Clinical Biochemistry for Health Science Students

Author(s): Todd Hrubey

Edition: 2

Copyright: 2017

Pages: 254

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Ebook

$100.01

ISBN 9781524939014

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An effective health sciences curriculum stimulates the student to progressively assemble a professional knowledge base. Biochemistry, especially when emphasizing the clinical application of the science, provides a solid foundation for future professional course work, including the subjects of pathophysiology, pharmacology, toxicology, clinical medicine, and therapeutics.

Clinical Biochemistry for Health Science Students provides a basic introduction to biochemistry for the health science practitioner. Beginning with the basics of solution chemistry and organic functional groups, the book paints a picture of the overall interplay between the metabolism of carbohydrate, lipid, and protein fuels found in the diet, and how these fuels are stored then used by the body under different conditions. Particular emphasis is placed on how these processes are altered in diabetic patients, or in patients who are attempting to lose weight using new fad diets.

CHAPTER 1 Approaching Professional Coursework in a Health

Sciences Curriculum

Textbook Format

The Professional Curriculum

and Clinical Biochemistry

The Professional Health Sciences Student

Learning Approaches in Professional

and Health Science Courses

Practice Problems for Chapter

CHAPTER 2 A Review of Biological and Chemical Concepts

Basic Biology Review: Cell Structure

Chemical Bonding in Biological Systems

and in Drug Molecules

Organic Functional Groups and Basic Nomenclature

Oxidation-Reduction Reactions

Acyl Linkages

The Chemistry of Aqueous Solutions: Acids, Bases, and Buffers

Learning Objectives for Chapter 2

Practice Problems for Chapter 2

Final Answers for Chapter 2 Numerical Problems

CHAPTER 3 The Structures of Biomolecules

Peptides and Proteins

Lipids

Carbohydrates

Nucleosides, Nucleotides, and Nucleic Acids

Nucleoside Triphosphates as High Energy Molecules

Learning Objectives for Chapter 3

Practice Problems for Chapter 3

CHAPTER 4 Peptides and Proteins

Amino Acids

Protein Conformation

Protein Function

The Stability of Proteins

Methods for the Characterization

and Handling of Proteins

Clinical Signifi cance of Measuring Protein Levels

Learning Objectives for Chapter 4

Practice Problems for Chapter 4

CHAPTER 5 Enzymes and Enzyme Function

Enzyme Nomenclature

Enzyme Active Sites, Regulation, and Role as Catalysts

The Michaelis-Menten Model

Enzyme Inhibition

Monitoring Enzyme Levels

Learning Objectives for Chapter 5

Practice Problems for Chapter 5

CHAPTER 6 Coenzymes and Vitamins

Coenzymes, Prosthetic Groups, and Vitamins

Water-Soluble Vitamins and Their Coenzyme Forms

Fat-Soluble Vitamins

Reference Materials

Learning Objectives for Chapter 6

Practice Problems for Chapter 6

CHAPTER 7 Introduction to Metabolism

An Overview of Metabolism

Catabolic and Anabolic Pathways

Regulation of Metabolism

Learning Objectives for Chapter 7

Practice Problems for Chapter 7

CHAPTER 8 Carbohydrate Metabolism

Glycolysis

The Fates of Pyruvate

The Citric Acid or Tricarboxylic Acid Cycle

The Electron Transport Chain, ATPase, and Oxidative

Phosphorylation

Gluconeogenesis

The Pentose Phosphate Pathway

Glycogen Structure, Synthesis, and Degradation

Learning Objectives for Chapter 8

Practice Problems for Chapter 8

CHAPTER 9 Lipid Metabolism

Fatty Acid Beta-Oxidation

Ketone Bodies

Fatty Acid Synthesis

Regulation of Fatty Acid Metabolism

Triglycerides and Membrane Phospholipids

Sphingolipids

Cholesterol Metabolism

Enterohepatic Cycling of Cholesterol

Lipoprotein Classifi cation and Function

Diseases of Lipid Metabolism

