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Essential Guide to Reading Biomedical Papers: Recognising and Interpreting Best Practice is an indispensable companion to the biomedical literature. This concise, easy-to-follow text gives an insight into core techniques and practices in biomedical research and how, when and why a technique should be used and presented in the literature. Readers are alerted to common failures and misinterpretations that may evade peer review and are equipped with the judgment necessary to be properly critical of the findings claimed by research articles. This unique book will be an invaluable resource for students, technicians and researchers in all areas of biomedicine. * Allows the reader to develop the necessary skills to properly evaluate research articles * Coverage of over 30 commonly-used techniques in the biomedical sciences * Global approach and application, with contributions from leading experts in diverse fields
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Contents
Cover
Title Page
Copyright
List of Contributors
Foreword
Preface
Aims of Each Primer
Acknowledgements
Introduction
Section A: Basic principles
Chapter 1: Philosophy of Science
1.1 What is Science?
Further Reading
Chapter 2: Ingredients of Experimental Design
2.1 Is the Study Experimental?
2.2 Is the Study Properly Replicated?
2.3 How are the Experimental Units Allocated to Treatments?
2.4 Are Controls Present and Appropriate?
2.5 How Appropriate are Manipulations and Measures as Tests of the Hypothesis?
2.6 Final Words
Further Reading
Chapter 3: Statistics: A Journey that Needs a Guide
3.1 Is the Design Suitable?
3.2 How are the Data Presented: Is their Nature Evident?
3.3 Proving an Effect: do the Authors Make Proper use of their Statistical Analysis?
3.4 Is the Experiment Designed Properly?
3.5 How Many Groups are Being Compared?
3.6 Does the Study Relate to Rare Events?
3.7 What are the Data, and How are they Distributed?
Further Reading
Answers to the Question Posed in Section 3.3 Above
Section B: Cell and Molecular
Chapter 4: Organ Bath Pharmacology
4.1 Basic ‘how-to-do’ and ‘why-do’ Section
4.2 The Apparatus
4.3 Required Controls and Limitations
4.4 Experimental Design
4.5 Common Problems and Pitfalls in Execution or Interpretation
Further Reading and Resources
Chapter 5: Small Vessel Myography
5.1 Basic ‘how-to-do’ and ‘why-do’ Section
5.2 Required Controls
5.3 Common Problems and Errors in the Literature
5.4 Complimentary and/or Adjunct Techniques
Further Reading and Resources
Chapter 6: Mammalian Cell Cultures: The Example of Airway Epithelial Cell Cultures for Cystic Fibrosis Research
6.1 Basic ‘how-to-do’ and ‘why-do’ Section
6.2 Required Controls and Common Problems and Pitfalls in Execution or Interpretation of in vitro Experiments
Further Reading and Resources
Literature Cited
Chapter 7: Electron Microscopy (TEM and SEM)
7.1 Basic ‘how-to-do’ and ‘why-do’ Section
7.2 Common Problems or Errors in Literature
7.3 Complementary and/or Adjunct Techniques
Further Reading and Resources (Biological EM only)
Chapter 8: Fluorescence Microscopy
8.1 Basic ‘how-to-do’ and ‘why-do’ Section
8.2 Required Controls
8.3 Common Problems and Pitfalls in Execution or Interpretation
Further reading and resources
Chapter 9: Intracellular ‘Sharp’ Microelectrode Recording
9.1 Basic ‘how-to-do’ and ‘why-do’ Section
9.2 Required Controls
9.3 Problems and Pitfalls in Interpretation and Execution
9.4 Complementary and/or Adjunct Techniques:
Further Reading and Resources
Chapter 10: Single electrode voltage-clamp (SEVC)
10.1 Basic ‘how-to-do’ and ‘why-do’ Section
