Collagen is most abundant protein in mammals, the main fibrous component of skin, bone, tendon and cartilage.
Collagen comprises one- third of the total protein, accounts for three-quarters of the dry weight of skin, and is the most prevalent component of the extracellular matrix.
The collagen family consists of 28 members and these are classified by Roman numbers on the basis of their chronology of discovery.
Collagen is most abundant protein in mammals, the main fibrous component of skin, bone, tendon and cartilage.
Collagen comprises one- third of the total protein, accounts for three-quarters of the dry weight of skin, and is the most prevalent component of the extracellular matrix.
The collagen family consists of 28 members and these are classified by Roman numbers on the basis of their chronology of discovery.
Extra cellular matrix is recently being explored in connection with cancer , metastases and autoimmune disorders. It is prepared for the benefit of both UG and PG medical and dental students.
Proteoglycans are proteins that are heavily glycosylated*. The basic proteoglycan unit consists of a "core protein" with one or more covalently attached glycosaminoglycan (GAG) chain(s).
Biochemical and clinical aspects of collagenrohini sane
A comprehensive presentation on Biochemical and clinical aspects of Collagen for MBBS, BDS, B Pharm & Biotechnology students to facilitate self- study.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Extra cellular matrix is recently being explored in connection with cancer , metastases and autoimmune disorders. It is prepared for the benefit of both UG and PG medical and dental students.
Proteoglycans are proteins that are heavily glycosylated*. The basic proteoglycan unit consists of a "core protein" with one or more covalently attached glycosaminoglycan (GAG) chain(s).
Biochemical and clinical aspects of collagenrohini sane
A comprehensive presentation on Biochemical and clinical aspects of Collagen for MBBS, BDS, B Pharm & Biotechnology students to facilitate self- study.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Use of laboratory instruments and specimen processing equipment to perform clinical laboratory assays with only minimal involvement of technologist .
Automation in clinical laboratory is a process by which analytical instruments perform many tests with the least involvement of an analyst.
The International Union of Pure and Applied Chemistry (IUPAC) define automation as "The replacement of human manipulative effort and facilities in the performance of a given process by mechanical and instrumental devices that are regulated by feedback of information so that an apparatus is self-monitoring or self adjusting”.
Biochemistry of musculoskeletal system. biochemistry of MSS prepared by Fikad...fikaduseyoum1
biochemistry of MSS prepared by Fikadu Seyoum Tola. This ppt essentially discuss about collegen biosnthesis, defect and muscle energy metabolism with its regulations.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
2. Learning Objectives
• Identify the primary constituents of collagen fibrils and
recognize hierarchal organization (Bloom’s Cognition
Level 1, Remember)
• Predict the phenotypic outcome on a cell, tissue, and
organism caused by a change in the structure of
collagen (Bloom’s Cognition Level 2, Understand)
• Hypothesize the mechanism of a collagen related
disorder (Bloom’s Cognition Level 6, Create)
3. Collagen
• Major component of most connective tissue
• ~25% of the proteins of mammals
• In humans
28 Distinct types of
Collagen
30 Distinct types of
Polypeptide chains
Made up of
Each encoded by
separate gene
4. Types of Collagen
Type Location Type Location
I Skin, Bone, Tendon (Non cartilage) XV Associated with collagens close to basement membranes
II Cartilage, Vitreous humor XVI Many tissues
III Extensible conn. Tissue (skin, lung,
vascular system viz. Artery)
XVII Epithelia, Skin hemidesmosomes
IV Basement membrane XVIII Close structural homologue of XV
V Along with Type-I XIX Rare, Rhabdomyosarcoma
VI Muscle XX Corneal epithelium
VII Dermal epidermal junction XXI Many Tissues
VIII Endothelium XXII Tissue junctions
IX Along with type II XXIII Limited in tissues, mainly transmembrane and shed
forms
X Hypertrophic cartilage XXIV Developing cornea, Bone
XI Along with type II XXV Brain
XII Along with type I XXVI Testis, Ovary
XIII NM Junction & Skin XXVII Embryonic Cartilage
XIV Along with type I XXVIII BM Around Schwann cells
5. Noncollagen ‘Collagens’
• Not classified as collagen but have collagen like domains in
structure
• e.g. C1q
• SPA, SPD (Pulmonary surfactant protein)
• All Collagen types have a triple helical structure
– It can be entire molecule or only a fraction of molecule
6. Mature collagen (Type-I)
• The entire molecule is triple helical
• ~1000 AA
• Each polypeptide subunit (α chain, not α
helix) is twisted into a left-handed poly-
proline helix & 3 residues per turn.
• 3 of these α chains are then wound into a
PARALLEL RIGHT HANDED
SUPERHELIX, forming a rod like molecule
(1.4 x 300 nm) • 3 Left handed
Helices form a right
handed super helix.
7. • The repeating structure, represented as (Gly-X-Y)n is an absolute
requirement for the formation of triple helix.
• X = mostly Proline
• Y = Mostly hydroxyl-proline / Sometimes Hydroxy-Lysine
– Hydroxyl derivatives on Y positions because of specificity of prolyl/lysyl
hydroxylase
8. Why glycine residue at every 3rd
position?
• Glycine is the only AA small enough to be accommodated in the
limited space available in central core of triple helix.
