liver metabolism Flashcards
what circulation drains the gut?
portal circulation
what is a hepatic lobule?
structural unit of the liver
how does blood enter a hepatic lobule?
enters via portal venule and the hepatic arteriole
how does all dietary carbohydrate reach the liver?
as glucose
what is sucrose broken down into?
fructose and glucose
what is lactose broken down into?
galactose and glucose
what is starch broken down into?
maltose and glucose
what is glycogenesis?
glucose –> glycogen
what is glycogenolysis?
breaking down of glycogen
in the presence of oxygen, what process does glucose feed into?
Krebs cycle
how can hepatocytes generate glucose?
gluconeogenesis from materials such as lactate, pyruvate, amino acids and glycerol
what are the functions of insulin?
Counteracted by glucagon.
Promotes glycogen synthesis
Suppresses gluconeogenesis
Accelerates glycolysis
what are essential amino acids?
need to be taken up through diet
what is transamination?
transfer of amino group to keto-acid catalysed by transaminase
what are alanine and aspirate aminotransferases indicators of?
hepatic injury
when hepatocytes die they release this enzyme
what is deamination?
removing an amino group
what does deamination form?
often forms a keto acid and an ammonium ion
why is excess ammonia dangerous?
depletes ketoglutarate which is used in Krebs cycle increases level of glutamate increases osmotic pressure astrocytes swell increases cranial pressure
how is ammonia produced?
deamination and gut bacteria
how is ammonia removed from the body?
NH3 reduced to NH4
NH4 –> urea through urea cycle
what is raised serum urea an indicator of?
renal failure bc urea is secreted into the kidneys
also could show there’s too much ammonia