Essentials of Biochemistry (for Medical Students) Shivananda Nayak B
INDEX
Page number followed by f refers to figure and t refers to table
A
Abnormal glucose tolerance test 138, 138f, 139f
Absorption 64, 267, 284, 286
Acetanilide 452
Acetazolamide 25
Acetic acid 159
Acetylation 452
Acetyl-CoA, metabolic fate of 113, 113f, 176
Acetyltransferase 178
Aching swollen joints 297
Acid phosphatase 32, 34
Acid-base analysis, assessment of 253
Acid-base balance
regulation of 246, 249f
respiratory regulation of 248
Acid-base catalysis 21
Acid-base disorders 250
Acid-base disturbances 250t
Acid-base homeostasis 245
Acidic amino acids 44
Acquired hyperbilirubinemia 221
Acquired immunodeficiency syndrome (AIDS) 336, 432
biochemistry of 432
prevention of 437
symptoms of 433f
treatment of 438
Acute cardiopulmonary arrest 253
Acute glomerulonephritis 68, 387
Acute gout 387
Acute hepatitis 381
Acute intermittent porphyria 219
Acute nephrotic syndrome 386
Acute pancreatitis 32
Acute renal failure 386
Acute tubular necrosis 68, 386
Acute viral hepatitis 32
Acyl carrier protein 177, 178
Addison's disease 233, 275
Adenine 337, 342
nucleotides of 333
phosphoribosyltransferase 371
Adenosine diphosphate 14f, 259, 333, 386
Adenosine monophosphate 371
formation of 372f
Adenosine triphosphate 13, 14f, 22, 64, 173, 198, 209, 226f, 270, 333, 386, 405
structure of 14f, 333f
Adipose tissue 199, 201
Adrenal gland 231
Adrenal insufficiency 233
Adrenal medulla 235
Adrenocorticotropic hormone 187, 203, 227, 229, 232f
Adriamycin hydrochloride 349
Adsorption chromatography 426, 427f
Aerobic glycolysis, reactions of 105
Alanine 41, 44
aminotransferase 383
transaminase 32, 380, 381, 383
Albumin 48, 52, 381
functions of 52
Alcohol metabolism 380
Alcoholic liver disease 32
Aldehyde 450
oxidase 285
Aldolase 128
Alkali denaturation test 215t
Alkaline phosphatase 32, 34, 285, 381, 383, 384
elevation of 380
Alkalosis 278
Alkaptonuria 76, 84
Alpha-melanocyte-stimulating hormone 227
Amine 451
derived hormones 225
Amino acids 41t, 44, 45f, 46, 46f, 57, 64, 69, 83, 132, 267
activation of 348
catabolism of 65
chemical properties of 45
chemistry of 41
classification of 41, 44f
decarboxylases 69
degradation 198
determination of 387
paper chromatography of 427f
pool 64f
Amino sugars 97
Aminoaciduria 387
Ammonia
fate of 67
metabolic fate of 66
Amylase 32, 34
Amylopectinosis 124
Anaerobic glycolysis 110
Anaplerotic reactions 116f
Andersen's disease 124
Anemia 297, 387
Angiotensin-converting enzyme 25
Angular stomatitis cheilosis 322
Anorexia 270, 299
Anterior pituitary hormones 203, 227
Anthropometry
advantages of 324
disadvantages of 324
Antibiotics 278
Antidiuretic hormone 46, 272
Antioxidants 455, 458
Antiviral therapy 438
Apolipoprotein 154f
Apoproteins 156
Appetite, loss of 298
Arachidonic acid 159
Arginine 41, 44
fates of 73, 73f
metabolism of 73
synthesis and catabolism of 73f
Argininosuccinic acid synthetase 67
Ariboflavinosis 299
Arrhythmias 269
Arterial blood gas 279
Ascorbic acid 297, 305
Asparagine 42, 44
Aspartate aminotransferase 32, 383
Aspartate transaminase 32, 380, 381, 383
Aspartic acid 42, 44
metabolism of 72
Astrocytes 435
Ataxia 67, 298
Ataxic gait 298
Atherosclerosis 128, 136
Atom 443
structure of 443f
Atrial natriuretic peptide 273
role of 274f
Azathioprine 335
Azidothymidine 336
B
Bartter's syndrome 278
Basal metabolic rate 316, 318
calculation of 317
Beer's law 421
Bence Jones protein 54
Benedict's test 97
Benign prostate hypertrophy 34
Benign transient neonatal tyrosinemia 76
Benzoic acid, detoxification of 302
Bicarbonate buffer system 246
Bile acid 380
synthesis 182
Bile salts 383
synthesis of 302
Biliary tract cells 380f
Bilirubin 52, 380, 381
fate of 219
formation of 219f, 382f
Biotin 17, 301, 306
Bipolar cells 461
Biuret reaction 57
Blood
buffer system 246
cells 448
gas analyzer 253f
glucose, regulation of 112f, 131, 131f
pressure, regulation of 163
tests 279, 465
vessels, lesions of 284
Blurred vision 67
Body mass index 323
Bohr effect 212, 212f
Bone 231, 270
enzymes 32
pain 270
Brain 200
disorder 32
natriuretic peptide 274f
Brewer's yeast 287
Burkitt's lymphoma 434
Burns 68, 281
Butylated hydroxyanisole 162
Butyric acid 159
C
Calcitonin, action of 268
Calcium 52, 267, 387
binding protein 293
regulation 231f
Cancer 440, 442, 458
biochemistry of 440
cell production 440f
genetics of 441
lung 33
Candida albicans 451
Captopril 25
Carbaminohemoglobin 217
Carbamoyl phosphate 14, 67
Carbohydrate metabolism
hormonal regulation of 202
regulation of 203
Carbohydrates 97, 312, 380
absorption of 102, 104f
chemistry of 90
digestion of 102, 103f
fat and protein, caloric values of 311
metabolism 102, 105, 132, 135
Carbon dioxide 246
Carbon skeletons, metabolic fate of 69
Carbonic anhydrase 25, 248, 249f, 285
Carboxyhemoglobin 216
Cardiac contraction, control of 412
