eBook - ePub
Medical Biochemistry
Human Metabolism in Health and Disease
Miriam D. Rosenthal, Robert H. Glew
This is a test
Partager le livre
- English
- ePUB (adapté aux mobiles)
- Disponible sur iOS et Android
eBook - ePub
Medical Biochemistry
Human Metabolism in Health and Disease
Miriam D. Rosenthal, Robert H. Glew
DĂ©tails du livre
Aperçu du livre
Table des matiĂšres
Citations
Ă propos de ce livre
Metabolism includes various pathways of chemical reactions; understanding these pathways leads to an improved knowledge of the causes, preventions, and cures for human diseases. Medical Biochemistry: Human Metabolism in Health and Disease provides a concise yet thorough explanation of human metabolism and its role in health and diseases. Focusing on the physiological context of human metabolism without extensive consideration of the mechanistic principles of underlying enzymology, the books serves as both a primary text and resource for students and professional in medical, dental, and allied health programs.
Foire aux questions
Comment puis-je résilier mon abonnement ?
Il vous suffit de vous rendre dans la section compte dans paramĂštres et de cliquer sur « RĂ©silier lâabonnement ». Câest aussi simple que cela ! Une fois que vous aurez rĂ©siliĂ© votre abonnement, il restera actif pour le reste de la pĂ©riode pour laquelle vous avez payĂ©. DĂ©couvrez-en plus ici.
Puis-je / comment puis-je télécharger des livres ?
Pour le moment, tous nos livres en format ePub adaptĂ©s aux mobiles peuvent ĂȘtre tĂ©lĂ©chargĂ©s via lâapplication. La plupart de nos PDF sont Ă©galement disponibles en tĂ©lĂ©chargement et les autres seront tĂ©lĂ©chargeables trĂšs prochainement. DĂ©couvrez-en plus ici.
Quelle est la différence entre les formules tarifaires ?
Les deux abonnements vous donnent un accĂšs complet Ă la bibliothĂšque et Ă toutes les fonctionnalitĂ©s de Perlego. Les seules diffĂ©rences sont les tarifs ainsi que la pĂ©riode dâabonnement : avec lâabonnement annuel, vous Ă©conomiserez environ 30 % par rapport Ă 12 mois dâabonnement mensuel.
Quâest-ce que Perlego ?
Nous sommes un service dâabonnement Ă des ouvrages universitaires en ligne, oĂč vous pouvez accĂ©der Ă toute une bibliothĂšque pour un prix infĂ©rieur Ă celui dâun seul livre par mois. Avec plus dâun million de livres sur plus de 1 000 sujets, nous avons ce quâil vous faut ! DĂ©couvrez-en plus ici.
Prenez-vous en charge la synthÚse vocale ?
Recherchez le symbole Ăcouter sur votre prochain livre pour voir si vous pouvez lâĂ©couter. Lâoutil Ăcouter lit le texte Ă haute voix pour vous, en surlignant le passage qui est en cours de lecture. Vous pouvez le mettre sur pause, lâaccĂ©lĂ©rer ou le ralentir. DĂ©couvrez-en plus ici.
Est-ce que Medical Biochemistry est un PDF/ePUB en ligne ?
Oui, vous pouvez accĂ©der Ă Medical Biochemistry par Miriam D. Rosenthal, Robert H. Glew en format PDF et/ou ePUB ainsi quâĂ dâautres livres populaires dans Scienze biologiche et Biochimica. Nous disposons de plus dâun million dâouvrages Ă dĂ©couvrir dans notre catalogue.
Informations
CHAPTER 1
INTRODUCTION TO METABOLISM
1.1 INTRODUCTION
Intermediary metabolism is the name given to the sequences of biochemical reactions that degrade, synthesize, or interconvert small molecules inside living cells. Knowledge of the core metabolic pathways and their interrelations is critical to understanding both normal function and the metabolic basis of most human diseases. Rational interpretation and application of data from the clinical chemistry laboratory also requires a sound grasp of the major metabolic pathways. Furthermore, knowledge of key biochemical reactions in the two dozen or so core metabolic pathways in humans is essential for an understanding of the molecular basis of drug action, drug interactions, and the many genetic diseases that are caused by the absence of the activity of a particular protein or enzyme.
