Liver Rebecca Nardi [email protected]. Blood Supply Lab 19, Slide 26 75% of blood supply from gut...

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Liver Rebecca Nardi [email protected]
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Transcript of Liver Rebecca Nardi [email protected]. Blood Supply Lab 19, Slide 26 75% of blood supply from gut...

Page 1: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Liver

Rebecca Nardi

[email protected]

Page 2: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Blood Supply

Lab 19, Slide 26

•75% of blood supply from gut (Venous Portal system)

•25% from Hepatic Artery

•Blood flows from the Portal Triad to the Central Vein via Sinusoids

Page 3: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

The Liver – A 3-D View

Lab 19, slide 25 http://www.biologymad.com/Kidneys/liverlobule.jpg

Page 4: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Portal Triad (+lymph!)

Page 5: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Portal Triad (+lymph!)

Lab 19, Slide 28

Page 6: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Cords (or Plates) and Sinusoids

Plates of Hepatocytes

Blood-filled Sinusoids

Space of DisseLab 19, Slide 30

Page 7: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Space of Disse

Microvilli

Endocytic Vacuole

•The Space of Disse is continuous with the lumen of the sinusoids due to spaces between the endothelial cells as well as in the basal lamina.

•This holds back cells, but not proteins. Proteins made in the liver can easily move into the blood.

Endothelium

Page 8: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Central Vein

Lab 19, Slide 29

Page 9: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Lymph

• Plasma that remains in the perisinusoidal space drains via lymphatics in the

OPPOSITE direction as blood – i.e. from hepatocytes to the triad, and finally to the

hilum.• 80% of the hepatic lymph drains into the

thoracic duct.

Page 10: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Three LobulesClassic Lobule

Portal Lobule

Liver Acinus

SHAPE Polygon (hexagon)

Triangle Ellipse (or diamond)

CENTRAL VEIN

Central 3 Tips 2 Tips (triads at

other tips)

Portal triads at corners

Follows bile

drainage

Reflects blood supply

Page 11: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Classic Lobule

Page 12: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Portal Lobule

Page 13: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Liver acinus

1 22 33

Page 14: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Bile•Made by hepatocytes – it is secreted into canaliculi between cells

•Hering canals connect canaliculi to bile ducts

•Moves in opposite direction from blood – towards the portal triad

•Nasty stuff – Canaliculi are bounded by tight junctions

Page 15: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Bile Canaliculi – Low Power

Phosphotungstic Acid & Hematoxylin stains the canaliculi.

Page 16: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Bile Canaliculi

Canaliculus in Cross-section

Space of Disse

Tight Junctions

Page 17: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Kupffer Cells•Macrophages, derived from monocytes.

•They form part of the lining of the sinusoid, but do not form junctions with endothelial cells.

http://medocs.ucdavis.edu/cha/402/PIX/1877/1877090.jpg

Page 18: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

What is at the pointer?

Is it carrying blood/bile to/from hepatocytes?

Portal Vein

It is carrying blood to the hepatocytes.

Page 19: Liver Rebecca Nardi ran2101@columbia.edu. Blood Supply Lab 19, Slide 26 75% of blood supply from gut (Venous Portal system) 25% from Hepatic Artery Blood.

Where is the highest O2 Content?

http://www.md.tsukuba.ac.jp/public/basic-med/anatomy/okado-group/Anatomy/C_description/c-1&2_liver/lobule.jpg

A B C

C – Zone 1 of the Acinus