Cardiac enzymes 32, 33
Cardiac muscle 405, 411
Cardiolipin 152
Cardiovascular disease 189, 391
Catalase 456
Cataract 464f
Catecholamines, formation of 77f
Cell proliferation 441f
Cellular immunity 54
Cellulose 91
acetate electrophoresis 215f
Central nervous system 77, 245, 285, 434
Centrifugation, applications of 424
Centrifuges, types of 424
Ceramide 152
Cerebral beriberi 298
Cerebrosides 152
Cerebrospinal fluid 423, 469
Ceruloplasmin 32
Cervical cancer 434
Chemiosmotic hypothesis 262, 263, 263f, 264f
Chloramphenicol 349
Chloride 280
Cholesterol 160
functions of 160
metabolic fate of 181
metabolism 179
hormonal regulation of 205
structure of 160f
synthesis 180f
regulation of 181, 181f
Cholic acid 182
Cholinesterase 32, 35
Chondroitin sulfate 92, 399
Chromatography
classification of 426
general principle of 426
types of 426f
Chromium toxicity 287
Chronic glomerulonephritis 386
Chronic hemolytic anemia 215
Chronic nephritis 68, 386
Chronic obstructive pulmonary disease 253
Chronic renal failure 251, 269, 386
Chronic thyroiditis 391
Chylomicron 153
transport of 154f
Cirrhosis 381
Citric acid cycle 199
Cobalamin 303, 306
Cobalt toxicity 286
Collagen
structure of 396f
synthesis 297
triple helical structure of 51f
types of 395
Color vision 463
Colorimetry 421
Complete proteins 49, 313
Conformational coupling hypothesis 262
Congenital erythropoietic porphyria 219
Congestive heart failure 68, 386
Conjugated bilirubin 383
Conjugated proteins 47, 48
Conjunctival inflammation 322
Convulsions 67, 269, 299
Copper 52, 283
deficiency 284
Coris cycle 118, 120f
Coris disease 124
Coronary heart disease 158, 190
Corticotropin-releasing hormone 232, 232f
Cortisol 132, 466
secretion, control of 232
C-reactive protein 295
Creatine kinase 31
Creatine phosphate 14, 71, 410
Creatine phosphokinase 31, 32
Creatinine 385
clearance test 385
Crigler-Najjar syndrome 222
Crohn's syndrome 235
Cryptococcus neoformans 433
Cushing's syndrome 135, 234, 234f, 275, 278
Cyanmethemoglobin 217
Cyanocobalamin 17
Cyclic adenosine monophosphate 171, 202, 226, 268, 333
Cystathioninuria 82
Cysteine 42, 44
Cystinuria 81
Cytidine monophosphate 374
Cytochromes 262
Cytosine 337, 342
arabinoside 336
nucleotides 333
triphosphate 333
D
Dansyl chloride 45
Dehydration 68, 281, 386
Deoxyadenosylcobalamin 17
Deoxyhemoglobin, polymerization of 214f
Deoxyribonucleic acid 70, 226f, 268, 303, 330, 342, 353f, 424, 434, 444
structure of 336, 336f, 342, 342f
Dermatan sulfate 92, 399
Diabetes mellitus 134136, 463
Diabetic ketoacidosis 136, 251
Diabetic nephropathy 387
Diarrhea 278, 280
Dietary glycerophospholipids 170
Digestion, mechanism of 103f
Dihydrofolate reductase 25
Dihydroxyacetone phosphate 184
Dihydroxyphenylalanine, conversion of 297
Dinitrophenylhydrazine 80
Diphenylhydantoin 137
Distal renal tubular acidosis 388
Double antibody method, principle of 429f
Dry beriberi 298
Dubin-Johnson syndrome 222
Duchenne muscular dystrophy 415
E
Eating disorders 269, 278
Edema 276, 299
Ehrlich’ aldehyde reagent 384
Ehrlich’ test 383
Eicosapentaenoic acid 164
Electrocardiogram 269, 279
Electromagnetic spectrum 421, 422f
Electron transport chain 107, 189
Electrophoresis 56, 425
general principle of 425
principle of 425f
types of 425
Enalapril 25
Endocytosis 156f
Enolase 271
Enzyme 16, 47
activity, regulation of 28
adenosine deaminase, deficiency of 374
catalysis, mechanism of 20
catalyzed reaction 16f
chemical nature of 16
classification of 19
covalent modification of 31f
degradation 31
duplication of 364f
linked immunosorbent assay (ELISA) 389, 429, 447, 447f
applications of 429
Eosinophilia 234
Epinephrine 203
Epstein-Barr virus 434
Erythromycin 349
Erythropoietic protoporphyria 219
Escherichia coli 415
Estradiol 467
Estrogens 132
Excretory function test 387
Exophthalmia 322
Extracellular fluid 225, 268, 412
Extracellular matrix 395, 398f
Eye
rapid involuntary movement of 298
structure of 459, 459f
F
Fanconi's syndrome 271, 278
Fasting blood sugar regulation 131
Fasting hypoglycemia 124, 139
Fat metabolism 136
hormonal regulation of 202, 203, 204f
Fatigue 270, 275, 279, 280
Fat-soluble vitamins 291, 296t
Fatty acid 158, 159, 171, 198
classification of 159
de novo synthesis of 176
functions of 159
metabolism, regulation of 175f
numbering of 158
oxidation of 172, 198
synthase 177, 192
enzyme complex 177f
synthesis, steps of 178f
Fatty liver 185187
disease 185
Ferritin 282
Fever 163
Fibrinogen 53
Fibronectin 398
Fibrous proteins 48
Flavin adenine dinucleotide 17, 173, 198, 260, 262, 299, 332
Flavin mononucleotide 17, 261
Flavoproteins 261
Floxuridine 335
Fludarabine 335
Folacin 306
Folate trap 304
Folic acid 17, 302, 306, 322
deficiency 322
Follicle-stimulating hormone 225, 227, 467
Follicular hyperkeratosis 322
Follicular keratosis 292
Formiminoglutamic acid 84, 303f
