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Access to the eBook is limited to the first individual who redeems the PIN, located on the inside cover of this book, at studentconsult.inkling.com and may not be transferred to another party by resale, lending, or other means. 2015v1.0 NETTER: It’s How You Know Anatomy. Netter Collection of Medical Illustrations, 2nd Edition The Netter Collection of Medical Illustrations, Dr. Frank H. Netter’s decades of work devoted to depicting each of the major body systems, has been updated and brought into modern context. The second edition of the legendary “green books” offers Netter’s timeless work, now arranged and enhanced by modern text and radiologic imaging. Entire Collection Now Available! Contributions by fi eld-leading doctors and teachers from world-renowned medical institutions are supplemented with new illustrations created by master artist-physician Carlos Machado and other top medical illustrators working in the Netter tradition. Netter’s Correlative Imaging Series The Netter’s Correlative Imaging series pairs classic Netter and Netter-style illustrations with imaging studies and succinct descriptions to provide you with a richer understanding of human anatomy. These comprehensive, normal anatomy atlases cover all major sections of the body, featuring illustrated plates side-by-side with the most common imaging modalities for each region. Shop online at elsevierhealth.com Explore more essential resources in the NETTER BASIC SCIENCE COLLECTION! Netter’s Essential Histology With Student Consult Access By William K. Ovalle, PhD, and Patrick C. Nahirney, PhD Bring histologic concepts to life through beautiful Netter illustrations! Netter’s Atlas of Neuroscience With Student Consult Access By David L. Felten, MD, PhD, M. Kerry O’Banion, MD, PhD, and Mary Summo Maida, PhD Master the neuroscience fundamentals needed for the classroom and beyond. Netter’s Essential Physiology With Student Consult Access By Susan E. Mulroney, PhD, and Adam K. Myers, PhD Enhance your understanding of physiology the Netter way! Netter’s Atlas of Human Embryology With Student Consult Access By Larry R. Cochard, PhD A rich pictorial review of normal and abnormal human prenatal development. Netter’s Introduction to Imaging With Student Consult Access By Larry R. Cochard, PhD, et al. Finally...an accessible introduction to diagnostic imaging! Netter’s Illustrated Human Pathology With Student Consult Access By L. Maximilian Buja, MD, and Gerhard R. F. Krueger, PhD Gain critical insight into the structure-function relationships and the pathological basis of human disease! Netter’s Illustrated Pharmacology With Student Consult Access By Robert B. Raffa, PhD, Scott M. Rawls, PhD, and Elena Portyansky Beyzarov, PharmD Take a distinct visual approach to understanding both the basic science and clinical applications of pharmacology. Shop online at elsevierhealth.com NET TER’S ESSENTIAL BIOCHEMISTRY PETER RONNER, PhD Professor of Biochemistry and Molecular Biology Professor of Pharmaceutical Sciences Department of Biochemistry and Molecular Biology Thomas Jefferson University Philadelphia, Pennsylvania Illustrations by Frank H. Netter, MD Contributing Illustrators Carlos A.G. Machado, MD James A. Perkins, MS, MFA Kip Carter, MS, CMI Tiffany Davanzo, MA, CMI 1600 John F. Kennedy Blvd. Ste 1800 Philadelphia, PA 19103-2899 NETTER’S ESSENTIAL BIOCHEMISTRY ISBN: 978-1-929007-63-9 Copyright © 2018 by Elsevier, Inc. All rights reserved. No part of this publication may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or any information storage and retrieval system, without permission in writing from the publisher. Details on how to seek permission, further information about the Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions. This book and the individual contributions contained in it are protected under copyright by the Publisher (other than as may be noted herein). Permission for Netter Art figures may be sought directly from Elsevier’s Health Science Licensing Department in Philadelphia, PA: phone 800-523-1649, ext. 3276, or 215-239-3276; or email [email protected] Notices Knowledge and best practice in this field are constantly changing. As new research and experience broaden our understanding, changes in research methods, professional practices, or medical treatment may become necessary. Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using any information, methods, compounds, or experiments described herein. In using such information or methods they should be mindful of their own safety and the safety of others, including parties for whom they have a professional responsibility. With respect to any drug or pharmaceutical products identified, readers are advised to check the most current information provided (i) on procedures featured or (ii) by the manufacturer of each product to be administered, to verify the recommended dose or formula, the method and duration of administration, and contraindications. It is the responsibility of practitioners, relying on their own experience and knowledge of their patients, to make diagnoses, to determine dosages and the best treatment for each individual patient, and to take all appropriate safety precautions. To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or from any use or operation of any methods, products, instructions, or ideas contained in the material herein. Library of Congress Cataloging-in-Publication Data Names: Ronner, Peter, 1951- author. | Netter, Frank H. (Frank Henry), 1906-1991, illustrator. | Machado, Carlos A. G., illustrator. | Craig, John A., illustrator. | Perkins, James A., illustrator. Title: Netter’s biochemistry / Peter Ronner ; illustrations by Frank H. Netter ; contributing illustrators, Carlos A.G. Machado, John A. Craig, James A. Perkins. Other titles: Biochemistry Description: Philadelphia, PA : Elsevier, [2018] | Includes bibliographical references and index. Identifiers: LCCN 2016024484 | ISBN 9781929007639 (pbk. : alk. paper) Subjects: | MESH: Biochemical Phenomena | Biochemistry Classification: LCC QP514.2 | NLM QU 34 | DDC 572–dc23 LC record available at https://lccn.loc.gov/2016024484 Executive Content Strategist: Elyse O’Grady Content Development Specialist: Stacy Eastman Publishing Services Manager: Patricia Tannian Senior Project Manager: Carrie Stetz Design Direction: Julia Dummitt Printed in China Last digit is the print number: 9 8 7 6 5 4 3 2 1 To Wanda and Lukas About the Author Peter Ronner, PhD, is Professor of Biochemistry and Molecular Biology at the Sidney Kimmel College of Medicine at Thomas Jefferson University in Phila- delphia. He holds a secondary appointment as Professor of Pharmaceutical Sciences in the College of Pharmacy at Thomas Jefferson University. Dr. Ronner received his PhD in Biochemistry from the Swiss Federal Institute of Technol- ogy (ETH) in Zurich. His former laboratory research involved studies of pan- creatic hormone secretion. Dr. Ronner has taught medical students for nearly 30 years and pharmacy students for almost 10 years. He is also a past chair of the Association of Biochemistry Course Directors (now Association of Bio- chemistry Educators). At Jefferson, he has received numerous awards for his teaching, including a Lindback Award and a portrait painting. vi Acknowledgments Many people have helped me write this book, but Dr. John John Thomas, PhD Thomas from New York University School of Medicine Research Associate Professor (Retired) deserves a place of honor. He and I worked on this book Department of Biochemistry and Molecular Pharmacology together until we were forced to pause for a few years. New York University School of Medicine Years earlier, at the University of Pennsylvania, the late Dr. New York, New York Annemarie Weber introduced me to teaching biochemistry to medical students. She was a tremendous role model. At I am very thankful to Emine Ercikan Abali for coauthoring Thomas Jefferson University, Dr. Darwin Prockop planted in the chapters on Triglycerides and Hypertriglyceridemia and my mind the idea of writing a biochemistry textbook. Many Cholesterol Metabolism and Hypercholesterolemia. years later, Paul Kelly (then at Icon Learning Systems), approached me with the idea of using Dr. Netter’s images for Emine Ercikan Abali, PhD a biochemistry review book. This appealed to me because Associate Professor of Biochemistry and Molecular Biology biochemistry is taught as a rather abstract science that stu- Rutgers Robert Wood Johnson Medical School dents have difficulty linking to actual patients. The Netter Piscataway, New Jersey images, I hoped, would provide the views of the practicing physician. Thanks to the support of my chairman, Dr. Jeffrey I am very grateful to the following persons for contributing Benovic, this book project became part of my scholarly pur- their expertise and reviewing chapters: suits. I am thankful for the invaluable feedback the many students of medicine and pharmacy at Jefferson gave me over David Axelrod, MD the years. Associate Professor of Medicine I would like to