Isomerase#Intramolecular oxireductases

{{Short description|Class of enzymes which convert a molecule between isomeric forms}}

In biochemistry, isomerases are a general class of enzymes that convert a molecule from one isomer to another. Isomerases facilitate intramolecular rearrangements in which bonds are broken and formed. The general form of such a reaction is as follows:

:\ce{A-B} \quad \xrightarrow[\text{ isomerase }]{} \quad \ce{B-A}

There is only one substrate yielding one product. This product has the same molecular formula as the substrate but differs in bond connectivity or spatial arrangement. Isomerases catalyze reactions across many biological processes, such as in glycolysis and carbohydrate metabolism.

Isomerization

{{multiple image

| align = right

| direction = vertical

| header = Examples of isomers

| width = 200

| image1 = Hexane isomers.svg

| alt1 = zig-zag models of hexane and four isomers

| caption1 = The structural isomers of hexane

| image2 = Cis-trans example.svg

| alt2 = zig-zag model of cis-2-butene vs trans-2-butene

| caption2 = Cis-2-butene and Trans-2-butene

| image3 = Epimers-Glucose Mannose.png

| alt3 = projection of D-glucose and D-mannose

| caption3 = Epimers: D-glucose and D-mannose

}}

Isomerases catalyze changes within one molecule.{{cite book|title=Enzyme nomenclature, 1978 recommendations of the Nomenclature Committee of the International Union of Biochemistry on the nomenclature and classification of enzymes.|url=https://archive.org/details/enzymenomenclatu0000inte|url-access=registration|year=1979|publisher=Academic Press|location=New York|isbn=9780323144605}} They convert one isomer to another, meaning that the end product has the same molecular formula but a different physical structure. Isomers themselves exist in many varieties but can generally be classified as structural isomers or stereoisomers. Structural isomers have a different ordering of bonds and/or different bond connectivity from one another, as in the case of hexane and its four other isomeric forms (2-methylpentane, 3-methylpentane, 2,2-dimethylbutane, and 2,3-dimethylbutane).

Stereoisomers have the same ordering of individual bonds and the same connectivity but the three-dimensional arrangement of bonded atoms differ. For example, 2-butene exists in two isomeric forms: cis-2-butene and trans-2-butene.{{cite book | last = McNaught | first = A. D. | name-list-style = vanc | title = Compendium of Chemical Terminology | edition = 2nd | year = 1997 | publisher = Blackwell Scientific Publications | location = Oxford | isbn = 978-0-9678550-9-7 | url = http://goldbook.iupac.org }} The sub-categories of isomerases containing racemases, epimerases and cis-trans isomers are examples of enzymes catalyzing the interconversion of stereoisomers. Intramolecular lyases, oxidoreductases and transferases catalyze the interconversion of structural isomers.

The prevalence of each isomer in nature depends in part on the isomerization energy, the difference in energy between isomers. Isomers close in energy can interconvert easily and are often seen in comparable proportions. The isomerization energy, for example, for converting from a stable cis isomer to the less stable trans isomer is greater than for the reverse reaction, explaining why in the absence of isomerases or an outside energy source such as ultraviolet radiation a given cis isomer tends to be present in greater amounts than the trans isomer. Isomerases can increase the reaction rate by lowering the isomerization energy.{{cite book | last1 = Whitesell | first1 = James K. | first2 = Marye Anne | last2 = Fox | name-list-style = vanc | title = Organic Chemistry | year = 2004 | publisher = Jones and Bartlett | location = Sudbury, Mass. | isbn = 978-0-7637-2197-8 | pages = 220–222 | edition = 3rd }}

