Liver Functions and Metabolism Quiz
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Questions and Answers

What role does gluconeogenesis play in the liver's function?

  • It synthesizes triglycerides from glucose.
  • It converts glucose to fatty acids.
  • It stores excess glucose as glycogen.
  • It creates glucose from non-carbohydrate sources. (correct)
  • Which substance is primarily used by the liver for glycolysis and gluconeogenesis?

  • Starch
  • Lactic acid
  • Galactose and fructose (correct)
  • Glucose
  • What is the main function of VLDL in the liver?

  • Bile production
  • Fatty acid distribution (correct)
  • Cholesterol absorption
  • Glycogen storage
  • Which of the following is NOT a storage function of the liver?

    <p>Storage of bile (C)</p> Signup and view all the answers

    Which of the following statements about bilirubin processing by the liver is true?

    <p>Bilirubin is a result of red blood cell breakdown. (B)</p> Signup and view all the answers

    What is the role of somatomedins synthesized by the liver?

    <p>Hormones that influence growth (C)</p> Signup and view all the answers

    Which plasma protein synthesized by the liver is crucial for blood clotting?

    <p>Clotting factors (B)</p> Signup and view all the answers

    What is the primary effect of the liver's detoxification function?

    <p>Eliminates toxins from the bloodstream (D)</p> Signup and view all the answers

    Which statement regarding the role of hepatocytes in lipid metabolism is true?

    <p>Hepatocytes package triglycerides into very low density lipoproteins (VLDLs). (B)</p> Signup and view all the answers

    What is the significance of ketones produced by hepatocytes?

    <p>Ketones provide an alternative energy source during fasting. (D)</p> Signup and view all the answers

    Which function is NOT performed by hepatocytes?

    <p>Gluconeogenesis from fatty acids. (B)</p> Signup and view all the answers

    During periods of low nutrient availability, hepatocytes primarily utilize which source to produce glucose?

    <p>Amino acids from skeletal muscle proteolysis. (B)</p> Signup and view all the answers

    What is a primary function of high density lipoproteins (HDLs) synthesized by hepatocytes?

    <p>Scavenge cholesterol from blood and tissues. (A)</p> Signup and view all the answers

    What type of amino acids are primarily synthesized by hepatocytes?

    <p>Non-essential amino acids. (D)</p> Signup and view all the answers

    Which statement accurately describes the storage of glycogen?

    <p>Hepatocytes store the highest concentrations of glycogen among all cell types. (D)</p> Signup and view all the answers

    What essential role do VLDLs play in lipid metabolism?

    <p>They distribute fatty acids to various body tissues. (D)</p> Signup and view all the answers

    What components do bile salts contain that contribute to their dual function?

    <p>A mixture of polar and nonpolar components (A)</p> Signup and view all the answers

    Which process is involved in the conversion of heme to bilirubin?

    <p>Conversion to biliverdin first (B)</p> Signup and view all the answers

    What is the primary function of Phase I reactions in drug metabolism?

    <p>Make the drug more hydrophilic (C)</p> Signup and view all the answers

    What role does bile play in the digestion of dietary fats?

    <p>Bile salts emulsify fats to increase surface area (B)</p> Signup and view all the answers

    Which of the following best describes the outcome of drug metabolism?

    <p>Drugs typically become more hydrophilic and less active (D)</p> Signup and view all the answers

    In which cellular structure do Phase I reactions predominantly occur?

    <p>Smooth endoplasmic reticulum (C)</p> Signup and view all the answers

    What compounds can be involved in Phase II reactions for drug metabolism?

    <p>Glucuronate, acetate, and glutathione (D)</p> Signup and view all the answers

    How does bilirubin travel to the liver after its formation?

    <p>Bound to albumin (C)</p> Signup and view all the answers

    What is the primary function of the liver in maintaining nutrient homeostasis during periods of fasting?

    <p>Storing and releasing glucose in the form of glycogen (B)</p> Signup and view all the answers

    Which of the following statements accurately describes the role of glucokinase in the liver?

    <p>Glucokinase allows the liver to efficiently store glucose as glycogen after a meal. (D)</p> Signup and view all the answers

    What is the primary role of albumin in the body?

    <p>Albumin is the most abundant plasma protein and plays a major role in osmolality and transportation of hydrophobic molecules. (A)</p> Signup and view all the answers

    Which of the following conditions could potentially lead to prolonged bleeding?

    <p>A deficiency in vitamin K (A)</p> Signup and view all the answers

    What is the primary reason that the liver is the main organ responsible for urea production?

    <p>The liver removes amine groups from amino acids during gluconeogenesis, which are then converted into urea. (B)</p> Signup and view all the answers

    Which of the following plasma proteins are NOT synthesized by hepatocytes?

