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Enzymes are proteins produced by all living organisms that act as catalysts to speed up chemical reactions that would otherwise occur at a much slower rate or not at all. The enzyme medical cleaners (the catalysts) are materials that help reactions move from a beginning to an end. Enzymes are not used up in the reaction so they are available to help multiple reactions. Enzymes fit their target substrates like a lock fits a key. The active site of the enzyme is open only to specific target substances (i.e., substrates) with a matching chemical and 3-dimensional shape. If the substrate doesn't fit, it can't enter and no reaction occurs. This makes the action of enzyme medical cleaners highly specific for their substrates. The appropriate enzyme is needed for effective cleaning of specific types of debris.