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Biochemistry

Biochemistry

Course Outline

1. Introductory Biochemistry

2. Cell structure and function

3. Acid-base balance and water metabolism

4. Chemistry and Biochemistry of Carbohydrates

5. Chemistry and Biochemistry of Amino acids and Proteins

6. Chemistry and Biochemistry of Lipids and Lipoproteins

7. Digestion and absorption

8. Enzymology

9. Introduction to Intermediary metabolism; Bioenergeb’cs and Biologic Oxidation

10. Chemistry and Biochemistry of Nucleic adds

11. Biochemical Genetics, Protein synthesis and Introductory Molecular Biology

12. Nutritional Biochemistry

13. Biochemistry of Blood, Haemoproteins and Porphyrins, Other body fluids

14. Hormone Biochemistry

15. Biochemistry of Tissues and Organs such as muscles, bone, connective tissues, neurons.

16. Immunochemistry

17. Introductory Neurobiochemistry

18. Xenobotics, thug metabolism and detoxification mechanisms

* 2000 EST * 16 Years Quality Teaching
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Details of Course outline

1. Introductory Biochemistry

  • History of biochemistry as a gradual development from chemistry
  • Current understanding of simple sugars, common amino acids, lipids and lipoproteins with their functions
  • Nucleotides as basic units of DNA and RNA
  • Proteins and enzymes with their common functions and properties
  • Nutrition, bioenergetics and oxidative phosphorylations with mention of the electron transport chain

2. Cell structure and function

  • Concept of cell as tri-layered unit membrane
  • Cellular organelles; their structure and function(s)
  • Brief mention of methods of separation and identification of cellular organelles
  • Cellular utilization of biomojecules e.g proteins, carbohydrates, lipids, nucleic acids
  • Cell signaling and transduction
  • Membrane structure; fluid mosaic mode!: membrane properties, extrinsic and intrinsic membrane proteins, transport across membranes.

3. Acid base balance and water metabolism

  • Basic concepts in organic chemistry; aldehydes, ketones, alcohols, organic reactions etc
  • Basic concepts of adds, bases, pH. buffers and their applications.
  • Introduction to acid-base homeostasis

4. Chemistry and Biochemistry of Carbohydrates

  • Classification of carbohydrates; isomerism amongst monosaccharides, mutarotation, boat and chair conformations
  • Reactions; osazone formation, acetlylations, redox reactions, oxidation and action of acids and alkalis
  • Derivatives of monosaccharides e.g. glycosides, hexosamines, sugar alcohols etc
  • Qualitative analysis and tests for sugars
  • Disaccharides; their formation from monosaccharides, sources and identification
  • Polysaccharides; storage and structural types as well as bonding nature, similarities and differences between storage and structural polysaceharides.
  • Discussion on glycogen and cellulose; amylase and amylopectin as the two components of starch.
  • Carbohydrate metabolism:- metabolic pathways (gtycolysis, hexose monophosphate shunt/gluconeogenesis/glycogenesis, glycogenolysis) and their physiological utilities
  • Minor metabolic pathways e.g polyol pathway, galacticol formation, UDP-glucose formation
  • Regulation of glucose metabolism.
  • In-born errors of carbohydrate metabolism

5. Chemistry and Biochemistry of Amino acids and Proteins

  • Amino adds; structure arid properties; bonds (peptide. Hydrogen, disulphide and electrostatic)
  • Levels of organization of protein structures- primary, secondary, tertiary and quartenary.
  • Determination of amino add sequence of proteins; classification and properties of proteins
  • Digestion of dietary proteins and the transport of amino acids into cells
  • Amino add metabolism, ammonia formation and urea cycle
  • Biosynthesis of non-essential amino adds
  • In-born errors of amino acid metabolism
  • Conversion of amino adds into spedalized and metabolically important products e.g catecholamines, melanin, thyroid hormones, serotonin, histamine, creatinnie, bile pigments


6. Chemistry and Biochemistry of Lipids and lipoproteins

  • Classes of lipids; fatty acids and triglycerides; cholesterol and its derivatives; phospholipids and sphingolipids
  • Beta-oxidation of fatty acids and De novo synthesis of fatty acids
  • Types of ketone bodies and ketogenesis
  • Synthesis of cholesterol
  • Conversion of cholesterol into bile acids, steroid hormones, vitamins etc
  • Types and characterization of lipoproteins:1ipoprotein metabolism in health and disease; lipoproteins and cardiovascular disease risk
  • Description of the members of the prostaglandin family with their properties and functions.

7. Digestion and Absorption

  • Brief overview of digestion of major food classes and the relevant enzymes
  • Absorption of biomolecular products of digestion; transport proteins involved in absorption

8. Enzymology

  • Definition of an enzyme as a biological catalyst
  • General characteristics, nomenclature and nature of enzymes
  • Structural organization of enzyme function; active sites etc
  • Enzyme kinetics
  • Enzyme inhibitors; compehuve, non-competitive and uncompetitive: drugs as enzyme inhibitors
  • Regulation of enzyme activities and allosterism
  • Application of enzymes as indicators in disease conditions

9. Introduction to Intermediary Metabolism, Bioenergetics and Biologic Oxidation

  • Concept of intermediary or secondary metabolism; its relationship to tertiary metabolism or internal respiration
  • Substrate level phosphorylation
  • Concept of biologic oxidation; oxidative phosphorylation, the electron transport chain, enzymes involved in, etc
  • High energy compounds; ATP, GTP, CoA derivatives, Creatine phosphate etc
  • Regulation of ATP synthesis and inhibitors of ATP synthesis

10. Chemistry and Biochemistry of Nucleic Acids

  • Nitrogenous bases, nucleosides and nucleotides.
  • Nucleotides; types, structures and as basic units of nudeic adds such as DNA and RNA
  • The three types of RNA - mRNA, rRNA and tRNA
  • Watson and Crick model of DNA structure, modem concept and properties of DNA.
  • De novo and Salvage pathways for the syntheses of pyrimidine and purine nucleotides
  • Regulation of pyrimidine and purine nucleotide biosynthesis
  • Inhibition of pyrimidine and purine nucleotide synthesis by antibiotics
  • Degradation of nucleic adds and nudeotides and biochemical implications; gout etc.

