logging in or signing up Histology of the liver and gall bladder hanaasaid Download Post to : URL : Related Presentations : Let's Connect Share Add to Flag Embed Email Send to Blogs and Networks Add to Channel Copy embed code: Embed: Flash iPad Dynamic Copy Does not support media & animations Automatically changes to Flash or non-Flash embed WordPress Embed Customize Embed URL: Copy Thumbnail: Copy The presentation is successfully added In Your Favorites. Views: 1051 Category: Education License: All Rights Reserved Like it (0) Dislike it (0) Added: January 20, 2013 This Presentation is Public Favorites: 0 Presentation Description No description available. Comments Posting comment... By: elrasheeedy (13 month(s) ago) thanxs Doc Saving..... Post Reply Close Saving..... Edit Comment Close Premium member Presentation Transcript PowerPoint Presentation: Histology of The Liver and Gall Bladder By Hanaa Said Under Supervision of Prof.Dr . Fadia KhalidPowerPoint Presentation: The LiverAnatomy of the liver: Anatomy of the liver The liver is the second-largest organ of the body and the largest gland, weighing about 1-1.5 kg. It is situated in the abdominal cavity beneath the diaphragm.PowerPoint Presentation: It is divided anatomically by deep grooves into: Two large lobes (the right and left lobes)and Two smaller lobes ( the quadrate and caudate lobes). Anatomy of the liverLiver Physiology (Function): Liver Physiology (Function) Exocrine function Endocrine functionLiver Physiology (Function): Liver Physiology (Function) It produces most of the circulating plasma proteins (albumins,VLDL,glycoproteins, prothrombin and fibrinogen). It stores and converts several vitamins(A,D and K) and iron. It degrades drugs and toxins by oxidation then conjugation.PowerPoint Presentation: It secretes bile. It modifies structure and function of many hormones: -Thyroxine -Growth hormone. -Insulin and glucagon. Liver PhysiologyPowerPoint Presentation: Vascular Supply The liver has a dual blood supply, receiving oxygenated blood from the left hepatic artery and the right hepatic artery (25%) and nutrient-rich blood via the portal vein (75%). Both vessels enter the liver at the porta hepatis.PowerPoint Presentation: Along the length of each slender branch of the hepatic artery within the portal area, fine branches, known as distributing arterioles, arise; like outstretched arms, they reach toward their counterparts in the neighboring portal areas. Smaller vessels, Vascular SupplyPowerPoint Presentation: known as inlet arterioles, branch from the distributing arterioles (or from the parent vessel). In addition, the interlobular bile ducts are vascularized by a peribiliary capillary plexus. Venules are of two sizes: the larger distributing veins and Vascular SupplyPowerPoint Presentation: the smaller inlet venules. The longitudinal axis of each classical lobule is occupied by the central vein, Hepatocytes radiate, from the central vein, forming anastomosing, plates of hepatocytes, separated from each other by as hepatic sinusoids . Inlet arterioles, Vascular SupplyPowerPoint Presentation: inlet venules, and branches from the peribiliary capillary plexus pierce the limiting plate to join the hepatic sinusoids. As blood enters the sinusoids, its flow slows considerably and it slowly percolates into the central vein. As the central vein leaves the lobule, Vascular SupplyPowerPoint Presentation: it terminates in the sublobular vein. Numerous central veins deliver their blood into a single sublobular vein; Sublobolar veins join each other to form collecting veins, which in turn form the right and left hepatic veins. Vascular SupplyPowerPoint Presentation: Blood leaves the liver at the posterior aspect of the organ through the hepatic veins, which deliver their contents into the inferior vena cava. Vascular SupplyPowerPoint Presentation: Portal area(Portal triad)PowerPoint Presentation: Histology of the liverPowerPoint Presentation: Liver, Silver impregnationPowerPoint Presentation: Liver lobules The three types of liver lobules are the classical lobules, portal lobules, and the hepatic acinus (acinus of Rappaport). I.Classical liver lobule: In this concept, blood flows from the periphery to the center of the lobule into the central vein. Bile, manufactured byLiver lobules: Liver lobules liver cells, enters into small intercellular spaces, bile canaliculi , located between hepatocytes, and flows to the periphery of the lobule to the interlobular bile ducts of the portal areas . II.Portal lobulesPowerPoint Presentation: