Liver and Integration of Metabolism Flashcards

1
Q

What is the purpose of metabolism of drugs and xenobiotics?

What are the 2 phases and what happens?

A

TO make them HYDROPHILIC

Phase 1: cytochrome enzyme complex of NADPH-cutochrome P450
- involve the introduction of OH or COOH groups through OXIDATION of parent compound

Phase 2: products are CONJUGATED with compounds (glucoronic acid, glycine, taurine, sulfate) to make them HYDROPHILIC

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2
Q

How is Vitamin A: Retinol transported to the liver? In which form- esterified or not esterified?

A
  1. As an ESTER OF LONG CHAIN FATTY ACIDS

- in CHYLOMICRONS

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3
Q

When does the liver mobilize vitamin A?

It mobilizes the vitamin by hydrolyzing _____.

This then binds to ______ and is secreted in the blood.

A

When Vitamin A is LOW it mobilizes the vitamin by hydrolyzing retinal ester

  1. Retinol Binding Protein (RBP)
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4
Q

In order to be secreted into the blood, what does Retinol require?

A

Retinol Binding Protein

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5
Q

How is Vitamin D3 transported? In which form (esterified or non esterified)?

A

Transported in chylomicrons in the NON -ESTERIFIED form

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6
Q

Where are vitamin D stores found? (2)

A
  1. Adipose tissues

2. Skeletal muscle

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7
Q

What organ is responsible for the activation of D3?

What is it converted to?

What is the active form of D? Where does this get converted again?

A
  1. LIVER
  2. Converted to 25 - Hydroxycholecalciferol (STORAGE FORM)
  3. 1,25-OH-D3 –> in the KIDNEY
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8
Q

The liver synthesizes ___ for Vitamin D.

A

The vitamin D binding protein

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9
Q

What is a major source of vitamin K?

Why is vitamin K necessary?

A
  1. SKELETAL MUSCLE

2. Presence is required in he hepatocyte for synthesis of prothrombin (the precursor to thrombin - the clotting factor)

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10
Q

80% of copper is excreted in ______.

A

Bile caniliculi

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11
Q

What are 3 ways that the liver can modify or amplify hormone action?

A
  1. D3 –> conversion to 25-hydroxycholecalciferol
  2. Thyroid hormones: T4 to 3
  3. synthesis of IGF
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