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16 - Principles of clinical biochemistry

Keith Wilson
Affiliation:
University of Hertfordshire
John Walker
Affiliation:
University of Hertfordshire
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Summary

PRINCIPLES OF CLINICAL BIOCHEMICAL ANALYSIS

Basis of analysis of body fluids for diagnostic, prognostic and monitoring purposes

Underlying most human diseases is a change in the amount or function of one or more proteins that in turn triggers changes in cellular, tissue or organ function. The dysfunction is commonly characterised by a significant change in the biochemical profile of body fluids. The application of quantitative analytical biochemical tests to a large range of biological analytes in body fluids and tissues is a valuable aid to the diagnosis and management of the prevailing disease state. In this section the general biological and analytical principles underlying these tests will be discussed and related to the general principles of quantitative chemical analysis discussed in Section 1.3.

Body fluids such as blood, cerebrospinal fluid and urine in both healthy and diseased states contain a large number of inorganic ions and organic molecules. Whilst the normal biological function of some of these chemical species lies within that fluid, for the majority it does not. The presence of this latter group of chemical species within the fluid is due to the fact that normal cellular secretory mechanisms and the temporal synthesis and turnover of individual cells and their organelles within the major organs of the body, both result in the release of cell components, particularly those located in the cytoplasm, into the surrounding extracellular fluid and eventually into the blood circulatory system.

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Publisher: Cambridge University Press
Print publication year: 2010

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References

Saunders, G. C. and Parkes, H. C. (1999). Analytical Molecular Biology. Teddington: LGC. (Contains an excellent chapter on quality in the molecular biology laboratory.)Google Scholar
Beckett, G. I., Walker, S. W., Rae, P. and Ashby, P. (2005). Lecture Notes on Clinical Biochemistry, 6th edn. Oxford: Blackwell Science. (An excellent reference text for all aspects of clinical biochemistry.)Google Scholar
Bruns, D. E. and Ashwood, E. R. (2007). Tietz Fundementals of Clinical Chemistry, 6th edn. Philadelphia: W. B. Saunders. (A comprehensive coverage of the principles and practice of clinical biochemistry.)Google Scholar
Jones, R. and Payne, B. (1997). Clinical Investigation and Statistics in Laboratory Medicine. London: ACB Ventures. (Written specifically for analytical studies in clinical biochemistry.)Google Scholar
Blau, N., Duran, M., Blaskovics, M. E. and Gibson, K. M. (eds.) (2003). Physician's Guide to the Laboratory Diagnosis of Metabolic Diseases, 2nd edn. Berlin: Springer-Verlag.CrossRefGoogle Scholar
Chace, D. H. and Kalas, T. A. (2005). A biochemical perspective on the use of tandem mass spectrometry for newborn screening and clinical testing. Clinical Biochemistry, 38, 296–309.CrossRefGoogle ScholarPubMed

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