By Ivor Benjamin MD FACC FAHA, Robert C. Griggs MD FACP FAAN, Edward J Wing MD FACP FIDSA, J. Gregory Fitz MD
Students, citizens, and teachers swear via Andreoli and Carpenter’s Cecil necessities of Medicine since it provides simply the correct quantity of data, simply the perfect approach. This up-to-date variation has been revised to supply the most up-tp-date, easy-to-digest assessment of inner medication. accomplished but concise, it makes a speciality of the high-yield middle wisdom very important to these tested in or simply getting into the field.
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Extra info for Andreoli and Carpenter's Cecil Essentials of Medicine
For example, sickle cell anemia evolved as TABLE 1-2 MOLECULAR BASIS OF MUTATIONS TYPE EXAMPLES MONOGENIC DISORDERS Autosomal dominant Autosomal recessive X-linked One of multiple mutations Polycystic kidney disease 1, neurofibromatosis 1 β-Thalassemia, Gaucher’s disease Hemophilia A, Emery-Dreifuss muscular dystrophy Familial hypercholesterolemia, cystic fibrosis POLYGENIC DISORDERS Complex disease traits Type 1 (insulin-dependent) diabetes, essential hypertension, atherosclerotic disease, cancer CHROMOSOMAL ABNORMALITIES Deletions, duplications Turner Syndrome (monosomy), Down Syndrome (Trisomy) 11 protection against Plasmodium falciparum malaria, and cystic fibrosis developed as protection against cholera.
Micro-RNAs and Gene Regulation Less is known about the determinants of translational regulation than is known about transcriptional regulation. The recent discovery and identification of small RNAs (21-mer to 24-mer clusters), called micro-RNAs (miRNAs), adds further complexity to the regulation of gene expression in the eukaryotic genome. First discovered in worms more than 15 years ago, miRNAs are conserved noncoding strands of RNA that bind by Watson-Crick base pairing to the 3′-untranslated regions of target mRNAs, enabling gene silencing of protein expression at the translational level.
C, Cytocide; DHU, dihydroxyuridine; G, guanine; UH2, dihydrouridine; ψ, pseudouridine; T, ribothymidine; U, uracil. ) number of available tRNA molecules, mitigates the chances of premature chain termination, and ameliorates the potential deleterious consequences of single-base mutations. The enzymatic activity of the ribosome then links amino acids through the synthesis of a peptide bond, releasing the tRNA in the process. Consecutive linkage of amino acids in the growing polypeptide chain represents the terminal event in the conversion of information contained within the nuclear DNA sequence into mature protein (DNA → RNA → protein).
Andreoli and Carpenter's Cecil Essentials of Medicine by Ivor Benjamin MD FACC FAHA, Robert C. Griggs MD FACP FAAN, Edward J Wing MD FACP FIDSA, J. Gregory Fitz MD