all hepatocytes that deliver their bile to a particular interlobular bile duct. III.H epatic acinus (acinus of Rappaport) : It is viewed as three poorly defined, concentric regions of hepatic parenchyma surrounding a distributing artery in the Liver lobulesPowerPoint Presentation: center. The outermost layer, zone 3, extends as far as the central vein and is the most oxygen-poor of the three zones. The remaining region is divided into two equal zones (1 and 2); zone 1 is the richest in oxygen. Liver lobulesPowerPoint Presentation: The Three Concepts of Liver lobulesPowerPoint Presentation: Hepatic Sinusoids and Hepatocyte Plates Anastomosing plates of hepatocytes, no more than two cells thick prior to the age of 7 years and one cell thick after that age, radiate from the central vein toward the periphery of the classical lobule. The spaces between the plates of hepatocytes are occupied by hepaticPowerPoint Presentation: sinusoids, and the blood flowing in these wide vessels is prevented from coming in contact with the hepatocytes by the presence of an endothelial lining composed of sinusoidal lining cells. sinusoidal lining cells have gaps of 0.5 Hepatic Sinusoids and Hepatocyte PlatesPowerPoint Presentation: µm between them and fenestrae that are present in clusters, known as sieve plates . Hepatic Sinusoids and Hepatocyte PlatesPowerPoint Presentation: Fenenstrations in hepatic blood sinusoidsPowerPoint Presentation: Hepatic lobule, humanPowerPoint Presentation: Perisinusoidal space (Space of Disse ´ ) It lies between the basal surfaces of hepatocytes and the basal surfaces of endothelial cells and Kupffer cells. Small irregular microvilli project from the basal surfaces of hepatocytes into this space to increase surface area for exchange of materials between hepatocytes and plasma found in this space.PowerPoint Presentation: This space contains also Ito cells and reticular fibers supporting endothelial capillaries. In the fetal liver, it contains islands of blood-forming cells. Perisinusoidal space (Space of Disse´ )PowerPoint Presentation: Kupffer cell (Stellate macrophages) Member of the mononuclear phagocytic system. They form part of the lining of the sinusoid. Processes of Kupffer cells often seem to span the sinusoidal lumen and may partially occlude it. Their cytoplasm contains red cell fragments and ferritin.PowerPoint Presentation: Kupffer cell (Stellate macrophages Functions: They play a role in the final breakdown of damaged or senile RBCs. Remove bacteria and debris that reach the portal blood from gut and act as APC in adaptive immunity .PowerPoint Presentation: Kupffer cells(H&E, injected with India ink)PowerPoint Presentation: Kupffer cells and blood sinusoidsPowerPoint Presentation: Kupffer cell,TEMPowerPoint Presentation: Ito cells (Hepatic stellate cells,Fat storing cells) - Have a mesenchymal origin. Found in the perisunsoidal space. They are the primary storage site for hepaic vitamin A. They produce collagen III and growth factors required by the liver for proliferation In certain pathologic conditions, such asPowerPoint Presentation: cirrhosis, they lose their lipid and vitamin A storage capability and differentiate into cells with characteristics of myofibroblasts. - Ito cells play a role in remodelling the extracellular matrix during recovery from liver injury. Ito cells (Hepatic stellate cells,Fat storing cells)PowerPoint Presentation: Ito cells (Hepatic stellate cells,Fat storing cells)PowerPoint Presentation: Hepatocyte,Ito cell and Kupffer cellPowerPoint Presentation: Pit cells (Hepatic NK cells or large granular lymphocytes) -They exist in the liver sinusoids and often adhere to endothelial cells . - Pseudopodia of pit cells can penetrate the fenestrae of the endothelial cells, and enter the space of Disse and can directly contact the microvilli of hepatocytes.PowerPoint Presentation: -Most surface antigens found on rat pit cells are similar to that found on spleen or peripheral blood NK cells. Pit cells (cont.)PowerPoint Presentation: Pit cell and Kupffer cellPowerPoint Presentation: HepatocytePowerPoint Presentation: Domains of Hepatocyte Plasmalemma The plasma membranes of hepatocytes have two domains: lateral and sinusoidal . 