excretion test 303
Formylmethionine 80
Fouchet's reagent 383
Fouchet's test 383
Fragile blood vessels 297
Fragile X syndrome 365
Free fatty acid 52, 153f
Fructose
high content of 128
metabolism 128, 129f
G
Galactose
metabolism 127, 128f
fates of 127
Galactosemia 127
Gamma-aminobutyric acid 67, 280, 461
Gamma-glutamyl transferase 381, 384
Gamma-glutamyl transpeptidase 32, 34, 384
Ganglion cells 461
Gangliosides 153
Gas-liquid chromatography 426
Gastric hydrochloric acid 162
Gastric ulcer, prevention of 163
Gastrointestinal bleeding 68
Gastrointestinal hormones 132
Gastrointestinal infections 433
Gastrointestinal tract 103f, 231
enzymes of 102t
Gel filtration chromatography 427, 428f
Gemcitabine 336
Gilbert's syndrome 222
Globular proteins 48
Glomerular filtration rate 164, 385
Glomerulonephritis 386
Glossitis 300, 304, 322
Glucagon 132, 133, 203, 236
action of 134f
stimulate ketogenesis 184
Glucocorticoids 188, 203, 232
Glucogenic amino acids 44, 44t, 45, 69, 118f
Glucokinase 107
Gluconeogenesis 105, 116, 117f, 119f, 199, 203, 380
regulation of 116, 118f
Glucose 132
6-phosphate 105, 120
dehydrogenase 35, 126, 271
alanine cycle 118, 120f
formation of 120f
ingestion 139
sodium independent transporter of 104
tolerance tests 137
Glucuronic acid 92, 454
metabolism 130f
Glutamate
fates of 72f
metabolic fate of 72
oxaloacetate transaminase 32
pyruvate transaminase 32
Glutamic acid 42, 44, 72
Glutamine 42, 44, 453
synthetase 285
Glutathione 46, 163f, 457
disulphide 163f
Glycerophospholipids 151
synthesis of 184, 185f
Glycine 42, 44, 453
fates of 72f
metabolic fate of 71
metabolism of 71
Glycinuria 72, 83
Glycochenodeoxycholic acid 182
Glycocholic acid 182
Glycogen 124, 410
lysosomal degradation of 122
metabolism 120, 199
control of 202f
regulation of 203f
storage diseases 124
synthesis 121f
Glycogenesis 105, 120, 380
regulation of 122
Glycogenolysis 120, 122f, 132, 380
Glycolipids 152
Glycolysis 105, 198
reactions of 108f, 109f
regulation of 110
Glycoproteins 48, 97
Glycoregulatory hormones 278
Glycosaminoglycan
metabolism, disorders of 400t
structure of 401f
Glycosaminoglycans 398, 399t
functions of 399
Glycosidic bond 96
Glyoxylate cycle 115
Goiter 287, 389
Graves’ disease 390
Growth hormone 132, 227
Guanine 337, 342
nucleotides of 333
Guanosine diphosphate 333, 349
Guanosine monophosphate 371, 372f, 414
Guanosine triphosphate 333
H
Harris-Benedict formula 317
Hartnup's disease 78, 84
Hashimoto's thyroiditis 391
Hay's test 383
Head circumference 323
Heart disease 458
Heart muscle 405
Hematuria 387
Heme catabolism 219
Heme proteins 281
Heme synthesis 217
Hemochromatosis 283
Hemoglobin 48, 208, 209, 248
buffer
action of 248
system 248f
catabolism, disorders of 220
electrophoresis of 215, 425
oxygen dissociation curve of 210f
quaternary structure of 51f
structure of 208, 208f, 211f
synthesis 217, 217f
Hemolytic jaundice 221, 382
Hemorrhage 283
Hemosiderosis 283
Henderson-Hasselbalch equation 245
Heparan sulfate 399, 400
Heparin 92, 399
Hepatic cells 380f
destruction of 381
Hepatic jaundice 221, 382
Hepatitis
A 384
B 384
C 384
D 385
Hepatoerythropoietic porphyria 219
Hereditary coproporphyria 219
Hers disease 124
Hexokinase 107
Hexose monophosphate 35
pathway 199
shunt 124, 125f, 199
High blood pressure 234
High-density lipoprotein 153, 153f, 155, 181
Hill equation 24
Hip circumference 323
Histidine 42, 44
catabolism of 79f
metabolism 78
Histidinemia 79
Histones 48
Homocysteinemia 81
Homocystinuria 82, 84
types of 82f
Homopolysaccharides 91, 91t
Hookworm infestation 283
Hormonal action, mechanism of 226
Hormones 47, 225, 235, 380
Horseradish peroxidase 359
Human immunodeficiency virus (HIV) 432, 436f
infection, symptoms of 432
structure of 436
test 437
Human papillomavirus 434
Humoral immunity 54
Hunter's syndrome 400
Huntington's disease 365
Hurler's syndrome 400
Hurler-Scheie syndrome 400
Hyaluronic acid 92, 399
Hydrochloric acid 17, 64, 282
Hydrogen bonds 49, 50
Hydrogen ion balance 245
Hydrophobic interactions 50
Hypercalcemia 234, 270, 281
Hyperglycemic hyperosmolar non-ketotic coma 136
Hyperkalemia 279
Hyperlipidemia 124, 136
Hyperlipoproteinemia 158
Hypernatremia 275
Hyperparathyroidism 231, 271, 281
Hyperphosphatemia 271
Hyperthyroid diseases 230
Hyperthyroidism 270, 389, 390
Hyperuricemia 124
Hypocalcemia 269, 280
Hypochromic microcytic anemia 283, 284, 300
Hypoglycemia 124, 233, 234
Hypoglycemic hormone 131
Hypokalemia 234, 278
Hypomagnesemia 269
Hyponatremia 234, 274, 277f, 281
Hypoparathyroidism 231, 269
Hypophosphatemia 271
Hypophyseal hormones 226
Hypothyroid diseases 230
Hypothyroidism 139, 389, 390
Hypovolemia 68
Hypoxanthine guanine phosphoribosyltransferase 371
I
Immunoglobulin 54
A 55
D 55
E 56
G 55
M 55
structure of 54, 54f
types of 54t
Incomplete proteins 313
Infantile beriberi 298, 299
Inherited conjugated hyperbilirubinemia 222
