Textbook of Medical Biochemistry, 3/e
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Textbook of Medical Biochemistry, 3/e
Author (s)

:

Dinesh Puri
ISBN

:

9788131223123
Edition

:

3
Product Type

:

Indian Originals
Imprint

:

Elsevier
Pages

:

736
©Year

:

2011
List Price

:

INR 675.00
 
 
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 Description
The third edition of the book is thoroughly updated and presented in a new two-colour format. The book presents a detailed and authoritative exposition of the basic principles and applications of biochemistry. It focuses primarily on clarity of the fundamental concepts and explains them according to the need of undergraduate medical students. The organization of content in this book is such that it provides the reader with a logical sequence of events that aids learning.
 
 Key Features
• More emphasis in this edition is to systemize presentation and make reading soothing and pleasurable by deleting redundant details, adding new text and figures, improvement of earlier figures, supplementing text with easy to comprehend flowcharts, without changing basic framework of the book.

• Each chapter ends with clinical cases and the related questions, which evokes yet another method of active learning rather than didactic methods of imparting knowledge.

• Key points have been highlighted and boxed at the end of each topic for quick revision of the core concepts.

• This book comes with a free companion website which contains self-assessment exercises, detailed case discussions related to the clinical cases given inside the book, glossary and various other features for enhanced learning.





 
 About the Author
Dr Dinesh Puri is currently working as Professor and Head, Department of Biochemistry, University College of Medical Sciences, Delhi. He has been involved in the development of curriculum for undergraduate and postgraduate medical students and medical laboratory technicians. Dr Puri has teaching experience of about 27 years. He has been actively pursuing research and has won several awards including those by International Medical Academy for his research on therapeutic properties of medicinal plants.
 
