Liver and friends Flashcards

1
Q

What is albumin production controlled by

A

1) changes in colloid osmotic pressure

2) osmolality of extravascular liver space

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2
Q

What are the uses of albumin?

A

1) binding and transport
2) maintenance of colloid osmotic pressure
3) free radicals
3) anticoagulant and antithrombotic effects

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3
Q

How is clotting factor made active?

A

By serine protease

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4
Q

What is haem oxygenated to (bilirubin metabolism)

A

Biliverdin

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5
Q

What is biliverdin reduced by? And what does it form?

A
  • biliverdin reductase

- yellow bilirubin

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6
Q

What is bilirubin conjugated with in the hepatocytes?

A

Glucaronyltransferase

-produces conjugated bilirubin

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7
Q

What does bacteria convert bilirubin into? (In the small intestine)

A

Urobiliogen

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8
Q

Name the components of bile

A

1) bile salts
2) lectinin
3) cholesterol
4) bicarbonates

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9
Q

What does cholecystokinin do in the gall bladder?

A

Causes contraction and sphincter of oddi to open

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10
Q

Name 4 examples of lipids

A

Cholesterol
Phospholipid
Triglyceride
Fatty acids

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11
Q

Name 3 types of lipoproteins

A

LDL
HDL
Chylomicrons

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12
Q

How is cholesterol transported

A

As cholesterolester in lipoproteins

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13
Q

How is cholesterol converted into cholesterolester

A
  • acyl-coa-cholesterol acyltranaferase

- lectihin-cholesterol acyltranaferase

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14
Q

Name 3 effects of insulin on adipose tissue

A

1) allows for fat storage
2) stimulates lipoprotein lipase formation
3) reduces activity of hormone sensitive lipase(less FA out of cell)

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15
Q

Where does lipogenesis occur

A

In the cytosol of the liver

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16
Q

What does lipoprotein lipase do?

A

Hydrolyzes triglycerides into 2FFA’s + 2 mono glycerol

17
Q

Name the 4 steps of mitochondrial B oxidation

A

1) Dehydrogenation
2) Hydration
3) Dehydrogenation
4) Thiolytic cleavage

18
Q

What happens in the first dehydrogenation step of mitochondrial oxidation?

A

Acyltranaferase-CoA dehydrogenase + FAD remove 2H from C2+C3 forming trans-Enoyl CoA

19
Q

Which part of the pancreas is formed from the ventral part?

20
Q

Which part of the pancreas is formed from the dorsal part?

21
Q

What is the blood supply of the pancreas

A

1) Coeliac trunk
2) Hepatic artery
3) Splenic artery

22
Q

What type of channels are the cystic fibrosis transmembrane conductance channels(CFTR)?

23
Q

Name 3 phases of pancreatic production

A

1) Cephalic phase
2) Gastric phase
3) Intestinal phase

24
Q

Where do inputs of amino acids in the liver come from?

A

1) Dietary AA
2) Alanine from muscles
3) Glutamine from muscles

25
What are excess amino acids converted into? (In hepatocytes)
Alpha keto acids
26
What is ketoglucarate converted into? And what is it catalysed by?
- Glutamate | - Aminotransferase
27
What is the glucose-alanine cycle?
A cycle where muscle protein is degraded to provide more glucose to generate additional ATP for muscle contraction
28
Where is the majority of B12 uptake
Terminal ileal cells
29
What is the transcapillary escape rate determined by?
1) capillary + interstitial free albumin conc 2) capillary permeability to albumin 3) movement of solute/solvent 4) electrical charge across wall (albumin = -ve)
30
How is Vit b12 transported in the systemic circulation?
TcII-B12 or TcI-B12
31
What is the purpose of Vit A?
1) Embryonic development 2) Occular development 3) Brain maintenance
32
What joins together to form the ampulla of vater?
Common bile duct and pancreatic duct
33
What controls the release of bile and pancreatic fluid?
Sphincter of Oddi
34
What is peroxisome B Oxidation
Detoxification of; 1) long chained fatty acids 2) 2 methyl branched fatty acids
35
CO2+H20->H+ + HCO3- is catalysed by what enzyme?
Carbonic anhydrase