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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