Isomaltase

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Isomaltase

Diagram of the sucrase-isomaltase mechanism

Isomaltase, also known as alpha-glucosidase, is an important enzyme in the digestive system that plays a crucial role in the breakdown of carbohydrates. It is part of the sucrase-isomaltase complex, which is located on the brush border of the small intestine.

Structure

Isomaltase is a component of the sucrase-isomaltase complex, which is a type of glycoprotein. This complex is composed of two subunits: sucrase and isomaltase. Each subunit has its own active site and specific substrate affinity. The isomaltase subunit is responsible for hydrolyzing alpha-1,6-glycosidic bonds found in isomaltose and other oligosaccharides.

Function

The primary function of isomaltase is to catalyze the hydrolysis of isomaltose into two molecules of glucose. This reaction is essential for the proper digestion and absorption of carbohydrates in the diet. Isomaltase also acts on other substrates, including maltose and maltotriose, contributing to the overall breakdown of dietary starches.

Mechanism

The enzymatic mechanism of isomaltase involves the cleavage of the alpha-1,6-glycosidic bond. This process is facilitated by the active site of the enzyme, which binds to the substrate and stabilizes the transition state, allowing for the efficient conversion of isomaltose into glucose. The diagram on the right illustrates the mechanism of action of the sucrase-isomaltase complex.

Clinical Significance

Deficiency in isomaltase activity can lead to congenital sucrase-isomaltase deficiency (CSID), a condition characterized by the inability to properly digest certain sugars, leading to symptoms such as diarrhea, abdominal pain, and bloating. Diagnosis of CSID is typically confirmed through enzyme activity assays or genetic testing.

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Contributors: Prab R. Tumpati, MD