USMLE - Chapter 1 - Biochemistry
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Chromatin Structure Overview to Histone Deacetylation6Topics
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Nucleoside and Nucleotide Basics to Base Pairing and DNA Stability5Topics
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Introduction to Nucleotide Synthesis Inhibition to Broad-Spectrum Inhibitors and CPS Enzymes5Topics
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Purine Metabolism and Salvage Pathways to Genetic Code: Commaless and Universal6Topics
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DNA Replication Basics to Detailed Lagging Strand Synthesis7Topics
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DNA Repair: Nonhomologous End Joining to DNA Repair: Mismatch Repair5Topics
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Introns vs Exons: Basic Definitions to Visualizing Alternative Splicing and Protein Diversity4Topics
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tRNA Structure Overview to mRNA Stop Codons6Topics
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Introduction to DNA Mutations to Lac Operon Gene Expression States8Topics
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Cilia Structure: Motile Cilia and Basal Body to K+ Pump Inhibition6Topics
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Page 1 — Eukaryotic Gene Overview to Page 1 — RNA Processing: Splicing & Fate8Topics
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Osteogenesis Imperfecta: Genetic Basis to Menkes Disease6Topics
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Eukaryotic RNA Polymerases: Types to Splicing Diagram: Lariat & Mature mRNA7Topics
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Flow Cytometry: Basics and Applications to ELISA: Principle and Uses4Topics
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Protein Synthesis: Initiation Phase to Posttranslational Modifications: Chaperone Proteins6Topics
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Karyotyping: Principles and Applications to Molecular Cloning: Process and Applications4Topics
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Cell Cycle Phases and Regulation to p53 and Apoptosis Induction7Topics
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Introduction to Imprinting Disorders to Visualizing Normal vs. Mutated Chromosomes6Topics
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Rough Endoplasmic Reticulum Functions to Specific Vesicular Trafficking Proteins7Topics
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Autosomal Dominant Inheritance to Pedigree Chart Symbols6Topics
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Peroxisome Functions to Drugs Affecting Microtubules5Topics
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Polyunsaturated Essential Fatty Acids to Water-Soluble Vitamins: Deficiencies and Coenzyme Functions5Topics
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Collagen Introduction and Type I to Collagen Synthesis: Maturation and Fibril Formation6Topics
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Vitamin B7 (Biotin): Function and Deficiency to Vitamin B9 (Folate): Deficiency, Causes, and Prevention3Topics
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Elastin: Structure and Composition to PCR Cycle: Elongation and Repetition8Topics
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Elastin: Structure and Composition
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Elastin Cross-linking and α1-Antitrypsin Deficiency
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Marfan Syndrome: Genetics and Physical Manifestations
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Marfan Cardiovascular Complications & Homocystinuria Overview
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Differentiating Marfan Syndrome and Homocystinuria
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Introduction to PCR: Amplifying DNA
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PCR Cycle: Denaturation and Annealing
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PCR Cycle: Elongation and Repetition
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Elastin: Structure and Composition
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Ethanol Metabolism Overview to Pharmacological Interventions in Alcohol Metabolism5Topics
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CRISPR to Interpreting Southern Blot Results5Topics
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Key Metabolic Locations to Glucose Breakdown and NADPH Production4Topics
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Transgenic Strategies in Mice to Epistasis and Aneuploidy7Topics
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Pyruvate Dehydrogenase Deficiency to The TCA Cycle (Krebs Cycle)3Topics
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Genetic Terms: Dominant Negative & Linkage Disequilibrium to Conditions for Hardy-Weinberg Equilibrium7Topics
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ETC Overview to Fatty Acids in Gluconeogenesis9Topics
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Autosomal Dominant Disorders to CFTR Channel Function Diagram11Topics
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Autosomal Dominant Disorders
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Autosomal Recessive Disorders
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Cystic Fibrosis: Genetics
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Cystic Fibrosis: CFTR Defect
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CFTR Dysfunction and Mucus Thickening
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Cystic Fibrosis: Diagnosis
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CF Pulmonary Complications
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CF Gastrointestinal and Reproductive Complications
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CF Treatment: Mucus Clearance and Inflammation
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CFTR Modulators in Treatment
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CFTR Channel Function Diagram
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Autosomal Dominant Disorders
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Phenylketonuria: Basic Defect and BH4 Deficiency to Alkaptonuria7Topics
