Liver Function Flashcards
What is the name given to macrophages with the the sinusoidal spaces in the liver?
Kuppfer cells
Where is bile stored?
Gallbladder inbetween meals
How is bile released?
When there is chyme present in the duodenum, cholecystikinin is released which opens the sphincter of oddi releasing bile into the duodenum
Is bile acidic or alkali?
Alkali
What do hepatocytes secrete?
Hepatic bile Lipids and phospholipids Cholestrol IgA Bilirubin
What is the precursor of bilirubin?
Porphyrin component of haemoglobin
What happens to urine and faeces if bilirubin is present?
Urine darkens and stools become pale
How can metabolism affect drugs?
Can convert drugs into polar metabolites so they can be exrcreted via the renal system
Convert drugs so that they become active metabolites
Convert drugs to metabolites with a different mechanism of action
What are the two main phases of drug metabolism?
Phase 1 - Oxidation, Reduction, Hydrolysis
Phase 2 - Conjugation
Give an example of the two phases of drug metabolism?
Drug = Asprin Phase 1 converts it to... Derivative = Salicylic acid Phase 2 converts it to... Conjugate Glucoronide
Describe the monooxygenase cycle.
Drug enters as drug substrate (RH)
Oxygen provides two atoms of oxygen
One of which is added to the substrate to yield the hydroxyl product (ROH)
The other combines with protons to form H2O
Give an example of two substances that are subject to phase 2 reactions in the liver (Glucoronidation)
Bilirubin
Adrenal corticosteroids
What are the 4 main plasma proteins produced by the liver?
Albumin
Alpha globulins
Beta globulins
Theta globulins
What do plasma proteins do?
Maintain osmotic pressure
Transportic hydrophobic substances
Act as pH buffers
They have enzymatic and immune activity
What is the most common plasma protein?
Albumin