Molecular Classification
Enzyme, Glycoside hydrolase family 13, Metalloenzyme (calcium-dependent)
Other Names
4-α-D-glucan glucanohydrolase, Ptyalin (for salivary alpha-amylase), Pancreatic amylase, EC 3.2.1.1
Disease Roles
Diabetes mellitus (targeted for glycemic control)Acute pancreatitis and other pancreatic disorders (as a biomarker)Salivary gland disorders

Alpha-amylase enzyme Overview

Alpha-amylase is a calcium-dependent metalloenzyme that catalyzes the endohydrolysis of internal α-(1→4)-D-glucosidic linkages in large polysaccharides such as starch and glycogen, producing smaller sugars like maltose and dextrins.[5][6] It is widely distributed among living organisms; in humans it exists primarily as two isoenzymes—salivary alpha-amylase ("ptyalin") produced by salivary glands for initial carbohydrate digestion in the mouth, and pancreatic alpha-amylase secreted into the small intestine for further breakdown during digestion.[6][2] The enzyme has a characteristic three-domain structure with an eight-stranded α/β barrel catalytic domain containing key acidic residues essential for its function.[1][5] Alpha-amylases play a crucial role in nutrition by enabling efficient energy extraction from dietary carbohydrates. Clinically, serum amylase measurement serves as an important diagnostic marker for acute pancreatitis.[2] Pharmacologically, inhibition of this enzyme is targeted to manage postprandial hyperglycemia in diabetes mellitus through drugs like acarbose that competitively block its active site.[5][3]

Mechanism of Action

Competitive inhibition of the active site to reduce enzymatic breakdown of dietary starches, thereby lowering postprandial blood glucose spikes

Biological Functions

Carbohydrate digestion (hydrolysis of starch and glycogen)
Production of maltose, dextrins, and oligosaccharides from polysaccharides
Regulation of postprandial glucose levels

Disease Associations

Diabetes mellitus (targeted for glycemic control)
Acute pancreatitis and other pancreatic disorders (as a biomarker)
Salivary gland disorders

Safety Considerations

  • Gastrointestinal side effects with inhibitors such as acarbose or miglitol, including flatulence, diarrhea, abdominal discomfort due to undigested carbohydrates reaching the colon.
  • Risk of hypoglycemia when used in combination with other antidiabetic agents.

Interacting Drugs

Acarbose
Miglitol

Associated Biomarkers

Biomarker
Serum amylase levels for diagnosis/monitoring of acute pancreatitis and other pancreatic diseases