Calculating isomerase kinetics from experimental data can be more difficult than for other enzymes because the use of product inhibition experiments is impractical.{{cite book |author-link1=Athel Cornish-Bowden| last = Cornish-Bowden | first = Athel | name-list-style = vanc | title = Fundamentals of Enzyme Kinetics | publisher=Wiley-VCH | location = Weinheim | isbn = 978-3-527-66548-8 | pages = 238–241 | edition = 4th | date = 2013-02-22 }} That is, isomerization is not an irreversible reaction since a reaction vessel will contain one substrate and one product so the typical simplified model for calculating reaction kinetics does not hold. There are also practical difficulties in determining the rate-determining step at high concentrations in a single isomerization. Instead, tracer perturbation can overcome these technical difficulties if there are two forms of the unbound enzyme. This technique uses isotope exchange to measure indirectly the interconversion of the free enzyme between its two forms. The radiolabeled substrate and product diffuse in a time-dependent manner. When the system reaches equilibrium the addition of unlabeled substrate perturbs or unbalances it. As equilibrium is established again, the radiolabeled substrate and product are tracked to determine energetic information.{{cite journal | vauthors = Fisher LM, Albery WJ, Knowles JR | title = Energetics of proline racemase: tracer perturbation experiments using [14C]proline that measure the interconversion rate of the two forms of free enzyme | journal = Biochemistry | volume = 25 | issue = 9 | pages = 2538–42 | date = May 1986 | pmid = 3521737 | doi = 10.1021/bi00357a038 }}

The earliest use of this technique elucidated the kinetics and mechanism underlying the action of phosphoglucomutase, favoring the model of indirect transfer of phosphate with one intermediate and the direct transfer of glucose.{{cite journal | vauthors = Britton HG, Clarke JB | title = The mechanism of the phosphoglucomutase reaction. Studies on rabbit muscle phosphoglucomutase with flux techniques | journal = The Biochemical Journal | volume = 110 | issue = 2 | pages = 161–80 | date = Nov 1968 | pmid = 5726186 | pmc = 1187194 | doi=10.1042/bj1100161}} This technique was then adopted to study the profile of proline racemase and its two states: the form which isomerizes L-proline and the other for D-proline. At high concentrations it was shown that the transition state in this interconversion is rate-limiting and that these enzyme forms may differ just in the protonation at the acidic and basic groups of the active site.

Nomenclature

Generally, "the names of isomerases are formed as "substrate isomerase" (for example, enoyl CoA isomerase), or as "substrate type of isomerase" (for example, phosphoglucomutase)."{{cite book | last = Bruice | first = Paula Yurkanis | name-list-style = vanc | title = Essential Organic Chemistry | year = 2010 | publisher = Prentice Hall | location = Upper Saddle River, N.J. | isbn = 978-0-321-59695-6 | edition = 2nd }}

Classification

Enzyme-catalyzed reactions each have a uniquely assigned classification number. Isomerase-catalyzed reactions have their own EC category: EC 5. Isomerases are further classified into six subclasses:

=Racemases, epimerases=

This category (EC 5.1) includes (racemases) and epimerases). These isomerases invert stereochemistry at the target chiral carbon. Racemases act upon molecules with one chiral carbon for inversion of stereochemistry, whereas epimerases target molecules with multiple chiral carbons and act upon one of them. A molecule with only one chiral carbon has two enantiomeric forms, such as serine having the isoforms D-serine and L-serine differing only in the absolute configuration about the chiral carbon. A molecule with multiple chiral carbons has two forms at each chiral carbon. Isomerization at one chiral carbon of several yields epimers, which differ from one another in absolute configuration at just one chiral carbon. For example, D-glucose and D-mannose differ in configuration at just one chiral carbon. This class is further broken down by the group the enzyme acts upon:

class="wikitable"

|+ Racemases and epimerases:

! EC number

DescriptionExamples
align=center | EC 5.1.1Acting on Amino Acids and Derivativealanine racemase, methionine racemase
align=center | EC 5.1.2Acting on Hydroxy Acids and Derivativeslactate racemase, tartrate epimerase
align=center | EC 5.1.3Acting on Carbohydrates and Derivativesribulose-phosphate 3-epimerase, UDP-glucose 4-epimerase
align=center | EC 5.1.99Acting on Other Compoundsmethylmalonyl CoA epimerase, hydantoin racemase

=Cis-trans isomerases=

This category (EC 5.2) includes enzymes that catalyze the isomerization of cis-trans isomers. Alkenes and cycloalkanes may have cis-trans stereoisomers. These isomers are not distinguished by absolute configuration but rather by the position of substituent groups relative to a plane of reference, as across a double bond or relative to a ring structure. Cis isomers have substituent groups on the same side and trans isomers have groups on opposite sides.