    <p>Gamma globulins (D)</p> Signup and view all the answers

    Which of the following statements correctly describes the role of the liver in the synthesis and storage of lipids?

    <p>The liver primarily synthesizes and stores lipids in the form of triglycerides, but this is more commonly associated with a disease state. (A)</p> Signup and view all the answers

    How can liver dysfunction lead to edema formation throughout the body?

    <p>Liver dysfunction reduces the production of albumin, leading to decreased plasma osmolality and an increased tendency toward edema formation. (C)</p> Signup and view all the answers

    What is the primary effect of frequent or regular drug administration on cytochrome P-450 activity?

    <p>Increased cytochrome P-450 activity, resulting in faster drug inactivation. (B)</p> Signup and view all the answers

    What is the primary reason why many drugs undergo "first-pass metabolism"?

    <p>Drugs are absorbed in the small intestine and immediately enter the hepatic portal system, exposing them to liver enzymes. (C)</p> Signup and view all the answers

    Which of the following vitamins can be stored by the liver for the longest duration?

    <p>Vitamin B12 (C)</p> Signup and view all the answers

    What is the role of apoferritin in iron storage within the liver?

    <p>Apoferritin binds to iron, forming ferritin, which is a stable storage form of iron in the liver. (B)</p> Signup and view all the answers

    What is the relationship between somatomedins and Human Growth Hormone (HGH)?

    <p>Somatomedins are a group of polypeptide hormones that mediate the effects of HGH on various tissues. (B)</p> Signup and view all the answers

    What is the primary function of Kupffer cells in the liver?

    <p>Kupffer cells remove and phagocytize bacteria from the blood, preventing sepsis. (B)</p> Signup and view all the answers

    Which of the following statements accurately reflects the relationship between drug administration and cytochrome P-450?

    <p>Increased cytochrome P-450 activity can reduce the effectiveness of a drug, potentially requiring higher dosages. (D)</p> Signup and view all the answers

    How does the liver contribute to the regulation of iron levels in the body?

    <p>The liver stores iron in the form of ferritin, a protein complex composed of iron and apoferritin. (A)</p> Signup and view all the answers

    Flashcards

    Glycogen in Hepatocytes

    Hepatocytes contain the highest glycogen concentrations in the body.

    VLDL (Very Low Density Lipoproteins)

    Lipoproteins made by hepatocytes to distribute triglycerides in the blood.

    HDL (High Density Lipoproteins)

    Lipoproteins that scavenge cholesterol and provide apoproteins for VLDLs.

    Ketones

    Water-soluble molecules produced from fatty acids by hepatocytes.

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    Gluconeogenesis

    The process of making glucose from non-carbohydrate sources like amino acids.

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    Non-essential Amino Acids

    Amino acids synthesized by hepatocytes, not required in diet.

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    Fatty Acid Metabolism

    The breakdown of fatty acids to produce energy and ketones.

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    Skeletal Muscle Proteolysis

    The breakdown of muscle proteins for amino acids during energy deficits.

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    Liver Functions

    The liver supports various vital functions needed for health, including nutrient regulation.

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    Glycogenolysis

    The breakdown of glycogen into glucose to maintain blood sugar levels.

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    VLDL

    Very Low-Density Lipoproteins that transport fatty acids from the liver to tissues.

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    Bile Synthesis

    The liver synthesizes bile which aids in the digestion and absorption of fats.

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    Detoxification

    The liver detoxifies drugs, hormones, and toxins for safe elimination from the body.

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    Vitamin Storage

    The liver stores vitamins A, D, and B12, playing a role in their processing.

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    Bilirubin Excretion

    The liver processes and excretes bilirubin, a waste product from red blood cell breakdown.

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    Urea

    The primary nitrogenous waste product formed from the deamination of amino acids in the liver.

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    Glycogen

    A stored form of glucose synthesized by the liver for energy during fasting.

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    Glucokinase

    An enzyme in hepatocytes that helps convert glucose into glycogen.

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    Clotting Factors

    Proteins synthesized by the liver that regulate blood coagulation.

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    Albumin

    The most abundant plasma protein that transports hydrophobic substances.

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    Liver Dysfunction

    Impaired liver function impacting the synthesis of plasma proteins and metabolites.

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    Triglycerides

    Lipids stored in the liver that are a form of fat tissue, often increased in excess caloric intake.

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    Bile Salts

    Bile salts are compounds that help emulsify dietary fats in the digestive tract.

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    Micelles

    Micelles are structures formed by bile salts that encapsulate dietary fats for digestion.

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    Bilirubin

    Bilirubin is the waste product of heme breakdown, processed by the liver.