 TOC
Water, Buffers and Acid-Base Chemistry ... 1

I. Water as Principal Biological Fluid ... .1

II. Acids, Bases and Conjugate Acid-Base Pairs ... ..5

III. Acid-Base Balance: Applied Aspects ... ...9

Exercises ... ...17

Clinical Cases ... ...18

2. Chemistry of Carbohydrates ... . 19

I. Biological Significance of Carbohydrates ... .19

II. Classification of Carbohydrates ... .20

III. Structural Properties ... .20

IV. Hexoses, Pentoses, and Related Disaccharides and Oligosaccharides ... .23

V. Derived Sugars ... .25

VI. Polysaccharides ... ...27

Exercises ... ...33

3. Chemistry of Lipids ... .. 35

I. Fatty Acids ... ..35

II. Classification of Lipids ... ...39

Exercises ... ...45

Clinical Case ... .46

4. Amino Acids, Peptides and Proteins ... ... 47

I. Amino Acids ... ..47

II. Peptides ... ...55

III. Proteins... .58

IV. Chemical Synthesis of Proteins ... ..73

Exercises ... ...73

Clinical Cases ... ...74

5. Proteins with Biological Activity ... 75

I. Collagen ... ..75

II. Elastin ... ...82

III. Glycoproteins ... ...82

IV. Plasma Proteins ... ..86

V. Immunoglobulins ... ..92

Exercises ... ...98

Clinical Cases ... ...99



6. Enzymes ... .101

I. Properties of Enzymes ... .. 101

II. Mechanism of Enzyme Catalysis ... ...104

III. Nomenclature ... ...105

IV. Quantitative Assay of Enzymes ... ... 107

V. Enzyme Kinetics ... ...108

VI. Michaelis-Menten Kinetic Theory of Enzyme Action ... .110

VII. Inhibition of Enzyme Activity ... .. 112

VIII. Regulation of Enzyme Activity ... . 116

IX. Isoenzymes ... .. 119

X. Enzymes in Clinical Diagnosis ... ... 119

XI. Enzymes as Therapeutic Agents ... ..125

Exercises ... .125

Clinical Cases ... .126



7. Characteristics of Cells and Membrane Transport ... . 128

I. Cell Structure ... ..128

II. Biological Membranes ... ..131

III. Transport Across Cell Membrane ... ...137

Exercises ... .145

Clinical Case ... ..145



8. Overview of Metabolism and Cell Bioenergetics ... ... 146

I. Overview of Metabolism ... .146

II. Bioenergetics: Principles ... ..150

Exercises ... .156



9. Metabolism of Carbohydrates I: Mainline Metabolic Pathways ... . 157

I. Transport of Glucose into Cells ... ..157

II. Glycolysis... ..158

III. Feeder Pathways ... ...167

IV. Tricarboxylic Acid Cycle ... ..170

V. Gluconeogenesis ... ..179

VI. Glycogen Metabolism ... ...185

Exercises ... .193

Clinical Cases ... .194



10. Metabolism of Carbohydrates II: Secondary Pathways and

Regulation of Blood Glucose Level ... ... 195

I. Pentose Phosphate Pathway ... ..195

II. Uronic Acid Pathway ... .200

III. Metabolism of Other Sugars ... .201

IV. Sorbitol Pathway ... ..201

V. Regulation of Blood Glucose Level ... ...202

Exercises ... .203

Clinical Cases ... .204



11. Lipid Metabolism I: Metabolism of Fatty Acids and Compound Lipids ... . 205

I. -Oxidation ... .205

II. Other Oxidative Pathways ... ..209

III. Ketone Body Production and Metabolism ... ...213

IV. De Novo Synthesis of Fatty Acids ... ..216

V. Chain Elongation and Desaturase Systems ... ...222

VI. Metabolism of Triacylglycerol ... ..223

VII. Adipose Tissue Metabolism ... ...224

VIII. Metabolism of Complex Lipids ... ..227

Exercises ... .233

Clinical Case ... ..234



12. Lipid Metabolism II: Lipoproteins, Cholesterol and Prostaglandins ... .. 235

I. Lipoproteins ... ...235

II. Fatty Liver Syndrome ... .249

III. Metabolism of Cholesterol ... .250

IV. Atherosclerosis ... ..257

V. Prostaglandins ... ...260

Exercises ... .265

Clinical Cases ... .265



13. Amino Acid and Protein Metabolism ... ... 267

I. Nitrogen Metabolism ... ...268

II. Catabolism of Amino Group Nitrogen ... ..269

III. Catabolism of Carbon Skeleton of Amino Acids ... ..276

IV. Disorders of Amino Acid Metabolism ... .285

V. Biosynthesis of Amino Acids ... .290

VI. Amino Acids as Precursors of Specialized Products ... .292

Exercises ... .299

Clinical Cases ... .299



14. Electron Transport, Oxidative Phosphorylation and Mitochondrial

Membrane Transporters ... ...301

I. Electron Transport Chain (ETC) ... .301

II. Oxidative Phosphorylation ... ...309

III. Mitochondrial Membrane Transporters ... .312

IV. Enzymes Participating in Biological Oxidation ... .314

V. Mitochondrial Myopathies ... .314

Exercises ... .314

Clinical Case ... ..315



15. Integration of Metabolism ... ..316

I. Hormonal Regulation of Major Metabolic Pathways ... .316

II. Metabolic Interconnections and Organ Specialization ... .319







III. Metabolic Adaptations in Three Fasting-starvation States ... ..319

IV. Diabetes Mellitus ... .322

V. Metabolism of Xenobiotics ... ...326

VI. Alcohol Metabolism ... ..330

Exercises ... .331

Clinical Cases ... .331



16. Porphyrins and Bile Pigments ... .. 334

I. General Characteristics of Porphyrins ... .334

II. Biological Significance of Porphyrins ... ..335

III. Nomenclature ... ...335

IV. Synthesis of Haem ... ..336

V. Disorders of Porphyrin Metabolism: Porphyrias ... ..339

VI. Haem Breakdown ... ...343

VII. Jaundice ... .345

Exercises ... .348

Clinical Case ... ..349



17. Oxygen Transporters: Haemoglobin and Myoglobin ... .. 350

I. Haemoglobin ... .350

II. Haemoglobin Variants ... ..358

III. Haemoglobin Derivatives ... ...359

IV. Haemoglobinopathies ... ..360

V. Myoglobin ... ...364

VI. Anaemias ... ..365

Exercises ... .366

Clinical Cases ... .367



18. Vitamins ... ... 369

I. Classification and Nomenclature ... ...369

II. Sources, Daily Requirements and Deficiency of Vitamins ... ...371

III. Water-soluble Vitamins ... ...371

IV. Fat-soluble Vitamins ... ..387

Exercises ... .400

Clinical Cases ... .400



19. Minerals ... ... 402

I. Absorption, Transport and Excretion of Minerals... .402

II. Mineral Deficiency or Excess ... .403

III. Sources and Daily Requirements of Minerals ... .403

