Midterm study cards Flashcards
Enterokinase
Brush border enzyme - peptidase - that activates trypsin (and indirectly other pancreatic juice enzymes) - deficiency results in protein malnutrition
Phosphatases
Ca2+, Mg2+ and -ATPase needed for the absorption of dietary calcium
enzyme activity regulated by Vit D
alkaline phasphatases remove phosphate groups from organic mlcs
Paneth cells
in the crypts of LIekehurn (intestinal crypts)
secrete antibacterial mlcs (lysozyme and antimicrobial peptides) to protect the intestine
haustrum
part of the large intestine after the descending colon but before the sigmoid colon
Why does diarrhea happen?
pathogenic bacteria take over the colon so it gaotta slought off the colon epithelium
sinusoids
large capillaris in the liver (lined with hepatic cells)
also lined by endothelial cells
contain Kupffer cells (phagocytes)
Kupffer cells
these phagocytes in the liver that wander around and pick up debris
What are the two blood inputs of the liver?
portal vein (from intestines)
hepatic artery (blood from heart)
exocrine functions of the liver
right and left hepatic ducts
make bile, stored in gallbladder
common bile duct goes into small intestines
Major functions of the liver
- detoxification of blood (phagocytosis by kupffwer cells, prod. of urea and less toxic mlc)
- carbohydrate metabolism (glucose to glycogen and vice versa) also gluconeogenesis and release of glucose to blood
- Lipid metabolism (synthesis of cholesterol and triglycerides. excretion of chelestero and production of ketone bodies
- protein synthesis (production of albumin and plasma transport proteins
- secretion of bile
HOw does liver make bile?
- derivative of heme group (minus the iron) is converted to bilirubin
- biliruben is carried in blood on albumin proteins
- taken up by liver, mixed with glucoronic acid
- is now water soluble and can be secreted as bile
- converted by bacteria to urobilinogen
Pancreas exocrine function
releases a cocktail of over 20 enzymes including:
- pancreatic amylase
- pancreatic lipase
- trypsin
Pancrease endocrine function
makes insulin and glucagon yeah
alpha dextrinase
takes small glucose polymers and breaks into multiple mlcs of glucose
Ptyalin
salivary amylase - hydrolyses starch into maltose and other small glucose polymers
What is the first pass effect?
as blood passes through plood vessels of liver, much of nutrient load is removed
Is cholesterol absorbed without digestion?
YES
Hepatic portal system
- small intestine absorbs products of digestion -
- nutrient molecules travel in hepatic portal vein to liver
- liver monitors blood content
- blood enters circulation by way of hepatic vein