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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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