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    Phase I Reactions

    Phase I reactions modify drugs to make them more polar through oxidation, occurring in the smooth endoplasmic reticulum.

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    Cytochrome P-450

    Cytochrome P-450 is a family of enzymes responsible for drug oxidation in Phase I reactions.

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    Phase II Reactions

    Phase II reactions further modify drug metabolites for excretion by conjugation with hydrophilic compounds.

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    Glucuronate Conjugation

    A process where drugs or metabolites are conjugated with glucuronate in Phase II reactions, increasing solubility.

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    Drug Metabolism

    Drug metabolism in the liver transforms substances to enhance solubility and reduce activity for excretion.

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    First-pass metabolism

    The initial inactivation of drugs in the liver after absorption in the intestines.

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    Ferritin

    A protein that stores iron in the liver, bound to apoferritin.

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    Somatomedins (IGFs)

    Polypeptide hormones that mediate effects of Human Growth Hormone in tissues.

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    Kupffer Cells

    Phagocytic macrophages in the liver that cleanse bacteria from blood.

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    Iron Storage

    The liver serves as a reservoir for iron, important for red blood cell synthesis.

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    Study Notes

    Liver Functions

    • The liver plays a crucial role in maintaining overall health and life by performing a broad range of functions.
    • Maintaining nutrient homeostasis: The liver regulates blood nutrient levels. This includes glucose supply for neurons, and distributing fatty acids as ketones or triglycerides (VLDLs).
    • Storing nutrients: Glycogen is stored in the liver to release glucose during times of need, and the liver stores lipids as well.
    • Synthesizing and releasing plasma proteins: The liver creates many plasma proteins, including clotting factors and albumin.
    • Synthesizing and releasing bile: Bile, containing bile salts and other components, helps digest fats.
    • Processing and excreting bilirubin: The liver processes and eliminates bilirubin, a waste product.
    • Detoxification and excretion: The liver removes toxins, drugs, and hormones, and prepares them for excretion.
    • Storing vitamins: The liver stores vitamins A, D, and B12 for a period of time, preventing deficiencies.
    • Iron storage: The liver stores iron in the form of ferritin, ensuring its availability for red blood cell production.
    • Synthesizing somatomedins: The liver plays a crucial role in producing hormones related to growth.
    • Blood cleansing: The liver filters blood, removing bacteria and other potential threats.

    Carbohydrates

    • Carbohydrate storage: The liver stores glucose as glycogen.
    • Glycogenolysis: This is the breakdown of glycogen to release glucose when needed.
    • Gluconeogenesis: The liver creates glucose from non-carbohydrate sources.
    • Dietary sugar processing: The liver processes galactose and fructose from the diet.

    Lipids

    • Lipid synthesis and release: The liver synthesizes and releases VLDLs (very-low-density lipoproteins), and HDLs (high-density lipoproteins).
    • Ketone production: The liver creates ketones from fatty acids.
    • Lipid Storage: The liver stores lipids as triglycerides but this is more prevalent in disease conditions.

    Amino Acids

    • Amino acid handling and glucose production: The liver processes amino acids from skeletal muscle protein breakdown, primarily creating glucose via gluconeogenesis.
    • Non-essential amino acid synthesis: The liver plays a pivotal role in synthesizing many non-essential amino acids, rather than consuming them externally.
    • Urea production: The liver plays a crucial role in removing nitrogenous groups from amino acids, producing urea (a major waste product).

    Nutrient Storage

    • Glycogen storage: The liver efficiently stores glycogen, ready for release during low glucose periods.
    • Lipid storage: While not a primary function, the liver can store lipids, particularly triglycerides. This storage is more common in disease states.

    Plasma protein synthesis

    • Clotting factors: The liver produces several essential clotting factors, needing vitamin K for some.
    • Albumin: Albumin, is the most abundant plasma protein, maintaining osmotic balance and binding various substances.

    Bile synthesis and function

    • Bile Composition: Bile contains bile salts, which emulsify fats, and components like cholesterol and bilirubin.
    • Fat Emulsification: Bile salts break down large fat globules into smaller ones, aiding in digestion and absorption.

    Detoxification

    • Drug and hormone metabolism: The liver processes drugs and hormones, making them more excretable, or changing their activity.
    • Phase I and II reactions: The liver uses biotransformations to make drugs and hormones more water-soluble for excretion.

    Other Functions

    • Vitamin storage: The liver significantly stores vitamins A, D, and B12.
    • Iron storage: The liver stores iron as ferritin, making it available for red blood cell production.
    • Somatomedin synthesis: The liver produces hormones that stimulate growth.
    • Blood purification: The Kupffer cells within the liver remove bacteria and other foreign material from the bloodstream.

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