Amino acids are the building blocks of proteins. They contain an amino group, a carboxyl group, and a side chain. There are 22 protein amino acids that are polymerized to form proteins, which carry out important structural and functional roles in the body. Amino acids can also be classified based on their chemical properties and metabolic fates. The peptide bond forms when amino acids condense, linking them together into polypeptides and proteins.
NUCLEIC ACID METABOLISM AND DISORDERS CBME 6.1-6.4 DJT 22.pptxDhiraj Trivedi
Lecture presentation for medical student to under stand nucleic acid metabolism over view. Clinical conditions associated with metabolism of nucleic acid.
NUCLEIC ACID METABOLISM AND DISORDERS CBME 6.1-6.4 DJT 22.pptxDhiraj Trivedi
Lecture presentation for medical student to under stand nucleic acid metabolism over view. Clinical conditions associated with metabolism of nucleic acid.
Amino acids are the building blocks of protein. Proteins are long chains of amino acids. Your body has thousands of different proteins that each have important jobs. Each protein has its own sequence of amino acids. The sequence makes the protein take different shapes and have different functions in your body.22-Dec-2021
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
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The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
2. Amino Acids
• Chemically, amino acids are organic acids that
contain one or more amino (–NH2) group(s).
• They are the structural units of proteins and
are obtained from them by hydrolysis.
• But they also attain important functions in
their free form.
3. Amino Acids
• Each amino acid has a carboxylic group (–
COOH), an amine group (–NH2) and a
characteristic side chain, radical or R-group (–
R).
4. Functions of amino acids
• They are polymerized to form proteins.
• Presence of specific amino acids at the active
site of enzymes is vital for their catalytic
activity
• Some amino acids (glucogenic) can be
converted to carbohydrates.
5. Functions of amino acids
• The carbon skeleton and nitrogen of amino
acids is used for the synthesis of purine and
pyrimidine bases for nucleotides and nucleic
acids.
• Glycine and methionine help in the
detoxification mechianisms.
6. Functions of amino acids
• Certain amino acids give rise to biologically
improtant derivatives:
1. Gycine is a precursor for ‘
heme’ of hemoglobin and
creatine that acts as the mediator of energy in muscles
2. Tyrosine is the precursor for a number of hormones
Thyroxine,
triiodothyronine,
epinephrine and nor-epinephrine and
skin pigment melanin.
7. Functions of amino acids
3. Tryptophan can give rise to
vitamin niacin and
neurotransmitter, Serotonin.
4. Histidine can be converted to the mediator
of allergic reactions i.e. histamine.
8. Cont’’
• Although about 300 amino acids exist in cells,
only 22 of them are polymerizable into protein
structure and are known as protein amino
acids, whereas, those that do not occur in
proteins are called as non-protein amino
acids.
9. Classification of Amino Acids
• The amino acids can be classified on the basis
of three criteria viz
• A) Chemical,
• B) Biological or nutritional, and
• C) Metabolic.
10. Classification of Amino Acids
• Chemical classification
• is based upon the number of amino groups to
carboxyl groups in the amino acid and is the most
widely used classification.
• The three groups of amino acids under this
classification are:
• a) Neutral amino acids
• b) Acidic amino acids
• c) Basic amino acids
11. Classification of Amino Acids
• a) Neutral amino acids that are mono-amino
mono-carboxylic; Glycine tyrosine tryptophan
• b) Acidic amino acids that are mono-amino
dicarboxylic; glutamic acid and asparatic acid
• c) Basic amino acids that are diamino (or
complex amino) mono-carboxylic amino
acids,lysine, histidine and arginine
12. Classification of Amino Acids
• Biological classification
– is based upon whether the amino acids can be
synthesized in human body or not into
• Essential amino acids
– that are not synthesizable in the body in adequate
amounts and must be supplied in the diet; and
• non-essential amino acids
– that are synthesizable in the body and there is no
diet dependency for them
13. Classification of Amino Acids
• Biologically and nutritionally, the dietary
deficiency or imbalance of any of the essential
indispensable amino acids leads to nutrition
deficiency disorders that affect both growth
and health
14. Ten amino acids are essential
• Ten amino acids are essential
– Valine, Isoleucine, Threonine, Tryptophan,
Arginine, Leucine, Lysine, Methionine, Phenyl
alanine and Histidine.
• For simplicity and memorization, the group of
essential amino acids abbreviated as ‘VITTAL
LyMPH’, where each letter stands for one
amino acid.
