What is the largest gland in the body?
Liver
What is the hepatic lobule made up of?
cells, CT, blood vessels, sinuses + biliary tree
What are the structures of the hepatic lobule?
Classic lobule
1. Shape
2. Central vein lxn
3. Portal triad lxn
Portal lobule
1. Shape
2. Central vein lxn
3. Portal triad lxn
Liver Acinus
1. Shape
2. Central vein lxn
3. Portal triad lxn
List the location and fxn of each zone of the liver acinus
1. Zone 1
2. Zone 2
3. Zone 3
Toxins mainly affects which zone of the liver acinus? Oxygen depletion mainly affects which zone of the liver acinus?
toxins mainly affect zone 1; oxygen depletion mainly affects zone 3
What are the 3 types of liver cells?
Hepatocytes, Hepatic Stellate Cells (Ito cells), Kupffer cells
What are hepatocytes?
large polygonal cells w/ microvilli
What is the endocrine and exocrine fxn of hepatocytes?
What is the exocrine fxn regulated by?
What do the organelles do?
Endocrine fxn = make + secrete proteins/lipoproteins into the blood
Exocrine fxn = make + secrete bile into bile ducts and gallbladder
Exocrine fxn regulated by CCK
Organelles degrade toxins (sER) + store lipofuscin pigment (lysosomes)
Granules store glycogen + lipids stain acidophilic (pink)
Hepatic Stellate Cells = Ito Cells
1. Lxn
2. Fxn
Kupffer Cells
1. Lxn
2. Fxn
What is the space of disse?
The space b/n the hepatocytes & the endothelial cells of the sinusoid
What structures are extended/secreted into the space of disse?
What is the CT of the liver comprised of?
What can occur if there is damage to hepatocytes? What does each liver cell do?
causes them to release cytokines to recruit cells to the area
Kupffer cells can act as macrophages to breakdown damaged cellular material
Ito cells become activated ->transform into myofibroblasts -> produce type I collagen fibers into the space of Disse
An increase in fibrosis around the portal vein ____ blood flow, which leads to ____ blood pressure. This can lead to ____
An increase in fibrosis around the portal vein decreases blood flow, which **increases **blood pressure. This can lead to portal HTN.
What is cirrhosis?
What is it caused by?
* Can hepatocytes regenerate?
* death of hepatocytes leads to what?
chronic liver damage
What are 3 causes of cirrhosis?
alcoholism, certain viral infections, autoimmune disease
What makes up the vascular system of the liver (5)?
portal vein → hepatic vein → interlobular vessels → sinuses → central vein
What are the blood vessels of the liver unit and list the fxn for each?
Central vein: In the center of the lobule = not in triad
Portal triad = ____ + ____ + ____
portal triad = portal vein +hepatic artery + bile duct
What is the order of the biliary tree?
Bile Canaliculi ->Bile Ductule (interlobular ducts = in portal triad) -> Common Bile Duct