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24 Cards in this Set

  • Front
  • Back
What tissue do the liver, gallbladder, and pancreas arise from?
Duodenal epithelium
Describe the tissue that covers most of the liver.
Most of the liver (where it faces the peritoneal cavity: visceral and diaphragmatic surfaces) is covered with serosa: serous, single-cell mesothelial lining
Describe the area of the liver not covered by mesothelium.
Space bounded by the coronary ligament, containing the caudal vena cava, where the diaphragmatic face of the liver attaches to the diaphragm.
What lies beneath the mesothelium covering the liver?
Glisson's capsule:
- thin layer of dense irregular connective tissue

- invaginates at the hilus to extend in as the stroma that supports/surrounds vessels/ducts (intrahepatic portal connective tissue)

- composed of collagen, fibroblasts, smooth muscle, small blood vessels, lymphatics
What are portal triads / portal tracts / portal canals?
The group of vessels, ducts, and encasing connective tissue that contain branches of the hepatic artery and portal vein, bile duct, lymphatic channel
Describe composition of hepatic blood supply.
Dual afferent blood supply: oxygenated blood through hepatic artery (25%) and nutrient-rich/oxygen-poor blood from portal vein (75%)

- the arterial and venous blood mix in the liver sinusoids (like capillary bed)

- contains products of gut digestion/absorption and spleen antigen-recognition and RBC breakdown
What does the hilus of the liver contain?
Portal vein, hepatic artery (starts to branch before entering hilus), bile duct

- no blood exits at hilus, just bile
Describe efferent blood flow from the liver.
Blood from hepatic sinusoidal capillary beds flows into larger and larger vessels until it exits each lobe in a hepatic vein.

The hepatic veins merge with the caudal vena cava as it is surrounded by the coronary ligament, just before it passes through the diaphragm.
How do hepatocytes differ depending on their orientation?
Surface specialization:
- microvillous surface faces the perisinusoidal space

- canalicular surface borders bile canaliculi

- contact surface between adjacent hepatocytes: may have tight junctions, desmosomes
Describe how bile leaves the liver.
- bile is secreted into bile canaliculi (minute spaces between apposed hepatocytes formed by tight junctions)

- bile flows from bile canaliculi into bile ductules (aka cholangioles; lined by low simple cuboidal epithelium, aka cholangiocytes)

- ductules connect into interlobar bile ducts lined by simple cuboidal or columnar epithelium

- interlobar bile ducts connect into intrahepatic and then hepatic ducts
What separated liver sinusoidal endothelial cells from hepatocytes?
Space of Disse
- interstitial, perisinusoidal, contains reticular fibers (collagen type III)
- plasma (but not RBCs) can pass through fenestrations in endothelium into Space of Disse, to be in contact with hepatocytes
What are Kupffer cells?
- resident liver macrophages, located in sinusoids, responsible for phagocytosis, cytokine secretion, antigen-presenting, etc.
What are stellate cells (Ito cells)?
- perisinusoidal adipocyte in Space of Disse

- secrete cytokines, produce ECM of Space of Disse, store lipid-soluble vitamins (e.g. Vit A)
What are the three zones of the classic hepatic lobule?
(Hexagon with portal canals at each corner and central vein in the middle)

Periportal zone- closest to portal tract

Midzone

Centrilobular (aka central) zone- furthest away from portal tract, closest to central vein
What are the three zones of the hepatic acinus?
(Diamond with central vein on two opposite points and portal tracts on the other two)

- zone 1: closest to afferent blood supply; oxygen-rich

- zone 2

- zone 3: closest to terminal hepatic vein, oxygen-poor
What are portal lobules?
The unit supplied/drained by a portal canal.
Describe hepatocytes.
- arranged in hepatic cords or plates

- large polyhedral cells, round central nuclei (frequently polyploidy, i.e. more than 1 nucleus)
Describe shape and function of the gallbladder.
- pear-shaped organ: blindly-ending fundus, central body, narrow neck

- stores bile (produced in liver) until the bile is needed to emulsify fat in the gut lumen
Describe the outside covering of the gallbladder.
Has serosa over most of it, except for a portion of adventitia that is continuous with Glisson's capsule of the liver
Describe layers of the gallbladder.
- tunica mucosa: simple tall-columnar epithelium; no goblet cells or glands

- scanty lamina propria

- stringy tunica muscularis

- serosa and adventitia

(no submucosa or lamina muscularis mucosae)
Describe an acinus of the pancreas.
- secretory cells grouped around a lumen

- eosinophilic apical region of cells contain zymogen granules in vesicles (later released by exocytosis)

- basal regions are basophilic because of rough ER
Describe the duct system of the pancreas.
- only gland where duct system begins in acinus

- first portion is intercalated ducts: extends into center of acinus; lined by small centroacinar cells (flattened, cuboidal or low columnar epithelium)

- intercalated ducts empty into interlobular ducts, which are lined by columnar epithelium

- interlobular ducts empty into the main pancreatic duct, which is lined by a tall columnar epithelium
Describe the Islets of Langerhans.
- lighter staining tissue (compared to exocrine parts)

- demarcated by delicate connective tissue fibrils

- well-vascularized (so endocrine products can get into circulation)

- 3 major cell types:
Beta cells: center of islet (surrounded by rim of alpha and delta cells), most abundant, produce insulin

Alpha cells: secrete glucagon

Delta cells: secrete somatostatin

(Cells of endocrine islet all look the same- cannot tell what they secrete)
Describe a hepatopancreas.
- pancreas combined with liver in lower species (fish, birds)

- islands of pancreatic material scattered throughout liver, surrounded/separated by connective tissue