This category is not broken down any further. All entries presently include:

File:Proline-cis-trans-isomerisation.svg

class="wikitable"

|+ Cis-trans isomerases:

! EC number

Examples
align=center | EC 5.2.1.1Maleate isomerase
align=center | EC 5.2.1.2Maleylacetoacetate isomerase
align=center | EC 5.2.1.4Maleylpyruvate isomerase
align=center | EC 5.2.1.5Linoleate isomerase
align=center | EC 5.2.1.6Furylfuramide isomerase
align=center | EC 5.2.1.8Peptidylprolyl isomerase
align=center | EC 5.2.1.9Farnesol 2-isomerase
align=center | EC 5.2.1.102-chloro-4-carboxymethylenebut-2-en-1,4-olide isomerase
align=center | EC 5.2.1.12Zeta-carotene isomerase
align=center | EC 5.2.1.13Prolycopene isomerase
align=center | EC 5.2.1.14Beta-carotene isomerase

=Intramolecular oxidoreductases=

This category (EC 5.3) includes intramolecular oxidoreductases. These isomerases catalyze the transfer of electrons from one part of the molecule to another. In other words, they catalyze the oxidation of one part of the molecule and the concurrent reduction of another part.{{cite book | last = Webb | first = Edwin C. | name-list-style = vanc | title = Enzyme nomenclature 1992 : recommendations of the Nomenclature Committee of the International Union of Biochemistry and Molecular Biology on the nomenclature and classification of enzymes | year = 1992 | publisher = Published for the International Union of Biochemistry and Molecular Biology by Academic Press | location = San Diego | isbn = 978-0-12-227164-9 | edition = 6th | url-access = registration | url = https://archive.org/details/enzymenomenclatu0000inte_d6c2 }} Sub-categories of this class are:

File:Phosphoribosylanthranilate isomerase.jpg

class="wikitable"

|+ Intramolecular oxidoreductases:

! EC number

DescriptionExamples
align=center | EC 5.3.1Interconverting Aldoses and KetosesTriose-phosphate isomerase, Ribose-5-phosphate isomerase
align=center | EC 5.3.2Interconverting Keto- and Enol-GroupsPhenylpyruvate tautomerase, Oxaloacetate tautomerase
align=center | EC 5.3.3Transposing C=C Double BondsSteroid Delta-isomerase, L-dopachrome isomerase
align=center | EC 5.3.4Transposing S-S BondsProtein disulfide-isomerase
align=center | EC 5.3.99Other Intramolecular OxidoreductasesProstaglandin-D synthase, Allene-oxide cyclase

=Intramolecular transferases=

This category (EC 5.4) includes intramolecular transferases (mutases). These isomerases catalyze the transfer of functional groups from one part of a molecule to another. Phosphotransferases (EC 5.4.2) were categorized as transferases (EC 2.7.5) with regeneration of donors until 1983.{{cite book|title=The Enzyme List Class 5 - Isomerases|year=2010|publisher=Nomenclature Committee of the International Union of Biochemistry and Molecular Biology (NC-IUBMB)|url=http://www.enzyme-database.org/downloads/ec5.pdf}} This sub-class can be broken down according to the functional group the enzyme transfers:

File:PEP to PPR.png

class="wikitable"

|+ Intramolecular transferases:

