Bilirubin Metabolism (Heme Catabolism) Flashcards
1
Q
Biliverdin to Bilirubin
A
BILIVERDIN REDUCTASE
2
Q
Formation of Bilirubin Diglucoronide
A
bilirubin is conjugated to 2 molecules of GLUCURONIC ACID
BILIRUBIN GLUCURONYLTRANSFERASE - deficient in Crigler Najjar I and II and Gilbert Syndrome
3
Q
Conditions that increase INDIRECT bilirubin
A
Hemolysis Crigler Najar Syndrome Gilbert Syndrome Decrease levels of conjugation enzymes in newborn Hepatic Damage
4
Q
Conditions that INCREASE DIRECT (CONJUGATED) bilirubin
A
Hepatic Damage
Bile Duct Obstruction (clay colored stool)
Dubin Johnson (black pigmentation of the liver)
Rotor Syndrome
5
Q
Chemical method to estimate bilirubin in serum
A
VAN DEN BERGH TEST
reddish purple azopigment is formed
540 nm