1-lateral domains : responsible for the formation of bile canaliculi. have isolated gap junctionsPowerPoint Presentation: Bile canaliculus between two hepatocytesPowerPoint Presentation: Bile canaliculus, freeze fracturePowerPoint Presentation: 2-Sinusoidal domains: form microvilli that protrude into the perisinusoidal space of Disse ´ . Domains of Hepatocyte PlasmalemmaPowerPoint Presentation: Forms about 80% of cell population of the liver. Nucleus: -Central, spherical. -Most hepatocytes of adult liver are binucleated . -has one or 2 nucleoli HepatocytePowerPoint Presentation: Cytoplasm: Generally acidophilic. Has basophilic area(RER and free ribosomes). Numerous mitochondria demonstrated by vital staining and enzyme histochemistry Numerous Golgi complexes can be detected with silver staining. HepatocytePowerPoint Presentation: Many peroxisomes detected by immunocytochemistry. Lipid droplets can be demonstrated with Sudan black. Glycogen granules appear as foamy areas in well preserved H&E sections. HepatocytePowerPoint Presentation: Liver ,PAS stainingPowerPoint Presentation: HepatocytePowerPoint Presentation: Hepatocytes are large, organelle-rich cells that manufacture the exocrine secretion bile as well as a large number of endocrine secretions; in addition, these cells can perform a large array of metabolic functions . HepatocytePowerPoint Presentation: Each cell contains as many as 2000 mitochondria. Cells near the central vein (zone 3 of the liver acinus) have nearly twice as many, but considerably smaller, mitochondria as hepatocytes in the periportal area (zone 1 of the liver acinus). MitochondriaPowerPoint Presentation: Mitochondria,TEMPowerPoint Presentation: Golgi apparatus As many as 50 Golgi units may be found in hepatocyte. They are concentrated near the bile canaliculus. Golgi cisternae and vesicles near the sinusoidal surface contain electron dense granules that are believed to be VLDL and other lipoprotein precursors.PowerPoint Presentation: Cells in zone 3 of the liver acinus have a much richer endowment of SER than those in the periportal area. SER the presence of certain drugs and toxins in the blood induces an increase in the SER content of liver cells .PowerPoint Presentation: They contain enzymes involved in degradation and conjugation of toxins and drugs as well as enzymes responsible for synthesizing cholesterol and the lipid portion of lipoproteins. SERPowerPoint Presentation: SER,TEMPowerPoint Presentation: Peroxisomes Hepatocytes have as many as 200-300 peroxisomes. They are relatively large and vary in diameter from 0.2 to 1.0µm. Peroxisomes play important role in the process of detoxification and breakdown of fatty acids as well as gluconeogenesis and metabolism of purines.PowerPoint Presentation: Peroxisomes,TEMPowerPoint Presentation: Lysosomes In addition to normal lysosomal enzymes , hepatocyte lysosomes also contain: -Lipofuscin pigments. -Partially digested cytoplasmic organelles. -Myelin figures. They are the primary site for iron storage. Increase in number in a wide variety of pathologic conditions.PowerPoint Presentation: Glycogen deposits Present as accumulations of electron-dense granules 20 to 30 nm in size, known as β particles, in the vicinity of the SER. Liver cells in the vicinity of the portal area (zone 1 of liver acinus) display large clumps of β particles surrounded by SER.PowerPoint Presentation: On the other hand pericentral hepatocytes (zone 3 of liver acinus) exhibit diffuse glycogen deposits. Glycogen deposits They are abundant subsequent to eating and fewer after fasting.PowerPoint Presentation: Glycogen deposits,TEMPowerPoint Presentation: Lipid droplets They contain mainly VLDL. They increase in numder after fatty meals. Hepatotoxic substances causes increase of lipid droplets in cells of zone 3.PowerPoint Presentation: Multilamellar bodiesPowerPoint Presentation: Tight junctions Macula adherensPowerPoint Presentation: Hepatic Ducts Bile canuliculi anastomose with one another, forming labyrinthine tunnels among the hepatocytes . As these bile canaliculi reach the periphery of the classic lobules, they merge with cholangioles , short tubules composed of a combination of hepatocytes and low cuboidal cells, and occasional oval cells.PowerPoint Presentation: Hepatic Ducts Bile from cholangioles enters the canals of Hering, slender branches of the interlobular bile ducts, that radiate parallel to the inlet arterioles and inlet venules. Interlobular bile ducts merge to form increasingly larger conduits, which eventually unite to form the right hepatic duct and the left hepatic duct.PowerPoint Presentation: Hering canalPowerPoint Presentation: Mucosa: Epithelial lining: Simple columnar epithelium. Lamina propria: Thin. Histological structure of hepatic, cystic, and common bile ductsPowerPoint Presentation: Musculosa : Thin layer of smooth muscles that becomes thicker near the duodenum and finally, in the intramural portion, forms a sphincter that regulates bile flow (sphincter of Oddi). Histological structure of hepatic, cystic, and common bile ductsPowerPoint Presentation: Bile ductComposition of bile: Composition of bile Water. Phosphilipids(i.e.lecithin) and cholesterol. Bile salts (also called bile acids): -Primary:cholic acid and chenodeoxycholic acid. -Secondary:deoxycholic acid and lithocholic acid.Composition of bile: Composition of bile 4.Bile pigments, principally the glucuronide of bilirubin produced in the spleen , bone marrow, and liver by the breakdown of hemoglobin. 