title: [Macroenzymes in human plasma. 1: Macroamylase, macrocreatine kinase, macrolactate dehydrogenase].
abstract: The authors propose here a general review of the main macroenzymes described until now. In this first part, informations will be given about the high molecular forms of alpha amylase, creatine kinase (CK) and lactate dehydrogenase (LDH) found in human plasma. Except macro CK type 2 which can be related to the mitochondrial CK, these macroenzymes are the result of the formation of enzyme immunoglobulin complexes; their specific immune character has been demonstrated in some cases. The formation of such immune complexes between the enzyme protein and plasma immunoglobulins seems a rather common phenomenon although neither the mechanism involved nor the physiopathological significance are known since they have been observed in patients and healthy individuals. Nevertheless, it is important to recognize these macromolecular forms because of the diagnostic uncertainties they may induce during isoenzyme studies and even total enzyme activity measurement.
authors.affiliation: Laboratoire d'Enzymologie, Hôpital Debrousse, Lyon.
authors.forename: I
authors.initials: I
authors.lastname: Maire
authors.forename: Y
authors.initials: Y
authors.lastname: Artur
authors.forename: G J
authors.initials: GJ
authors.lastname: Sanderink
mesh_terms: D000936:Antigen-Antibody Complex / Q000378:metabolism; D003402:Creatine Kinase / Q000097:blood* / Q000276:immunology; D006801:Humans; D007136:Immunoglobulins / Q000378:metabolism; D007527:Isoenzymes / Q000097:blood* / Q000276:immunology; D007770:L-Lactate Dehydrogenase / Q000097:blood* / Q000276:immunology; D046911:Macromolecular Substances; D008970:Molecular Weight; D000516:alpha-Amylases / Q000097:blood* / Q000276:immunology
chemical_list: D000936:Antigen-Antibody Complex; D007136:Immunoglobulins; D007527:Isoenzymes; D046911:Macromolecular Substances; D007770:L-Lactate Dehydrogenase; D003402:Creatine Kinase; D000516:alpha-Amylases
vernacular_title: Les macroenzymes dans le plasma humain. 1re partie: Macroamylase, macrocréatine kinase, macrolactate déshydrogénase.