thank the team at Elsevier for their support, Department of Medicine especially Elyse O’Grady (Senior Content Strategist), Stacy Sidney Kimmel Medical College at Thomas Jefferson Eastman and Marybeth Thiel (Content Development Special- University ists), as well as Carrie Stetz (Senior Project Manager/ Philadelphia, Pennsylvania Specialist). Finally, I would like to thank my family and friends for Samir K. Ballas, MD their support while writing this book. Emeritus Professor of Medicine and Pediatrics This book is dedicated to my wife Wanda and my son Cardeza Foundation for Hematologic Research Lukas. Wanda has been a key influence on me, because she Department of Medicine, Division of Hematology has continuously given me her perspective as a practicing Sidney Kimmel Medical College at Thomas Jefferson physician and medical student educator. Lukas, a chemistry University major and current medical student, has been my most trusted Philadelphia, Pennsylvania adviser on questions about young learners, chemistry, and artwork, and he has reviewed much of my writing. James C. Barton, MD Medical Director Southern Iron Disorders Center; COAUTHORS AND CHAPTER REVIEWERS Clinical Professor of Medicine I am deeply indebted to John Thomas for his contribu- Department of Medicine tions, which involved designing this book and writing drafts University of Alabama at Birmingham of several chapters: Clinical Tests Based on DNA or RNA; Birmingham, Alabama Basic Genetics for Biochemistry; Transcription and RNA Processing; Translation and Posttranslational Protein Pro- Jeffrey L. Benovic, PhD cessing; Pentose Phosphate Pathway, Oxidative Stress, and Professor Glucose 6-Phosphate Dehydrogenase Deficiency; Oxidative Department of Biochemistry and Molecular Biology Phosphorylation and Mitochondrial Diseases; Fatty Acids, Sidney Kimmel Medical College at Thomas Jefferson Ketone Bodies, and Ketoacidosis; Triglycerides and Hyper- University triglyceridemia; Cholesterol Metabolism and Hypercholester- Philadelphia, Pennsylvania olemia; Steroid Hormones and Vitamin D; Eicosanoids; and Signaling. vviiii viii Acknowledgments Bruno Calabretta, MD, PhD Christopher Haines, MD Professor Assistant Professor Department of Cancer Biology Department of Family and Community Medicine Sidney Kimmel Medical College at Thomas Jefferson Sidney Kimmel Medical College at Thomas Jefferson University University Philadelphia, Pennsylvania Philadelphia, Pennsylvania Gino Cingolani, PhD Steven K. Herrine, MD Professor Professor Department of Biochemistry and Molecular Biology Department of Medicine Sidney Kimmel Medical College at Thomas Jefferson Sidney Kimmel Medical College at Thomas Jefferson University University Philadelphia, Pennsylvania Philadelphia, Pennsylvania Joe Deweese, PhD Jacqueline M. Hibbert, PhD Associate Professor Associate Professor Department of Pharmaceutical Sciences Department of Microbiology, Biochemistry and Lipscomb University, College of Pharmacy and Health Immunology Sciences Morehouse School of Medicine Nashville, Tennessee Atlanta, Georgia Tina Bocker Edmonston, MD Jan B. Hoek, PhD Associate Professor Professor Department of Pathology and Laboratory Medicine Department of Pathology, Anatomy, and Cell Biology Cooper University Health Care, Cooper Medical School at Sidney Kimmel Medical College at Thomas Jefferson Rowan University University Camden, New Jersey Philadelphia, Pennsylvania Steven Ellis, PhD Tanis Hogg, PhD Professor Associate Professor Department of Biochemistry Department of Medical Education University of Louisville Texas Tech University Health Sciences Center El Paso, Paul Louisville, Kentucky L. Foster School of Medicine El Paso, Texas Masumi Eto, PhD Associate Professor Ya-Ming Hou, PhD Department of Molecular Physiology and Biophysics Professor Sidney Kimmel Medical College at Thomas Jefferson Department of Biochemistry and Molecular Biology University Sidney Kimmel Medical College at Thomas Jefferson Philadelphia, Pennsylvania University Philadelphia, Pennsylvania Andrzej Fertala, PhD Professor Serge A. Jabbour, DM Department of Orthopaedic Surgery Professor Sidney Kimmel Medical College at Thomas Jefferson Department of Medicine University Sidney Kimmel Medical College at Thomas Jefferson Philadelphia, Pennsylvania University Philadelphia, Pennsylvania Elizabeth Gilje, BS Medical Student Francis E. Jenney Jr, PhD Sidney Kimmel Medical College at Thomas Jefferson Associate Professor University Department of Biomedical Sciences Philadelphia, Pennsylvania Georgia Campus–PCOM Suwanee, Georgia