15. Arginine and Histidine are semi-essential:
• Arginine and Histidine are semi-essential:
– The healthy adult human body synthesizes just
enough arginine and histidine but in the childhood
growth period, sickness, convalescence and during
pregnancy such amount is not enough and requires
dietary supplementation.
– Therefore, these two amino acids are semi-essential.
16. Dietary source of essential amino
acids
• The main dietary source of essential amino
acids is proteins of high biological value, i.e.,
digestible proteins that contain all of them in
well-balanced proportions.
• These proteins include
– all animal proteins (e.g., milk, egg, meat, liver, fish
and chicken) and
– a few plant proteins (e.g., beans and lentils).
17. Dietary source of essential amino
acids
• The remaining non-essential amino acids are
diet independent because they are
synthesized in the body, but they are
metabolically as important as the essential
ones
18. Metabolic classification
• Metabolic classification
– based upon the catabolic fate of the carbon
skeleton of the amino acids inside the body into:
– Ketogenic amino acids
– Glucogenic amino acids
– The mixed amino acids
19. Metabolic classification
• Ketogenic amino acids:
– Only two amino acids are purely ketogenic viz. lysine and
leucine that catabolically give intermediates convertible
into acetyl-CoA or acetoacetyl-CoA.
• Glucogenic amino acids:
– Fourteen of the twenty protein amino acids give rise to
intermediates of glycolysis or Krebs' cycle (including;
pyruvate, oxaloacetate, -ketoglutarate and propionate)
convertible by gluconeogenesis into glucose.
• The mixed amino acids:
– These are amino acids, the carbon skeleton of which is
catabolized to produce the glycolytic intermediates as well
as the acetyl CoA derivatives:
20. The Peptide Bond
• Condensation of the primary –COOH group of
an amino acid and primary –NH2 group of
another amino acid forms the peptide (amide)
bond.
• Two amino acids form dipeptide (notice, a
miss name), 3 amino acids form tripeptide, etc
and >20 amino acids form a polypeptide and
less number is an oligopeptide
21. Peptides of biological importance:
• Bradykinin the local antiinflammatory, vasodilator and
hypotensive hormone that is a potent smooth muscle
relaxant is formed of 9 amino acids
• Oxytocin the posterior pituitary hormone that induces
uterine contraction is also nonapeptides, i.e., formed
of 9 amino acids.
• Thyrotropin releasing hormone (TRH), the
hypothalamic hormone responsible for the stimulation
of pituitary to secrete thyrotropin (TSH), is a tripeptide
• Insulin hormone is formed from 2 polypeptide chains
connected together by 2 disulfide linkages
22. Proteins
• Proteins are the fundamental building blocks
of the cell life,
• Chemically, proteins are organic compounds
with a high molecular weight formed of
carbon, oxygen, hydrogen and nitrogen and
may also contain sulfur, phosphorus, coloring
non-protein organic groups and metal ions
23. Proteins
• A protein molecule may be composed of a
single polypeptide, i.e., monomeric or several
ones, i.e., polymeric.
• Simple proteins are formed of amino acids
only, whereas, some proteins have a non-
proteinaceous moiety attached covalently or
non-covalently to the polypeptide chain(s),
these proteins are called as complex or
conjugated proteins.
24. Functions of proteins
• Structural: Proteins are the main structural
component in bone, muscles, cytoskeleton
and cell membrane.
• Nutrition: Provide the body with essential
amino acids, nitrogen and sulfur.
• Catalytic: All metabolic enzymes are proteins
in nature.
• Endocrine: Most of hormones and all
receptors are protein in nature.
25. Functions of proteins
• Defense:
– The antibodies (immunoglobulins) and
complement system that play an important role in
the body’s defensive mechanisms are proteins in
nature.
• Osmotic Potential:
– Plasma proteins are responsible for most effective
osmotic pressure of the blood
26. Functions of proteins
• Blood clotting factors are proteins.
• Transport role: Proteins carry lipids in the blood
forming lipoprotein complexes. Proteins also carry,
hormones, e.g., thyroid hormones and minerals, e.g.,
calcium, iron and copper. Hemoglobin (a chromo-
protein) carries O2 from the lung to tissues is a protein.
• Membrane transport: The plasma membrane is
lipoprotein and is semipermeable in nature. The
proteins in the membranes act as channels or
transporters to allow selective molecules/ions to cross
into or out of the cells.
27. Functions of proteins
• Gene Regulation: Control cellular activities
through control of gene expression: Most
factors required for DNA replication,
transcription and mRNA translation are
protein in nature.
• Signal Transduction: Cell-environment,
intercellular and intracellular signal
transduction is carried out largely by proteins.