Inherited unconjugated hyperbilirubinemia 222
Inosine monophosphate, synthesis of 372f
Insulin 131, 132, 236
action of 188
deficiency, signs and symptoms of 135f
dependent diabetes mellitus 134
inhibit ketogenesis 184
mediated enzyme synthesis 133
Intermediate density lipoprotein 153f, 155
Intoxication 251
Intrahepatic cholestasis 381
Intravenous glucose tolerance test 139
Iodine 287
deficiency 322
Ion exchange chromatography 426, 427f
Ionizing radiations, types of 444
Iron 281
absorption 281, 282
deficiency 282, 283, 322
anemia 326
sulfur protein 262
Irritable bowel syndrome 314
Isocitrate dehydrogenase 285
Isoleucine 42, 44, 69
Isonicotinic acid hydrazide 26, 301
Isozyme analysis 425
J
Jaundice 220, 382
types of 221t, 383t
K
Kaposi's sarcoma 434
Keratan sulfate 92, 399
Keratomalacia 292
Ketogenic amino acid 44, 44t, 45, 69
Ketolysis 184f
Ketone bodies 192
metabolism 182
synthesis of 183f, 183
utilization of 183
Kidney 231
functions of 385
Kinky-hair disease 284
Korsakoff's psychosis 298
Krebs cycle 113
Krebs-Henseleit cycle 66
Kwashiorkor 326, 327, 327t
symptoms of 326f
L
Lactate dehydrogenase 32, 32t
Lactic acid 189, 246
Lactic acidemia 124
Lactic acidosis 139, 251
Lactose intolerance 104, 129
Lactosuria 131
Lambert's law 422f
Lecithin cholesterol acyltransferase 192
role of 181
Lesch-Nyhan syndrome 374
Lethargy 67, 276
Leucine 42, 44, 69
Leukemia 387
Leukoplakia 322
Leukotrienes 164
Liddle syndrome 278
Lignoceric acid 159
Lineweaver-Burk equation 25, 27
Linoleic acid 159
Lipids 380
absorption of 169, 170f
amphipathic nature of 161
chemistry of 150
classification of 150
digestion of 169, 169f
functions of 150
metabolism of 132, 169
regulation of 188
properties of 161
synthesis of 189
Lipoprotein 48, 153, 153t
electrophoresis 425
functions of 156
separation of 153
structure of 153f
Liver 199, 286
alcohol dehydrogenase 285
disease 32, 33, 380, 384
enzymes 32
failure 68
function tests 380
glycogen phosphorylase 124
metabolism 186f
mitochondria 183
synthesizes 381
Low-density lipoprotein 153, 153f, 155
Low-protein diet 68
Lung infections 433
Luteinizing hormone 225, 227, 228, 467
Lymphocyte count 468
Lymphocytosis 234
Lymphoreticular system 435
Lysine 42, 44
metabolism of 73
M
Magnesium deficiency 269, 278
Malignant carcinoid 78
Malonyl transferase 178
Manganese deficiency 285
Maple syrup urine disease 79, 84
Marasmus 326, 327, 327t
Marfan's syndrome 398
McArdle's disease 124
Mean corpuscular hemoglobin 214
Mean corpuscular volume 214
Megaloblastic anemia 303, 304, 326
Melanin 76
Membrane, lipids bilayer of 161f
Menadione 295
Menaquinone 295
Menkes syndrome 284
Menopause 237
Mental retardation 76, 284
Messenger ribonucleic acid 226f, 268, 293
synthesis of 347f
Metabolic acid 246
Metabolic acidosis 250, 251f, 281
Metabolic alkalosis 250, 251, 251f
Metabolic disorder 72, 81
Metabolic rate, measurement of 316
Methemoglobin 216
Methemoglobinemia, causes of 216
Methionine 43, 44, 80
metabolism of 81f
Methotrexate 25
Methylation 351, 454
Methylcobalamin 17
Methylmalonic aciduria 304
Michaelis-Menten equation 22f, 23, 25
Mid-upper arm circumference 322
Mitochondria, structure of 260
Mitochondrial monoamine oxidase 451
Mitochondrial superoxide dismutase 285
Mitomycin C 349
Mixed acid-base disorders 252
Molybdenum 285
Monoiodotyrosine 77
Monosaccharides 90, 90t
absorption of 104
chemical properties of 94
oxidation of 95
Monounsaturated fatty acid 159
Moon face 234
Mother-to-child transmission 438
Mucopolysaccharides 92, 92t
biomedical importance of 92
Multiple myeloma 270
Muscle
contraction 410f, 415
diseases 415
enzymes 32
fiber 405
glycogen phosphorylase 124
glycogenolysis 122
types of 405
weakness 279
Muscular dystrophies 32, 365, 387, 415
Mutation, types of 363
Myasthenia gravis 387, 416
Mycobacterium avium complex 433
Myocardial infarction 32, 33, 68
Myoglobin 209
oxygen dissociation curve of 210f
N
Nausea 67, 233, 275
Neomycin 349
Neonatal jaundice 221
Nephron, structure of 385f
Nephrosclerosis 386
Nephrotic syndrome 386, 387
Nervous system, microglia of 435
Neutral amino acids 44
Niacin 17, 299, 322
deficiency 322
Nicotinamide 305
adenine dinucleotide 17, 78, 107, 198, 259, 300, 462
phosphate 17, 78, 176, 261, 295, 300, 332, 451, 462
Nicotinic acid 299, 305
Night blindness 292, 322
Ninhydrin reaction 45
Ninhydrin test 57
Nitrogen balance 65, 320
Non-alcoholic fatty liver disease 185
Nonalcoholic steatohepatitis 186
Non-competitive inhibition 26
Non-heme proteins 281
Non-insulin-dependent diabetes mellitus 134, 135
Non-nucleoside reverse transcriptase inhibitor 438
Non-steroidal anti-inflammatory drugs 279
Normal blood urea nitrogen 68
Normal glucose tolerance curve 138
Normal glucose tolerance test 138f
Northern blotting 357
Novobiocin 349
Nucleic acid
chemistry of 330
metabolism 371
studies 425
Nucleoprotein 48
