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Quan Flashcards

(43 cards)

1
Q

What is most of the oxygen usage commited to?

A

oxidative phosphorylation

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2
Q

What is activation of O2 mediated by at body temperature?

A

metal ions

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3
Q

___ ___ active metal ions are generally sequestered

A

Free redox

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4
Q

What are reactive oxygen species?

A

partially reduced, reactive forms of oxygen

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5
Q

What are the 3 ways of ROS formation?

A
  1. O2 with reactive metal
  2. Mitochondrial electron transfer reactions
  3. enzymatic reaction
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6
Q

What is oxidative stress balanced by?

A

ROS producing factors and antioxidants

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7
Q

Oxidative stress generated during ischemia/repurfusion results from?

A

the disruption of electron transfer chain

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8
Q

How does ROS damage cell membranes?

A

by interacting with polyunsaturated fatty acids to create lipid peroxide

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9
Q

How does ROS damage DNA

A

by causing DNA break

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10
Q

How does ROS damage protein function

A

oxidize amino acids

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11
Q

What is ROS important for?

A

production of bioactive molecules and for the killing of bacteria

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12
Q

What is a critical enzyme in bacterial killing?

A

myeloperoxidase

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13
Q

What three mechanisms is ROS defended by

A

prevention
repair
physical barrier

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14
Q

Name 6 antioxidant defenses

A
SOD
catalase
Vitamin A
Vitamin C
Vitamin E
glutathione
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15
Q

liver serves as a ___ for all ____ ___

A

filter

digested materials

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16
Q

What has a broad range of synthetic and catabolic functions?

A

hepatocytes

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17
Q

Where is metabolic waste secreted into?

A

biliary tree

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18
Q

Where does the biliary tree drain into ?

A

Small intestine and excreted in feces

19
Q

What can hepatic malfunction lead to

A
Increased:
bilirubin
glucose
albumin
prothrombin time
urea
cholesterol
drug half-life
bile acids
20
Q

what does the portal vein drain?

A

metabolites of the gut to liver

21
Q

What does glucose-6-phosphatase do

A

it is a key enzyme in the liver that permits the release of free glucose to the blood

22
Q

What are 3 liver proteins?

A

albumin, coagulation factors and acute phase proteins

23
Q

What does C-reactive protein (CRP) do?

A

critical phase protein that responds to inflammation or infection

24
Q

What is the urea cycle essential for?

A

removal of nitrogen generated by amino acids, thereby preventing ammonia toxicity

25
What can cause brain damage?
Impaired clearance of ammonia
26
Function of Heme
O2 binding moiety in Mb, Hb, and cytochrome
27
What is the rate limiting step in heme synthesis?
production of 5-ALA from SCoA and Glycine
28
What happens at the final stage in heme synthesis
Fe2+ is added by ferrochelatase to protoporphyrin to form heme
29
How does Heme control the rate of its synthesis
inhibiting 5-ALA synthesis
30
what is the catabolic product of heme
Bilirubin
31
T/F bilirubin is soluble
F
32
T/F biliverdin is soluble
T
33
What is processed through the gut and excreted
Conjugated bilirubin
34
What is the imbalance between bilirubin production and excretion
hyperbilirbinemia
35
What is caused by increased bilirubin production
prehepatic jaundice
36
What is intrahepatic jaundice caused by?
impaired hepatic uptake, conjugation or secretion of bilirubin
37
What is posthepatic jaundice
obstruction of biliary drainage
38
What are the two phases that drugs are metabolized in the liver?
1. addition of polar group | 2. conjugation of organic group
39
What mediates addition of polar group?
cytochrome P-450
40
What mediates conjugation of organic group?
sulfation, acetylation, methylation
41
What does an overdose of acetaminophen lead to
production of free radical-mediated cytotoxicity
42
What is alcohol metabolized by?
alcohol dehydrogenase and acetaldehyde dehydrogenase
43
what does alcohol dehydrogenase and acetaldehyde dehydrogenase produce?
acetate