5.2.3: Liver function Flashcards

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1
Q

What metabolic functions does the liver carry out?

A
  • Control of blood glucose levels, amino acid levels, lipid levels.
  • Synthesis of bile, plasma proteins, cholesterol.
  • Synthesis of red blood cells in the fetus.
  • Storage of vitamins A, D and B12, iron, glycogen.
  • Detoxification of alcohol, drugs
  • breakdown of hormones
  • destruction of red blood cells.
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2
Q

What does the liver store sugar as?

A
  • the liver stores sugar in the form of glycogen.

- It is able to store approximately 100-120g of glycogen which makes up about 8% of the fresh weight of the liver.

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3
Q

How is the glycogen stored and used in the liver?

A
  • The glycogen forms granules in the cytoplasm of the hepatocytes.
  • This glycogen can be broken down to release glucose in the blood as required.
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4
Q

Which substances does the liver detoxify?

A
  • Substances that may cause harm.
  • Some compounds like hydrogen peroxide are produces in the body.
  • Others, such as alcohol, may be consumed for health or recreational reasons. e.g. medicines and recreational drugs.
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5
Q

How does the liver detoxify toxins?

A

-Toxins may be rendered harmless by oxidation, reduction, methylation or by combination with another molecule.

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6
Q

Liver cells contain many enzymes that render toxic molecules less toxic, give two examples.

A
  • Catalase.

- cytochrome P450

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7
Q

What does catalase do?

A

-Converts hydrogen peroxide to oxygen and water.

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8
Q

-Catalase has a particularly high turnover number of five million. What does this refer to?

A

-The number of molecules of hydrogen peroxide that that one molecule of catalase can render harmless in one second.

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9
Q

What is Cytochrome P450?

A
  • A group of enzymes used to break down drugs including cocaine and various medicinal drugs.
  • The cytochromes are also used in other metabolic reactions such as electron transport during respiration.
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10
Q

Why does the cytochrome P450’s role in metabolising drugs cause unwanted side effects of some medicinal drugs?

A

Their role in metabolising drugs can interfere with other metabolic roles and cause unwanted side effects of some medicinal drugs.

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11
Q

Alcohol or ethanol is a drug that depresses nerve activity. How can it be used in respiration?

A

-Alcohol contains chemical potential energy which can be used for respiration.

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12
Q

Describe the steps in the detoxification of alcohol.

A

-Alcohol is broken down by the hepatocytes by the action of the enzyme ethanol dehydrogenase.
-The resulting compound is ethanal.
-This is dehydrogenated further by the enzyme ethanal dehydrogenase.
The final compound produced is ethanoate (acetate). -This acetate combines with coenzyme A, which enters the process of aerobic respiration.
-The hydrogen atoms released from alcohol are combined with another coenzyme called NAD to form reduced NAD.

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13
Q

What is ‘fatty liver’ disease?

A
  • NAD is also required to oxidise and breakdown fatty acids for use in respiration.
  • If the liver has to detoxify too much alcohol, it uses up its stores of NAD and has insufficient left to deal with the fatty acids.
  • These fatty acids are then converted back to lipids and stored as fat in the hepatocytes, causing the liver to become enlarged.
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14
Q

What can ‘fatty liver’ cause?

A

-Alcohol-related hepatitis or cirrhosis.

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15
Q

Why can we not store excess amino acids?

A

-Because the amino groups make them toxic. t

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16
Q

Why would it be wasteful to excrete the whole amino acid molecule?

A

The amino acid molecules contain a lot of energy.

17
Q

What happens to excess amino acids?

A
  • Excess amino acids undergo treatment in the liver to remove and excrete the amino component.
  • This treatment consists of two processes: deamination followed by the ornithine cycle.
18
Q

What does the process od deamination do?

A

-Removes the amino group and produces ammonia.

19
Q

Why must ammonia not be allowed to accumulate?

A

-Ammonia is very soluble and highly toxic.

20
Q

What is produced in deamination apart from ammonia?

A

-Deamination also produces an organic compound (a keto acid) which can enter respiration directly to release its energy.

21
Q

Why must ammonia be converted into a less toxic form very quickly?

A

Because ammonia is so soluble and toxic.

22
Q

Describe the ornithine cycle.

A
  • The ammonia is combined with carbon dioxide to produce urea.
  • This occurs in the ornithine cycle.
  • Ammonia and carbon dioxide combine with the amino acid ornithine to produce citrulline.
  • This is converted to arginine by addition to further ammonia.
  • The arginine is then re-converted to ornithine by the removal of urea.
23
Q

Why is ammonia converted to urea?

A

-Urea is both less soluble and less toxic than ammonia.

24
Q

What happens to the urea next?

A
  • It can be passed back into the blood and transported around the body to the kidneys.
  • In the kidney0,s urea can be safely stored in the bladder until it is released from the body.
25
Q

What is the equation for the ornithine cycle?

A

ammonia + carbon dioxide –> urea + water

2NH3 + CO2 –> CO(NH2)2 +H2O