Nucleoside 330
analog reverse transcriptase inhibitor 438
function of 332
structure of 332f
Numbness 280
Nutritional deficiency 322t
Nystagmus 298
O
Obstructive jaundice 32, 221, 382
Ochronosis 76
Odd chain fatty acids, oxidation of 174, 174f
Okazaki fragments 343, 344
Oligodendrocytes 435
Oligomycin 264
Oligosaccharides 91
Oliguria 387
Organ function tests 380
Organic acids 251
Ornithine transcarbamylase 67
Orotate phosphoribosyltransferase 376
Orotic aciduria 377
Osteoblastoma 448
Osteogenesis imperfecta 397
Ovarian hormones 226
Oxidative phosphorylation 199, 262, 264f
Oxyhemoglobin 216
formation of 210
Oxytocin 229
P
Packed cell volume 424
Paget's disease 270
Pain 163
Palmitic acid 159, 173
Pancreatic disease 135
Pancreatic enzymes 32
Pancreatic hormones 226, 236
Pancreatitis 270
Pantothenic acid 17, 302, 306
Para-aminobenzoic acid 26, 302
Paracetamol 452
Paralysis 280
Parathyroid carcinoma 270
Parathyroid hormone 226, 230, 268
role of 269f
Pellagra 300
Pentose phosphate pathway 124
Peptide 45
hormones 225
Periodic hyperlysinemia 73
Peripheral neuritis 298
Peroxisomal fatty acid oxidation 175
Persistent hyperlysinemia 73
Phenolsulfonphthalein test 387
Phenylalanine 43, 44, 69
Phenylhydrazine, action of 95
Phenylketonuria 75, 83
Phosphate buffer system 247
Phosphatidylcholine, metabolism of 184
Phosphatidylethanolamine 152, 185
metabolism of 184
Phosphatidylserine 152
Phosphoadenosine phosphosulfate 333
Phosphoenolpyruvate 14
carboxykinase 116, 202
Phosphogluconate pathway 124
Phospholipid 151
metabolism 184
Phosphoprotein 48
Phosphoribosyl pyrophosphate 371
Photophobia 322
Photoreceptor cells 459
Phototransduction 461, 461f
human disorders of 463
Phylloquinone 295
Physiologic jaundice 221
Pigmented scaly dermatitis 300
Pituitary hormones 226, 227
Plasma proteins 52
separation of 56
Plasmalogen, synthesis of 188
Plasmids, manipulation of 360
Pneumocystis jirovecii 433
Pneumonia 387
Polyacrylamide gel electrophoresis 425
Polyamines 70
Polycystic kidney 386
Polycythemia vera 387
Polydipsia 275
Polymerase chain reaction 354, 356f, 437
Polypeptide 46
Polysaccharide 91
accumulation of 124
Polyunsaturated fatty acid 159, 179, 294
Pompes disease 124
Porphyria cutanea tarda 219
Post-exposure prophylaxis 438
Posthepatic jaundice 221, 382
Postprandial blood sugar 131
Potassium 276
chloride 277
Prehepatic jaundice 221
Primary aldosteronism 235
Primary hyperoxaluria 72, 83
Primary hyperparathyroidism 270
Primary parathyroid hyperplasia 270
Progesterone 238
Prolactin 227, 229, 467
Proline 43, 44
catabolism of 74f
metabolism 74
synthesis of 74f
Prostaglandin 163f
biochemical actions of 163
synthesis 163f
Proteins 46, 47, 57, 312, 313, 380
absorption of 63
biological value of 319
bound iodine 287
buffer system 248
calorie malnutrition 322, 326
chemistry of 41
classification of 47
deficiency 322
degradation 65
denaturation of 51
digestion of 63, 63f
energy malnutrition 322
metabolism 133, 136
post-translational modification of 351
primary structure of 49f
structure of 49
synthesis
inhibitors of 349t
steps of 348
tertiary structure of 50f
Proteinuria 387
Proteoglycan 97, 395, 400
structure of 401f
Pseudohyperkalemia 280
Pseudohypokalemia 279
Pseudohypoparathyroidism 269
Puberty 237
Purine nucleotide
catabolism of 373, 373f
salvage of 371
synthesis
inhibitors of 373
regulation of 371
Purine, biosynthesis of 371
Puromycin 349
Pyelonephritis 68, 387
Pyridoxal phosphate 17, 303
Pyridoxine 17, 296, 300, 305, 322
Pyrimidine 342
analogs 335
catabolism of 376, 376f
metabolism 374
nucleotides
biosynthesis of 374
synthesis of 375f
Pyrophosphate 14
Pyruvate carboxylase 116, 271
Pyruvic acid 189
R
Radiation hazard symbol 445
Radiation, types of 444, 445f
Radioimmunoassay 389, 428, 446
applications of 429
principle of 428
techniques 428t
Radiotherapy 447
Random blood sugar 131
Rapoport-Luebering cycle 111
Red blood cell 32, 110, 208, 212f, 219f, 303, 324, 446
Redox reactions, principle of 259
Refsum disease 176
Reichert-Meissl number 162
Renal failure 271, 281, 387
Renal function tests 385
Renal glycosuria 139
Respiratory acid-base disorders 252
Respiratory acidosis 250, 252, 252f
Respiratory alkalosis 250, 252, 252f
Respiratory electron transport chain 260
Retina layers 461
Retinoic acid 296
Retinol 296
binding protein 291
Retinopathy 136
Rhodopsin 48
Riboflavin 17, 299, 305, 322
Ribonucleic acid 17, 330, 342, 345, 398
structure of 338f, 345, 346f
Ribozymes 17
Richner-Hanhart syndrome 76, 83
Rickets 271, 322
Rods and cones, structure of 460f
Rotor syndrome 222
S
S-adenosine monophosphate 333
S-adenosylmethionine 70, 80, 332
Salicylate intoxication 253
Sanger's reagent 45
Saponification 161
Sarcomere, structure of 406f
Sarcotubular system 409f
Saturated fatty acid 159
Scheie's syndrome 400
Scurvy 397
symptoms of 297f
Seizures 275, 276, 284
