15.7 Biochemistry: Bile Flashcards

(27 cards)

1
Q

What produces bile? Why?

A

Liver, to assist digestion

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2
Q

What colour is bile/gall?

A

Dark green. yellowish-brown fluid (bitter tasting)

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3
Q

What secretes bile into the caniliculi?

A

Hepatocytes

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4
Q

What do epithelial cells do to the bile?

A

Add bicarbonate to dilute and increase alkalinity of the bile

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5
Q

Where is bile stored?

A

Gall bladder

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6
Q

What hormone regulates gall bladder function?

A

Cholecystokinin

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7
Q

What happens in the absence of bile?

A

Fats become indigestible, excreted in faeces (white, grey, greasy)

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8
Q

How much bile can the human liver produce?

A

1L a day (depending on body size)

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9
Q

What are bile salts?

A

Steroid structures, with a carboxylic acid group that is commonly linked to glycine or taurine to increase solubility

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10
Q

What are the most important bile acids?

A

Cholic acid
Doxycholic acid
Chenodeoxycholic acid

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11
Q

What proportion of bile salts are reabsorbed? Where? What is this process called?

A

95% reabsorbed in the terminal ileum, called ‘enterohepatic circulation’

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12
Q

What do pancreatic secretions contain?

A

Bicarbonate (duct cells)

Enzymes (acinar cells)

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13
Q

What are pancreatic enzymes synthesised as?

A

Zymogens

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14
Q

What are some pancreatic zymogens that become functional in the intestine? (6)

A
Trypsinogen
Chymotrypsinogen
Proelastase
Procarboxypeptidase
Pancreatic lipase
Amylase
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15
Q

What is the acidity/alkalinity of pancreatic juice?

A

Alkaline (due to HCO3)

Useful in neutralizing acid (enzyme action)

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16
Q

What hormones regulate pancreatic secretion?

A

Secretin and cholecystokinin (produced by the walls of the duodenum)

17
Q

What does CCK stimulate?

A

Gall bladder contraction
Digestive enzyme production (pancreas)
Release of insulin (islets)

18
Q

What does CCK also contribute to?

19
Q

When is bile released from the gallbladder?

A

In response to food (into the small intestine via the sphincter of Oddi)

20
Q

What are bile pigments the breakdown products of?

A

Hb (mostly bilirubin diglucuronide)

21
Q

What are bile salts derivatives of?

A

Detergent derivatives of cholesterol

22
Q

What gives faces its colour?

A

Bilirubin and its microbial modified forms

23
Q

What does lipase produce?

A

Fatty acids
Monacyglycerols
Diacyl glycerols

24
Q

What can steatorrhea lead to?

A

Deficiencies in essential fatty acids and fat-soluble vitamins

25
How can an artificial steatorrhea be created?
Using Orlistat (Xenical) to reduce fat absorption in the obese
26
What are the two main causes of pancreatitis?
Alcohol abuse and gallstones
27
What is elevated in pancreatitis?
Serum amylase and/or lipase (lipase is more specific)