1.1.1 Metabolic Pathways
Metabolism occurs in small discrete steps, each of which is catalyzed by an enzyme. The term metabolic pathway refers to a particular set of reactions that carries out a certain function or functions. The pathway of gluconeogenesis or glucose synthesis, for example, operates mainly during a period of fasting, and its primary function is to maintain the concentration of glucose in the circulation at levels that are required by glucose-dependent tissues such as the brain and red blood cells. Another example of a metabolic pathway is the tricarboxylic acid (TCA) cycle, which oxidizes the two carbons of acetyl-coenzyme A (acetyl-CoA) to CO2 and water, thus completing the catabolism of carbohydrates, fats (fatty acids), and proteins (amino acids).
1.1.2 Metabolic Intermediates
Biochemical pathways are comprised of organic compounds called metabolic intermediates, all of which contain carbon, hydrogen, and oxygen. Some metabolic intermediates also contain nitrogen or sulfur. In most instances, these compounds themselves have no function. An exception would be a compound such as citric acid, which is both an intermediate in the TCA cycle and a key regulator of other pathways, including oxidation of glucose (glycolysis) and gluconeogenesis.
1.1.3 Homeostasis
Homeostasis refers to an organismâs tendency or drive to maintain the normalcy of its internal environment, including maintaining the concentration of nutrients and metabolites within relatively strict limits. A good example is glucose homeostasis. In the face of widely varying physiological conditions, such as fasting or exercise, both of which tend to lower blood glucose, or following the consumption of a carbohydrate meal that raises the blood glucose concentration, the human body activates hormonal mechanisms that operate to maintain blood glucose within rather narrow limits, 80 to 100 mg/dL (Fig. 1-1). Hypoglycemia (low blood glucose) stimulates the release of gluconeogenic hormones such as glucagon and hydrocortisone, which promote the breakdown of liver glycogen and the synthesis of glucose in the liver (gluconeogenesis), followed by the release of glucose into the blood. On the other hand, hyperglycemia (elevated blood glucose) stimulates the release of insulin, which promotes the uptake of glucose and its utilization, storage as glycogen, and conversion to fat.
Maintenance of the blood calcium concentration between strict limits is another example of homeostasis. The normal total plasma calcium concentration is in the range 8.0 to 9.5 mg/dL. If the calcium concentration remains above the upper limit of normal for an extended period of time, calcium may deposit, with pathological consequences in soft tissues such as the heart and pancreas. Hypocalcemia (a.k.a. tetany) can result in muscle paralysis, convulsions, and even death; chronic hypocalcemia causes rickets in children and osteomalacia in adults. The body uses vitamin D and certain hormones (e.g., parathyroid hormone, calcitonin) to maintain calcium homeostasis.
1.2 WHAT DO METABOLIC PATHWAYS ACCOMPLISH?
1.2.1 Generation of Energy
The primary dietary fuels for human beings are carbohydrates and fats (triacylglycerols). The human body also obtains energy from dietary protein andâfor some peopleâethanol. Metabolism of these fuels generates energy, much of which is captured as the high-energy molecule adenosine triphosphate (ATP) (Fig. 1-2). The ATP can be used for biosynthetic processes (e.g., protein synthesis), muscle contraction, and active transport of ions and other solutes across membranes.
1.2.2 Degradation or Catabolism of Organic Molecules
Catabolic pathways usually involve cleavage of CâO, CâN, or CâC bonds. Most intracellular catabolic pathways are oxidative and involve transfer of reducing equivalents (hydrogen atoms) to nicotinamide-adenine dinucleotide (NAD+) or flavine-adenine dinucleotide (FAD). The reducing equivalents in the resulting NADH or FADH2 can then be used in biosynthetic reactions or transferred to the mitochondrial electron-transport chain for generation of ATP.
1.2.2.1 Digestion.
Before dietary fuels can be absorbed into the body, they must be broken down into simpler molecules. Thus, starch is hydrolyzed to yield glucose, and proteins are hydrolyzed to their constituent amino acids.
1.2.2.2 Glycolysis.
Glycolysis is the oxidation of glucose into the three-carbon compound pyruvic acid.
1.2.2.3 Fatty Acid Oxidation.
The major route of fatty acid degradation is ÎČ-oxidation, which accomplishes stepwise two-carbon cleavage of fatty acids into acetyl-CoA.
1.2.2.4 Amino Acid Catabolism.
Breakdown of most of the 20 common amino acids is initiated by removal of the α-amino group of the amino acid via transamination. The resulting carbon skeletons are then further catabolized to generate energy or are used to synthesize other molecules (e.g., glucose, ketones). The nitrogen atoms of amino acids can...