Selenium 286
deficiency 286
Sepsis 387
Serine
catabolism of 83
metabolism of 82
Serotonin, synthesis of 78, 78f
Serum protein 381
electrophoresis 381
Serum total protein estimation 381
Serum transaminases 384
Severe combined immunodeficiency disease 374
Severe fatty liver 186f
Severe pulmonary edema 253
Sexual transmission 434
Sexually transmitted diseases 438
Shock 68, 386
Sialic acid 97
Sick euthyroid syndrome 391
Sickle cell
anemia 215, 216
hemoglobin 214
Sickle red blood cells 214f
Sickling test 215
Single antibody method, principle of 429f
Skeletal muscle 199, 201, 405
activation of 407
diseases 33
Skin 448
Slide gel electrophoresis 425
Sliding filament model 408
Smooth muscle 405, 414
contraction of 414
Sodium 272
Solitary parathyroid adenoma 270
Solitary thyroid nodules 389
Solubility test 215, 216t
Sorbitol dehydrogenase 128
Sorbitol pathway 128, 129, 463
Southern blotting 355, 357f
Spectrophotometry 421
Sphingomyelin 152
Sphingophospholipids 151, 152
Spongy gums 297
Squamous cell carcinoma 270
Starch, structure of 91f
Stearic acid 159
Steroid 160
hormones 52
Storage protein 47
Streptomycin 349
Subcellular organelles, isolation of 424f
Sulfation 351, 453
Sulfhemoglobin 216
Sulfite oxidase 285
Sulfonamides 373
Sulfur conjugation 453
Superoxide dismutase 456
Suprarenal cortical hormones 226
Suprarenal medullary hormones 226
Syndrome of inappropriate antidiuretic hormone 273
T
Tachycardia 299
Taurochenodeoxycholic acid 182
Taurocholic acid 182
Testicular hormones 226
Testosterone 467
Tetrahydrofolate 17, 371
formation of 303f
Tetrahydrofolic acid 26
Tetraiodothyronine 77
Thalassemia 213
major 215
minor 215
Thermus aquaticus 355
Thiamine 17, 298, 305
monophosphate 298
pyrophosphate 17, 111, 271
triphosphate 298
Thiazide diuretics 281
Thiokinase 271
Threonine 43, 44
metabolism 73, 73f
Thromboxane 163f
Thymine 342
Thyroid
binding globulin 392
cancer 389
function tests 388
gland 322
hormones 226
releasing hormone 228f, 388
scan 393
stimulating hormone 225, 227, 228, 228f, 333, 388, 390t, 391t
Thyroiditis 389, 390
Thyrotropin-releasing hormone 46, 225
Thyroxine 52, 132, 203
induced hyperthyroidism 390
Toxic multinodular goiter 390
Toxoplasma gondii 433
Transcarboxylation 68, 70
Transfer ribonucleic acid, structure of 338f, 346f
Transmethylation 68, 70
Transport proteins 47
Triacylglycerol
biosynthesis of 187
fate of 171
synthesis 187f
Tricarboxylic acid 16, 198, 198f, 200f, 201f, 259, 263f
cycle, reactions of 114f
Trifluorocarbonylcyanide phenylhydrazone 264
Triiodothyronine 77
Tryptophan 43, 44, 69
fate of 78f
metabolism of 77, 77f
Tube gel electrophoresis 425
Tuberculosis 433
Tubular disease 388
Tubular necrosis 386
Tyrosine 43, 44
disorders of 76
metabolic fate of 76, 76f
Tyrosinemia 76, 83
U
Unconjugated bilirubin 383
Uncontrolled diabetes mellitus 183, 251
Unsaturated fatty acids 159
Uracil nucleotides 334
Urea clearance test 385
Urea cycle 66, 67f
Uridine diphosphate 334
glucose 120
Uridine monophosphate 374
synthesis of 375f
Urinary tract infection 388
Urinary tract obstruction 387
Urine bile salt 383
Urine tests 469
Urobilinogen 383
Uronic acid pathway 129
V
van den Bergh's reaction 382
van den Bergh's test 382
van der Waals forces 51
Very-low-density lipoprotein 153, 153f, 154, 186
Viral hepatitis, types of 384
Vision 292
biochemistry of 459
Vitamin 17, 291, 296, 380
A 291, 296, 322
deficiency 322
role of 292
B
complex 298
deficiency 322
B1 305
B12 303, 306, 322
deficiency 322, 326
B2 305
B3 305
B5 306
B6 305, 322
B7 306
C 282, 297, 457
deficiency 322
D 293, 296
action of 268
deficiency 269, 322
E 294, 296, 457
K 295, 322
cycle 296f
dependent modifications 352
Vomiting 67, 278, 280, 299
von Gierke disease 124, 374
W
Waist circumference 323
Wald's visual cycle 292f
Water-soluble vitamins 291, 297, 305t
Wernicke-Korsakoff syndrome 298
Western blotting 358
Wet beriberi 298
Wilson's disease 284
X
Xanthine oxidase 25, 285
Xenobiotics, metabolism of 450
Z
Zellweger syndrome 175
Zinc deficiency 285
Zona fasciculata 231
Zona glomerulosa 231
Zona reticularis 231
×
Chapter Notes

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Essentials of BIOCHEMISTRY
Essentials of BIOCHEMISTRY (for Medical Students)
Third Edition
Shivananda Nayak B MSc PhD FAGE NRCC-CC (USA) FACB (USA) Professor of Biochemistry Department of Preclinical Sciences Faculty of Medical Sciences University of the West Indies Trinidad and Tobago, West Indies Visiting Professor Subbaiah Institute of Medical Sciences Shivamogga, Karnataka, India Foreword Ramdas M Pai
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© 2016, Jaypee Brothers Medical Publishers
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Essentials of Biochemistry (for Medical Students)
First Edition: 2010
Second Edition: 2013
Third Edition: 2016
9789352500024
Printed at
