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    Subjects/Biochemistry/Enzyme Inhibition Types
    Enzyme Inhibition Types
    medium
    flask-conical Biochemistry

    Which of the following features best distinguishes competitive enzyme inhibition from non-competitive enzyme inhibition?

    A. Both Km and Vmax decrease proportionally
    B. Inhibition cannot be overcome by increasing substrate concentration
    C. Inhibitor binds to the active site of the enzyme
    D. Km increases but Vmax remains unchanged

    Explanation

    ## Distinguishing Competitive from Non-Competitive Inhibition ### Kinetic Signature of Competitive Inhibition **Key Point:** In competitive inhibition, the inhibitor competes with substrate for the active site. The hallmark kinetic change is **increased Km with unchanged Vmax**. - The inhibitor reversibly binds to the free enzyme (E), blocking substrate access - Increasing substrate concentration can overcome inhibition (substrate outcompetes inhibitor) - On a Lineweaver-Burk plot: lines intersect on the y-axis (Vmax unchanged) - Km increases by a factor of (1 + [I]/Ki) ### Kinetic Signature of Non-Competitive Inhibition **Key Point:** In non-competitive inhibition, the inhibitor binds to both free enzyme (E) and enzyme-substrate complex (ES), but NOT to the active site. - Inhibitor binds to an allosteric site - **Both Km and Vmax decrease** (or Vmax decreases more than Km) - Increasing substrate concentration **cannot overcome** inhibition - On a Lineweaver-Burk plot: lines intersect to the left of the y-axis ### Comparison Table | Feature | Competitive | Non-Competitive | |---------|-------------|------------------| | **Binding site** | Active site | Allosteric site | | **Km** | Increases | Unchanged or decreases | | **Vmax** | Unchanged | Decreases | | **Reversibility by substrate** | Yes | No | | **Lineweaver-Burk pattern** | Y-axis intersection | Left-side intersection | ### High-Yield Mnemonic **"COMP-K"** = **COMP**etitive increases **K**m (Michaelis constant) **"NON-V"** = **NON**-competitive decreases **V**max **Clinical Pearl:** Statins (HMG-CoA reductase inhibitors) are competitive inhibitors of cholesterol synthesis — their effect can theoretically be overcome by very high substrate (acetyl-CoA) levels, which is why they are most effective when combined with dietary cholesterol restriction.

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