Learning Objectives for Chapter 9

Practice Problems for Chapter 9

CHAPTER 10 Amino Acid Metabolism

Ketogenic and Glucogenic Amino Acids

The Urea Cycle

Inborn Errors of Amino Acid Metabolism

Nitrogen Balance and Clinical Tests

Synthesis of Amino Acids

Essential and Non-Essential Amino Acids

Other Important Molecules Synthesized

from Amino Acids

Homocysteine and Coronary Heart Disease

Learning Objectives for Chapter 10

Practice Problems for Chapter 10

CHAPTER 11 Nucleotide Metabolism

Synthesis of Purine Nucleotides

Synthesis of Pyrimidine Bases and Nucleotides

Synthesis of Deoxyribonucleotides

Degradation of Nucleotides

Nucleotide Salvage

Learning Objectives for Chapter 11

Practice Problems for Chapter 11

CHAPTER 12 Integration and Overview of Intermediary

Metabolism

Goals, Strategies, and Regulation of Metabolism

Introduction to Insulin and the Fed State

Introduction to Glucagon and the Fasting State

Epinephrine and Its Effects on Muscle

The Whole Body View of Metabolism

Starvation and Dieting

Diabetes Mellitus

Laboratory Tests for Diagnosis and Monitoring of Diabetes

Mellitus

Learning Objectives for Chapter 12

Practice Problems for Chapter 12

CHAPTER 13 Hormones, Neurotransmitters, and Other Signaling

Molecules

Chemical Categorization of Hormones

Paracrine Agents and Neurotransmitters

Receptors for Signaling Molecules

and Mechanisms of Signal Transduction

Learning Objectives for Chapter 13

Practice Problems for Chapter 13

CHAPTER 14 Blood Chemistry

Components of the Blood, Acid-Base Balance, and Fluid

Electrolytes

Plasma Proteins

Oxygen-Transport Proteins

ABO Substances and the Rh Factor

Hemostasis

Hematopoietic Growth Factors

Learning Objectives for Chapter 14

Practice Problems for Chapter 14

CHAPTER 15 DNA Structure, Replication, and Function

Review of DNA Structure

DNA Replication

Supercoiling and Chromosomal Structure

Telomeres and Telomerase

Origins of Mutations

Learning Objectives for Chapter 15

Practice Problems for Chapter 15

CHAPTER 16 RNA and Transcription

RNA Composition, Synthesis, and Function

Control of Transcription

Nuclear and Mitochondrial DNA in Humans

Transcription Inhibitors

Acknowledgement

Learning Objectives for Chapter 16

Practice Problems for Chapter 16

CHAPTER 17 Protein Synthesis

Aminoacyl tRNA Synthetases

The Translation Process and Machinery

The Genetic Code

Mutation and Its Effects on Protein Synthesis

Post-Translational Processing and Folding of Proteins

Protein Turnover

Inhibitors of Protein Synthesis

Acknowledgement

Learning Objectives for Chapter 17

Practice Problems for Chapter 17

CHAPTER 18 Introduction to Oncogenic Disease

Introduction to Oncogenesis

Introduction to Cytotoxic Chemotherapy Agents

Targeted Anticancer Therapies

Acknowledgement

Learning Objectives for Chapter 18

Practice Problems for Chapter 18

Todd Hrubey

An effective health sciences curriculum stimulates the student to progressively assemble a professional knowledge base. Biochemistry, especially when emphasizing the clinical application of the science, provides a solid foundation for future professional course work, including the subjects of pathophysiology, pharmacology, toxicology, clinical medicine, and therapeutics.

Clinical Biochemistry for Health Science Students provides a basic introduction to biochemistry for the health science practitioner. Beginning with the basics of solution chemistry and organic functional groups, the book paints a picture of the overall interplay between the metabolism of carbohydrate, lipid, and protein fuels found in the diet, and how these fuels are stored then used by the body under different conditions. Particular emphasis is placed on how these processes are altered in diabetic patients, or in patients who are attempting to lose weight using new fad diets.

