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Index
Title page Table of Contents Copyright Preface Contributors Dedication Acknowledgments Abbreviations Chapter 1: Introduction
Biochemistry and clinical medicine The entire biochemistry on two pages What this book is – and isn't
Chapter 2: Amino Acids and Proteins
Introduction Amino acids Buffers Peptides and proteins Purification and characterization of proteins Analysis of protein structure Summary
Chapter 3: Carbohydrates and Lipids
Introduction Carbohydrates Lipids Structure of biomembranes Summary
Chapter 4: Blood and Plasma Proteins
Introduction Formed Elements of Blood Plasma Proteins The Acute Phase Response and C-Reactive Protein Clinical Tests: Biomarkers Summary
Chapter 5: Oxygen Transport
Introduction Characteristics of mammalian globin proteins Allosteric Modulation of the Oxygen Affinity of Hemoglobin Selected Topics Summary
Chapter 6: Catalytic Proteins – Enzymes
Introduction Enzymatic Reactions Enzyme Kinetics Use of the Lineweaver–Burk and Eadie–Hofstee plots Mechanism of Enzyme Action Enzyme Inhibition Regulation of Enzyme Activity Enzymatic Measurement of Blood Glucose Summary
Chapter 7: Hemostasis and Thrombosis
Introduction Hemostasis The vessel wall Platelets and platelet-related bleeding disorders Coagulation Fibrinolysis Summary
Chapter 8: Membranes and Transport
Introduction Types of transport processes Examples of transport systems and their coupling Summary
Chapter 9: Bioenergetics and Oxidative Metabolism
Introduction Oxidation as a source of energy Free energy Conservation of energy by coupling with adenosine triphosphate Mitochondrial synthesis of adenosine triphosphate from reduced coenzymes The mitochondrial electron transport system Transfer of electrons from NADH into mitochondria Synthesis of adenosine triphosphate – the chemiosmotic hypothesis Inhibitors of oxidative metabolism Regulation of oxidative phosphorylation Summary
Chapter 10: Digestion and Absorption of Nutrients: The Gastrointestinal Tract
Introduction Water and electrolyte handling in the gastrointestinal tract Digestion Digestion and absorption of carbohydrates Digestion and absorption of lipids Digestion and absorption of proteins Summary
Chapter 11: Vitamins and Minerals
Introduction Fat-soluble vitamins: A, D, E, K Water-soluble vitamins B, C Minerals Trace elements Summary
Chapter 12: Anaerobic Metabolism of Glucose in the Red Blood Cell
Introduction The erythrocyte Glycolysis The splitting stage of glycolysis The yield stage of glycolysis – synthesis of ATP by substrate-level phosphorylation Fermentation Regulation of glycolysis in erythrocytes Characteristics of regulatory enzymes Synthesis of 2,3-bisphosphoglycerate (2,3-BPG) The pentose phosphate pathway Summary
Chapter 13: Carbohydrate Storage and Synthesis in Liver and Muscle
Introduction Structure of glycogen Pathway of glycogenesis from blood glucose in liver Pathway of glycogenolysis in liver Hormonal regulation of hepatic glycogenolysis Mechanism of action of glucagon Mobilization of hepatic glycogen by epinephrine Glycogenolysis in muscle Regulation of glycogenesis Gluconeogenesis Summary
Chapter 14: The Tricarboxylic Acid Cycle
Introduction Functions of the tricarboxylic acid cycle Pyruvate carboxylase The pyruvate dehydrogenase complex Enzymes and reactions of the tricarboxylic acid cycle Energy yield from the tricarboxylic acid cycle Anaplerotic (‘building up’) reactions Regulation of the tricarboxylic acid cycle Summary
Chapter 15: Oxidative Metabolism of Lipids in Liver and Muscle
Introduction Activation of fatty acids for transport into the mitochondrion Oxidation of fatty acids Ketogenesis – a metabolic pathway unique to liver Summary
Chapter 16: Biosynthesis and Storage of Fatty Acids
Introduction Fatty acid synthesis Fatty acid elongation Desaturation of fatty acids Essential fatty acids Storage and transport of fatty acids: synthesis of triacylglycerols Regulation of total body fat stores Summary
Chapter 17: Biosynthesis of Cholesterol and Steroids
Introduction The Cholesterol Molecule Free and esterified cholesterol Intestinal absorption of cholesterol Biosynthesis of cholesterol Bile acids Steroid hormones Vitamin D3 Summary
Chapter 18: Lipoprotein Metabolism and Atherogenesis
Introduction Lipoproteins Lipoprotein receptors Enzymes and LIPID transfer proteins Pathways of lipoprotein metabolism Dyslipidemias Atherosclerosis, atherogenesis and atherothrombosis THE Assessment of cardiovascular risk Summary
Chapter 19: Biosynthesis and Degradation of Amino Acids
Introduction Metabolism of dietary and endogenous proteins Amino acid degradation Metabolism of the carbon skeletons of amino acids Biosynthesis of amino acids Inherited diseases of amino acid metabolism Summary
Chapter 20: Muscle: Energy Metabolism and Contraction
Introduction Muscle structure The contractile process Muscle energy metabolism Tissue engineering and replacement of muscle Effect of exercise Summary
Chapter 21: Glucose Homeostasis and Fuel Metabolism: Diabetes Mellitus
Introduction Insulin The feed–fast cycle Metabolism during stress Diabetes mellitus Hypoglycemia Laboratory assessment of fuel metabolism Treating diabetes Summary
Chapter 22: Nutrition and Energy Balance
