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Advances in Enzymology, Volume 50 Multiple Choice Questions in Biochemistry


Edited by A Meister. pp 473, J o h n Wiley & Sons, Chichester, by D G O ' S u l l i v a n and W R D Smith. pp 76. E d w a r d Arnold
U K . 1979. £19.50 I S B N 0471-05309-0 Ltd. 1980. £2.50 (paperback) I S B N 0-7131--43630

The present volume contains eight reviews. Tautomerism in Pyridoxal It isn't often, in these days of soaring book prices that one comes across a
Phosphate and in Enzymatic Catalysis (by E Metzler) starts with the old science text for £2.50, even one which sets out to fulfil a rather restricted
story of tautomerism of pyridoxal phosphate and related model function, and so any defects that one finds in the book must be considered
compounds. Clearly, the American school have been well educated by the in light of this low cost. However, from the students' point of view, this
studies of Perauh and Pullmann, but sadly no mention is made of the book will be a purchase extra to other standard biochemistry texts, and
European work. The concept of tautomeric catalysis, with a charge- for it to sell, it must be seen to give good value for money. At first glance,
transfer system involving coenzyme, protein structure and substrate is 112 questions, each with five parts, would seem to do just that: on closer
developed, and a hypothesis of multistep enzymatic processes is put inspection there is room for improvement, without a major increase in
forward. size, which would help the book to fit students' needs more
Chemical and Regulatory Properties of Phosphorylase Kinase and Cyclic appropriately.
AMP-Dependent Protein Kinase (by G M Carlson, P J Bechtel and D J Which students? Well, although the publisher's hand-out suggests just
Graves) is a very substantial chapter, dealing with in depth and detail with about anyone taking a course in biochemistry, it is clear from the
our current state of knowledge of these two enzymes. It will probably questions in the text that preclinical medical and dental students form the
become an often quoted literature reference. major market at which the book is aimed. For instance, the animal
The Nonprotein Amino Acids of Plants (by L Fowden, p J Lea and E A interest is really Homo sapiens with a back-up from Rattus rattus) for
Bell). Volume 29 in this series (1967) contained a general account of nowhere do plants get a mention and prokaryotes only infrequently. This
nonprotein amino acids, with emphasis on the toxic and/or antimetabolic is rather a pity, as it will severely reduce the usefulness of the book to
properties of some members of the group. The present chapter attempts many first- and second-year students taking biochemistry as part of other
to build on the information then presented by reviewing important new degree and diploma courses. If a second edition appears it would be
developments. Connoisseurs of nonprotein amino acids will be only too pleasing if some plant and bacterial topics could be included. However,
aware of the numerous reviews by Fowden that have appeared over the given that the book seems to have the preclinical medical student in mind,
years. The immediate impression of the present chapter is one of dejd vu, it seems reasonable to consider it from that angle.
but closer inspection reveals new things of interest. The emphasis is now The questions are all based on a 'five statements about a given chemical
more on biosynthesis and metabolism, and there is interesting reading on structure, reaction or data' format, to each of which the student must
the taxonomic significance of these acids. answer True or False. The questions are on the left-hand page and the
Creatine: Biosynthesis, Regulation and Function (by J B Walker) is a lucid answers are very conveniently placed directly opposite them on the
account of creatine biosynthesis and its regulation, and the functions of right-hand page. The True or False response is in heavy type followed by
creatine phosphate and creatine. Regulation ofcreatine synthesis devolves comments, where these are given (which they are for 65 per cent of the
on energy metabolism, amino acids metabolism and subcellular and questions). The layout is clear and easy to read with an attractive typeface
organ location, and is probably mediated by hormones. Studies of these and legible diagrams. On the format, my only quibble is that whereas the
problems in Ehrlich cells, and in avian and rodent muscle, heart and brain questions are divided into sections in the contents, no such section
are reported. It is good second-year undergraduate reading, and useful to headings appear in the text. To refer to the section on, say Enzymes, one
the lecturer at first-year undergraduate level. has to remember that they begin at Q.39 and end at Q.48. Such things
Chiral Methyl Groups (by H G Floss and Ming-Daw Tsai) is a good tend to slip unnoticed from the mind when it is struggling with MCQs on
standard treatment of chirality in biochemical systems, with particular Vma× and Kin!
