Review Flashcards
LIVER
•Composed of ___and ____
•Functional unit:____
hepatocytes and Kupffer cells
lobules
Functions of LIVER
• Metabolism
• Excretion/Secretion
• Detoxification
• Storage
Fractions of Bilirubin
B1 - unconjugated
B2 - conjugated
B1
• Bilirubin monoglucoronide
• Unconjugated bilirubin
• Water-insoluble bilirubin
• Indirect bilirubin
• Nonpolar bilirubin
B2
BCPWD
• Bilirubin diglucuronide
• Conjugated bilirubin
• Water-soluble bilirubin
• Direct bilirubin
• Polar bilirubin
Types of jaundice
•Prehepatic Jaundice
•Hepatic Jaundice
•Post Hepatic Jaundice
Nonfunctional liver for 24 hrs =
hypoglycemia
•Refers to serum or plasma with yellow discoloration due to elevated bilirubin
Icterus
of blood passes thru liver PER MINUTE
1,500 mL
The conjugation (esterification) of bilirubin occurs in the presence of the enzyme___________, which transfers a glucuronic acid molecule to each of the two propionic acid side chains of bilirubin to form bilirubin_____, also known as_____ bilirubin.
uridine diphosphate glucuranosyltransferase (UDPGT)
diglucuronide
conjugated
Once at the liver cell, unconjugated bilirubin flows into the sinusoidal spaces and is released from albumin so it can be picked up by a carrier protein called _____.
______, which is located in the hepatocyte, is responsible for transporting unconjugated bilirubin to the endoplasmic reticulum, where it may be rapidly conjugated.
Ligandin