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THE LIVE R




Assoc. Prof Dr. Karim Al-Jashamy
          IMS/ MSU 2010
Hepatic Circulation
Hepatic Circulation
LIVER
Structure of the liver.
The liver lobule in the
center is surrounded by the
portal space. Arteries, veins,
and bile ducts occupy the
portal spaces.

In the lobule, note the radial
disposition of the plates formed
by      hepatocytes; the
sinusoidal capillaries separate the
plates. The bile canaliculi can be
seen between the hepatocytes.
The sublobular (intercalated)
veins drain blood from the
lobules.
Anatomy of a Lobule: A Portal Tract

Notice the
direction of
various flows.
Liver Lobule
Liver Parenchyma
                   Hepatocytes are
                   arranged in plates
                   one cell thick.
                   Blood flows over
                   plates through
                   sinusoids to reach
                   terminal hepatic
                   venule.
LOBULE
Hepatocytes            Sinusoid




              CV
Portal Tract
L = lymphatics
B = bile duct
A = arterioles
Hepatic Artery branch
                      Portal Tract x10
                       Bile ductule Lymphatic   Portal Vein
Hepatocytes
Sinusoids
A Sinusoid
Bile Canaliculi
Bile Canaliculi
PANCREAS
Gland with Double Duties
• Endocrine and exocrine functions
• Exocrine anatomy
   – CT capsule surrounds pancreas
   – Septa divide it into sections
   – Compound acinar gland
• Secretions
   – 1500 – 3000 ml pancreatic fluid (alkaline)
   – Contain water, ions, proteases, lipases, amylake,
     nucleases, ribonuclease
The structure of pancreatic acini. Acinar cells are pyramidal, with
granules at their apex and rough endoplasmic reticulum at their
base. The duct partly penetrates the acini.
Duct   PANCREAS x10   Septum
Endocrine Gland
• Islet of Langerhans
  –  cells (glucagon) ~ 20%
  –  cells (insulin) ~ 70%
  –  cells (somatostatin) ~ 5%
Acini   Islet of Langerhans
A section of the pancreas
showing an islet of
Langerhans surrounded
by pancreatic acinar cells.

The islet cells form cords
separated by blood
capillaries, here seen as
white spaces.

Islet is surrounded by
reticular fibers separating
it from acinar cells.
An islet of
Langerhans showing
{a} (A) cells

and {b} (B) cells.

Gomori’s trichrome
stain.
Electron-microscope
immunocytochemical localization
of insulin in a B cell of an islet of
Langerhans.

The black granules are gold
particles used to label anti-
insulin.
They indicate the sites where this
antibody was attached to the
insulin in the secretory granules.
Note also the clear zone between
the secretory material and the
granule membrane.
The main steps of
insulin    synthesis
and secretion by a
B cell in the islets
of      Langerhans.
RER,          rough
endoplasmic
reticulum. (Based
on Orci L: A
portrait of the
pancreatic B cell.
Gallbladder
The gallbladder is a hollow,
pear-shaped organ attached to
the lower surface of the liver

It can store 30-50 mL of bile.
The wall of the gallbladder
consists of a mucosa composed
of simple columnar epithelium
and lamina propria, a layer of
smooth muscle, a perimuscular
connective tissue layer, and a
serous membrane

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Liver 1

  • 1. THE LIVE R Assoc. Prof Dr. Karim Al-Jashamy IMS/ MSU 2010
  • 5. Structure of the liver. The liver lobule in the center is surrounded by the portal space. Arteries, veins, and bile ducts occupy the portal spaces. In the lobule, note the radial disposition of the plates formed by hepatocytes; the sinusoidal capillaries separate the plates. The bile canaliculi can be seen between the hepatocytes. The sublobular (intercalated) veins drain blood from the lobules.
  • 6. Anatomy of a Lobule: A Portal Tract Notice the direction of various flows.
  • 8. Liver Parenchyma Hepatocytes are arranged in plates one cell thick. Blood flows over plates through sinusoids to reach terminal hepatic venule.
  • 9. LOBULE Hepatocytes Sinusoid CV
  • 10. Portal Tract L = lymphatics B = bile duct A = arterioles
  • 11. Hepatic Artery branch Portal Tract x10 Bile ductule Lymphatic Portal Vein
  • 17.
  • 19. Gland with Double Duties • Endocrine and exocrine functions • Exocrine anatomy – CT capsule surrounds pancreas – Septa divide it into sections – Compound acinar gland • Secretions – 1500 – 3000 ml pancreatic fluid (alkaline) – Contain water, ions, proteases, lipases, amylake, nucleases, ribonuclease
  • 20. The structure of pancreatic acini. Acinar cells are pyramidal, with granules at their apex and rough endoplasmic reticulum at their base. The duct partly penetrates the acini.
  • 21. Duct PANCREAS x10 Septum
  • 22. Endocrine Gland • Islet of Langerhans –  cells (glucagon) ~ 20% –  cells (insulin) ~ 70% –  cells (somatostatin) ~ 5%
  • 23. Acini Islet of Langerhans
  • 24. A section of the pancreas showing an islet of Langerhans surrounded by pancreatic acinar cells. The islet cells form cords separated by blood capillaries, here seen as white spaces. Islet is surrounded by reticular fibers separating it from acinar cells.
  • 25. An islet of Langerhans showing {a} (A) cells and {b} (B) cells. Gomori’s trichrome stain.
  • 26. Electron-microscope immunocytochemical localization of insulin in a B cell of an islet of Langerhans. The black granules are gold particles used to label anti- insulin. They indicate the sites where this antibody was attached to the insulin in the secretory granules. Note also the clear zone between the secretory material and the granule membrane.
  • 27. The main steps of insulin synthesis and secretion by a B cell in the islets of Langerhans. RER, rough endoplasmic reticulum. (Based on Orci L: A portrait of the pancreatic B cell.
  • 28. Gallbladder The gallbladder is a hollow, pear-shaped organ attached to the lower surface of the liver It can store 30-50 mL of bile. The wall of the gallbladder consists of a mucosa composed of simple columnar epithelium and lamina propria, a layer of smooth muscle, a perimuscular connective tissue layer, and a serous membrane