GI 20 Flashcards

1
Q

What roles does the liver play in glucose?

A

It does, glycogen storage, glycogenolysis, and gluconeogenesis

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2
Q

What is Glycogenesis?

A

The liver taking up glucose and converting it to Glycogen

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3
Q

What is Glycogenolysis?

A

When the body needs glucose to meet physical demands so glycogen is broken down into glucose and put into the circulation

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4
Q

What is Gluconeogenesis?

A

When the liver makes new glucose

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5
Q

What does the liver have a very important role in?

A

Buffering the blood glucose level

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6
Q

What are the four fates of fatty acids when they come to the liver?

A
  • Storage as triglycerides
  • Beta-oxidation (energy production)
  • De novo lipogenesis (DNL)
  • Lipoprotein secretion
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7
Q

How can fatty acids be used for energy?

A

Through beta-oxidation in the mitochondria

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8
Q

What is De novo lipogenesis?

A

Using carbohydrates to make new fat

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9
Q

What is the typical form Lipoprotein secretion by the liver?

A

Triglycerides in the form of VLDL

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10
Q

What is the issue with the liver storing triglycerides?

A

Normally it is a natural physiological function but it can become problematic in extreme cases

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11
Q

What is a fatty liver?

A

When the liver is full of triglycerides

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12
Q

How does increased fat storage impact the liver?

A

It can impact liver function

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13
Q

What family do hepatocytes express detoxifying enzymes?

A

P450 family; CYPs

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14
Q

What is the general activity of CYPs?

A

To detoxify xenobiotics and toxins, primarily through oxidation

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15
Q

What is the most common reaction catalyzed by CYPs?

A

A mono-oxygenase reaction (incorporation of a hydroxyl group)

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16
Q

What is the purpose of mono-oxygenase reactions?

A

The addition of the -OH makes the molecule a little bit more polar and a little bit easier to get rid of

17
Q

What are the main characteristics of CYPs?

A
  • Multiple substrates
  • Induced by various compounds
  • Inhibited by various compounds
18
Q

What enzyme will come into effect when an individual is a heavy drinker?

A

CYP2E1

19
Q

What does CYP2E1 do?

A

Takes alcohol (ethanol) and turns it into an acetaldehyde

20
Q

What process is acetaminophen metabolized by?

A

Glucuronidation

21
Q

How does CYP2E1 affect acetaminophen?

A

In heavy drinkers it gains access to acetaminophen and produce a toxic metabolite that is very damaging for the liver

22
Q

What is ammonia toxic to?

A

The central nervous system

23
Q

What is ammonia generated in the body by?

A

Amino acid metabolism

24
Q

What happens to ammonia within the hepatocytes?

A

It is metabolized to urea and excreted in the urine or feces