13- The anatomy of the liver Flashcards

1
Q

What is the function of the glissons capsule

A

Connective tissue that surrounds the liver.

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2
Q

How many surfaces do hepatocytes have

A

2 basal surfaces on opposite ends of the cell and each surface faces the blood

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3
Q

Where in the hepatocyte is bile secreted from

A

Bile is secreted from the apical surface around the hepatocytes middle

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4
Q

What connects neighbouring hepatocytes

A

The lateral surface

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5
Q

What is the arrangement of hepatocytes and what are they separated by

A

They are arranged into cords separated by vascular sinusoids

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6
Q

What vessels take blood to the liver

A

Hepatic artery and portal vein

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7
Q

What vessels take processed blood

A

Hepatic Veins

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8
Q

Where does blood mix in the liver and where does it drain

A

Mixes in the sinusoids and drains in the central vein

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9
Q

What is a sinusoid and how do they achieve their function

A

A small blood vessel found in the liver that functions similarly to a capillary

They have increased permeability compared to capillaries and allow larger molecules to leave the blood stream

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10
Q

What allows the passage of large molecules out of sinusoids

A

endothelial layer contains large intracellular gaps.
a further leak is allowed by fenestrations that penetrate endothelial cells.

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11
Q

What is different about the basement membrane in sinusoids

A

They are absent or discontinuous

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12
Q

Where does blood enter sinusoids

A

Enters via the portal vein and hepatic artery

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13
Q

What is the space called between endothelium and hepatocytes

A

Space of Disse

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14
Q

Where does the space of disse drain to

A

Drain into lymph nodes

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15
Q

What are the function of kupffer cells

A

Of the macrophage lineage found in the sinusoid

They are phagocytic and important in removing particulate material, including bacteria from portal blood

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16
Q

Where are ito cells found and what are their function

A

Found in the space of disse and are the primary storage site for hepatic fat and vitamin A

17
Q

What is the fate of vitamin A found in ito cells

A

Transported from the liver to the retina to form rhodopsin

18
Q

What happens to ito cells in the liver is continuously exposed to harm

A

Ito cells become myofibroblasts and produce collaged leading to fibrosis

19
Q

What do dendritic cells do in the liver

A

They play important roles in liver immunity, auto immunity and regulation of hepatic allograft acceptance

20
Q

What is the function of biliary ducts

A

A series of channels and ducts that convey bile from the liver to the small intestine

21
Q

What do apical faces form in biliary system

A

They are held together to form canniculi

22
Q

What is the hierarchy of cells in the bile duct

A

Hepatocytes-Bile canaliculi-Canal of herring-Interlobar bile duct-bileduct

23
Q

Where is the portal triad found and what does it consist of

A

At each of the six corners of the lobule

Comprises of hepatic artery, portal vein and bile duct

24
Q

What do liver lobules comprise of

A

Hexagonal structures composing of hepatocytes which radiate outward from a central vein

25
Q

What are liver acinus

A

Oblong shaped and defined as the functional unit in the liver

26
Q

How many zones are found in the liver acinus

A

3 zones

27
Q

What is zone 1 of the liver acinus

A

Periportal Zone

First to receive oxygen, nutrients and toxins to blood
First to show morphologic changes after bile duct occlusion
Last cells to die if circulation is impaired
First cells to regenerate

Closest to the short axis

28
Q

What is zone 2 of the liver acinus

A

Intermediate zone

Have functional and morphological characteristics and responses that are

lies between zone 1 and 3

29
Q

What is zone 3 of the liver acinus

A

Perivenous zone

Most sensitive to hypoxia
First to show ischaemic necrosis
First to show fat accumulation
Last to respond to toxic substances

furthest from the short axis and closest to the central vein

30
Q

What processes does zone 1 carry out

A

oxidative metabolism
Gluconeogenesis
Ureagenesis
Bile formationW

31
Q

What processes does zone 3 carry out

A

Glycogen synthesis
Glycolysis
Xenobiotic Metabolism