Competitive, Non-competitive and Uncompetitive Inhibitors : High Yield Notes

Competitive, Non-competitive and Uncompetitive Inhibitors is an important topic for USMLE, NEET, PLAB and medical school exams.
Let us learn this important topic in this high yield article.

Reversible 
Irreversible 
Type of enzyme 
Inhibitors 
Competitive 
Allosteric Suicide Inhibitors 
Non- Competitive 
Uncomp...
Reversible Inhibition 
 Inhibitor binds non-covalently (weak interaction) with Enzyme 
 If inhibitor is removed – action...

Vmax is the maximum velocity, or how fast the enzyme can go at full ‘‘speed.’’ Vmax is reached when all of the enzyme is in the enzyme–substrate complex.

Km is the substrate concentration at which v = 1/2 Vmax. Km approximately describes the affinity of the substrate for the enzyme. The lower the value of Km, the higher the apparent affinity for substrate.

inhibition_Lineweaver_Burk

Mnemonic for Enzyme Inhibition

  1. Competitive inhibitor (Km-pitive inhibitor): Km increases, Vmax doesn’t change
  2. Non-competitive inhibitor (Non-Km-pitivie inhibitor): Km doesn’t change, Vmax decreases

Competitive inhibition:

Competitive Inhibition 
 Inhibitor binds reversibly to the same site that the 
substrate binds - competes with the S for ...
Competitive Inhibition 
Apo enzyme 
S 
I 
I 
S 
P 
E 
E 
E 
E 
E 
P

These are structurally similar to substrates and hence competes with substrate to bind at active site of enzyme (cannot bind to enzyme substrate complex). Increasing the substrate can overcome inhibition as overall efficacy of enzyme is not affected (more substrate is needed to achieve 1/2 Vmax, i.e. Km increases).

 Velocity is decreased - effective concentration of enzyme is 
reduced 
 Km is increased -affinity of the enzyme towards...
Clinically useful Competitive Inhibition 
Drugs Target Enzyme Therapeutic Use 
STATINS - Atorvastatin , 
simvastatin 
HMG ...

Non-competitive inhibition:

Non-competitive Inhibition 
 Inhibitor binds at a site other than the active site of the enzyme 
 I has no structural re...
Non-competitive Inhibition 
S 
S 
E 
E 
PP E 
E 
E 
P 
I 
I 
I 
S 
I Product is 
formed at 
slower rate 
but not 
E halted...

These are structurally different from substrates and hence bind enzymes at sites distinct from substrate binding site and reduce the enzyme activity (i.e. no competition with substrate). It can bind to both the enzyme and enzyme-substrate complex. Increasing the substrate will not overcome the inhibition, hence, Vmax decreases and hence, Km remains same.

Km value is unchanged - I do not interfere with the binding of S to E 
Vmax decreases - I cannot be overcome by increasing...
Non competitive inhibitor 
Inhibitor Enzyme inhibited 
Heavy metals – Ag2+ ,Hg2+ , 
Pb2+ 
Binding with cysteinyl SH 
gr of...

Uncompetitive inhibitors:

Uncompetitive Inhibition 
 I binds only to the ES complex , not to free E 
 I - cause structural distortion of the activ...
E + S 
E S E + P 
+ 
I 
ESI 
Inhibitor 
Vmax 
Vmax i 
½ Vmax 
Km [s] 
½ Vmax i 
Vmax = Decreases 
Km = Decreases 
Kmi 
v ...

These are like non-competitive inhibitiors but, they only bind to the enzyme when substrate is bound to the enzyme (i.e. binds to enzyme substrate complex only). Uncompetitive inhibitors decrease both Vmax and Km.

  1. Vmax = Vertical (y-axis)
  2. Km = x-axis (‘k’ looks like ‘x’)
  3. Very efficient and Com(Km)petent, i.e. Vmax represent efficacy and Km represent competency.

Competitive inhibitorsCross at y-axis (i.e. Vmax is same).

Non-competitibe inhibitors : Doesn’t cross but converge at x-axis (i.e. Km is same).

Uncompetitive inhibitors : Follow separate path to the left (both Vmax and Km is decreased).

In the next article we will also discuss about Irreversible , Allosteric and Suicide enzyme inhibition. Hope this article helped!

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