Review of Medical Physiology (LANGE Basic Science) by William F. Ganong

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By William F. Ganong

This booklet presents a present and concise evaluation of mammalian and human body structure. Examples from medical drugs were built-in during the chapters to light up very important physiologic options. The booklet comprises greater than seven hundred beautiful and informative illustrations. A necessary self-study consultant, which beneficial properties content material summaries, goals, essay questions, and multiple-choice questions, is supplied on the finish of the e-book and is a superb device for college students while reviewing for the USMLE and different examinations.

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It is interesting that apoptosis occurs in invertebrates, including nematodes and insects. However, its molecular mechanism is much more complex than that in vertebrates. The final common pathway bringing about apoptosis is activation of caspases, a group of cysteine proteases. Thirteen of these have been characterized to date in mammals. They exist in cells as inactive proenzymes until activated by the cellular machinery. The net result is DNA fragmentation, cytoplasmic and chromatin condensation, and eventually membrane bleb formation, with cell breakup and removal of the debris by phagocytes.

When DNA is damaged, entry into mitosis is inhibited, giving the cell time to repair the DNA; failure to repair damaged DNA leads to cancer. The cell cycle is regulated by proteins called cyclins and cyclin-dependent protein kinases, which phosphorylate other proteins. However, the regulation is complex, and a detailed analysis of it is beyond the scope of this book. Transcription & Translation The strands of the DNA double helix not only replicate themselves, but also serve as templates by lining up complementary bases for the formation in the nucleus of messenger RNA (mRNA), transfer RNA (tRNA), the RNA in the ribosomes (rRNA), and various other RNAs.

The mRNA attaches to the 40S subunit of the ribosome during protein synthesis; the polypeptide chain being formed attaches to the 60S subunit; and the tRNA attaches to both. As the amino acids are added in the order dictated by the triplet code, the ribosome moves along the mRNA molecule like a bead on a string. Translation stops at one of three stop, or nonsense, codons—UGA, UAA, or UAG—and the polypeptide chain is released. The tRNA molecules are used again. The mRNA molecules are also reused approximately 10 times before being replaced.

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