Lecture 6 The Liver & Metabolic Homeostasis Flashcards
1
Q
What are the liver functions (7)
A
- Phagocytosis
- Synthesis of Bile salts & excretion of haem
- Synthesis of serum proteins
- Processing of drugs & hormones
- Activation of Vitamin D
- Storage e.g. glycogen/ Vitamin A (retinol)
- Metabolism
- carbohydrate metabolism
- lipid metabolism
- protein metabolism
2
Q
How much does the liver weigh?
A
About 1.4Kg
3
Q
What 3 blood vessels are involved in in liver blood supply ?
A
- Hepatic portal vein - nutrients
(Not a true vein as conducts blood from capillary bed of GI tract to capillary bed of liver & does not go directly to heart) - Hepatic artery - oxygen
- Inferior vena cava - to heart
4
Q
Gross anatomy of liver
A
- Right lobe of liver
- Right hepatic duct
- Left lobe of liver
- Left hepatic duct
- Cystic duct
- Common hepatic duct
- Common bile duct
5
Q
What is a liver lobule ?
A
The functional unit of the liver
6
Q
Overview of a single liver lobule (3)
A
- Portal triad:
- branch of hepatic artery
- branch of hepatic vein
- bile duct - Central vein
- Liver lobule
7
Q
Details of single liver lobule (5)
A
- Connective tissue
- Sinusoids
- Hepatocytes
- Central vein
- Portal triad (3)
8
Q
What are Kupffer cells? (3)
A
- Within sinusoids
- Fixed bacteria cells
- Remove these Bacteria & old blood cells
9
Q
Where is bile stored?
A
Gall bladder
10
Q
Features of bile (3)
A
- 800ml-1 litre per day
- Yellow/green
- pH 7.6-8.6
11
Q
What does bile contain? (6)
A
- Water
- Bile salts
- Cholesterol
- Phospholipids
- Bile pigments
- Ions
12
Q
What are bile slats & what do they do? (4)
A
- Based on the structure of cholesterol (e.g. sodium glyocholate)
- Emulsify fat
- Allow pancreatic lipase (catalyses hydrolysis of lipids) to break down fats more easily
- Aid absorption of lipids
13
Q
What are bile pigments & what do they do? (3)
A
- When red blood cells broken down they recycle the iron present in haemoglobin and break down haem
- Bilirubin (yellow) breakdown product of haem
- Bilirubin metabolised by bacteria to give stercobilin (brown) - faeces
14
Q
Bilirubin
A
15
Q
Glycogenesis
A
Food -> plasma glucose increases -> insulin which converts glucose to glycogen
- absorptive state
- within hepatocytes