! EC number

DescriptionExamples
align=center | EC 5.4.1Transferring Acyl GroupsLysolecithin acylmutase, Precorrin-8X methylmutase
align=center | EC 5.4.2Phosphotransferases (Phosphomutases)Phosphoglucomutase, Phosphopentomutase
align=center | EC 5.4.3Transferring Amino GroupsBeta-lysine 5,6-aminomutase, Tyrosine 2,3-aminomutase
align=center | EC 5.4.4Transferring hydroxy groups(hydroxyamino)benzene mutase, Isochorismate synthase
align=center | EC 5.4.99Transferring Other GroupsMethylaspartate mutase, Chorismate mutase

=Intramolecular lyases=

This category (EC 5.5) includes intramolecular lyases. These enzymes catalyze "reactions in which a group can be regarded as eliminated from one part of a molecule, leaving a double bond, while remaining covalently attached to the molecule." Some of these catalyzed reactions involve the breaking of a ring structure.

This category is not broken down any further. All entries presently include:

File:Ent-CDP synthase reaction.png

class="wikitable"

|+ Intramolecular lyases:

! EC number

Examples
align=center | EC 5.5.1.1Muconate cycloisomerase
align=center | EC 5.5.1.23-carboxy-cis,cis-muconate cycloisomerase
align=center | EC 5.5.1.3Tetrahydroxypteridine cycloisomerase
align=center | EC 5.5.1.4Inositol-3-phosphate synthase
align=center | EC 5.5.1.5Carboxy-cis,cis-muconate cyclase
align=center | EC 5.5.1.6Chalcone isomerase
align=center | EC 5.5.1.7Chloromuconate cycloisomerase
align=center | EC 5.5.1.8(+)-bornyl diphosphate synthase
align=center | EC 5.5.1.9Cycloeucalenol cycloisomerase
align=center | EC 5.5.1.10Alpha-pinene-oxide decyclase
align=center | EC 5.5.1.11Dichloromuconate cycloisomerase
align=center | EC 5.5.1.12Copalyl diphosphate synthase
align=center | EC 5.5.1.13Ent-copalyl diphosphate synthase
align=center | EC 5.5.1.14Syn-copalyl-diphosphate synthase
align=center | EC 5.5.1.15Terpentedienyl-diphosphate synthase
align=center | EC 5.5.1.16Halimadienyl-diphosphate synthase
align=center | EC 5.5.1.17(S)-beta-macrocarpene synthase
align=center | EC 5.5.1.18Lycopene epsilon-cyclase
align=center | EC 5.5.1.19Lycopene beta-cyclase
align=center | EC 5.5.1.20Prosolanapyrone-III cycloisomerase
align=center | EC 5.5.1.n1D-ribose pyranase

Mechanisms of isomerases

=Ring expansion and contraction via tautomers=

File:Phosphoglucose Isomerase Mechanism.jpg

A classic example of ring opening and contraction is the isomerization of glucose (an aldehyde with a six-membered ring) to fructose (a ketone with a five-membered ring). The conversion of D-glucose-6-phosphate to D-fructose-6-phosphate is catalyzed by glucose-6-phosphate isomerase, an intramolecular oxidoreductase. The overall reaction involves the opening of the ring to form an aldose via acid/base catalysis and the subsequent formation of a cis-endiol intermediate. A ketose is then formed and the ring is closed again.

Glucose-6-phosphate first binds to the active site of the isomerase. The isomerase opens the ring: its His388 residue protonates the oxygen on the glucose ring (and thereby breaking the O5-C1 bond) in conjunction with Lys518 deprotonating the C1 hydroxyl oxygen. The ring opens to form a straight-chain aldose with an acidic C2 proton. The C3-C4 bond rotates and Glu357 (assisted by His388) depronates C2 to form a double bond between C1 and C2. A cis-endiol intermediate is created and the C1 oxygen is protonated by the catalytic residue, accompanied by the deprotonation of the endiol C2 oxygen. The straight-chain ketose is formed. To close the fructose ring, the reverse of ring opening occurs and the ketose is protonated.{{cite journal | vauthors = Solomons JT, Zimmerly EM, Burns S, Krishnamurthy N, Swan MK, Krings S, Muirhead H, Chirgwin J, Davies C | title = The crystal structure of mouse phosphoglucose isomerase at 1.6A resolution and its complex with glucose 6-phosphate reveals the catalytic mechanism of sugar ring opening | journal = Journal of Molecular Biology | volume = 342 | issue = 3 | pages = 847–60 | date = Sep 2004 | pmid = 15342241 | doi = 10.1016/j.jmb.2004.07.085 }}

