‘Enzymes and disease’ assesses how, in relation to medical science, enzymes may be the problem or they might offer the solution. What happens if enzymes are faulty in some way? Enzyme defects lead to diseases such as alkaptonuria, phenylketonuria, Sudden Infant Death Syndrome (SIDS), and Jamaican Vomiting Sickness. On the other hand, there are often situations in which humans deliberately seek to damp down the activity of normally functioning enzymes in human bodies, and this is how many drugs work. Enzymes, human or otherwise, are also nowadays widely used as agents for diagnosis or therapy.