IV. Major Elements ... .403

V. Trace Elements ... ..407

Exercises ... .417

Clinical Cases ... .417



20. Nucleic Acid Chemistry and Nucleotide Metabolism ... .419

I. Nucleotides: Chemistry and Biological Significance ... ..419

II. Purine Metabolism ... .422

III. Pyrimidine Metabolism ... ...433

Exercises ... .437

Clinical Cases ... .438

21. Molecular Biology I: DNA Structure, Genetic Role and Replication ... . 440

I. Structure of Deoxyribonucleic Acid (DNA) ... .440

II. Some Physical Properties of DNA ... ..444

III. DNA as Genetic Material ... .445

IV. Architecture of the Human Genome ... ...446

V. Some Commonly Used Terms Related to Molecular Genetics ... ..447

VI. Replication ... ..449

VII. Mutations ... .456

VIII. Repair Systems for Mutated DNA ... ..460

IX. Defective DNA Repair and Human Diseases... ...465

X. Genetic Recombination ... ...465

Exercises ... .466

Clinical Cases ... .467



22. Molecular Biology II: Transcription and Translation ... ... 468

I. Types of RNAs ... ...468

II. Transcription ... ..469

III. Genetic Code ... ..476

IV. Translation ... ..479

V. Protein Targeting ... ..487

Exercises ... .489

Clinical Case ... ..490



23. Molecular Biology III: Regulation of Prokaryotic Gene Expression and

Molecular Genetics ... ..491

I. Constitutive and Inducible Proteins ... .491

II. Operon: A Coordinated Unit of Gene Expression ... ...492

III. Protein-DNA Interaction in Transcriptional Regulation ... ..496

IV. Regulatory Mechanism in Viruses ... ..497

V. Genetic Diseases ... ..498

Exercises ... .500

Clinical Case ... ..501



24. Molecular Biology IV: Eukaryotic Chromosome and Gene Expression ... .. 502

I. Replication has Multiple Sites of Origin ... ...502

II. Untranscribed Human DNA ... .505

III. Gene Distribution Along DNA ... ...506

IV. Transcription ... ..508

V. Translation ... ..515

VI. Regulation of Eukaryotic Gene Expression ... ...520

Exercises ... .525



25. Recombinant DNA Technology and Genetic Engineering ... . 526

I. Techniques and Enzymes Used in Manipulation of DNA ... ...527

II. DNA Amplification and Cloning ... ...533

III. DNA Library ... ...537

IV. Nucleotide Probes ... ...538

V. Blotting Techniques ... ...539

VI. Applications of Recombinant DNA Technology ... ...541

VII. Restriction Fragment Length Polymorphism ... ..547

VIII. Polymerase Chain Reaction (PCR) ... ...548

IX. Human Genome Project: Current Status and Future Goals ... ...553

Exercises ... .554

Clinical Case ... ..554



26. Gastrointestinal Pathobiochemistry ... .. 555

I. Digestion and Absorption ... ..555

II. Organ Function Tests ... .560

III. Liver Function Tests ... ...564

Exercises ... .566

Clinical Cases ... .567



27. Free Radicals in Health and Disease ... . 569

I. Incomplete Reduction of Oxygen ... ..569

II. Generation of Oxygen Free Radicals ... .570

III. Damage Produced by Free Radicals ... ..572

IV. Free Radical Scavenger Systems ... ...572

V. Free Radicals in Aetiology of Disease... ...573

Exercises ... .574

Clinical Case ... ..575



28. Energy Metabolism and Nutrition ... .. 576

I. Calorific Values ... .576

II. Components of Energy Requirements ... .577

III. Recommendations for Dietary Nutrients ... ..580

IV. Proximate Principles of Food ... ...581

V. Nutritional Importance of Carbohydrates ... ...581

VI. Nutritional Importance of Fats ... ...583

VII. Nutritional Importance of Proteins ... ..584

VIII. Balanced Diet ... .587

IX. Nutritional Implications of Diseases ... ...587

Exercises ... .590



29. Biochemical Endocrinology ... ...591

I. General Characteristics of Hormone Systems ... .591

II. Hormone Receptors ... ...595

III. Mechanism of Action of Hormones ... .598

IV. Neurotransmitters ... ...607

Exercises ... .608

Clinical Cases ... .608



30. Action of Hormones ... ... 611

I. Hypothalamus-pituitary System ... ..611

II. Hypothalamic Hormones ... ..612

III. Anterior Pituitary Hormones ... ...613

IV. Hormones of Posterior Pituitary ... .618

V. Hormones of Thyroid Gland ... ...619

VI. Hormones of Adrenal Cortex ... ...623

VII. Hormones of Adrenal Medulla ... ...627

VIII. Gastrointestinal Hormones ... ...629

IX. Hormones of Gonads ... ...630

X. Androgens ... ...631

XI. Oestrogens ... ...632

XII. Progesterone ... ...633

Exercises ... .635

Clinical Cases ... .635



31. Calcium and Phosphate: Metabolism and Regulation ... . 637

I. Calcium ... .637

II. Phosphorus ... .643

Exercises ... .645

Clinical Cases ... .646



32. Cancer ... ... 647

I. Tumours: Benign and Malignant ... ...647

II. Distinctive Features of Malignant Cells ... ..648

III. Aetiology ... ..649

IV. Molecular Basis of Protooncogene Activation... .653

V. Some Oncoproteins and Associated Cancers ... ..655

VI. Tumour Markers ... ..656

Exercises ... .658



33. Immunology ... .. 659

I. Historical Milestones ... .660

II. Non-specific and Specific Immune Responses ... ...661

III. Antigens and Immunogens ... ...664

IV. Role of Lymphocytes ... .664

V. Organs of the Immune System ... ...667

VI. Cells of the Immune System ... .671

VII. Molecules of Immune Response ... .672

VIII. Immunoglobulins ... ...676

IX. More about Complement Cascade ... ...679

X. The Recognition of and Response to Nonself ... .680

XI. Cellular Cooperation in the Immune Response ... ...681

XII. Non-specific Effector Cells are Influenced by TH Cells and Immunoglobulins... ...684

XIII. Specific Immune Responses to Some Infections ... ...684

XIV. Vaccines ... .686

XV. Immunological Techniques ... ...687

XVI. Immunologic Dysfunction ... .688

Exercises ... .689

Clinical Cases ... .689



34. Tests for Thyroid, Adrenal and Kidney Functions ... .. 692

I. Thyroid Function Tests ... .692

II. Adrenal Function Tests ... .693

III. Renal Function Tests ... ..695

Exercises ... .697

Clinical Case ... ..698

Index ... . 699