=Epimerization=

File:Ribulose-phosphate 3-epimerase reaction.jpg

An example of epimerization is found in the Calvin cycle when D-ribulose-5-phosphate is converted into D-xylulose-5-phosphate by ribulose-phosphate 3-epimerase. The substrate and product differ only in stereochemistry at the third carbon in the chain. The underlying mechanism involves the deprotonation of that third carbon to form a reactive enolate intermediate. The enzyme's active site contains two Asp residues. After the substrate binds to the enzyme, the first Asp deprotonates the third carbon from one side of the molecule. This leaves a planar sp2-hybridized intermediate. The second Asp is located on the opposite side of the active side and it protonates the molecule, effectively adding a proton from the back side. These coupled steps invert stereochemistry at the third carbon.{{cite journal | vauthors = Terada T, Mukae H, Ohashi K, Hosomi S, Mizoguchi T, Uehara K | title = Characterization of an enzyme which catalyzes isomerization and epimerization of D-erythrose 4-phosphate | journal = European Journal of Biochemistry | volume = 148 | issue = 2 | pages = 345–51 | date = Apr 1985 | pmid = 3987693 | doi = 10.1111/j.1432-1033.1985.tb08845.x }}

=Intramolecular transfer=

File:Chorismate mutase mechanism.gif

Chorismate mutase is an intramolecular transferase and it catalyzes the conversion of chorismate to prephenate, used as a precursor for L-tyrosine and L-phenylalanine in some plants and bacteria. This reaction is a Claisen rearrangement that can proceed with or without the isomerase, though the rate increases 106 fold in the presence of chorismate mutase. The reaction goes through a chair transition state with the substrate in a trans-diaxial position.{{cite book | last = Bugg | first = TDH | name-list-style = vanc | chapter = Chapter 10: Isomerases | title = Introduction to Enzyme and Coenzyme Chemistry | edition = 3rd | year = 2012 | publisher = Wiley | isbn = 978-1-118-34896-3 }} Experimental evidence indicates that the isomerase selectively binds the chair transition state, though the exact mechanism of catalysis is not known. It is thought that this binding stabilizes the transition state through electrostatic effects, accounting for the dramatic increase in the reaction rate in the presence of the mutase or upon addition of a specifically-placed cation in the active site.{{cite journal | vauthors = Kast P, Grisostomi C, Chen IA, Li S, Krengel U, Xue Y, Hilvert D | title = A strategically positioned cation is crucial for efficient catalysis by chorismate mutase | journal = The Journal of Biological Chemistry | volume = 275 | issue = 47 | pages = 36832–8 | date = Nov 2000 | pmid = 10960481 | doi = 10.1074/jbc.M006351200 | doi-access = free }}

=Intramolecular oxidoreduction=

File:IPP isomerase mechanism.png

Isopentenyl-diphosphate delta isomerase type I (also known as IPP isomerase) is seen in cholesterol synthesis and in particular it catalyzes the conversion of isopentenyl diphosphate (IPP) to dimethylallyl diphosphate (DMAPP). In this isomerization reaction a stable carbon-carbon double bond is rearranged top create a highly electrophilic allylic isomer. IPP isomerase catalyzes this reaction by the stereoselective antarafacial transposition of a single proton. The double bond is protonated at C4 to form a tertiary carbocation intermediate at C3. The adjacent carbon, C2, is deprotonated from the opposite face to yield a double bond.{{cite journal | vauthors = Zheng W, Sun F, Bartlam M, Li X, Li R, Rao Z | title = The crystal structure of human isopentenyl diphosphate isomerase at 1.7 A resolution reveals its catalytic mechanism in isoprenoid biosynthesis | journal = Journal of Molecular Biology | volume = 366 | issue = 5 | pages = 1447–58 | date = Mar 2007 | pmid = 17250851 | doi = 10.1016/j.jmb.2006.12.055 }} In effect, the double bond is shifted over.

