Liver Biochemistry Flashcards

1
Q

Pit cells of liver

A

resident lymphocytes

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2
Q

Phase I reactions

Phase II reactions

A

I: add –OH group, makes reactive and more soluble
II: add substitute groups onto –OH groups, increase excretion of products

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3
Q

Acetaminophen toxicity: story

A

many different formulations all containing acetaminophen

taken without considering that

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4
Q

EtOH effect on acetaminophen metabolism

A

EtOH increases expression of CYP2E1

CYP2E1 metabolizes acetaminophen to NAPQI (toxic)

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5
Q

CYP2E1

A
expression upregulated with EtOH
makes NAPQI (toxic byproduct)
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6
Q

NAPQI

A

acetaminophen metabolite (toxic)
enzyme: CYP2E1
enzyme upregulated by EtOH

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7
Q

How does EtOH cause liver fibrosis

A

acetaldehyde activates Kuppfer cells
Kuppfer cells activate stellate cells to lay down collagen
fibrosis of liver

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8
Q

Phosphoglucomutase-1 function

A

interconverts G1P and G6P

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9
Q

de novo synthesis of cholesterol from

A

carbohydrates

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10
Q

Two aa that carry nitrogen in blood

A

alanine: only N from other compounds
glutamine: can fix free ammonia

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11
Q

Glutaminase and glutamine synthase in hepatocytes

A

glutaminase: at portal canal

glutamine synthase: at central vein

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12
Q

Glutamine synthase expression in hepatocyte

A
Wnt regulated
Wnt secreted by cells around central vein
binds Frizzled receptor
inactivates kinase of β-catenin
β-catenin goes to nucleus
transcription of glutamine synthase
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13
Q

Gluconeogenesis and urea cycle

A

gluconeogenesis from aa
nitrogen needs to be removed from the aa
so dependent on urea cycle

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14
Q

Nucleotide components derivations

A

sugar component: glucose

base component: amino acid

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15
Q

Dolichol

A

base for glycoproteins

base for branching of glycoproteins

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16
Q

Often important functional component of proteins

A

glycoprotein portion

17
Q

Glucuronysl transferase

A

important for glycocylation of bili

18
Q

Albumin serum test usefulness

A

t1/2 is long in blood

test for chronic liver disease

19
Q

Alkaline phosphatase is expressed where in cell

A

canalicular membrane

20
Q

Antibodies in liver disease

A

antibodies increased

likely due to antigenic material entering hepatic circulation