Introduction Regulation of food intake Regulation of energy balance Nutrigenomics Main classes of nutrients Definitions in nutrition science Essential (limiting) nutrients Assessing nutritional STATUS Malnutrition Obesity Healthy eating and dietary prevention of disease Summary
Chapter 23: Role of Kidneys in Metabolism
Introduction Assessment of renal function Summary
Chapter 24: Water and Electrolyte Homeostasis
Introduction Body water compartments Osmolality: osmotic and oncotic pressures Potassium Renin–angiotensin system Integration of water and sodium homeostasis Summary
Chapter 25: Regulation of Hydrogen Ion Concentration (Acid–Base Balance)
Introduction Body Buffer systems: respiratory and metabolic components of the acid–base balance Lungs: the gas exchange Handling of bicarbonate by the kidneys Disorders of the acid–base balance Summary
Chapter 26: Bone Metabolism and Calcium Homeostasis
Introduction Bone structure and bone remodeling Calcium homeostasis Disorders of calcium metabolism Metabolic bone disease Summary
Chapter 27: Complex Carbohydrates: Glycoproteins
Introduction Structures and linkages Interconversions of dietary sugars Other pathways of sugar nucleotide metabolism Biosynthesis of oligosaccharides Functions of the oligosaccharide chains of glycoproteins Summary
Chapter 28: Complex Lipids
Introduction Synthesis and turnover of glycerophospholipids Sphingolipids Lysosomal storage diseases resulting from defects in glycolipid degradation ABO blood group antigens Other blood group substances Summary
Chapter 29: The Extracellular Matrix
Introduction Collagens Noncollagenous proteins in the extracellular matrix Proteoglycans Communication of cells with the extracellular matrix Summary
Chapter 30: Role of the Liver in Metabolism
Introduction Structure of the liver Liver and carbohydrate metabolism Liver and protein metabolism Heme synthesis Bilirubin metabolism Drug metabolism Pharmacogenomics Biochemical tests of liver function Classification of liver disorders Genomics of liver disease Summary
Chapter 31: Biosynthesis and Degradation of Nucleotides
Introduction Purine metabolism Pyrimidine metabolism Formation of deoxynucleotides Summary
Chapter 32: Deoxyribonucleic Acid
Introduction Structure of deoxyribonucleic acid The cell cycle in eukaryotes DNA Replication DNA repair Summary
Chapter 33: Ribonucleic Acid
Introduction Molecular anatomy of ribonucleic acid molecules Ribonucleic acid polymerases Messenger ribonucleic acid: transcription Post-transcriptional processing of ribonucleic acids Selective degradation or inactivation of ribonucleic acid Summary
Chapter 34: Protein Synthesis and Turnover
Introduction The genetic code The machinery of protein synthesis The process of protein synthesis Protein folding and endoplasmic reticulum (ER) stress Protein targeting and post-translational modifications Summary
Chapter 35: Regulation of Gene Expression: Basic Mechanisms
Introduction Basic mechanisms of gene expression Steroid receptors Alternative approaches to gene regulation in humans Summary
Chapter 36: Regulation of Gene Expression: Genomics, Proteomics and Metabolomics
Introduction Genomics Proteomics Metabolomics Summary
Chapter 37: Oxygen and Life
Introduction The inertness of oxygen Reactive oxygen species and oxidative stress Reactive nitrogen species and nitrosative stress The nature of oxygen radical damage Antioxidant defenses The beneficial effects of reactive oxygen species Summary
Chapter 38: The Immune Response
Introduction Innate immune response Adaptive immune response T and B lymphocytes Molecules involved in antigen recognition Major histocompatibility complex Lymphoid tissues Antigen-presenting cells Reaction with, the response to, and the elimination of, antigens T cell response The adaptive humoral immune response Vaccination Summary
Chapter 39: Biochemical Endocrinology
Introduction Hormones Principles of hormone action Biochemical assessment of hormone action Major types of endocrine pathology The hypothalamo–pituitary regulatory system The hypothalamo–pituitary–thyroid axis The hypothalamo–pituitary–adrenal axis The hypothalamo–pituitary–gonadal axis The growth hormone axis The prolactin axis Summary
Chapter 40: Membrane Receptors and Signal Transduction
Introduction Types of hormone and monoamine receptors Receptor coupling to intracellular signal transduction Second messengers Summary
Chapter 41.1: Neurotransmitters
Introduction Definition of a neurotransmitter Classification of neurotransmitters Neurotransmission Classes of neurotransmitters Summary
Chapter 41.2: Neurochemistry
Introduction Brain and peripheral nerve Cells of the nervous system Synaptic transmission Mechanism of vision Summary
Chapter 42: Cellular Homeostasis: Cell Growth and Cancer
Introduction Cell cycle Cytokine receptor signaling Regulation of cell cycle Cell death Summary
Chapter 43: Aging
Introduction Theories of aging Genetic models of increased lifespan Anti-aging interventions – what works and what doesn't Summary
Appendix A1: Selected Clinical Laboratory Reference Ranges Appendix A2: The Fundamentals of Recombinant DNA Technology: Molecular hybridization and DNA cloning Index Instructions for online access
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