The role of isomerase in human disease

Isomerase plays a role in human disease. Deficiencies of this enzyme can cause disorders in humans.

=Phosphohexose isomerase deficiency=

Phosphohexose Isomerase Deficiency (PHI) is also known as phosphoglucose isomerase deficiency or Glucose-6-phosphate isomerase deficiency, and is a hereditary enzyme deficiency. PHI is the second most frequent erthoenzyopathy in glycolysis besides pyruvate kinase deficiency, and is associated with non-spherocytic haemolytic anaemia of variable severity.{{cite journal | vauthors = Kugler W, Lakomek M | title = Glucose-6-phosphate isomerase deficiency | journal = Baillière's Best Practice & Research. Clinical Haematology | volume = 13 | issue = 1 | pages = 89–101 | date = Mar 2000 | pmid = 10916680 | doi = 10.1053/beha.1999.0059 }} This disease is centered on the glucose-6-phosphate protein. This protein can be found in the secretion of some cancer cells.{{cite journal | vauthors = Krone W, Schneider G, Schulz D, Arnold H, Blume KG | title = Detection of phosphohexose isomerase deficiency in human fibroblast cultures | journal = Humangenetik | volume = 10 | issue = 3 | pages = 224–30 | date = 1 January 1970 | pmid = 5475507 | doi = 10.1007/BF00295784 | s2cid = 34123426 }} PHI is the result of a dimeric enzyme that catalyses the reversible interconversion of fructose-6-phosphate and gluose-6-phosphate.

PHI is a very rare disease with only 50 cases reported in literature to date.

Diagnosis is made on the basis of the clinical picture in association with biochemical studies revealing erythrocyte GPI deficiency (between 7 and 60% of normal) and identification of a mutation in the GPI gene by molecular analysis.

The deficiency of phosphohexose isomerase can lead to a condition referred to as hemolytic syndrome. As in humans, the hemolytic syndrome, which is characterized by a diminished erythrocyte number, lower hematocrit, lower hemoglobin, higher number of reticulocytes and plasma bilirubin concentration, as well as increased liver- and spleen-somatic indices, was exclusively manifested in homozygous mutants.{{cite journal | vauthors = Merkle S, Pretsch W | title = Glucose-6-phosphate isomerase deficiency associated with nonspherocytic hemolytic anemia in the mouse: an animal model for the human disease | journal = Blood | volume = 81 | issue = 1 | pages = 206–13 | year = 1993 | doi = 10.1182/blood.V81.1.206.206 | pmid = 8417789 | url = http://www.bloodjournal.org/content/bloodjournal/81/1/206.full.pdf | doi-access = free }}

=Triosephosphate isomerase deficiency=

The disease referred to as triosephosphate isomerase deficiency (TPI), is a severe autosomal recessive inherited multisystem disorder of glycolytic metabolism.{{cite web | last = Orosz | first = Pr Ferenc | name-list-style = vanc | title = Triose phosphate-isomerase deficiency|url=http://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=en&Expert=868|work=Orphanet|access-date=14 November 2013}} It is characterized by hemolytic anemia and neurodegeneration, and is caused by anaerobic metabolic dysfunction. This dysfunction results from a missense mutation that effects the encoded TPI protein.{{cite journal | vauthors = Celotto AM, Frank AC, Seigle JL, Palladino MJ | title = Drosophila model of human inherited triosephosphate isomerase deficiency glycolytic enzymopathy | journal = Genetics | volume = 174 | issue = 3 | pages = 1237–46 | date = Nov 2006 | pmid = 16980388 | pmc = 1667072 | doi = 10.1534/genetics.106.063206 }} The most common mutation is the substitution of gene, Glu104Asp, which produces the most severe phenotype, and is responsible for approximately 80% of clinical TPI deficiency.

