Drive - liver Flashcards

1
Q

What does the liver convert carbohydrates into?

A

Glucose

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2
Q

During which state is there a net uptake of glucose by the liver

A

The absorptive state

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3
Q

What does the liver convert glucose into?

A

Glycogen or alpha-glycerol phosphate or fatty acids

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4
Q

During what process is glucose converted into alpha-glycerol phosphate?

A

Reduction of dihydroxyacetone phosphate (via glycolysis)

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5
Q

What are xenobiotics?

A

Foreign chemical substances not normally found or produced in the body which cannot be used for energy requirements

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6
Q

Through what can xenobiotics be absorbed?

A

Lungs, skin or ingested

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7
Q

Through what processes are xenobiotics removed from the body

A

Urine, sweat, breath.

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8
Q

What is a microsome?

A

A small particle consisting of a piece of endoplasmic reticulum to which ribosomes are attach.

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9
Q

What part of the duodenum does the bile enter in?

A

The junction between D2 and D3.

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10
Q

What type of enzyme are mainly used during phase 1 of detoxification of the liver?

A

Mainly microsomal enzymes

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11
Q

What type of enzyme are mainly used during phase 2 of detoxification of the liver?

A

Non-microsomal enzymes.

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12
Q

What is the aim of detoxification in the liver?

A

To transform the drug (xenobiotic) into less toxic/more water soluble form. So can be excreted in urine

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13
Q

What happens during phase 1 of detoxification in the liver? (2)

A

Oxidation and hydrolysis reactions

Add OH or SH groups

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14
Q

What happens during phase 2 of detoxification in the liver? (3)

A

Conjugation

Often involving adding glucuronic acid

Excreted in bile

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15
Q

Where are microsomal enzymes found?

A

On smooth endoplasmic reticulum - found in liver hepatocytes (can also be found in the kidneys and lungs).

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16
Q

Where are non microsomal enzymes located?

A

In the cytoplasm and mitochondria of hepatocytes in the liver (also found in other tissue)

17
Q

Why may some drugs not undergo either phase 1 or 2 reactions?

A

They are polar, absorb in water and are excreted.

18
Q

What is the purpose of globulins?

A

Antibody functions

19
Q

Where are alpha globulins made?

A

Liver

20
Q

Where are beta globulins made?

A

Liver

21
Q

Where are gamma globulins made?

A

Not liver -> derived from bone marrow

22
Q

What are the main type of globulin?

A

Gamma

23
Q

What clotting factors does the liver NOT produce?

A
Factor 4 (calcium) and 
Factor 8 (Von Willebrand factor)
24
Q

What is the function/purpose of complement factors?

A

Immune response = plasma protein that sticks to pathogens that is recognised by neutrophils (marks pathogens to kill)

25
Q

What is the functional unit the liver known as?

A

Hepatic lobule

26
Q

Describe the structure of the hepatic lobules?

A

Hexagonal in shape with a portal triad in each corner and a hepatic vein in the middle.

27
Q

What is contained in the portal triad?

A

Hepatic portal vein
Hepatic artery
Bile duct

28
Q

Through what is blood supplied to the liver?

A

Hepatic portal vein 80%

Hepatic artery 20%

29
Q

What are the sinusoids lined by?

A

A continuos layer of specialised endothelial cells interspersed with Kupffer cells

30
Q

What is responsible for the production of the extracellular matrix in the space of disse?

A

Stellate cells