10.2 Pitfalls
10.3 Alternative Techniques
10.4 Comparison between Sharp Microelectrode versus Patch Electrode Recordings
10.5 Issues in the Literature
10.6 Complementary and/or Adjunct Techniques
Further Reading and Resources
Chapter 11: Patch Clamp Recording
11.1 Basic ‘how-to-do’ and ‘why-do’ Section
11.2 Patch Recording Configurations
11.3 Required Controls
11.4 Pitfalls in Execution or Interpretation
11.5 Complementary and/or Adjunct Techniques
Further Reading and Resources
Chapter 12: Production of Antibodies
12.1 Basic ‘how-to-do’ and ‘why-do’ Section
12.2 Primary Antibodies
12.3 Secondary Antibodies
12.4 Choice of Antigens for Antibody Preparation; Their Advantages and Limitations
12.5 Purification of Antibodies
12.6 Required Controls
12.7 Common Problems and Pitfalls in Execution or Interpretation
12.8 Complementary Techniques
Cited Work, Further Reading and Resources
Chapter 13: Immunocytochemistry and Immunohistochemistry
13.1 Basic ‘how-to-do’ and ‘why-do’ Section
13.2 Basic Procedures
13.3 General Considerations
13.4 Required Controls
13.5 Common Problems and Pitfalls in Execution or Interpretation
13.6 Complementary Techniques
Cited Work, Further Reading and Resources
Chapter 14: Immunoprecipitation (IP)
14.1 Basic ‘how-to-do’ and ‘why-do’ Section
14.2 Required Controls
14.3 Common Problems and Pitfalls in Execution or Interpretation
14.4 Complementary and/or Adjunct Techniques
Further Reading and Resources
Chapter 15: Immunoblotting (Western)
15.1 Basic ‘how-to-do’ and ‘why-do’ Section
15.2 Required Controls
15.3 Common Problems and Pitfalls in Execution or Interpretation
15.4 Complementary Techniques
Further Reading and Resources
Chapter 16: Applications of Green Fluorescent Protein (GFP)
16.1 Basic ‘how-to-do’ and ‘why-do’ Section
16.2 Required Controls
16.3 Common Problems and Pitfalls in Execution or Interpretation
16.4 Complementary Techniques
Further Reading and Resources
Chapter 17: Fluorescent Measurement of Ion Activity in Cells
17.1 Basic ‘how-to-do’ and ‘why-do’ Section
17.2 Methodology for Measuring ion Concentrations
17.3 Required Controls and Problems or Errors in Literature
17.4 Molecular Techniques
17.5 Complementary and/or Adjunct Techniques
Further Reading and Resources
Chapter 18: Detection of Exocytosis – Real Time
18.1 Basic ‘how-to-do’ and ‘why-do’ Section
18.2 Common Pitfalls in Execution or Interpretation and Required Controls
18.3 Complementary and/or Adjunct Techniques
Further Reading and Resources
Chapter 19: Viral Vector Transgenesis
19.1 Basic ‘how-to-do’ and ‘why-do’ Section
19.2 Common Pitfalls in Execution or Interpretation & Required Controls
19.3 Complementary and/or Adjunct Techniques
Further Reading and Resources
Chapter 20: Polymerase Chain Reaction (PCR) and Reverse Transcription (RT)-PCR
20.1 Basic ‘how-to-do’ and ‘why-do’ Section
20.2 Required Controls
20.3 Common Problems and Pitfalls
20.4 Complementary Techniques
Further Reading and References
Chapter 21: In Situ Hybridisation (ISH)
21.1 Basic ‘how-to-do’ and ‘why-do’ Section
21.2 Required Controls
21.3 Common Problems and Pitfalls in Execution or Interpretation
21.4 Complementary and/or Adjunct Techniques
Further Reading and Resources
Chapter 22: Methods of Interference (Antisense, siRNAs and Dominant Negative Mutations)
22.1 Basic ‘how-to-do’ and ‘why-do’ Section
22.2 Types of Interference
22.3 Required Controls and Problems or Errors in Literature
22.4 Common Problems and Pitfalls in Execution or Interpretation
22.5 Complementary and/or Adjunct Techniques
Further Reading and Resources
Chapter 23: Transcriptome Analysis: Microarrays