TPI deficiency is very rare with less than 50 cases reported in literature. Being an autosomal recessive inherited disease, TPI deficiency has a 25% recurrence risk in the case of heterozygous parents.{{cite journal | vauthors = Oláh J, Orosz F, Keserü GM, Kovári Z, Kovács J, Hollán S, Ovádi J | title = Triosephosphate isomerase deficiency: a neurodegenerative misfolding disease | journal = Biochemical Society Transactions | volume = 30 | issue = 2 | pages = 30–8 | date = Apr 2002 | pmid = 12023819 | doi = 10.1042/bst0300030 | url = http://www.enzim.hu/data/pdf/12023819.pdf | access-date = 2013-11-27 | archive-url = https://web.archive.org/web/20131203012215/http://www.enzim.hu/data/pdf/12023819.pdf | archive-date = 2013-12-03 | url-status = dead }} It is a congenital disease that most often occurs with hemolytic anemia and manifests with jaundice. Most patients with TPI for Glu104Asp mutation or heterozygous for a TPI null allele and Glu104Asp have a life expectancy of infancy to early childhood. TPI patients with other mutations generally show longer life expectancy. There are only two cases of individuals with TPI living beyond the age of 6. These cases involve two brothers from Hungary, one who did not develop neurological symptoms until the age of 12, and the older brother who has no neurological symptoms and suffers from anemia only.{{cite journal | vauthors = Hollán S, Fujii H, Hirono A, Hirono K, Karro H, Miwa S, Harsányi V, Gyódi E, Inselt-Kovács M | title = Hereditary triosephosphate isomerase (TPI) deficiency: two severely affected brothers one with and one without neurological symptoms | journal = Human Genetics | volume = 92 | issue = 5 | pages = 486–90 | date = Nov 1993 | pmid = 8244340 | doi = 10.1007/bf00216456 | s2cid = 3110178 }}

Individuals with TPI show obvious symptoms after 6–24 months of age. These symptoms include: dystonia, tremor, dyskinesia, pyramidal tract signs, cardiomyopathy and spinal motor neuron involvement. Patients also show frequent respiratory system bacterial infections.

TPI is detected through deficiency of enzymatic activity and the build-up of dihyroxyacetone phosphate(DHAP), which is a toxic substrate, in erythrocytes. This can be detected through physical examination and a series of lab work. In detection, there is generally myopathic changes seen in muscles and chronic axonal neuropathy found in the nerves. Diagnosis of TPI can be confirmed through molecular genetics. Chorionic villus DNA analysis or analysis of fetal red cells can be used to detect TPI in antenatal diagnosis.

Treatment for TPI is not specific, but varies according to different cases. Because of the range of symptoms TPI causes, a team of specialist may be needed to provide treatment to a single individual. That team of specialists would consists of pediatricians, cardiologists, neurologists, and other healthcare professionals, that can develop a comprehensive plan of action.{{cite web|title=Triosephosphate Isomerase Deficiency|url=http://www.rarediseases.org/rare-disease-information/rare-diseases/byID/1183/printFullReport|publisher=NORD|access-date=14 December 2013}}

Supportive measures such as red cell transfusions in cases of severe anaemia can be taken to treat TPI as well. In some cases, spleen

removal (splenectomy) may improve the anaemia. There is no treatment to prevent progressive

neurological impairment of any other non-haematological clinical manifestation of the diseases.{{cite web|title=Triose phosphate isomerase deficiency -TPI|url=http://www.enerca.org/media/upload/pdf/triose_phosphate_isomerase_deficiency-tpi_DOCUMENTS1_59.pdf|access-date=26 November 2013}}

