Biochemistry of Liver Flashcards

1
Q

Glucose

A
  • Each day ~160 g of glucose is oxidised where 75% is consumed by the brain alone
  • Rapid and dramatic falls in blood glucose can lead to acute neuroglycopaenia
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2
Q

Glycogenesis

A

Formation of glycogen from glucose

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3
Q

Regulation of Glycogenesis

A

Glycogen Synthase
- Glucagon stimulates the phosphorylation of the serines resulting in the formation of GS-b
- Insulin activates protein kinases which phosphorylate and inactive GSK promoting the formation of GS-a
- Glucose-6-phosphate allosterically enhance the action of PP1

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4
Q

Glycogenolysis

A

It would be disadvantageous for synthesis and degradation of glycogen to occur simultaneously => Therefore same cAMP cascade which inhibits glycogen synthesis stimulates glycogenolysis
- Enzyme breaks 1,6 alpha linkage

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5
Q

Gluconeogenesis

A

Synthesis of glucose from non-carbohydrate precursors:
- Glycerol, lactate, amino acids
High endogenic
1) Oxaloacetate formation in mitochondria
2) Converted into malate / PEP and transported into cytosol
3) The next few steps of the reaction the reverse of glycolysis
4) Fructose 1,6-bisphosphate is converted to fructose 6-phosphate by fructose 1,6-bisphosphatase
5) Glucose-6-phosphate is hydrolysed by glucose-6-phosphatase to produce glucose

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6
Q

AA Catabolism

A

Transamination and deamination

By product (NH4+) detoxified in urea cycle

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7
Q

Non-essential AA synthesis

A
  • Synthesized by body, essential obtained from diet
  • Often catalysed by transaminases (or aminotransferases)
  • Formed from 3-phosphoglycerate, pyruvate, oxaloacetate and α-ketoglutarate
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8
Q

Lipid Metabolism

A

Acetyl - CoA:
- FA synthesis => triglyceride formation, Synthesis of cholesterol, phospholipids and lipoproteins

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9
Q

FA Synthesis

A
  • synthesised from glucose derived acetyl-CoA
  • When glucose is plentiful, acetyl-CoA is sufficient for the TCA cycle
  • Citrate is transported out of the mitochondria and converted to acetyl-CoA and oxaloacetate by citrate lyase
  • Acetyl-CoA remains in the cytosol and is available for fatty acid synthesis
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10
Q

Desaturation

A
  • Caused by fatty acyl-coA desaturases
  • In SER
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11
Q

Enzymes in formation and breakdown of FA

A

Acetyl-CoA + ATP + HCO3- Malonyl-CoA + ADP

  • Regulates breakdown of FA#

FA synthetase

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12
Q

Ketogenesis

A

Ketone bodies are produced by the breakdown of fatty acids and ketogenic amino acids:
- Acetone, acetoacetate. b-hydroxybutyrate

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13
Q

Ketogenesis Regulation

A

1) Lipolysis in the adipose tissue (induced by glucagon)
2) Activity of carnitine palmitoyltransferase I (CPT-1)
3) Fate of Acetyl-CoA – determined by the concentration of OAA

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14
Q

Urea Synthesis

A

1) Transamination to Glutamate
2) Deamination (glutamate dehydrogenase)
3) NH3 produced rapidly removed by the liver and converted to urea

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15
Q

Detoxification

A

Ornithine Cycle
- Urea excreted by kidneys
- Some diffuse into intestine

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16
Q

Detoxification - Drugs + Poisons

A

Xenobiotics = Substances not normally present in body
- Liver is responsible for neutralizing xenobiotics – modifying chemical constitution

The overall effect of the Phase I and Phase II reactions are to:
- Increase acidity (lower pKa)
- Increase solubility
- Decrease the toxicity

17
Q

Phase 1 Reactions

A
  • CYP => Haem-containing enzymes
  • CYP enzymes in phase I reactions are often oxidases or hydrolases
  • Cytochrome p450
18
Q

Phase 2 Reactions

A

Conjugation is achieved via specific transferases
- Conjugation can also be brought about by sulfotransferases (SULTs) and glutathione-S-transferases (GSTs)
- SULTs are important in steroid hormone and catecholamine metabolism

-Glucuronidation is the most important Phase II reaction
- Hepatic isoenzymes involved in glucuronidation are known collectively as UDP-glucuronosyl transferases (UGTs

19
Q

Alcohol Metabolism

A

Alcohol is readily absorbed from the gastrointestinal tract, transported to the liver via the hepatic portal vein
Proceeds by 2 major pathways:
- Alcohol dehydrogenase (ADH) system
- Microsomal ethanol oxidizing system (MEOS)

20
Q

Asian Flush Syndrome

A

Alcohol ==(ADH)==> Acetaldehyde ==(ALDH)==> Acetate

Due to genotype

21
Q

Negative effects of alcohol consumption

A
  • Excess NADH generated, Reduction in the availability of NAD
  • Increased free radicals
  • Increased acetaldehyde
    Alcoholic liver disease:
  • hepatitis
  • cirrhosis