Metabolic Functions of the Liver Flashcards

1
Q

What are the Phase I reactions in the metabolism of drugs in the liver?

A

They catalyze the oxidation of these substances, usually adding -OH or -COOH to them.

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2
Q

What enzyme catalyzes the Phase I reactions?

A

NADPH-cytochrome p450 reductase

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3
Q

What are the Phase II reactions of drug metabolism?

A

The products from the Phase I reactions are conjugated to make them more hydrophilic and thus, soluble.

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4
Q

What plasma proteins does the liver make and what is their role?

A

The liver makes most of the plasma protein and their role is varied -> major functions are in blood clotting and iron metabolism.

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5
Q

How is vitamin A transported to the liver?

A

Transported in chylomicrons to the liver as an ester of long FAs

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6
Q

How does the liver mobilize vitamin A as blood levels fall?

A

Hydrolyzes the retinyl ester and the retinol binds the retinol-binding protein which is then secreted into the blood

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7
Q

How is vitamin D3 transported to the liver?

A

Transported in chylomicrons to the liver in a non-esterified form

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8
Q

Where are the major vitamin D stores?

A

Adipose and skeletal muscle

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9
Q

Why is vitamin K important in the liver?

A

It is required for the synthesis of prothrombin

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10
Q

What is iron stored as in the liver?

A

Ferritin

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11
Q

What is the importance of copper in the liver?

A

The liver takes up and stores copper as well as secretes it in bile.

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