12- The roles of the Liver Flashcards

1
Q

How many lobes does the liver contain

A

4

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2
Q

Where is the liver located

A

Located in the upper right hand part of the abdomen behind lower ribs.

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3
Q

What are the 3 main functions of the liver

A

Metabolism- Control of synthesis and utilisation of carbohydrates, lipids and proteins

Secretory and Excretory Functions- synthesis and secretion of bile and detoxification

Vascular Function- formation of lymph and hepatic phagocytic system

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4
Q

What processes does the liver carry out to maintain blood glucose levels

A

Glycogenesis
Glycogenolysis
Gluconeogenesis

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5
Q

What is glycogenesis

A

When excess glucose is taken up by the liver and stored by glycogen

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6
Q

What is gluconeogensis

A

When hepatic glycogen reserves are depleted, glucose is synthesised from amino acids and non-hexose carbs

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7
Q

What is glycogenolysis

A

When blood glucose levels decline there is depolymerisation of glycogen to glucose

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8
Q

What does the liver do in terms of lipid metabolism

A

Convert products of carb metabolism to fatty acids and lipids that can be stored in adipose tissues

Synthesise large quantities of cholesterol and phospholipids.

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9
Q

What happens to protein in the liver.

A

The amine group is first converted into ammonia which is toxic and then converted to urea.

Urea is non toxic and excreted from the body by the kidneys (a component of urine)

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10
Q

What is transamination

A

Amine group can also be transferred via transamination to make new amino acids

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11
Q

What is the one protein in plasma that isn’t metabolised by the liver

A

Immunoglobulins

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12
Q

Where is the majority of liver blood supply received from

A

Venous- via hepatic portal vein

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13
Q

What do hepatocytes have to remove substances from blood

A

An array of transporters

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14
Q

What are the 2 main functions of bile

A

Important for digestion and absorption of fats and fat-soluble vitamins

Many waste products, including bilirubin are secreted into bile and excreted in the faeces

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15
Q

What does amphipathic mean and what does this mean for bile

A

Contains both hydrophilic and hydrophobic faces

Lipid centre with a hydrophilic outer layer.

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16
Q

How is bilirubin excreted.

A

Red blood cells are phagocytosed and haem is converted to bilirubin

Free bilirubin (stripped of albumin) is absorbed by hepatocytes and conjugated with glucuronic acid or sultanate

Conjugated bilirubin is secreted into bile and metabolised by bacteria in the intestine for elimination in faeces

17
Q

How do secretions from the liver reach the small intestine

A

Through the sphincter of oddi

18
Q

Functions of Exocrine pancreas

A

Digestive enzymes- protease, lipase and amylase
From exocrine acinar cells

Bicarbonate- From epithelial cells in pancreatic ducts

19
Q

What 3 hormones control exocrine secretion

A

Cholecystokinin- from enteric endocrine cells in the proximal small intestine
Secretin- from endocrine cells in the epithelium of the proximal small intestine. Stimulates duct cells to secrete water and bicarbonate.
Gastrin – secreted by the stomach and stimulates pancreatic acinar cells to secrete enzymes

20
Q

What innervates the pancreas

A

Sympathetic fibres from the splanchnic nerves
Parasympathetic fibres from the vagus

21
Q

Function of alpha cells

A

Secrete glucagon

22
Q

Function of Beta cells

A

Secrete insulin

23
Q

Function fo Delta Cells

A

Secrete somatostatin

24
Q

Function of PP cells

A

Secrete pancreatic polypeptide

25
Q

How are alpha and beta cells arranged in the islet of langerhans

A

Alpha cells on the outside and Beta cells on the inside

26
Q

What is the anatomy of the gallbladder

A

Fundus
Body
Neck
Bile duct

26
Q

What innervates the gallbladder

A

The vagus nerve delivers parasympathetic innervation

The celiac plexus carries sympathetic and sensory fibres

27
Q

What are the two types of gallstones

A

Cholesterol Stones- Yellow green
Pigment Stones- Smaller and darker

28
Q

What are the innate immunity involvement of the liver

A

Production of acute phase proteins
Nonspecific phagocytosis
Nonspecific cell killing
Disposal of waste molecules

29
Q

What is the adaptive immunity involvement of the liver.

A

Deletion of activated T cells
Induction of tolerance to ingested and self antigens
Extrathymic proliferation of T cells
Disposal of waste molecules