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Enzymes: kinetics, inhibition, regulation, clinical enzymology

Biochemistry · MBBS

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Study notes

Aspirin permanently disables platelet COX enzymes. Aspirin is an irreversible inhibitor — it covalently acetylates cyclooxygenase's active site, killing the enzyme forever; the platelet (no nucleus, can't make new enzyme) is disabled for its 7–10 day life. This is why one low dose daily prevents clots — irreversible inhibition outlasts the drug in blood. Contrast reversible inhibitors (most drugs) that wash out. The inhibition type predicts the dosing — mechanism into prescription.

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