5.Electrolytes:Na+,K+, Ca2+, Mg2+, Cl-, and HCO3-.PowerPoint Presentation: Liver Regeneration The liver has a great ability to regenerate after a hepatotoxic insult or even after a portion of the liver is excised. The mechanism of regeneration is controlled by * Transforming growth factor-α * Transforming growth factor-βPowerPoint Presentation: * Epidermal growth factor. * Interleukin-6. * Hepatocyte growth factor. In most cases, the regeneration is due to the replicative capability of the remaining hepatocytes; Liver RegenerationPowerPoint Presentation: If the hepatotoxic insult is too great , regeneration of the liver is due to the mitotic activity of the oval cells of cholangioles and canals of Hering. Liver RegenerationPowerPoint Presentation: Lymphatic drainage Plasma in perisinusoidal space drains into space of Mall. Then it enters lymphatic capillaries. The lymph then moves in progressively larger vessels in the same direction of bile to the hilum of the liver then finally into thr thoracic duct.PowerPoint Presentation: Gall bladderPowerPoint Presentation: Small, pear-shaped organ situated on the inferior aspect of the liver. 10 cm in length and 4 cm in cross-section. AnatomyPowerPoint Presentation: Histological Structure The mucosa of the empty gallbladder is highly folded into tall, parallel ridges . Mucosa: Epithelial lining: simple columnar epithelium, composed of two types of cells: 1.the more common clear cells 2. the infrequent brush cellsPowerPoint Presentation: L.M .: nucleus:basal oval Cytoplasm: Supranuclear cytoplasm contains occasional secretory granules. E.M .: their luminal surface displays short microvilli coated by a thin layer of glycocalyx. Histological StructurePowerPoint Presentation: The basal region of the cytoplasm is particularly rich in mitochondria. Lamina propria: Histological Structure composed of loose connective tissue,rich in fenestrated capillaries and small venules with no lymphatics. It is rich in elastic and collagen fibers.PowerPoint Presentation: In the neck of the gallbladder, the lamina propria houses simple tubuloalveolar glands, which produce a small amount of mucus. No Muscularis mucosa. No Submucosa. Musculosa : thin, smooth muscle layer, composed Histological StructurePowerPoint Presentation: mostly of obliquely oriented fibers, whereas others are oriented longitudinally. Serosa or adventitia: The hepatic surface is covered by adventitia, while the remainder of gall bladder surface is covered by serosa. Histological StructurePowerPoint Presentation: Gall bladder,H&EPowerPoint Presentation: Gall bladder,epithial liningPowerPoint Presentation: Gall bladder , SEMPowerPoint Presentation: Gall bladder , Colored SEMPowerPoint Presentation: The main function of the gallbladder is to store bile, concentrate it by absorbing its water, and release it when necessary into the digestive tract. This process depends on an active sodium-transporting mechanism in the gallbladder's epithelium. Water absorption is an osmotic consequence of the sodium pump. FunctionPowerPoint Presentation: Contraction of the smooth muscle of the gallbladder is induced by cholecystokinin, a hormone produced by enteroendocrine cells located in the epithelial lining of the small intestine. Release of cholecystokinin is, in turn, stimulated by the presence of dietary fats in the small intestine. FunctionPowerPoint Presentation: Nerve supply Liver and gall bladder are innervated by both sympathatic and parasympathetic fibers . Nerves enter the liver through porta hepatis and ramify through the liver in the portal canals along with members of portal triad.PowerPoint Presentation: Sympathatic fibers innervate blood vessels, while parasympathatic fibers Large ducts and possibly blood vessels. Nerve supply You do not have the permission to view this presentation. In order to view it, please contact the author of the presentation.