D3 Functions of liver Flashcards

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1
Q

what is the movement of blood in liver? (3)

A
  • receives oxygenated blood from hepatic artery (sustains hepatocytes-> liver cells)
  • receives nutrient-rich blood from gut via portal vein
  • deoxygenated blood transported via hepatic vein
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2
Q

what are the function of liver? (4)

A
  • storage and controlled release of key nutrients
  • detoxification of harmful ingested material
  • produce plasma proteins that maintain sustainable osmotic conditions in bloodstream
  • breakdown of red bl0od cells and bile salt production
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3
Q

what is the structure of the liver? (5)

A
  • composed of small histological structures (lobules)
  • each lobule surrounded by branches of hepatic artery (O2) and portal vein (nutrients)
  • vessels into sinusoids (like capillaries) - exchange material directly with hepatocytes
  • sinusoids drain into central vein which feeds deoxygenated blood into hepatic vein
  • hepatocytes produce bile which is transported by canaliculi (vessels) to bile duct which surround lobule
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4
Q

what is the structure of sinusoids? (3)

A
  • increase permeability
  • surround diagram (basement membrane) has discontinuous in sinusoid
  • endothelial layer contains large intercellular gaps and fewer tight junctions (allow passage of larger molecules)
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5
Q

what is carbohydrate metabolism in liver? (4)

A
  • excess glucose in bloodstream is taken up by liver and exported to body tissue
  • when blood glucose level drops, liver breaks down glycogen into glucose and exports to body tissues
  • when hepatic glycogen reserves become exhausted the liver synthesised glucose from other sources (eg fat)
  • metabolic processes are coordinated by pancreatic hormones (insulin and glucagon)
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6
Q

what is protein metabolism in the liver? (5)

A
  • body can’t store amino acids and must be broken down when excess
  • amino acid breakdown release amine group (NH2) - can’t be used by body and toxic
  • liver removes amine group (deamination) and converts into harmless product
  • amine group is converted into urea by liver (excreted within urine by kidneys)
  • liver can synthesise non-essential amino acids from surplus stock (transamination)
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7
Q

what is fat metabolism in the liver? (6)

A
  • liver converts excess carbohydrates and proteins into fatty acids and triglycerides
  • responsible for synthesis of large quantities of phospholipids and cholesterol
  • these are stored by liver or exported to cells
  • LDL transports cholesterol to cells for use n cell membrane and steroid synthesis
  • HDL transports excess cholesterol from cells back to liver
  • surplus cholesterol is converted by liver into bile salts which can be eliminated via bowel
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8
Q

what is the first detoxification chemical pathway? (3)

A
  • toxins are converted into less harmful chemicals via oxidation, reduction and hydrolysis
  • the reactions are mediated by enzymes (cytochrome P450 enzyme group)
  • the conversion produce free radicals (damaging) which are neutralised by antioxidants in liver
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9
Q

what is the second detoxification chemical pathway? (3)

A
  • converted chemical is attached to another substance via conjunction reaction
  • renders compound less harmful and makes it water soluble
  • water soluble compounds are then excreted from body within urine by kidneys
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10
Q

where are plasma proteins produced in the liver?

A

by rough ER in hepatocytes and exported via Golgi complex

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11
Q

what are the 3 types of plasma proteins and functions?

A
  • albumins - regulate osmotic pressure of blood (and of body fluids)
  • globins - immune system and act as transport protein
  • fibrinogen - clotting process
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12
Q

what does liver do to red blood cells?

A
  • breaksdown and recycles components
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13
Q

how does liver breakdown RBC? (4)

A
  • liver has kupffer cells (phagocytes) which engulf RBC and break them down into globin and iron containing heme groups
  • globin is digested by peptidase to produce amino acids (recycled or metabolised by liver)
  • heme group are broken down into iron and bilirubin (bile pigment)
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14
Q

what happens to released iron after RBC is broken down? (3)

A
  • complexed within a protein to stop oxidation into ferric state
  • irons can be stored by lier within protein shell, ferritin
  • iron can be transported to bone marrow (where new haemoglobin is produces) within transferrin
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15
Q

what is jaundice?

A

condition caused by excess of bile pigment (bilirubin)

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16
Q

what noramally occurs to bilirubin? (3)

A
  • liver conjugates bilirubin to other chemicals then secrete it in bile
  • when there is excess of bilirubin it may leak into surrounding tissue fluids
17
Q

what are the occurs in body when have jaundice?

A
  • liver disease - imparied removal of bilirubin (build up levels in body)
  • obstruction to gall bladder - prevents secretion of bile and causes bilirubin levels to accumulate
  • damage to RBC - increased destruction of erythrocytes (bilirubin levels increase)
18
Q

what are main symptons of jaundice? (4)

A
  • yellow skin and eyes (sclera)
  • itchiness
  • paler stools
  • dark urine