1-LIVER Structure & Function Flashcards

(27 cards)

1
Q

What is the portal vein responsible for?

A

Conducting all absorbed materials to the liver

It merges vessels that transport nutrients from the digestive tract.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What does the hepatic artery supply to the liver?

A

Freshly oxygenated blood

This blood is not loaded with nutrients and comes from the lungs.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are the components of the liver lobule?

A
  • Portal triad
  • Central vein
  • Bile canalculi
  • Parenchyma cells
  • Sinusoids

The lobule is the structural unit of the liver.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the acinus in the liver?

A

Functional unit of the liver

It consists of three zones and is involved in metabolic and synthetic functions.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Name the three zones of the hepatic acinus.

A
  • Zone 1
  • Zone 2
  • Zone 3

Each zone has different metabolic activities.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What are hepatocytes responsible for?

A
  • Metabolic functions
  • Synthetic functions

They play a crucial role in liver function.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is the role of Kupffer cells in the liver?

A

Breakdown of phagocytosed bacteria

They are specialized macrophages located in the liver.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What is the function of lysosomes in hepatocytes?

A
  • Breakdown of phagocytosed materials
  • Deposition of iron, bile pigments, copper, & lipofuscin

They contain hydrolytic enzymes that act as scavengers.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the primary function of the smooth endoplasmic reticulum in hepatocytes?

A
  • Conjugation of bilirubin
  • Detoxification via cytochrome P450 enzymes
  • Synthesis of steroid, cholesterol, & bile acid

It is also the site of most drug metabolism.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are the biochemical functions of the liver?

A
  • Excretory
  • Synthetic
  • Metabolic
  • Detoxification
  • Storage

These functions are essential for maintaining homeostasis.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What is the excretory function of the liver?

A

Elimination of waste products like bilirubin and bile acids

This function helps in detoxifying the blood.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is involved in carbohydrate metabolism in the liver?

A
  • Glycolysis
  • Gluconeogenesis
  • Glycogenolysis
  • Glycogenesis

These processes regulate blood glucose levels.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What is the significance of gluconeogenesis?

A

Conversion of non-carbohydrate moieties to glucose

It helps clear blood of tissue metabolites.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What happens during ketone body formation?

A

Increased ketone bodies from acetyl-CoA generated from fatty acids

This occurs during carbohydrate shortages.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are the four functions of bile acids?

A
  • Elimination of excess cholesterol
  • Solubilize cholesterol in bile
  • Emulsification of dietary triacylglycerols
  • Facilitate intestinal absorption of fat-soluble vitamins

Bile acids are crucial for digestion and absorption.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is the hepatic first-pass effect?

A

The initial metabolism of drugs by the liver before they enter systemic circulation

It significantly affects drug bioavailability.

17
Q

What are the phases of drug metabolism?

A
  • Phase I: Hydroxylation, reduction, oxidation, hydrolysis
  • Phase II: Conjugation to water-soluble forms

Phase I reactions often involve the cytochrome P450 system.

18
Q

What is the role of antioxidants in the liver?

A

Neutralize free radicals

Important antioxidants include beta-carotene and vitamins A, C, and E.

19
Q

What substances are stored in the liver?

A
  • Glucose as glycogen
  • Amino acids
  • Iron as ferritin or hemosiderin
  • Lipids
  • Vitamins (B12, A, D, E, K)

The liver serves as a storage reservoir for essential nutrients.

20
Q

Hepatic artery

A

Supplies oxygenated blood to the liver tissue.

21
Q

Portal vein

A

Brings nutrient-rich, deoxygenated blood from the gastrointestinal tract to the liver for processing.

22
Q

Three major functions of the liver

A

Metabolic – carbohydrate, lipid, and protein metabolism. Synthetic – production of plasma proteins (albumin, clotting factors) and bile acids. Excretory/Detoxification – elimination of bilirubin, ammonia, and drugs.

23
Q

Carbohydrate metabolic pathways in the liver

A

Glycolysis, Glycogenesis, Glycogenolysis, Gluconeogenesis.

24
Q

Principal function of bile and bile acids; storage and release

A

Function: Emulsify fats, aid in digestion and absorption of fat-soluble vitamins (A, D, E, K), and remove excess cholesterol. Stored in: Gallbladder. Released from: Common bile duct into the duodenum.

25
Purpose of drug biotransformation (detoxification)
Converts lipid-soluble substances into water-soluble metabolites for excretion; reduces toxicity and facilitates elimination.
26
Bilirubin metabolism
Derived from: Breakdown of hemoglobin (heme) from red blood cells. Formation steps: Heme → biliverdin (via heme oxygenase) Biliverdin → unconjugated bilirubin (via biliverdin reductase) In liver: unconjugated bilirubin binds albumin, then conjugated with glucuronic acid by UDP-glucuronyl transferase → conjugated bilirubin. Excreted in bile → intestine → converted to urobilinogen, then to stercobilin (feces) or reabsorbed/excreted in urine.
27
Two antioxidants stored in the liver
Vitamin E, β-carotene (precursor to Vitamin A).