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Liver function tests: Normal liver function




 Normal liver function

 Introduction

The liver plays biochemical role in the metabolism, digestion, detoxification, and elimination of substances from the body. The liver is involved in a number of excretory, synthetic, and metabolic functions which are essential to life.

1. Metabolic functions:- 

Carbohydrate metabolism 

- Gluconeogenesis
 - Glycogenesis
 - Glycogenolysis

  Lipid metabolism

 - Fatty acid synthesis
 - Cholesterol synthesis and excretion 
- Synthesis of triglycerides and phospholipids 
- Lipoprotein synthesis
 - Ketogenesis
 - Bile acid synthesis 

 Protein metabolism 

- Synthesis of plasma proteins e.g. coagulation factors 
- Synthesis of albumin and some extent of α and β globulins
 - Urea synthesis from ammonia derived from deamination of amino acids.

2. Storage functions:- The liver is major site for storage of

 - Glycogen 
- Vitamin B12
 - Vitamin A
 - Iron 

3. Excretory functions:-

 - The liver cells are responsible for conjugation of bilirubin and its excretion into the biliary tract. 
-The liver excretes cholesterol and foreign substance into the biliary tract. 

4. Detoxification function:-

 - The detoxification of drug by the liver (e.g. phenobarbitone).
 - Steroid hormones are conjugated with glucuronic acid and sulfate in the liver and are excreted in urine. 
- Benzoic acid is conjugated with glycine to form Hippuric acid which is excreted in urine.

 5. Synthetic function:-

 - The liver produces clotting factors like factor V, VII, and X and fibrinogen.
 - The liver cells convert preprothrombin(inactive) to prothrombin(active) in the presence of vitamin K.
The liver produces albumin and some α & β globulin.

 6. Secretory function:

- The liver responsible for formation and secretion of bile into intestine

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