Week 4 & 5 Flashcards
What are the epithelium and endothelium in the live separated by?
They are separated by the Space of Disse (contains collagen and stellate cells)
What is the blood supply to the liver?
75% portal vein from pancreas, small intestine, gall bladder and spleen.
25% hepatic artery
All output through hepatic vein.
What do Kuppfer cells do?
Kuppfer cells - sinusoidal lining macrophages. Old erythrocytes and bacteria phagocytosis.
What are Pit cells?
Pit cells are liver associated lymphocytes. Natural killer cells.
What are hepatic stellate cells?
Hepatic stellate cells are fat cells which store Vitamin A.
They are also control collagen synthesis and sinusoidal contractility.
How is bile formed?
Bile is formed in hepatocytes from cholesterol by hydroxylation. It is then coupled with glycine or taurine.
How much of the bile is recirculated?
95% of bile is recirculated.
What does cholestyramine do to bile?
Cholestyramine binds to bile acids in the gut, preventing recirculation. This increases bile acid synthesis, decreasing cholesterol levels.
What is Xenbiotic breakdown?
Xenbioiotic breakdown is where substances that are potentially toxic with no nutritional value are broken down. (drugs, additives, hormones, bilirubin, urea).
What are the two phases of xenbiotic breakdown?
Phase 1 is catabolic to a primary metabolite. (Oxidation, hydrolysis, hydroxylation, reduction.)
Phase 2 results in an inactive substance. (Conjugation, sulphation, and glucuronidation).
How does phase 1 of xenbiotic breakdown proceed?
Phase 1 is performed by cytochrome p450 enzymes. The reaction is catalysed by oxygen and NADPH as a cofactor.
They are inducible enzymes is only expressed under certain conditions. Enzymes can be inhibited by warfarin, contraceptive pill and cyclosporine.
How does phase 2 of Xenbiotic breakdown work?
Phase 2 involves conjugation by enzymes. Addition of glucuroynl, sulphate, methyl, acetyl and glycl groups.
This occurs in liver but also Lung and kidney.
Where are erythrocytes broken down in bilirubin metabolism?
Erythrocytes are phagocytosed by Kupffer Cells.
What is haem initially broken down into?
Haem is initially broken down into biliverdin (green).
What is biliverdin broken down into?
Biliverdin is broken down into the yellow/orange bilirubin.
Which enzyme does the first part of haem metabolism involve?
Cytochrome p450 enzyme.
What is bilirubin conjugated with in the liver?
Bilirubin is conjugated with glucaronic acid in the liver.
Conjugated bilirubin is secreted into the gut, what happens there?
Bilirubin is converted to urobilinogen in the gut.
Urobilinogen is then converted into urobilin for urine excretion or stercobilin for faecal excretion
What is jaundice?
Jaundice is bilirubin deposition in tissue due to a problem with haem degradation.
If there is too much haem, why does jaundice occur?
If there is too much haem, the liver can’t conjugate it all.
What is Gilbert’s Syndrome?
Gilbert’s is a genetic condition which can lead to jaundice. Usually asymptomatic.
Causes reduced activity of enzyme which conjugated bilirubin in liver.
What do muscle cells use as a short term energy source?
Phosphocreatine is used with ADP to form ATP via creatine kinase.
What do cells convert 2ADP to?
Cells convert 2ADP to ATP and AMP via adenylate kinase.
AMP regulates metabolic enzymes.
What are carbohydrates?
Carbohydrates bind lots of water, glucose stored as polymers (glycogen) in liver and muscle.
Rapid but short lived energy store.