23.1 Basic ‘how-to-do’ and ‘why-do’ Section
23.2 Required Controls
23.3 Common Problems or Errors in Literature
23.4 Complementary and/or Adjunct Techniques
Further Reading, Resources and References
Chapter 24: Experimental Proteomics
24.1 Basic ‘how-to-do’ and ‘why-do’ Section
24.2 Important Considerations
24.3 Required Controls
24.4 Common Problem or Errors in Literature and Pitfalls in Execution or Interpretation
24.5 Complementary Techniques
Acknowledgements
Further Reading and Resources
Section C: In vivo / Integrative
Chapter 25: Behavioural Methodology
25.1 Basic ‘how-to-do’ and ‘why-do’ Section
25.2 Animal Models and Behavioural Testing
25.3 Required Controls (and issues of experimental design)
25.4 Pitfalls in Execution or Interpretation
Further Reading and Resources
Chapter 26: Genetically Modified Mouse Models
26.1 Basic ‘how-to-do’ and ‘why-do’ Section
26.2 Required Controls, Common Errors and Pitfalls
26.3 Complementary and/or Adjunct Techniques
Further Reading and Resources
Chapter 27: Wireless Recording of Cardiovascular Signals
27.1 Basic ‘how-to-do’ and ‘why-do’ Section
27.2 Required Controls
27.3 Common Problems/Pitfalls in Execution or Interpretation
27.4 Complementary and/or Adjunct Techniques
Further Reading, References and Resources
Chapter 28: Electrical Stimulation Methods
28.1 Basic ‘how-to-do’ and ‘why-do’ Section
28.2 Required Controls
28.3 Common Problems and Pitfalls in the Interpretation and Execution
28.4 Complementary and/or Adjunct Techniques
Further Reading and Resources
Chapter 29: Extracellular Recording
29.1 Basic ‘how-to-do’ and ‘why-do’ Section
29.2 Required Controls
29.3 Common Problems and Pitfalls in the Interpretation and Execution
29.4 Complementary and/or Adjunct Techniques
Further Reading and Resources
Chapter 30: Antidromic Identification
30.1 Basic ‘how-to-do’ and ‘why-do’ Section
30.2 Required Controls
30.3 Common Problems and Pitfalls in the Interpretation and Execution
30.4 Complementary and/or Adjunct Techniques
Further Reading and Resources
Chapter 31: Event-Triggered Averaging, Including Spike-Triggered Averaging
31.1 Basic ‘how-to-do’ and ‘why-do’ Section
31.2 Pitfalls in Execution or Interpretation
31.3 Complementary and/or Adjunct Techniques
Further Reading and Resources
Chapter 32: Axonal Transport Tracing of CNS Pathways
32.1 Basic ‘how-to-do’ and ‘why-do’ Section
32.2 Required Controls
32.3 Common Problems and Pitfalls in Execution or Interpretation
32.4 Complementary and/or Adjunct Techniques
Further Reading and Resources
Chapter 33: Cardiovascular Methods: General Considerations for Human Studies
33.1 Basic ‘how-to-do’ and ‘why-do’ Section
33.2 Required Controls
33.3 Common Problems or Errors in Literature and Pitfalls in Execution or Interpretation
33.4 Complementary and/or adjunct techniques
Further Reading and Resources
Chapter 34: Measuring Cardiac Output in Humans
34.1 Basic ‘how-to-do’ and ‘why-do’ Section
34.2 Measurement of Cardiac Output by Dilution (Category A Methods)
34.3 Non-Invasive Cardiac Output (Category B Methods)
34.4 Complementary and/or Adjunct Techniques:
Further Reading and Resources
Chapter 35: Measuring Peripheral Blood Flow in Humans
35.1 Basic ‘how-to-do’ and ‘why-do’ Section
35.2 Venous Occlusion Plethysmography
35.3 Ultrasound-Based Methods of Blood Flow
35.4 Complementary and/or Adjunct Techniques
Further Reading and Resources
Index
Companion Website
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Library of Congress Cataloging-in-Publication Data
Essential Guide to Reading Biomedical Papers:
Recognising and Interpreting Best Practice / editor, Phil Langton.
p. ; cm.
