5. HIPPOCRATIC OATH
Apollo Physician and Asclepius and Hygieia and Panacea and all the gods and goddesses, making them my
witnesses, that I will fulfill according to my ability and judgment this oath and this covenant:
To hold him who has taught me this art as equal to my parents and to live my life in partnership with him,
and if he is in need of money to give him a share of mine, and to regard his offspring as equal to my brothers
in male lineage and to teach them this art — if they desire to learn it — without fee and covenant; to give a
share of precepts and oral instruction and all the other learning to my sons and to the sons of him who has
instructed me and to pupils who have signed the covenant and have taken an oath according to the medical
law, but to no one else.
I will apply dietetic measures for the benefit of the sick according to my ability and judgment; I will keep
them from harm and injustice.
I will neither give a deadly drug to anybody if asked for it, nor will I make a suggestion to this effect. Similarly
I will not give to a woman an abortive remedy. In purity and holiness I will guard my life and my art.
I will not use the knife, not even on sufferers from stone, but will withdraw in favor of such men as are
engaged in this work.
Whatever houses I may visit, I will come for the benefit of the sick, remaining free of all intentional injustice,
of all mischief and in particular of sexual relations with both female and male persons, be they free or slaves.
What I may see or hear in the course of the treatment or even outside of the treatment in regard to the life of
men, which on no account one must spread abroad, I will keep to myself holding such things shameful to be
spoken about.
If I fulfill this path and do not violate it, may it be granted to me to enjoy life and art, being honored with
fame among all men for all time to come; if I transgress it and swear falsely, may the opposite of all this be
my lot.[4]
7. FATHER OF INDIAN SURGERY
Shushruta
800 BC
Shushruta
Samhita
First ever known Plastic
surgeon
Rhinoplasty
8. BIOCHEMISTRY
Chemistry of living things
To understand the basic functions of body.
Understanding at the molecular level
Father of Biochemistry
CARL NEUBERG
9. Contributions of Neuberg
Worked on solubility and transport in cells
Chemistry of carbohydrates,
phytochemistry
Investigated and classified fermentation
Study of chemistry of amino acids and
enzymes
Made a discovery of Hydrotropy
Neuberg ester??
11. EVOLUTION OF BIOCHEMISTRY
Spans 400 years
1882- first the term was used
1902- term coined by Carl Neuberg
1828-Vitalism & Urea
FriedrichWohler- ended the theory ofVitalism
Biochemistry & enzymes- Late 18th century &
early 19th century
17. More ppt on MedicalBiochemistry on my
website www.vpacharya.com
18. At the end of the class…
You will know---
About the cell
Cell organelles
Clinical implications of organelles
Cell fractionation
Markers of organelles
20. Alphabets of Biochemistry
99% of human body- 6 elements
O, C,H, N, Ca, P
60% water, 15% protein, 15% lipid,
2% carbohydrate, 8% minerals
30 small precursors make the
organism – alphabets of
Biochemistry– 20AA, 2 purines, 3
pyrimidines, sugars (glucose,
ribose), palmitate, glycerol &
choline
27. Plasma Membrane
Animal - outer layer; cholesterol
Double layer of phospholipids with
proteins
Selectively permeable
Support
Protection
Controls movement of materials
in/out of cell
Ectoenzymes
Barrier between cell and its
environment
Maintains homeostasis
28. Nucleus
All except prokaryotes
Any exceptions??
Large, oval
May contain 1 or more
nucleoli
Holds DNA
Controls cell activities
Contains the
hereditary material of
the cell
30. SER
Network of flattened membranes
forming tunnels.
Synthesis of some lipids ,steroid
hormones, sebum, cholesterol etc.
Final processing of proteins
Metabolism of drugs, toxic
compounds & carcinogens
31. RER
Ribosomes as granules
Some RNAs too
Machinery for protein synthesis
32. GOLGIAPPARATUS
Stacks of flattened sacs( >4)
Absent in RBCs
Prominent in secretory cells
Functions in association
with ER
ER vesicles fuse with Golgi
apparatus --- Lysosome
formed
Sorting, packaging and
secretion of proteins
33. Made of cis, medial and trans cisternae
Glycoproteins are transported from ER →
Cis golgi → medial golgi → trans golgi
Trans golgi – abundant with vesicles
containing glycoproteins
34. LYSOSOMES
Throughout cytoplasm
Thickest covering
40 Hydrolytic enzymes– Lysozymes
Can digest all biomolecules
pH= 5
Destruction of bacteria & foreign bodies
Removes excessive secretory products
Remove unwanted cells of embryo
35. Clinical implications of lysosomes
Gout- urate crystals when digested by
lysosomes cause physical damage to the
lysosomes → inflammation and arthritis
Postmortem autolysis- after cell death
enzymes from lysosomes are released
Cathepsins, lysosomal proteases-
Cancer metastasis
Lysosomal enzymes deficient- leads to
lipids and polysaccharide accumulation
Silicosis – stimulate fibroblastic growth
I-cell disease- Mannose-6-P deficient enzymes
do not reach the lysosomes (protein targeting
defect)
36. PEROXISOMES
Similar to Lysosomes; granular matrix
Leukocytes & platelets
Difference? Origin & Function
Origin- SER
Function- Peroxidation reactions; Free radical
removal
Peroxidases & Catalases
Adreno leuko dystrophy
Zellweger syndrome– Peroxisomal ghosts