NEET MDS Lessons
Biochemistry
| Enzyme | Clinical Use | Indicates |
|---|---|---|
| ALT (SGPT) | Specific to liver injury | Hepatitis, liver necrosis |
| AST (SGOT) | Found in liver, heart, muscle | Liver disease, myocardial infarction |
| ALP | Bile duct obstruction, bone disease | Cholestasis, bone metastases |
| GGT | Alcoholic liver disease, biliary obstruction | Alcohol abuse, hepatobiliary disease |
| LDH | Non-specific, elevated in many conditions | Liver, cardiac, or hemolytic disorders |
Cori Cycle
The Cori Cycle operates during exercise, when aerobic metabolism in muscle cannot keep up with energy needs.
For a brief burst of ATP utilization, muscle cells utilize ~P stored as phosphocreatine. For more extended exercise, ATP is mainly provided by Glycolysis.
Lactate, produced from pyruvate, passes via the blood to the liver where it is converted to glucose. The glucose may travel back to the muscle to fuel Glycolysis.
The Cori Cycle costs 6 P in liver for every 2P made available in muscle. The net cost is 4 P Although costly in terms of "high energy" bonds, the Cori Cycle allows the organism to accommodate to large fluctuations in energy needs of skeletal muscle between rest and exercise.
FLUORIDE
The safe limit of fluorine is about 1PPM in water. But excess of fluoride causes Flourosis
Flourosis is more dangerous than caries. When Fluoride content is more than 2 PPM, it will cause chronic intestinal upset, gastroenteritis, loss of weight, osteosclerosis, stratification and discoloration of teeth
Carbohydrates (glycans) have the basic composition

- Monosaccharides - simple sugars, with multiple hydroxyl groups. Based on the number of carbons (e.g., 3, 4, 5, or 6) a monosaccharide is a triose, tetrose, pentose, or hexose, etc.
- Disaccharides - two monosaccharides covalently linked
- Oligosaccharides - a few monosaccharides covalently linked.
- Polysaccharides - polymers consisting of chains of monosaccharide or disaccharide units
The Phosphate Buffer System
This system, which acts in the cytoplasm of all cells, consists of H2PO4– as proton donor and HPO4 2– as proton acceptor :
H2PO4– = H+ + H2PO4–
The phosphate buffer system works exactly like the acetate buffer system, except for the pH range in which it functions. The phosphate buffer system is maximally effective at a pH close to its pKa of 6.86 and thus tends to resist pH changes in the range between 6.4 and 7.4. It is, therefore, effective in providing buffering power in intracellular fluids.
Erythrocytes and the Pentose Phosphate Pathway
The predominant pathways of carbohydrate metabolism in the red blood cell (RBC) are glycolysis, the PPP and 2,3-bisphosphoglycerate (2,3-BPG) metabolism (refer to discussion of hemoglobin for review of the synthesis and role role of 2,3-BPG).
Glycolysis provides ATP for membrane ion pumps and NADH for re-oxidation of methemoglobin. The PPP supplies the RBC with NADPH to maintain the reduced state of glutathione.
The inability to maintain reduced glutathione in RBCs leads to increased accumulation of peroxides, predominantly H2O2, that in turn results in a weakening of the cell wall and concomitant hemolysis.
Accumulation of H2O2 also leads to increased rates of oxidation of hemoglobin to methemoglobin that also weakens the cell wall.
Glutathione removes peroxides via the action of glutathione peroxidase.
The PPP in erythrocytes is essentially the only pathway for these cells to produce NADPH.
Any defect in the production of NADPH could, therefore, have profound effects on erythrocyte survival.
3-D Structure of proteins
Proteins are the main players in the life of a cell. Each protein is a unique sequence of amino acid residues, each of which folds into a unique, stable, three dimentional structure that is biologically functional.
Conformation = spatial arrangement of atoms that depends on rotation of bonds. Can change without breaking covalent bonds.
- Since each residue has a number of possible conformations, and there are many residues in a protein, the number of possible conformations for a protein is enormous.
Native conformation = single, stable shape a protein assumes under physiological conditions.
- In native conformation, rotation around covalent bonds in polypeptide is constrained by a number of factors ( H-bonding, weak interactions, steric interference)
- Biological function of proteins depends completely on its conformation. In biology, shape is everything.
- Proteins can be classified as globular or fibrous.
There are 4 levels of protein structure
- Primary structure
- linear sequence of amino acids
- held by covalent forces
- primary structure determines all oversall shape of folded polypeptides (i.e primary structure determines secondary , tertiary, and quaternary structures)
- Secondary structure
- regions of regularly repeating conformations of the peptide chain (α helices, β sheets)
- maintained by H-bonds between amide hydrogens and carbonyl oxygens of peptide backbone.
- Tertiary structure
- completely folded and compacted polypeptide chain.
- stabilized by interactions of sidechains of non-neighboring amino acid residues (fibrous proteins lack tertiary structure)
- Quaternary structure
- association of two or more polypeptide chains into a multisubunit protein.