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X-linked Recessive Diseases Introduction to Myotonic Dystrophy6Topics
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Fatty Acid Synthesis Overview to Medium-Chain Acyl-CoA Dehydrogenase Deficiency4Topics
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Mitochondrial Diseases: MELAS & MERRF to Trinucleotide Repeat Diseases: Fragile X & Friedreich Ataxia8Topics
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Mitochondrial Diseases: MELAS & MERRF
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Leber Hereditary Optic Neuropathy
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Rett Syndrome Characteristics
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Fragile X Syndrome: Genetics & Premutation
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Fragile X Syndrome: Full Mutation Features
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Trinucleotide Repeat Diseases: Huntington
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Trinucleotide Repeat Diseases: Myotonic Dystrophy
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Trinucleotide Repeat Diseases: Fragile X & Friedreich Ataxia
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Mitochondrial Diseases: MELAS & MERRF
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Hepatic Ketone Body Synthesis to Adipocyte Metabolism: Fed State4Topics
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Autosomal Trisomies & Down Syndrome Overview to Second Trimester Screening & NIPT8Topics
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Metabolic Fuel Use: Initial Exercise to Starvation After Day 3 and Stored Energy Depletion7Topics
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Metabolic Fuel Use: Initial Exercise
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Metabolic Fuel Use: Longer Exercise and Caloric Values
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Fasting and Starvation: Introduction and Fed State
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Fasting and Starvation: Between Meals
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Starvation Days 1-3: Fuel Shifts
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Starvation Days 1-3: Gluconeogenesis and RBCs
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Starvation After Day 3 and Stored Energy Depletion
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Metabolic Fuel Use: Initial Exercise
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Genetic Disorders: Chromosomes 3-7 to Williams Syndrome6Topics
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Dietary Lipid Absorption and Chylomicron Entry to IDL, LDL Formation, and Uptake4Topics
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Vitamin A: Functions and Forms to Vitamin B1: Beriberi Forms7Topics
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Vitamin B2: Function and Deficiency to Vitamin B6 Deficiency Symptoms7Topics
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Vitamin B12: Name, Function, and Sources to Vitamin C: Excess and Toxicity7Topics
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Vitamin D Introduction and Function to Vitamin E Deficiency and Excess Effects6Topics
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Vitamin K Function to Marasmus: Characteristics and Visuals7Topics
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Enzyme Terminology: Kinase & Phosphorylase to Rate-Determining Enzymes: Lipid Metabolism7Topics
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Enzyme Terminology: Kinase & Phosphorylase
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Enzyme Terminology: Phosphatase, Dehydrogenase, Hydroxylase
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Enzyme Terminology: Carboxylase, Mutase, Synthase/Synthetase
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Rate-Determining Enzymes: Glycolysis, Gluconeogenesis, TCA Cycle
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Rate-Determining Enzymes: Glycogenesis, Glycogenolysis, HMP Shunt
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Rate-Determining Enzymes: Nucleotide Synthesis, Urea Cycle
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Rate-Determining Enzymes: Lipid Metabolism
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Enzyme Terminology: Kinase & Phosphorylase
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ATP Production Pathways to Hexokinase vs Glucokinase: Kinetics & Regulation5Topics
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Glycolysis Net Reaction to PDC: α-Ketoglutarate & Arsenic7Topics
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Introduction to Pentose Phosphate Pathway to G6PD Deficiency: Biochemical Mechanism of Oxidative Stress7Topics
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Essential Fructosuria to Galactose Metabolism Pathway & Summary6Topics
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Sorbitol Pathway and Diabetic Complications to Acidic and Basic Amino Acids6Topics
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Urea Cycle Introduction to Hyperammonemia Treatment5Topics
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Ornithine Transcarbamylase Deficiency to Catecholamine Synthesis and Degradation5Topics
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Homocystinuria: Genetic Causes to Methylmalonic Acidemia: Deficiency & Metabolism6Topics
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Glucagon to Glycogen Disorders and Enzymes6Topics
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Introduction to Glycogen Storage Diseases to McArdle Disease (Type V)6Topics
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Lysosomal Storage Diseases Intro & Tay-Sachs to Lysosomal Storage Disease Pathway6Topics
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Key Enzymes in Lipid Transport - Part 1 to Major Apolipoproteins - Part 25Topics
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Lipoprotein Functions: Chylomicron & VLDL to Familial Dyslipidemias: Dysbetalipoproteinemia & Hypertriglyceridemia5Topics
Genetic Terms: Dominant Negative & Linkage Disequilibrium to Conditions for Hardy-Weinberg Equilibrium
Content August 26, 2025
Dominant Negative Mutation
Exerts a dominant effect. A heterozygote produces a nonfunctional altered protein that also prevents the normal gene product from functioning.
