Session 9: Liver Flashcards
(46 cards)
The liver is divided into _____ lobes
Two
The blood that enters the liver comes from where via what?
The GI tract via the hepatic portal vein
How much bile do we produce a day?
1 Litre
When bile is not needed, where is it stored?
In the gall bladder
What is a portal system?
Two capillary systems in series
What are the two examples of portal systems in humans?
- The hepatic portal system (GI to Liver)
- The hypothalamo-hypophyseal portal system (hypothalamus to anterior pituitary)
In general, what happens at the capillary bed of the stomach and intestines?
Nutrients and toxins are absorbed
In general, what happens at the liver sinusoids?
Nutrients and toxins leave
What is the liver made up of?
Hepatic lobules
What travels in the portal vein?
Water, water soluble vitamins, electrolytes (sodium, potassium, chloride, bicarbonate, calcium, magnesium, iron), carbohydrates (glucose, galactose, fructose), proteins (amino acids, dipeptides, tripeptides), intestinal hormones, toxins (including ammonia)
Does ammonia cross the blood brain barrier?
Yes
The liver is the only organ in the body than can complete which cycle?
Urea cycle (Ornithine cycle)
What does the urea (Ornithine cycle) do?
Converts ammonia into urea which can then be excreted in the urine
Toxins can come in the form of what?
Chemicals Bacteris Viruses Protozoa Nematodes Cestodes Termatodes
What does NOT travel in the portal vein?
Lipids
Fat soluble vitamins (ADEK)
Dietary lipids are mostly what three things?
Triglycerides, cholesterol and phospholipids
What are lipids digested by?
Lipases
What is needed to digest lipids?
What do they form?
Bile acids
Micelles
What happens to lipids once they are taken into cells?
They are processed into chylomicrons
What happens to chylomicrons once they have been made?
They are taken up by LACTEALS (part of the lymphatics)
Lacteals contain what?
Chyle
How do lipids eventually end up in the liver if they cannot pass through the hepatic portal vein?
They are processed into chylomicrons and then taken up by lacteals which drain into the abdominal lymphatics which drains into the thoracic duct which joins the venous system at the junction of the left internal jugular vein and subclavian vein. The chylomicrons then enter the liver via the hepatic artery
What are the main functions of the liver?
Metabolism (Catabolism/Anabolism) Storage Filtering Protein--> Bloodstream Detoxification Bile Production
What things are stored in the Liver?
Iron Vitamin A Vitamin B12 Vitamin D Vitamin K Glycogen Carbohydrate Protein