Liver Biochemistry Flashcards

1
Q

State some of the major roles of the liver?

A
  1. Bile production
  2. first destination of most absorbed nutrients and xenobiotics.
  3. elimination of unwanted molecules.
  4. secretion of plasma proteins.
  5. storage of important molecules (vitamins, iron, fuels).
  6. regulation of metabolism.
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2
Q

In terms of metabolism regulation, how does the liver deal with carbohydrates, lipids and amino acids?

A
  1. carbohydrates and lipids are metabolised and stored as fuel.
  2. amino acids are metabolised via the urea cycle.
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3
Q

What is electrophoresis?

A

a means of separating out proteins by size. Examples: albumin, alpha-, gamma-globulins, immunoglobulins.

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4
Q

What are some functions of plasma proteins?

A
  1. pH buffering
  2. Maintenance of oncotic/ colloid osmotic pressure (prevents stuff leaking out into the interstitial space).
  3. transport of hydrophobic substances.
  4. immunity.
  5. enzymatic activity.
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5
Q

State the function and give an example of an alpha globulin.

A

they transport lipoproteins, lipids, hormones and bilirubin e.g. ceruloplasmin.

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6
Q

State the function and give an example of a beta globulin.

A
  1. transferrin: transports Fe3+ (indicator of iron deficiency).
  2. Fibrinogen: inactive form of fibrin (involved in the clotting of blood).
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7
Q

State the function of Albumin.

A

is the most abundant plasma protein. It is a small, negatively charged, water-soluble molecule and is the main determinant of oncotic pressure. (regulates oncotic pressure)

The liver synthesises about 14g/ day. Insulin stimulates its production and low levels indicate liver disease.

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8
Q

Describe the transport functions of Albumin.

A
  1. multiple binding sites for hydrophobic molecules.
  2. hydrophobic clefts in globular domains.
  3. endogenous transport: fatty acids, bilirubin, thyroid hormones.
  4. exogenous transport: aspirin.
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9
Q

How is iron transported?

A

As Ferric iron (Fe3+), bound to transferrin.

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10
Q

How is iron stored?

A

As Ferritin.

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11
Q

How is copper transported in the body?

A

in the blood bound to ceruloplasmin.

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12
Q

State some functions of copper in the human body?

A

it is essential for regulation of redox reactions and in the transport and use of iron.

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13
Q

What is the disease name for copper deficiency?

A

Wilson’s Disease

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14
Q

How are hormones transported?

A

in the circulation bound to specific transport molecules: E.g.

  • thyroxine: bound to thyroid-binding globulin.
  • cortisol: bound to cortisol-binding globulin.
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15
Q

State some functions of hormones?

A
  • extend biological half-life and increase plasma concentration.
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16
Q

What is the main function of lipoproteins?

A

fat transport between organs and tissues.

17
Q

What is the function and where is the origin of HDL?

A

Function: reverse cholesterol transport (removes excess cholesterol from cells).
Origin: intestine + liver

18
Q

What is the function and where is the origin of LDL?

A

Function: cholesterol transport to peripheral tissues.
Origin: VLDL/ Liver

19
Q

What is the function and where is the origin of VLDL?

A

Function: transport of endogenous fat to peripheral cells.
Origin: Liver

20
Q

What is the function and where is the origin of Chylomicrons?

A

Function: transport of exogenous fat to the liver.
Origin: intestine.

21
Q

How is Cholesterol removed from cells?

A

By action of HDL by initiating esterification of cholesterol with fatty acids and transporting the products back to the liver where they are excreted as bile salts via the biliary system or faeces.

22
Q

State some molecules that the liver stores?

A

Vitamins A, D, B12 and Iron.

23
Q

What 3 important classes of biologically active compounds is cholesterol a precursor to?

A
  • bile acids (main metabolic product)
  • steroids
  • vitamin D
24
Q

What percentage of circulating cholesterol is in free form?

A

30%

25
Q

Where is the main site of cholesterol synthesis?

A

liver

26
Q

What cells can synthesise cholesterol?

A

virtually all human cells!

27
Q

synthesis of 1 mole of cholesterol requires what?

A

18 moles of Acetyl-CoA (carbon atoms)
16 moles of NADPH (reducing power)
36 moles of ATP (energy)

28
Q

What is the function of HMG-CoA reductase?

A

is a rate limiting enzyme that catalyses the irreversible formation of mevalonic acid. Inhibition of this enzyme is the main target of statins.

29
Q

What form is iron Absorbed?

A

Ferrous (Fe2+)