Includes bibliographical references and index.
ISBN 978-1-119-95996-0 (cloth) – ISBN 978-1-119-95997-7 (pbk.)
I. Langton, Phil.
[DNLM: 1. Biomedical Research–methods. 2. Biological Science Disciplines–education. 3. Research Design. W 20.5]
610.72'4–dc23
2012028144
A catalogue record for this book is available from the British Library.
Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books.
Cover Design: Dan Jubb
List of Contributors
Prof Richard Apps, Physiology & Pharmacology, University of Bristol, UK
Dr Nina Balthasar, Physiology & Pharmacology, University of Bristol, UK
Dr Neil Bannister, Physiology & Pharmacology, University of Bristol, UK
Prof David Bates, Physiology & Pharmacology, University of Bristol, UK
Dr Harold A. Coleman, Physiology, Monash University, Australia
Dr Nick Colegrave, School of Biological Sciences, University of Edinburgh, UK
Dr John Crabtree, Physiology & Pharmacology, University of Bristol, UK
Dr Lucy F. Donaldson, Physiology & Pharmacology, University of Bristol, UK
Dr Gordon Drummond, Anaesthesia and Pain Medicine, Royal Infirmary, Edinburgh, UK
Dr Allison Fulford, Centre for Comparative and Clinical Anatomy, University of Bristol, UK
Dr Ingeborg Hers, Physiology & Pharmacology, University of Bristol, UK
Dr Charles Hindmarch, Clinical Sciences, University of Bristol, UK
Dr Mark Jepson, Physiology & Pharmacology, University of Bristol, UK
Prof Michael J. Joyner, Anesthesia Research, Mayo Clinic, Minnesota, USA
Dr Tomoko Kamishima, Cellular and Molecular Physiology, University of Liverpool, UK
Dr Helen Kennedy, Physiology & Pharmacology, University of Bristol, UK
Prof James Ladyman, Philosophy, University of Bristol, UK
Dr Phil Langton, Physiology & Pharmacology, University of Bristol, UK
Dr Thierry Le Bihan, School of Biological Sciences, University of Edinburgh, UK
Dr Fiona D. Mcbryde, Physiology & Pharmacology, University of Bristol, UK
Prof Elek Molnár, Physiology & Pharmacology, University of Bristol, UK
Dr Samatha F. Moore, Physiology & Pharmacology, University of Bristol, UK
Prof Helena C. Parkington, Physiology, Monash University, Australia
Prof Julian FR Paton, Physiology & Pharmacology, University of Bristol, UK
Dr John M. Quayle, Physiology & Pharmacology, University of Liverpool, UK
Dr Scott H. Randell, Cell and Molecular Physiology, University of North Carolina at Chapel Hill, USA
Dr Emma Robinson, Physiology & Pharmacology, University of Bristol, UK
Dr Joshua S. Savage, Physiology & Pharmacology, University of Bristol, UK
Dr Anja Teschemacher, Physiology & Pharmacology, University of Bristol, UK
Dr Paul Verkade, Wolfson Bioimaging Facility, Physiology & Pharmacology and Biochemistry, University of Bristol, UK
Dr Jon Wakerley, Centre for Comparative and Clinical Anatomy, University of Bristol, UK
Dr Erica A. Wehrwein, Physiology, Mayo Clinic, Minnesota, USA
Foreword
Biological research is an experimental science in which the testing of hypotheses through experiments generates knowledge and ultimately, understanding. However, while the construction of a hypothesis is open to the imagination, the experiments that produce the data to be analysed in the light of the hypothesis are only useful if they are reliable, accurate, reproducible, and come from carefully designed and controlled experiments. In the acquisition of data, therefore, there is no room for the imagination and even less for wishful thinking – the vice that reads the data to fit the hypothesis and not the other way around. Therefore, although it is true that a hypothesis guides the gathering of information, the primacy of the data is obvious since without them all hypotheses remain in the “to be done” drawer.
