S+W       "  >  P+E                  (7-77)

                                Here P  = 2NH3 + COz.
                                I3R. G. Denkewalter and R. Hirschmann, Am. Sci., 57(4), 389 (1969).
                                14N. Levine and W. C. Lacourse, J. Biomed. Mater: Res., I, 275 (1967).
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