Transferases

Functional groups are transferred between molecules, key participants in metabolism. A deficiency leads to impaired synthesis of amino acids, lipids, and hormones. They are used in therapy to support metabolism and hormonal balance.
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Transferases are enzymes that catalyze the transfer of functional groups (methyl, acyl, phosphate, etc.) between molecules.

They play a central role in metabolism, participating in the synthesis and breakdown of proteins, carbohydrates, and lipids, as well as in detoxification processes.

As a result, transferases ensure homeostasis and the normal functioning of cells. Changes in their activity serve as important diagnostic markers of the body’s condition.

Key Functions

  • participation in the synthesis and breakdown of amino acids, carbohydrates, and lipids;
  • regulation of energy metabolism;
  • participation in DNA methylation processes and gene regulation;
  • detoxification and neutralization of toxins.

Classification

Transferases are classified by the type of group being transferred:

  • aminotransferases – transfer amino groups, participate in nitrogen metabolism;
  • methyltransferases – transfer methyl groups, regulate epigenetic processes;
  • glucosyltransferases – transfer glucose residues, participate in glycogen synthesis;
  • phosphotransferases – transfer phosphate groups, important for cell energy.

Role in Metabolism

Transferases regulate key biochemical processes:

  • amino acid metabolism – ensure the synthesis and utilization of proteins;
  • carbohydrate metabolism – participate in glycolysis and gluconeogenesis;
  • lipid metabolism – influence the synthesis and breakdown of lipids;
  • synthesis of nucleotides – necessary for DNA and RNA replication.

Importance for Health

The activity of transferases reflects the condition of organs and systems:

  • ALT (alanine aminotransferase) and AST (aspartate aminotransferase) serve as markers of liver health;
  • glutathione S-transferase participates in protection against toxins and free radicals;
  • increased activity may indicate inflammation or tissue damage;
  • decreased activity is associated with vitamin deficiencies (e.g., B6) and metabolic disorders.

Enzymes used in therapy

Below are examples of enzymes from this class that are used in the treatment of various diseases:

Aminotransferases (ALT, AST). Catalyze the transfer of amino groups between amino acids and keto acids. They are used in clinical practice as key diagnostic markers for the condition of the liver, heart, and muscles (the "liver function tests"). There is no direct application as drugs, but their activity reflects tissue health.
Methyltransferases (including DNA and histone methyltransferase). They are responsible for the transfer of methyl groups, regulating gene expression and epigenetics. In oncology, DNA methyltransferase inhibitors (such as azacitidine) are being studied for the treatment of leukemias and other tumors. Plus – the effect on malignant cells, minus – toxicity.
Kinases (phosphotransferases: protein kinases, tyrosine kinases). They transfer phosphate groups from ATP to proteins. They are one of the main regulators of cellular signals. Tyrosine kinase inhibitors (imatinib, sunitinib) are widely used in therapy for cancer treatment. Plus – targeted therapy, minus – high cost, side effects.
Glutathione S-transferase (GST). Detoxification enzyme that attaches glutathione to toxins, making them more soluble for excretion. GST activity is used as a biomarker for oxidative stress and drug resistance. Nutraceuticals (sulforaphane from broccoli stimulates GST) are considered for prevention.
Catechol-O-methyltransferase (COMT). Destroys catecholamines (dopamine, adrenaline, noradrenaline). COMT inhibitors (entacapone) are used in the treatment of Parkinson's disease to enhance the effect of levodopa. The downside is possible side effects from the gastrointestinal tract and liver.
N-acetyltransferases. Catalyze the acetylation of xenobiotics and drugs in the liver. In clinical practice, their activity is important for personalized medicine (for example, "slow acetylators" have a higher risk of side effects from isoniazid).

Pathologies Associated with Altered Activity

With increased activity:

  • hepatitis and cirrhosis;
  • fatty liver disease;
  • inflammatory and tumor processes.

With decreased activity:

  • vitamin B6 deficiency;
  • muscle diseases (myopathies);
  • decreased protein and energy synthesis.

Diagnosis

The determination of transferase activity is conducted through biochemical blood tests.

The most common indicators include:

  • ALT and AST – markers of liver and heart condition;
  • enzymatic tests and spectrophotometry for assessing activity;
  • immunochemical methods – for refined diagnostics.

Thus, transferases are not only key participants in metabolism but also important diagnostic indicators that help identify pathologies at early stages and adjust treatment.


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