Biological research nowadays can be approached using a variety of techniques, the majority of which have been developed in the last 50–60 years. The power of these new techniques is such that biologists often forget two fundamental things, (1) that the usefulness of the technique does not lie so much in its intrinsic power but in the way it is applied to a biological question and (2) that all techniques have been designed for a specific purpose and therefore have limitations. There is not a single technique that can inform us about the whole of a biological problem and therefore it is advisable, wherever possible, to use more than one complementary technique.
These are the reasons why the present book by Langton and colleagues is so important. It is not merely about techniques; it puts techniques into context – their potential, their limitations and possible pitfalls. This is accompanied by useful primers on the philosophy of science, on experimental design and on statistics. As such, this volume will undoubtedly be of great interest and value, not only to the novice scientist but also to the experienced investigator and mentor.
I highly recommend this book to all practitioners of biological research.
Professor Sir Salvador Moncada
FMedSci, FRS
27th July, 2012
Preface
Imagine you are interested in buying a used car. Are you likely to be entirely trusting of the person selling the vehicle? Will you accept everything they tell you without question and without evidence? I suspect not. I suspect that you will have a healthy scepticism. The seller wants your money and it is your responsibility to ensure that you are satisfied with the trade – hence the phrase ‘caveat emptor’, which means ‘let the buyer beware’.
I would argue that you should regard journal articles with the same healthy scepticism, but I imagine your reaction to this is either disbelief or a mixture of confusion and panic. If you are sceptical, good! I need to provide evidence for my argument. If you are confused, let me explain.
How is a journal article like a used car? It is easier to consider how the seller equates to the author(s) of a journal article. The seller wishes to get the best price and is unlikely to point out defects and flaws; certainly not with the same enthusiasm as they have for the plus points. The authors of a journal article are also selling something – their interpretation of their experiments, including their underlying assumptions. It is hugely important that the authors win the reader's confidence; that they convince you that their work is showing true facts (see Primer 1 for an expansion of this idea). Science is big business and careers depend on how widely and how securely the views of the authors are endorsed by the scientific community. In some ways, it is possible to regard journal articles as advertisements for a particular doctrine.
Some of you will have picked up a counter-argument in the shape of the peer-review process. Good for you, you are reading with scepticism. Surely the peer-review process means the reader can have confidence that an article in a peer-reviewed journal is accurate and true – at least at the time it was published? Sadly, this would not be a safe assumption. Though it is arguably the best system we have to ensure the quality and validity of what is published, peer-review is very far from perfect and even the most prestigious journals make mistakes.
Science makes use of an approach that has become known as the Scientific Method (see Primers 1 and 2). It was developed into something we can recognize today in a process that can be traced back nearly 400 years to a succession of great thinkers and great philosophers. In 1601, Francis Bacon (1561–1626) wrote:
‘Read not to contradict and confute; nor to believe and take for granted; nor to find talk and discourse; but to weigh and consider.’
From Bacon's essay of Studies (published in full in 1Madden, 2007).
It is too easy to read and simply accept as facts those things that are offered as such. It is highly likely that excellence in your written work, which relies upon your interpretation of the academic literature, will be judged on your ability be demonstrate that you are ‘critical of what you read’.
Unless you have knowledge of the experimental techniques used in a study, however, you will find it difficult to discriminate between studies that are well designed and/or controlled and those that are not, and you will find it hard to be critical. Therefore, in essence, each primer in this book is intended to provide you with the means to be critical about studies described in journal articles.
It is important that you are aware of the aims of these primers. Each one is designed to:
However, they are not:
I want to end this preface with another quotation from Francis Bacon:
“If a man will begin with certainties, he shall end in doubts; but if he will be content to begin with doubts, he shall end in certainties.”