11. Biochemical Genetics and Protein Synthesis

  • The genetic Code and the significance of the four letter- A,G, C, T alphabet DNA structures of all biological species, and the nature of the Code.
  • Storage and transmission of hereditary information through replication
  • Transcription and translation
  • Replication with DNA polymerase, ligases etc and the discovery and use of OKAZAKI fragments
  • Transcription of DNA into RNA molecules- types, components and functions Translation- site of translation, roles of tRNA and the steps(activation, initiation, elongation and termination)
  • Post-translational modifications of a number of amino acids in the synthesized proteins
  • Antibiotic inhibitors of protein synthesis
  • Chromosomal structures and other forms of gene expression: gene mutations and brief descriptions of resultant molecular diseases
  • Introduction to molecular biology techniques

12. Nutritional Biochemistry

  • Human energy metabolism; basal metabolic rate(BMR), energy expenditure and balance.
  • Principles of human nutrition, nutrition in the embryonic, neonatal, infancy and adulthood phases.
  • Nutrition in pregnancy and lactation Vitamin and mineral metabolism; classification of vitamins (fat 4nd water-soluble), sources and metabolic roles of vitamins Deficiencies and toxicities of vitamins and minerals and clinical implications
  • Introduction to nutritional assessment parameters

13. Biochemistry of Blood, Haemoproteins and Porphrins, Other Body Fluids

  • Characteristics, Composition and functions of blood: types of cells in blood-similarities and differences between blood, plasma and serum
  • Plasma proteins; properties, electrophoretic separation and functions
  • Blood coagulation and its cascade system of enzymes
  • Haemoglobin metabolism; Hb structure and function; Haem synthesis and Hb breakdown
  • Myoglobin and its comparative properties to FHb
  • Brief descriptions of the biochemistry of some body fluids; CSF, Iymph, urine, amniotic fluid, semen, milk, synovial fluid

14. Hormone biochemistry

  • Chemistry, Classification and Functions of Hormones
  • Mechanisms of action of hormones and their interactions with biological unit membranes
  • Description of specific hormones; thyroid and parathyroid, pituitary hormones, pancreatic hormones, hypothalamic hormones, steroid hormones, catecholamines, and other amino-acid derived hormones with emphasis on their origin, chemistry, syntheses, functions and metabolism
  • Control of hormonal release as well as disorders and abnormalities of hormone actions.

15. Biochemistry of Tissues and Organs such as Muscles, Bone, Connective Tissue

  • Muscle proteins; functional unit of muscle; principles of energy transduction in the muscle
  • Muscular contraction
  • Select disorders of muscle proteins
  • Composition of bone and its dynamic structure
  • Select metabolic or genetic disorders of bone
  • Biomolecular components of connective tissue and their functions
  • Select disorders of connective tissue constituents

16. Immunochemistry

  • lmmunoglobulin structure and function
  • Diversity of antigens and antibodies with clinical correlations e.g immunization
  • Biochemical basis of phagocytosis: the immune reponse
  • Complement system
  • Biochemistry of HIV infection

17. Introductory Neurobiochemistry

  • The neuron; structure and function
  • Brain metabolism and factors which affect it
  • Biochemistry of memory, pain and addiction
  • Nerve active drugs and toxins
  • Introduction to the biochemical basis of some common diseases of tin, nervous system; Parkinsosn’s disease, myasthenia gravis etc

3. MEDICAL GENETICS:

In this course students will be instructed in fundamental genetic theory. Topics treated are: of Nucleus, DNA; Chromosomes, structure aberration-genes; Division mitotic and meiotic; Inheritance: Mendel’s law; Common genetic problems, due to change in number and structure of chromosomes; Autosomal dominant, autosomal recessive, X-Liked inheritance Mode of Transmission of Inheritance; Basic genetic Counseling: Premarital counseling in sickle cell disease. Counseling of elderly parents etc.


4. MEDICAL SOCIOLOGY

a. Patient - Doctor Relationship

b. Communication Signals and Problems

c. Population Structure, Growth Policy

d. Illness and Good Health.


5. MEDICAL PSYCHOLOGY:

At the end of the course, the students should have moderate understanding of the following concepts as they relate to medical practice:

1. The role of Psychological factors in general medical practice

2. Identify and differentiate between various fields and schools of thought in Psychology.

3. Mechanisms of cognitive processes:

a. Learning

b. Perception

c. Thinking

d. Memory

e. Intelligence

4. The Dynamic of personality

5. Attitudes, Opinions and Prejudice

6. Fundamentals of Behavioruai Research

7. Features that distinguish ‘normality from abnormality

8. Psychopathological mechanisms, such as frustration, conflict and anxiety

9. Ego defence mechanisms in the context of normal and abnormal patterns of behaviour.

10. Psychopathological conditions

11. Basic Mechanisms: Frustration, Conflict and Anxiety

12. Psychic apparatus and defence mechanisms: their normal and pathological manifestations.

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