Industrial applications

By far the most common use of isomerases in industrial applications is in sugar manufacturing. Glucose isomerase (also known as xylose isomerase) catalyzes the conversion of D-xylose and D-glucose to D-xylulose and D-fructose. Like most sugar isomerases, glucose isomerase catalyzes the interconversion of aldoses and ketoses.{{cite journal | vauthors = Bhosale SH, Rao MB, Deshpande VV | title = Molecular and industrial aspects of glucose isomerase | journal = Microbiological Reviews | volume = 60 | issue = 2 | pages = 280–300 | date = Jun 1996 | doi = 10.1128/mr.60.2.280-300.1996 | pmid = 8801434 | pmc=239444}}

The conversion of glucose to fructose is a key component of high-fructose corn syrup production. Isomerization is more specific than older chemical methods of fructose production, resulting in a higher yield of fructose and no side products. The fructose produced from this isomerization reaction is purer with no residual flavors from contaminants. High-fructose corn syrup is preferred by many confectionery and soda manufacturers because of the high sweetening power of fructose (twice that of sucrose{{cite journal | last = Baker | first = S.A. | name-list-style = vanc | title = Pure fructose syrups | journal = Process Biochemistry | year = 1976 | volume = 11 | pages = 20–25 }}), its relatively low cost and its inability to crystallize. Fructose is also used as a sweetener for use by diabetics. Major issues of the use of glucose isomerase involve its inactivation at higher temperatures and the requirement for a high pH (between 7.0 and 9.0) in the reaction environment. Moderately high temperatures, above 70 °C, increase the yield of fructose by at least half in the isomerization step.{{cite journal | last1 = Antrim | first1 = RL| first2 = W | last2 = Colilla | first3 = BJ | last3 = Schnyder | name-list-style = vanc | title = Glucose isomerase production of high fructose syrups|journal=Applied Biochemistry and Bioengineering | year = 1979 | volume = 2 | pages = 97–155 }} The enzyme requires a divalent cation such as Co2+ and Mg2+ for peak activity, an additional cost to manufacturers. Glucose isomerase also has a much higher affinity for xylose than for glucose, necessitating a carefully controlled environment.

The isomerization of xylose to xylulose has its own commercial applications as interest in biofuels has increased. This reaction is often seen naturally in bacteria that feed on decaying plant matter. Its most common industrial use is in the production of ethanol, achieved by the fermentation of xylulose. The use of hemicellulose as source material is very common. Hemicellulose contains xylan, which itself is composed of xylose in β(1,4) linkages.{{cite journal | vauthors = Wang PY, Shopsis C, Schneider H | title = Fermentation of a pentose by yeasts | journal = Biochemical and Biophysical Research Communications | volume = 94 | issue = 1 | pages = 248–54 | date = May 1980 | pmid = 6446306 | doi = 10.1016/s0006-291x(80)80213-0 }} The use of glucose isomerase very efficiently converts xylose to xylulose, which can then be acted upon by fermenting yeast. Overall, extensive research in genetic engineering has been invested into optimizing glucose isomerase and facilitating its recovery from industrial applications for re-use.

Glucose isomerase is able to catalyze the isomerization of a range of other sugars, including D-ribose, D-allose and L-arabinose. The most efficient substrates are those similar to glucose and xylose, having equatorial hydroxyl groups at the third and fourth carbons.{{cite journal | last = Chen | first = WP | name-list-style = vanc | title = Glucose isomerase | journal = Process Biochemistry | date = August–September 1980 | volume = 15 | pages = 36–41 }} The current model for the mechanism of glucose isomerase is that of a hydride shift based on X-ray crystallography and isotope exchange studies.

Membrane-associated isomerases

Some isomerases associate with biological membranes as peripheral membrane proteins or anchored through a single transmembrane helix,[http://membranome.org/protein_classes/13 Superfamilies of single-pass transmembrane lyases] in Membranome database for example isomerases with the thioredoxin domain, and certain prolyl isomerases.

References

{{reflist|33em}}