reference to methyl groups. It has the advantage of being very up to date, The questions fall into thirteen sections, listed briefly below with the
and helps the reader along with a few choice practical details. number in each section in parentheses: structures (11); pH and buffers (8);
Biotransducers of Membrane-MediatedInformation (by R O Brady and P H techniques (9); amino acids and proteins (10); enzymes (10); carbohy-
Fishman) is in fact an account of the mechanism of action of cholera toxin drates and fat (11); nitrogen metabolism (14); nucleic acids and protein
with a few remarks at the end on other agents that interact with synthesis (8); lipids and steroids (4); body fluids (12); tissue biochemistry
gangliosides, ie tetanus toxin and interferon. There is a very interesting (6); metabolism including drugs (6); and metabolic control (3).
comparison of the mechanisms of action of cholera toxin and trophic Structures were well covered in Section 1 as were acids and bases in
hormones. ADP-ribosylation systems and the activation of adenylate Section 2. I was rather disappointed that pH was not treated as such, that
cydase are mentioned. It is a very lucid and neat chapter, but rather brief. is as [H+], but an understanding of it rather taken for granted. Acid-base
Mandelate Racemase(by G L Kenyon and G D Hegeman). This system balance in blood, and renal (and perhaps pulmonary) compensation
has certainly done some milage! When Stanier studied mandelate would have been useful here. I found Section 3 on biochemical techniques
metabolism by 'simultaneous adaptation' in the 1950s, one never thought rather a curious mixture of questions, several of which I felt could have
that mandelate racemase would still be the subject of intensive been omitted. Interpretation of data is a good way of ensuring that the
investigation over twenty years later. But here it is, still going strong, basic concepts underlying a technique are understood, and five of the
with physical characterization, amino acid composition, cofactor questions are of this sort. But why does the scale of absorbance in the
requirements, kinetics, and fascinating work on the exchange of tritium spectrophotometry question assume that there is only one peptide per
(or deuterium) designed to ascertain whether the exchange is intra- or spot (especially when a question just prior to it makes it explicit that this
intermolecular. A detailed reaction mechanism has now been elaborated, need not be true), and do students using this book need to know about
and the enzyme can be affinity labelled with D,g--a-phenylglycidate. It is phosphorimetry, fluorescence spectrometry and NMR? Some of the
of general interest from the point of view of the enzyme mechanisms, and questions could be sacrificed, I think and space is certainly needed later in
a collector's item for members of the 'aromatic degradation' school. the book.
Positional Isotope Exchange Studies of Enzyme Mechanisms (by I A Rose) Section 4 on amino acids, peptides and proteins covers the range from
includes a general, short discussion of isotope exchange in biochemical recall of names and structures to prediction of structure from
and organic reactions, and its relationship to molecular structure and electrophoretic mobility data, and Section 5 on enzymes concentrated
reaction mechanisms. The major part of the article is concerned heavily in Kin, Vm,x and Lineweaver-Burk plots. A little more spread
specifically with reactions of ATP. The scrambling of carboxyl oxygen here into the energetics aspects of metabolic conversions, and more than
and analysis of 1sO distribution in ATP are dealt with, and the chemistry one question on clinical enzymology, would have improved this section. 1
o f ~/-PO 3 transfer from ATP in the glutamine synthetase and carbamyl found more items of concern in Section 6 on fat and carbohydrate
phosphate synthetase reaction is discussed, together with the fate of the metabolism. Two answers state that the pentose phosphate pathway is the
ATP-oxygens during photosynthesis and the action of myosin ATPase. source of NADPH for fatty acid synthesis with no references to malic
Volume 50 of Advances in Enzymology contains a list of chapters and a enzyme, which is misleading, and in Q.56, NAD + is given as the H
complete index of contents from earlier volumes in this series (volumes acceptor when succinate is oxidized to fumarate in the TCA cycle! This
1-149, 1941-79). latter desparately needs an erratum inclusion with the book, preferably in
large, fluorescent type. There were also several questions of the type, 'It is