My Parents and Family
Foreword
Biochemistry is such a vast branch of medical science that it has been the backbone of many studies aimed at raising the standard and effectiveness of medical procedures. It encompasses a host of subspecialties relevant to a thorough study of the subject. For medical students in particular, an in-depth knowledge of the subject is essential to ensure a successful medical career.
I am glad that Dr Shivananda Nayak B has come out with yet another book on Biochemistry to enable the medical students to understand the subject thoroughly and with ease. As an author of three earlier books on Biochemistry, he has dealt with the subject with lucidity and clarity in this book. His meticulous presentation of the subject with illustrations in the chapters of this book will certainly add to the relevance of the book for medical students. The MCQs and case studies of each chapter will certainly help the medical graduates to prepare for postgraduate entrance tests. Having worked as a teacher of Biochemistry for the last over 20 years, he knows the pulse of the students and the book is sure to demonstrate the wealth of his knowledge about the subject.
I am happy to write the Foreword for this book Essentials of Biochemistry (for Medical Students) and I hope the book will receive appreciation from both the medical students and their teachers.
Ramdas M Pai mbbs
President and Chancellor
Manipal University
Manipal, Karnataka, India
Message
It gives me the greatest pleasure to write this message to commemorate the publication of this fine textbook, Essentials of Biochemistry (for Medical Students), authored by my colleague Dr Shivananda Nayak B.
At the Faculty of Medical Sciences in the University of the West Indies, Dr Nayak is very highly respected by all levels of staff and it is my observation that he is extremely well-liked by the student body. The reason is plain—he is totally committed to them and can be confidently described as student centered.
He believes in making learning easy as he has been systematic in his approach so that ideas and information can be readily infused within the vast knowledge base that is required in the curriculum, which serves the future health professional.
Dr Nayak has had a meteoric rise to this position of author having already produced three successful books each of which is focused to a special audience.
He is really a visionary and is truly an asset to the Department of Preclinical Sciences and the Faculty of Medical Sciences. His aim is to help and that is being accomplished admirably in the way that he has touched the lives of the many who have been able to gain from his own teaching, learning and research experience.
As a person, Dr Nayak is humble, patient and honest in his work. In a project such as this, he was ably supported by his wife who would have endured many hours without his immediate attention, as he was engrossed in this vision. I thank her for this level of devotion to him.
I am sure that this book will be one that students will read now for their initial exposure, but they will be happy to keep this for their continuing education in the years to come, when they will be looking for information, which is easy to read and assimilate.
My heartiest congratulations to him on this milestone achievement!
Samuel Ramsewak frcog facog md
Professor
Faculty of Medical Sciences
University of the West Indies
Trinidad and Tobago, West Indies
Message
I am glad that Dr Shivananda Nayak B has come out with third edition of Essentials of Biochemistry (for Medical Students). The book includes the biochemical aspects that are essential for medical students. Presentation is simple, lucid, concise and easily reproducible. All chapters have been thoroughly revised and updated. New chapters have been incorporated. Diagram-based explanation and self-assessment questions given in each chapter are useful for examination preparation. I am confident that the students will be benefitted from this book.
Wilma Delphine Silvia cr md dnb mnams fage
NABL Assessor, Executive Editor of IJCDR
Professor and Head
Department of Biochemistry
Akash Institute of Medical Sciences and Research Centre
Bengaluru, Karnataka, India
Message
I am immensely pleased to compliment Dr Shivananda Nayak B, who has authored this textbook Essentials of Biochemistry (for Medical Students), which has now entered the third edition.
Professor Shivananda Nayak is a meticulous scientist, an alumnus of Kasturba Medical College, Manipal, Karnataka, India, and also former Associate Professor. Throughout his career, he received several fellowships and authored numerous textbooks on biochemistry. He is an enthusiastic and fanatical teacher I have ever come across. His publications stand a key index of his knowledge in the subject.
