The Liver as a Storage Organ Flashcards

1
Q

3 Molecules that the Liver stores

A

Ferritin
Vitamins
Blood clotting factors

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2
Q

What is ferritin?

A

Iron storage molecule

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3
Q

Structure of Ferritin?
How many iron atoms can it hold?

A

Large spherical protein, made up of 24 subunits
Can contain up to 5000 atoms of iron

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4
Q

What is the concentration of ferritin directly proportional to?

A

Total iron stores in the body

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5
Q

Ferritin excess disorder

A

hereditary haemochromatosis

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6
Q

3 non-iron overload disorders?

A

Liver disease
Malignancies
Tissue destruction

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7
Q

What can Ferritin deficiency lead to?

A

Anaemia

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8
Q

What does ferritin less than 20 micrograms/L and 12 micrograms/L indicate?

A

20- depletion
12- absence of stored iron

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9
Q

Which vitamins are Water soluble?

A

B an C

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10
Q

Which vitamins are Fat soluble?

A

A, D, E and K

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11
Q

What is the name for Vitamin A

A

Retinol

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12
Q

How do Humans absorb Vitamin A?

A

Directly through retinols in meat
Produce retinol from vegetables containing Carotenoids

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13
Q

Requirement of Vitamin A per day (Men and Woman)

A

0.6 mg/day men
0.7 mg/day women

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14
Q

What are the 4 functions of vitamin A?

A

Vision
Reproduction
Growth
Stabilisation of cellular membranes

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15
Q

What are two Vitamin A deficiency diseases?

A

Xeropthalmia and nightblindness

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16
Q

7 Acute symptoms of excess vitamin A

A

Abdominal pain
Nasuea
vomiting
severe headaches
Dizziness
Sluggishness
Irritability

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17
Q

What are 6 Symptoms of Chronic Vitamin C excess?

A

Joint and bone pain
Hair loss
Dryness of lips
Anorexia
Weight loss
Hepatomegaly (Liver enlargement)

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18
Q

3 functions of vitamin D

A

Increased intestinal absorption of calcium
Resorption and formation of bone
reduced renal excretion of calcium

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19
Q

What does deficiency of Vitamin D cause

A

Demineralisation of bone

20
Q

Where is vitamin C found?(3)

A

Oils
Green leafy vegetables
Carrots

21
Q

What two cell types is Vitamin E stored in?

A

Liver and plasma
Adipose cells

22
Q

Function of vitamin E

A

Antioxidant

23
Q

RDA (Recommended daily allowance) of Vitamin E in men and women?

A

Men- 4mg/day
Woman- 3mg/day

24
Q

3 ways Vitamin E deficiencies are caused?

A

Fat malabsorption
Premature infants
Rare congenital defects in fat metabolism

25
Is Vitamin E safe in excess?
yes
26
What two molecules carry Vitamin K from the Liver to the plasma?
VLDL (Very low density lipoproteins) LDL (Low density lipoproteins)
27
What are 4 Sources of Vitamin K?
Phylloquinone- K1 Menaquinone- K2 Menadione- K3 Menadiol- K4
28
How is Vitamin K1 & K2 synthesised?
K1- Synthesised by plants K2- Synthesised in humans by intestinal bacteria
29
Functions of Vitamin K? What are the plasma clotting factors it is responsible for producing?
Activation of blood clotting factors Liver synthesis of Plasma clotting factors: II, VII, IX, X
30
How much Vitamin C do adults need per day?
40 mg/day
31
What are 3 functions of Vitamin C?
Collagen synthesis Antioxidant Iron absorption
32
What is a deficiency in Vitamin C called? What are three symptoms of this disease?
Scurvy Symptoms- Easy bruising and bleeding, teeth and gum disease and hair loss
33
How much is excess Vitamin C? What can it cause?
>1g/day GI side effects
34
What two proteins does Vitamin B12 bind to? What are the functions of the proteins in the process?
R proteins- protects it from stomach acid Intrinsic factor- allows it to be absorped in terminal ileum
35
Where is Vitamin B12 stored?
In the Liver
36
Two active forms of Vitamin B12?
Methycobalamin 5-deoxyadenosylcobalamin
37
3 caused of Vitamin B12 deficiency?
Pernicious anaemia Malabsorption Veganism
38
What are two Symptoms of Vitamin B12 Deficiency?
Macrocytic anaemia Peripheral neuropathy
39
What is Vitamin B9 also known as?
Folate
40
What are three functions of Folate?
Coenzyme in methylation reactions DNA synthesis Synthesis of Methionine and homocysteine
41
What are Three causes of Folate Deficiency?
Malabsorption Drugs that affect folic acid metabolism Disease that increase cell turnover
42
What are 3 symptoms of Folate deficiency?
High homocysteine levels Macrocytic anaemia Foetal development abnormalities (neural tube defects)
43
What is Macrocytic anaemia?
Abnormally large Erythrocytes being produced by Bone marrow
44
What 6 clotting factors are produced in the liver?
I (Fibrinogen) II (Prothrombin) IV V VI VII
45