14 Flashcards

1
Q

whats the central vessel in the liver

A

sinusoid

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2
Q

what branches go into the sinusoid

A

portal vein

CAHA (coeliac axis hepatic artery)

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3
Q

where does the sinusoid empty

A

central vein to vena cava

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4
Q

how does bile duct run in relation to sinusoid

A

opposite direction

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5
Q

what are kupffer cells and where are they found

A
in periphery of sinusoid
immune cells (macrophages)
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6
Q

whats glycogenesis

A

G6P to glycogen

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7
Q

whats glycogenolysis

A

glycogen to glucose

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8
Q

whats gluconeogenesis

A

making glucose from non carbohydrate carbon substances

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9
Q

what are the effects of insulin

A

decreases blood sugar lebel
STOP gluconeogenesis
accelerates glycolysis
SUPPRESSES FAT BREAKDOWN THATS WHY YOURE FAT

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10
Q

whats glycolysis

A

breaking down of glucose to pyruvate and such

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11
Q

what hormone has the opposite effect of insulin

A

glucagon

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12
Q

where is insulin made

A

in islets of pancreas

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13
Q

how can you make non essential aa

A

but TRASNAMINATION reaction in liver

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14
Q

where do transamination reactions take place

A

liver

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15
Q

whats the molecular basis of a transamination reaction

A

moving an aa to a ketoacid using transaminases

ALT and AST are impt to show liver injury

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16
Q

whats the anatagonist reaction to transamination

A

deamination

make a veto acid and a aa using

17
Q

whats an impt byproduct of deamination reaction of glutamic acid

A

ammonia which becomes ammonium.

alpha ketoglutarate which is impt in Krebs cycle.

18
Q

what does plasma contain that serum doesn’t

A

clotting factors.

19
Q

where are clotting factors made

20
Q

what does ammonium get further reduced into

21
Q

what do FA get reduced into

A

acetyl coa

22
Q

what do triglycerides get reduced to

23
Q

whats the pathophysiology of type 1 diabetes

A

insulin inhibits fat metabolism

you have no insulin you need it

24
Q

whats the pathophysiology of type 2 diabetes

A

high glucose levels. imparts glycogen synthesis

inappropriate gluconeogenesis.

25
when does ketogenesis take place
when there no glucose
26
what switches off ketogenesis
insulin
27
what main product do ketone bodies result from
proteins and lipids
28
where does ketogenesis occur
liver
29
what does fat get reduced to
acetyl coA
30
in the brain in what form is fat found
acetylcoa
31
in the liver in what form is fat found
ketonenbody
32
what happens to fat in times of plenty
liver packages it in VLDL
33
when is bile made
when food enters stomach
34
what modified bile
cholangiocytes
35
how much bile is made per day
800 mL
36
what cells secrete bile
hepatocytes
37
whats the composition of bile like
90% water | 10% bile salts
38
what signalling pathway responds to bile salts
FXR
39
which hormone stimulates release of bile
choleocystokinen