T A Scott A', "It is B', and 'It is C'; that is, where the correct responses are clearly

BIOCHEMICAL EDUCATION 9(1) 1981


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mutually exclusive If A is True, B or C must be false. There is a steady The discussions that have gone on in recent years (especially m the
scatter of such questions throughout the book and in most, if not all, cases United Kingdom) about the role of the clinical biochemist (or chemical
these could have been replaced by better examples. Often, it would have pathologist) in the teaching of basic Biochemistry to medical students
been better to combine some questions under the heading 'Metabolic should make this book of interest to many basic biochemists at present
Defects' or 'Inborn Errors' where the number of sensible questions which involved in this teaching. Most of the fourteen chapters (eight of single,
could be asked of each was less than five. the rest of dual authorship) contains material pertinent to this task. When
'Nucleotides, Nucleic Acids and Protein Synthesis' rather annoyed me I dipped, at randon, into the contents 1 encountered the following topics:
because it seems to lack the careful preparation which generally low density lipoproteins, 2,3-diphosphoglycerate, creatine kinase (role in
characterized the rest of the book. There were curious questions 'A deoxy the cell), prostatic acid phosphatase, ~/-glutamyl transferse, serum gastrm,
nucleoside molecule must contain one of the four bases that are found in and serum and faecal lysozyme. On several occasions nay dips produced
DNA'. Do synthetic compounds count; is reference being made to reference at chapter endings. This was expected as, collectively, these
d U M P in dTMP synthesis; what is the point of the question? There were account for about one-quarter of the pages. Many aspects of some topics
some repeated questions, eg two about codons in Q.78, two about are covered (ie purification, enzyme kinetics, structure determination,
translation direction in Q.78 and 79 and some in which two questions methods of assay, developments in technique or instruments) as well as
posed as one, eg 'Messenger RNA is read from the 3' to the 5' end, those that can best be described as 'interpretative' in nature, though the
corresponding to the synthesis of protein from the C-terminus towards emphasis varies from chapter to chapter.
the N-terminus'. 1 didn't like the 'trick' of putting p- The first two chapters are on Quality Control, Laboratory Manage-
hydroxyphenylalanine in between 4-hydroxyproline and homoserine in a ment and Reference Values (by Broughton), and on Instrumentation and
question about which amino acids are incorporated into proteins - - Computers (by Pardue and Demming). The remaining chapters are based
what's wrong with hydroxylysine here? on an organ system, a physiological system or a specific disease theme.
The next section 'Lipids and Steroids' consists of three questions - - far Thus, there are chapters on kidney (Wolf), liver and biliary tract (Javitt),
too short to cover adequately the topic. There is no mention of gastrointestinal tract (Forstner), the endocrine system (non-polypeptide
cholesterol synthesis nor any specific questions on side-chain metabolism. hormones by Murphy, and pituitary hormones by Ramachandran and
This might also have been a useful point to deal with membrane Li), plasma lipoproteins (Lewis), plasma proteins (Alper and Davis),
structure. Some reduction in the size of earlier sections was badly needed clinical enzymology (Henderson), topics in diabetes mellitus (Steiner and
to give expansion here. Zinman), genetic disease (Ockerman and Lundblad), cancer (Laurence
In contrast to the last two parts, I liked the next one on 'Body Fluids' in and Neville) and drug monitoring (Pippenger).
which there are plenty of good questions related to clinical tests and The chapters are, of necessity, heterogeneous, not only in length (they
physiological data. However, I couldn't see how the student could infer vary between 14 and 48 pages), but also in style and in approach (some are
that 4 oxygen molecules are bound per haemoglobin molecule from the comprehensive, others are highly selective). One chapter (on Biochemis-
saturation curve given in Q.94. The next section on 'Tissue Biochemi- try of Pituitary Hormones) is well placed there but could also have been
stry' was again generally interesting and expecially useful to medical published, without change, in other than a Clinical Biochemistry text.
