Applied biochemistry

An early objective in biochemistry was to provide analytical methods for the determination of various blood constituents because it was felt that abnormal levels might indicate the presence of metabolic diseases. The clinical chemistry laboratory now has become a major investigative arm of the physician in the diagnosis and treatment of disease and is an indispensable unit of every hospital. Some of the older analytical methods directed toward diagnosis of common diseases are still the most commonly used—for example, tests for determining the levels of blood glucose, in diabetes; urea, in kidney disease; uric acid, in gout; and bilirubin, in liver and gallbladder disease. With development of the knowledge of enzymes, determination of certain enzymes in blood plasma has assumed diagnostic value, such as alkaline phosphatase, in bone and liver disease; acid phosphatase, in prostatic cancer; amylase, in pancreatitis; and lactate dehydrogenase and transaminase, in cardiac infarct. Electrophoresis of plasma proteins is commonly employed to aid in the diagnosis of various liver diseases and forms of cancer. Both electrophoresis and ultracentrifugation of serum constituents (lipoproteins) are used increasingly in the diagnosis and examination of therapy of atherosclerosis and heart disease. Many specialized and sophisticated methods have been introduced, and machines have been developed for the simultaneous automated analysis of many different blood constituents in order to cope with increasing medical needs.

Analytical biochemical methods have also been applied in the food industry to develop crops superior in nutritive value and capable of retaining nutrients during the processing and preservation of food. Research in this area is directed particularly to preserving vitamins as well as colour and taste, all of which may suffer loss if oxidative enzymes remain in the preserved food. Tests for enzymes are used for monitoring various stages in food processing.

Biochemical techniques have been fundamental in the development of new drugs. The testing of potentially useful drugs includes studies on experimental animals and man to observe the desired effects and also to detect possible toxic manifestations; such studies depend heavily on many of the clinical biochemistry techniques already described. Although many of the commonly used drugs have been developed on a rather empirical (trial-and-error) basis, an increasing number of therapeutic agents have been designed specifically as enzyme inhibitors to interfere with the metabolism of a host or invasive agent. Biochemical advances in the knowledge of the action of natural hormones and antibiotics promise to aid further in the development of specific pharmaceuticals.