The mammalian proteolytic network involving coagulation, fibrinolytic, kallikrein-kinin, and complement systems is built with inactive zymogens, regulated by activators and inhibitors and by positive as well as negative feedback control mechanisms. They are connected to each other in several ways (Fig. 1). There are a number of components in in blood and vessel tissues that regulate these events.The large number of factors and their numerous points of interaction make their quantitation very difficult. The interpretation of the results obtained is also complicated by the complexity of the systems in question. It was therefore a great step forward when a number of specific synthetic substrates, mainly chromogenic, for protease assays were introduced.A brief description of the biochemistry of the synthetic substrate is included in this article. By utilizing the existing knowledge of the protease systems and considering the different precautions that must be taken, specific methods have been designed. The automation of these methods is then rather a straightforward task. Some principles are discussed here, but each type of equipment has its own characteristic properties.
SYNTHETIC PEPTIDE SUBSTRATES
Natural Substrates Versus Synthetic SubstratesThe proteases regulating coagulation, fibrinolysis, and other systems (Fig. 1) generally act specifically toward their natural substrates. These substrates are, however, difficult to isolate. The assays in which they are used are often cumbersome and the results are difficult to evaluate. For this reason "the first generation" of synthetic substrates, simple amino acid esters (for example tosoylarginine-methyl ester and benzoyl-arginine-ethyl ester), were introduced. In order to make the assays more simple and sensitive, chromogenic single amide substrates (for example, benzoyl-arginine-pnitroanilide) were developed.A "second generation" of synthetic substrates was born when the single amino acid was exchanged for short peptide chains that primarily were designed to mimic the natural substrate (Fig. 2). Thus it was possible to use affinity sites near the active site of the natural substrate. This was the beginning of more extensive clinical applications of synthetic substrates. The principle of the assay of proteases with a chromogenic tripeptide substrate is shown in Figure 3.The rate at which p-nitroaniline (pNA) is released is measured photometrically at 405 nm, and A A/minute is proportional to the enzyme activity (Michaelis-Menton kinetics). The ultraviolet absorbance curves of intact substrate and of free pNA are shown in Figure 4. The absorbance of the substrate and product at different wavelengths is given in Table 1.Spatial conformation and charge distribution of the substrates are important for the enzyme to recognize its substrate. Some affinity sites of the enzymes may be situated at a distance from the active site (where the reaction takes place) and do not influence the reaction with small molecular weight substrates. This may, on the one hand, be