CHAPTER 1 Approaching Professional Coursework in a Health

Sciences Curriculum

Textbook Format

The Professional Curriculum

and Clinical Biochemistry

The Professional Health Sciences Student

Learning Approaches in Professional

and Health Science Courses

Practice Problems for Chapter

CHAPTER 2 A Review of Biological and Chemical Concepts

Basic Biology Review: Cell Structure

Chemical Bonding in Biological Systems

and in Drug Molecules

Organic Functional Groups and Basic Nomenclature

Oxidation-Reduction Reactions

Acyl Linkages

The Chemistry of Aqueous Solutions: Acids, Bases, and Buffers

Learning Objectives for Chapter 2

Practice Problems for Chapter 2

Final Answers for Chapter 2 Numerical Problems

CHAPTER 3 The Structures of Biomolecules

Peptides and Proteins

Lipids

Carbohydrates

Nucleosides, Nucleotides, and Nucleic Acids

Nucleoside Triphosphates as High Energy Molecules

Learning Objectives for Chapter 3

Practice Problems for Chapter 3

CHAPTER 4 Peptides and Proteins

Amino Acids

Protein Conformation

Protein Function

The Stability of Proteins

Methods for the Characterization

and Handling of Proteins

Clinical Signifi cance of Measuring Protein Levels

Learning Objectives for Chapter 4

Practice Problems for Chapter 4

CHAPTER 5 Enzymes and Enzyme Function

Enzyme Nomenclature

Enzyme Active Sites, Regulation, and Role as Catalysts

The Michaelis-Menten Model

Enzyme Inhibition

Monitoring Enzyme Levels

Learning Objectives for Chapter 5

Practice Problems for Chapter 5

CHAPTER 6 Coenzymes and Vitamins

Coenzymes, Prosthetic Groups, and Vitamins

Water-Soluble Vitamins and Their Coenzyme Forms

Fat-Soluble Vitamins

Reference Materials

Learning Objectives for Chapter 6

Practice Problems for Chapter 6

CHAPTER 7 Introduction to Metabolism

An Overview of Metabolism

Catabolic and Anabolic Pathways

Regulation of Metabolism

Learning Objectives for Chapter 7

Practice Problems for Chapter 7

CHAPTER 8 Carbohydrate Metabolism

Glycolysis

The Fates of Pyruvate

The Citric Acid or Tricarboxylic Acid Cycle

The Electron Transport Chain, ATPase, and Oxidative

Phosphorylation

Gluconeogenesis

The Pentose Phosphate Pathway

Glycogen Structure, Synthesis, and Degradation

Learning Objectives for Chapter 8

Practice Problems for Chapter 8

CHAPTER 9 Lipid Metabolism

Fatty Acid Beta-Oxidation

Ketone Bodies

Fatty Acid Synthesis

Regulation of Fatty Acid Metabolism

Triglycerides and Membrane Phospholipids

Sphingolipids

Cholesterol Metabolism

Enterohepatic Cycling of Cholesterol

Lipoprotein Classifi cation and Function

Diseases of Lipid Metabolism

Learning Objectives for Chapter 9

Practice Problems for Chapter 9

CHAPTER 10 Amino Acid Metabolism

Ketogenic and Glucogenic Amino Acids

The Urea Cycle

Inborn Errors of Amino Acid Metabolism

Nitrogen Balance and Clinical Tests

Synthesis of Amino Acids

Essential and Non-Essential Amino Acids

Other Important Molecules Synthesized

from Amino Acids

Homocysteine and Coronary Heart Disease

Learning Objectives for Chapter 10

Practice Problems for Chapter 10

CHAPTER 11 Nucleotide Metabolism

Synthesis of Purine Nucleotides

Synthesis of Pyrimidine Bases and Nucleotides

Synthesis of Deoxyribonucleotides

Degradation of Nucleotides

Nucleotide Salvage

Learning Objectives for Chapter 11

Practice Problems for Chapter 11

CHAPTER 12 Integration and Overview of Intermediary

Metabolism

Goals, Strategies, and Regulation of Metabolism

Introduction to Insulin and the Fed State

Introduction to Glucagon and the Fasting State

Epinephrine and Its Effects on Muscle

The Whole Body View of Metabolism

Starvation and Dieting

Diabetes Mellitus

Laboratory Tests for Diagnosis and Monitoring of Diabetes

Mellitus

Learning Objectives for Chapter 12

Practice Problems for Chapter 12

CHAPTER 13 Hormones, Neurotransmitters, and Other Signaling

Molecules

Chemical Categorization of Hormones

Paracrine Agents and Neurotransmitters

Receptors for Signaling Molecules

and Mechanisms of Signal Transduction

Learning Objectives for Chapter 13

Practice Problems for Chapter 13

CHAPTER 14 Blood Chemistry

Components of the Blood, Acid-Base Balance, and Fluid

Electrolytes

Plasma Proteins

Oxygen-Transport Proteins

ABO Substances and the Rh Factor

Hemostasis

Hematopoietic Growth Factors

Learning Objectives for Chapter 14

Practice Problems for Chapter 14

CHAPTER 15 DNA Structure, Replication, and Function

Review of DNA Structure

DNA Replication

Supercoiling and Chromosomal Structure

Telomeres and Telomerase

Origins of Mutations

Learning Objectives for Chapter 15

Practice Problems for Chapter 15

CHAPTER 16 RNA and Transcription

RNA Composition, Synthesis, and Function

Control of Transcription

Nuclear and Mitochondrial DNA in Humans

Transcription Inhibitors

Acknowledgement

Learning Objectives for Chapter 16

Practice Problems for Chapter 16

CHAPTER 17 Protein Synthesis

Aminoacyl tRNA Synthetases

The Translation Process and Machinery

The Genetic Code

Mutation and Its Effects on Protein Synthesis

Post-Translational Processing and Folding of Proteins

Protein Turnover

Inhibitors of Protein Synthesis

Acknowledgement

Learning Objectives for Chapter 17

Practice Problems for Chapter 17

CHAPTER 18 Introduction to Oncogenic Disease

Introduction to Oncogenesis

Introduction to Cytotoxic Chemotherapy Agents

Targeted Anticancer Therapies

Acknowledgement

Learning Objectives for Chapter 18

Practice Problems for Chapter 18

Todd Hrubey