From Bacon's 2The Advancement of Learning (1605) book 1, primer 5, section 8
What I take from this quotation is that it is not healthy for scientists to believe too fiercely in what appears today to be true. We must be prepared to question anything; there should be no 3dogma in science, because our current understanding reflects a continuum beginning with the tentative ‘more probable than not’ and moving to greater and greater probability of being accurate or true – but never reaching certainty. Ultimately, nothing is ever proved.
Phil Langton
Notes
1. Madden, P. (Ed., 2007). Quotidiana (http://essays.quotidiana.org/bacon/studies/). Accessed 22 Apr 2012.
2. Available from: www.lifesmith.com/Berkeley%20Teaching/The%20Oxford%20Dictionary%20Of%20Quotations.pdf; accessed 22nd April, 2012.
3.Dogma – ‘a principle or set of principles laid down by an authority as incontrovertibly true’. Source: Oxford Dictionaries.
Acknowledgements
This book can trace its origins back to about 10 years, to learning and teaching resources for undergraduate students studying anatomy, neuroscience or physiological science at the University of Bristol and this explains in large part why Bristol academics are involved with the majority of the primers you will find listed. The aim for the book is simple, as it was for the original resource; to communicate some of the practical wisdom that can only come with years of experience and scholarship in laboratory research. It does not pretend to make the reader an expert or to train the reader to use these research techniques but it does provide insight into the assumptions and issues that can lie beneath the surface of seemingly transparent and persuasive research reports. In editing the book, I have been surprised on a daily basis by the scope and significance of the aspects highlighted by my colleagues. Indeed, I have learned so much that I would now view with extreme scepticism the claim that one can read contemporary research reports without, as minimum, the sort of insight that this book aims to provide.
The original resource would not have been possible without the enthusiastic support of my colleagues in the University of Bristol and it is to them that I am most deeply grateful. I wish also to thank the team at Wiley-Blackwell who saw the potential for a book and the independent reviewers who reacted so positively to the preliminary outline and example primers. The first edition required a significant expansion from the original resource and had involved a large number of people from Universities in the United Kingdom, Australia and North America to whom I am enormously and sincerely grateful.
I wish to express my gratitude to the University of Bristol for its encouragement of excellence in learning and teaching as well as excellence in research. For some time the prevailing wind within UK HE has benefitted a focus on research above all else and yet Bristol has striven consistently to promote the interests of its students and the education they receive. This book reflects the ethos of enquiry and excellence that is so typical of the University of Bristol.
I need to acknowledge the support (and patience) of my partner, Rosie, without whom this project would have failed. Finally, I gratefully acknowledge my parents who taught me to respect the potential in dedication and hard work and the value of integrity; attributes that no research scientist should ignore. Lastly to Alice, Polly and Jess who just wanted to see their names in print.
Dr Phil Langton
August, 2012
Introduction
Phil Langton
This introduction explains the structure of most of this publication (Primers 4 to 35). The first three primers escape this structure, as their aim is different. These first three primers cover:
These are topics of fundamental importance in science. Reading these first will allow maximum benefit from the other primers and indeed from every journal article you read in future. Switch on your scepticism!
As Claude Bernard said in his 1textbook, “L'expérimentateur doit douter, fuir les idées fixes et garder toujours sa liberté d'esprit”, which means “the investigator should doubt, avoid preconceptions, and always keep an open mind”
Primers 4 to 35 will have the following structure:
Basic ‘how-to-do’ and ‘why-do’ sectionNotes
1. ‘Introduction à l'étude de la médecine expérimentale’, 1865.
2.Primer: a book (or text) that covers the basic elements of a subject. Source: OED.
Section A
Basic Principles
Chapter 1
Philosophy of Science
James Ladyman
Philosophy, University of Bristol, UK
Dictionary definitions speak of a systematic body of knowledge, and the word ‘science’ comes from the Latin word for knowledge. However, not any old collection of facts – even one that is organized – constitutes a science. For example, an alphabetical list of all the words that are used in this book and all the others published on the same day would make no contribution to scientific knowledge. Something else is needed, and there are two obvious supplements to what has been said so far:
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