I am sure that this book makes Biochemistry comprehensible and will be chosen by thousands of medical students and graduates in Biochemistry. The line drawings and diagrams help students remember the important structures and processes, while the multiple choice questions and case studies applied enable the students to test their skills. This much-awaited textbook being published for the third time will be a boon to the students.
I extend my congratulations to Dr Nayak for his achievement and also wish him many more fruitful endeavors.
Anuradha CV msc phd
Professor
Department of Biochemistry and Biotechnology
Faculty of Science
Annamalai University
Cuddalore, Tamil Nadu, India
Message
I am very happy that Dr Shivananda Nayak B is bringing the third edition of his book Essentials of Biochemistry (for Medical Students). I know him as my teacher as well as my mentor throughout my studies in Manipal University. I have gone through this book, which has been presented in a simple way that anyone can understand easily. The presentation is simple, lucid, concise and easily reproducible with all chapters thoroughly revised and updated. Diagram-based explanation and self-assessment questions given in each chapter are useful for easy understanding as well as for examination preparation. Students will be benefitted from this book. I congratulate him on his achievement and for bringing out this third edition expediously.
Surapaneni Krishna Mohan phd mhpe csci mrsc
Associate Professor
Department of Biochemistry
Faculty of Medicine
Saveetha University
Chennai, Tamil Nadu, India
Preface to the Third Edition
I am glad to present the third edition entitled Essentials of Biochemistry (for Medical Students). My experience of more than 20 years in teaching Biochemistry to Medical, Dental and Allied health, Pharmacy and Nursing students in India as well as abroad made me to present this third edition in a simple way that can be easily understood by the student community. I tried my best to incorporate diagram-based explanation and self-assessment questions in each chapter. The encouragement, support and suggestions from lecturers, professors and the students inspired me to reveal this third edition with interesting flowcharts.
As per my promise, I am bringing this third edition and the textbook will be improved only by successive revisions. The comments, suggestions and constructive criticisms from faculty and students are always welcome. Please feel free to communicate at my e-mail address shiv25@gmail.com, if you have any suggestion.
Shivananda Nayak B
Preface to the First Edition
I am glad to present this edition entitled Essentials of Biochemistry (for Medical Students). There are many textbooks, which deal with the theory aspects of Biochemistry in a simple way. My experience of more than 18 years in teaching Biochemistry to medical students both in India and abroad has motivated me to write this title in a simple way that can be easily grasped by the student community. I tried my best to incorporate diagram-based explanations wherever necessary that may help the readers. Also, I made an attempt to present self-assessment questions and case studies at the end of each chapter. The encouragement and support both from the teacher and the student community inspired me to present this title with interesting diagram-based explanations.
It is my duty to thank all those who warmly received my other titles like Manipal Manual of Clinical Biochemistry and Handbook of Biochemistry published by M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India. I sincerely thank Dr Ramdas M Pai, President, Manipal University, Manipal, Karnataka, India, and Dr Sudhakar Nayak, Head, Department of Biochemistry, who encouraged me to offer my 15 years of service to the Kasturba Medical College, Manipal. I am always grateful to Dr Shivaraj, Professor (Biochemistry) for his inspirations throughout my service. I am indebted to Dr Bhoendradatt Tewarie, Director (PVC planning), University of the West Indies, for his support when I joined the university. It is my pleasure to thank Professor Samuel Ramsewak, Faculty of Medical Sciences, University of the West Indies, for his support. Last but not least, I thank each and every one who encouraged me to write this title at the right time. I extend my thanks to Miss Geetha Bhaktha for editing the contents.
I am immensely grateful to Dr Geetha Samanth (DVS College of Arts and Science, Shivamogga), Dr (Mrs) Vinutha Bhat and Dr Krishnananda Prabhu (Kasturba Medical College, Manipal, Karnataka, India) for contributing the following chapters—Cell, Biochemistry of Cancer and Radioisotopes in Medicine, respectively.
A textbook will be improved only by successive revisions. I will try to revise this book every two years. The comments, suggestions and constructive criticisms from faculty and students are always welcome. Please feel free to communicate at my e-mail address shiv25@gmail.com, if you have any suggestion. The success of the book was due to the active participation of the publisher. This is to record my appreciation for the support extended by Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Managing Director), Mr Tarun Duneja (Director-Publishing), Mr Venugopal (Bengaluru Branch) and the associates of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for readily conceding my request to publish the book in color and taking all pains to bring out the book to my utmost satisfaction.
Shivananda Nayak B
Acknowledgments
I sincerely thank all those who warmly received the first and second editions, and other titles such as Manipal Manual of Clinical Biochemistry and Handbook of Biochemistry published by M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi. It is my pleasure to thank Dr Ramdas M Pai, President and Chancellor, Manipal University, Manipal, Karnataka, India, for writing foreword to this title. I am indebted to Professor Samuel Ramsewak, Faculty of Medical Sciences, University of the West Indies, for the message and his continuous support. Also, I thank each and every one who encouraged me to bring this third edition.
I am immensely grateful to Dr Geetha Samanth (DVS College of Arts and Science, Shivamogga), Dr (Mrs) Vinutha Bhat and Dr Krishnananda Prabhu (Kasturba Medical College, Manipal, Karnataka, India) for contributing the following chapters—Cell, Biochemistry of Cancer and Radioisotopes in Medicine, respectively.
The success of this book was due to the active participation of the publisher. This is to record my appreciation for the support extended by Shri Jitendar P Vij (Group Chairman), Mr Ankit Vij (Group President), Mr Tarun Duneja (Director-Publishing), Mr Venugopal Vishnumurthy [Associate Director-South (Sales & Marketing)], Bengaluru Production Unit/Bengaluru Branch and the associates of M/s Jaypee Brothers Medical Publishers (P) Ltd, New Delhi, India, for readily conceding my request to publish the book in color and taking all pains to bring this book to my utmost satisfaction.