students. 'Metabolism applied to Drugs' began with what seemed to me a On the whole the writing is of high quality. Each chapter summarizes the
silly question (Q. 104) which asked whether cyt P45,, was an organel [sic] literature on the subject published in 1978 (at least six chapters contain
or a coloured cell, neither of which seemed appropriate to the standard of references to publications made in that year only, while in the others
the other questions in the book. Q.106 appeared to confuse water- publications from that year dominate). One chapter is exceptional in that
solubility and lack of reabsorption in kidney without the mention of it gives a bibliography with titles of papers rather that a reference list.
membrane carriers. It was not surprising to see a certain amount of overlap between the
The last part of the book, 'Control of Metabolism' was hardly worth content of several chapters. Thus clinical enzymology, appropriately the
the name - - two questions on hormones and one on mitochondrial subject of one chapter, also gets coverage in several others (as enzymatic
compartmentation do not really do the topic justice. abnormalities in renal, hepato-biliary, and gastro-intestinal disease, and in
Viewed over all this book contains quite a lot of good material, albeit in diagnosis and monitoring of cancer). This is required by the breadth of
need of some editing to tighten up several questions. However, the major the subject matter and does not imply repetitiveness. It would have been
criticism 1 would make is its failure to treat adequately certain areas of useful to have more cross-referencing between chapters, but the detailed
biochemistry of especial interest to the medical student, namely control of list of chapter contents and the index partly make up for this.
metabolism at the whole body level, including hormonal control; A uniform terminology and a list of abbreviations could be considered
membranes and transport mechanisms; and muscle structure and for future volumes. Both 3,-glutamyl transpeptidase and "/-glutamyl
metabolism. transferase, and aspartate transaminase and aspartate aminotransferase,
A little more on gas transport and renal control of acid-base balance occur in different chapters and, as separate entries, in the index. Also, the
would also not go amiss. If the medical student market is the chosen one, limitations of the typewriter keyboard in distinguishing various headings
then the book must be more closely tailored to the topics of importance in in various subdivisions of a chapter could be alleviated by additions of a
that market. At present, although a good start in providing a cheap source numbering system. But these are minor points.
of MCQs for these students to use as practise, it will leave gaps in their This volume is well-conceived, well-produced and timely. It augurs
self-assessment; a problem which the Introduction states that the book has well, and sets a high standard, for its successors. In medical school, or
been designed to help overcome J Haywood hospital libraries it will be useful for medical students and for clinicians.
Research workers in several fields will find the critical summaries of
Department of Biochemistry knowledge accumulated in 1978 of value. Clinical biochemists or clinical
University qf Edinburgh chemists will use it in connection with their work. Biochemists who teach
Edinburgh, UK students in the health professions will derive much useful information on
many aspects of their subject, which supply examples of how basic
A n n u a l R e v i e w o f Clinical B i o c h e m i s t r y , biochemistry is applied in the diagnosis and management of disease. I
look forward to future volumes in this series.
Volume 1
Edited b y D M G o l d b e r g . pp 379. J o h n Wiley and Sons, N e w Department of Biochemistry F Vella
York, Chichester, Brisbane, a n d T o r o n t o . 1980. £12 University of Saskatchewan
I S B N 0-471-04036-3 Saskatoon, Canada
This volume introduces a new annual series whose aim is 'to bring Masters Theses in the Pure and A p p l i e d Sciences,
together the professional clinical biochemist and the metabolically- V o l u m e 24
oriented clinician in an enterprise that will chart the important
Edited b y W H Shafer. p p 293. P l e n u m Press, N e w Y o r k and
developments' in Clinical Biochemistry. The contributors have apparent-
ly committed themselves to produce critical summaries of the important L o n d o n . 1980. $75 I S B N 0-306-40698-5
papers in their area of interest for three years so as to ensure continuity Gives the titles of 10,033 theses from 26 Canadian and 215 US universities
and stability in the venture. As befits these aims, the contributors form an (thesis year 1979). The Chemistry and Biochemistry section runs to 27
international team recruited from Canada, United States of America, pages and covers about 540 theses listed alphabetically by university.
England, and Sweden. There is no keyword index.

BIOCHEMICAL EDUCATION 9(1) 1981

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