9. X & Y Positions
• Proline/ Hydroxyproline confer rigidity on collagen molecule
• Hydroxyproline & Hydroxylysine are result of post translational
modification
Can be further modified by addition of
• Galactose
• Galactosyl-Glucose
Through O-Glycosidic linkage
(Unique glycosylation site of collagen)
10. Staggering of α chains
• 3 polypeptide chains are
staggered so that Gly,X
& Y residues from the 3
polypeptide chains
occurs at similar level
• And so –NH of ‘Gly’
makes strong H-bond
with –CO of an ‘X(Pro)’
of neighbour chain
12. “Quarter Staggered”
alignment
• Collagen types (only rod like
fibers) are assembled by
lateral association of these
triple helical units into fibrils
(10-300 nm diameter) in a
‘Quarter staggered’
alignment
• Means, each triple helix is
displaced longitudinally from
its neighbour by slightly less
than 1/4th of its length.
13. Fibril
Many fibrils associates into thicker
FIBER (1-20μm in diameter)
• In some tissues (like tendons)
fibers associates into even larger
bundles, with diameter of 500 μm
Power in Numbers!
Fiber = Strength
Fibril = Weak
14. Covalent cross links provide extra
stabilization (Voet & Voet)
Histidino-dehydro-hydroxyl-mero-desmosine
15. Covalent cross links provide extra
stabilization (Lehninger)
The increasingly rigid and
brittle character of aging
connective tissue results from
accumulated covalent
crosslinks in collagen fibrils.
16. Strength – Triple helix provides tensile strength
Scaffold – Provides organization and structure for the ECM
Without it, what would happen?
Loss of cell-cell communication
Cell migration
Loss of cell shape
17. Collagen – According to macro structure
Collagen
Fibril Forming (1,2,3,5,11,24,27)
Network like (4,8,10) in BM
Anchoring Fibrils (7)
Multiplexins (15,18) Multiple triple helix domains with
interruptions
Beaded Filaments (6,26,28)
Transmembrane (13,17,23,25) Have short intracellular
N-terminal domain
FACITs (9,12,14,16,19,20,21,22) Fibril Associated
Collagen with Interrupted Triple helices
18. Some collagen types do not form fibrils
• They are characterized by interruptions of the
triple helix with stretches of protein lacking
(Gly-X-Y) repeat sequence
• It results in areas of globular structure
interspersed in triple helical structure
20. Genetics of Collagen
• > 30 genes encodes the collagens
Collagen
Heterotrimeric
(Pro-α chains different)
Homotrimeric
(3 identical Pro-α chains)
e.g. Type I Collagen
2 Pro- α1 (I) + 1 Pro- α2 (I)
e.g. Type II Collagen
3 Pro- α1 (II)
Gene Nomenclature:
COL1A2
Gen Prefix
Type of collagen
Type of Chain
23. Osteogenesis imperfect
(Brittle bone disease)
• C/F
– Abnormally fragile bones
– Blue sclera (Thin & translucent cornea)
• Types (I to VIII) – 8 types
– Type I to IV
mutation in COL1A1 &/Or COL1A2
> 100 types of mutations documented
M.C. mutation is replacement of glycine by another bulky AA
– Types (V to VIII)
due to mutations in genes encoding for proteins involved in bone
mineralization (Not collagen)
24. • When one abnormal chain is present, it may
interact with two other normal chains BUT
Folding may be prevented
• This leads to enzymatic degradation of all of the
chains.
• This is called “Procollagen Suicide”
• This is an example of a “Dominant negative
mutation”, a result often seen when a protein
consist of multiple different subunits
25. Chondrodysplasia
• Affects cartilage
• C/F:
– Short limb dwarfism
– Numerous skeletal deformities
Chondrodysplasia
Stichler Syndrome
• Mutation COL2A1 gene
• Abnormal Collagen II
• C/F:
• Degeneration of joint
cartilage & vitreous
body of eye
Achondroplasia
• Mutation FGFR3 gene
(Chr-4)
• Not a collagen disorder
26. Ehlers-Danlos Syndrome
(Cutis Hyperplastica)
• C/F:
– Hyper extensibility of skin
– Abnormal tissue fragility
– Increased joint mobility
– C/F are variable due to underlying extensive genetic heterogeneity.
• Defect:
– Collagen I/ Collagen III/ Collagen V/ Lysyl Hydroxylase/ Procollagen
N-Proteinase
– Procollagen N-Proteinase = ADAMTS2 = ADAM Metallopeptidase
with thrombospondin type 1 motif
27. • Villefranche Classification of EDS
Type Defect
Hypermobility
Common
Collagen III
Vascular Collagen III Most serious (d/t rupture of arteries/Intestine)
Classical Collagen I & V
Arthrochalasis
Very Rare
Collagen I
Kyphoscoliosis Lysyl Hydroxylase Progressive scoliosis & tendency to ocular
rupture
Dermatosparaxis ADAMTS2
(Procollagen N-Proteinase)
Marked fragile skin
29. Epidermolysis Bullosa
• Defect: COL7A1 Gene (Collagen type VII)
– Collagen VII is anchoring fibrils that anchor the basal lamina to collagen
fibrils in dermis.
• C/F:
– Skin blisters & breaks due to minor trauma
• Note:
– Epidermolysis bullosa simplex is due to mutation in Keratin 5
30. Scurvy
• Not a genetic disease
• Due to decreased activity of prolyl & Lysyl hydroxylase
31. Menkes disease
• Copper deficiency ↓ activity of Lysylhydroxylase defective
cross linking of collagen & elastin
• Note:
• Other Cu containing enzymes
– Lysyl oxidase
– Cytochrome oxidase
– Dopamine hydroxylase
– SOD
– Tyrosinase
32. Lathyrism
• Regular ingestion of seeds of the sweet pea Lathyrus odoratus
• It contains β-amino propionitrile it inactivates lysyl oxidase
• C/F:
– Severe abnormalities of bones, joints & large blood vessels