Example: A single mutated p53 tumor suppressor gene results in a protein that is able to bind DNA and block the wild type p53 from binding to the promoter.
Linkage Disequilibrium
Tendency for certain alleles to occur in close proximity on the same chromosome more or less often than expected by chance. Measured in a population, not in a family, and often varies in different populations.
Mosaicism
Presence of genetically distinct cell lines in the same individual.
Somatic mosaicism—mutation arises from mitotic errors after fertilization and propagates through multiple tissues or organs.
Germline (gonadal) mosaicism—mutation only in egg or sperm cells. If parents and relatives do not have the disease, suspect gonadal (or germline) mosaicism.
Example: McCune-Albright Syndrome
Due to Gs-protein activating mutation. Presents with unilateral café-au-lait spots A with ragged edges, polyostotic fibrous dysplasia (bone is replaced by collagen and fibroblasts), and at least one endocrinopathy (eg, precocious puberty). Lethal if mutation occurs before fertilization (affecting all cells), but survivable in patients with mosaicism.
Locus Heterogeneity
Mutations at different loci result in the same disease.
Example: Albinism, retinitis pigmentosa, familial hypercholesterolemia.
Allelic Heterogeneity
Different mutations in the same locus result in the same disease.
Example: β-thalassemia.
Heteroplasmy
Presence of both normal and mutated mtDNA, resulting in variable expression in mitochondrially inherited disease.
Example: mtDNA passed from mother to all children.
Uniparental Disomy
Offspring receives 2 copies of a chromosome from 1 parent and no copies from the other parent.
Heterodisomy (heterozygous) indicates a meiosis I error.
Isodisomy (homozygous) indicates a meiosis II error or postzygotic chromosomal duplication of one of a pair of chromosomes, and loss of the other of the original pair.
Example: Uniparental is euploid (correct number of chromosomes). Most occurrences of uniparental disomy (UPD) → normal phenotype. Consider isodisomy in an individual manifesting a recessive disorder when only one parent is a carrier. Examples: Prader-Willi and Angelman syndromes.
Hardy-Weinberg Population Genetics
If p and q represent the frequencies of the alleles A and a, respectively, in a population, then p + q = 1.
- p² = frequency of homozygosity for allele A
- q² = frequency of homozygosity for allele a
- 2pq = frequency of heterozygosity (carrier frequency, if an autosomal recessive disease)
Therefore, the sum of the frequencies of these genotypes is p² + 2pq + q² = 1.
The frequency of an X-linked recessive disease in males = q and in females = q².
Hardy-Weinberg Law Assumptions
- No mutation occurring at the locus
- Natural selection is not occurring
- Completely random mating
- No net migration
- Large population
If a population is in Hardy-Weinberg equilibrium, then the values of p and q remain constant from generation to generation.
Topics Covered:
- Genetic Terms: Dominant Negative & Linkage Disequilibrium
- Understanding Mosaicism
- McCune-Albright Syndrome as Mosaicism
- Genetic Heterogeneity and Heteroplasmy
- Understanding Uniparental Disomy
- Hardy-Weinberg Principle: Allele and Genotype Frequencies
- Conditions for Hardy-Weinberg Equilibrium