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Istologia del Fegato
L'anatomia microscopica del fegato è un sistema complesso e intricato, che comprende numerose unità strutturali note come lobuli epatici, ognuno dei q…
Il fegato comprende diversi componenti istologici, come gli epatociti, i canalicoli biliari e i sinusoidi.
Gli epatociti sono cellule epiteliali specializzate disposte in placche tridimensionali altamente ramificate, irregolari e chiamate lamine epatiche.
La loro funzione principale è quella di aiutare nella disintossicazione del sangue e di secernere la bile.
Gli epatociti secernono la bile in piccoli dotti chiamati canalicoli biliari. Da qui, la bile fluisce nei dotti biliari e successivamente nei dotti biliari più grandi.
Sul bordo delle lamine è presente un insieme di dotti biliari, rami delle arterie epatiche e vene porta epatiche chiamate triade porta.
I sinusoidi epatici, presenti tra le file di epatociti, raccolgono il sangue dalle triadi portali, svuotandosi infine nella vena centrale.
Il sangue entra nelle vene epatiche dalle vene centrali, che si svuotano nella vena cava inferiore.
Le pareti sinusoidi hanno anche macrofagi stellati o epatici che filtrano il sangue rimuovendo detriti e cellule del sangue usurate.
Ci sono molti modi anatomici in cui gli epatociti, la triade portale e i sinusoidi possono essere organizzati, il più accettato dei quali è l'acino epatico.
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Q1: What are hepatocytes and what is their primary role in the liver?
Hepatocytes are specialized epithelial cells arranged in branched, irregular three-dimensional plates called hepatic laminae. They perform critical functions including blood detoxification and bile secretion. These versatile cells also store glucose as glycogen, produce plasma proteins from amino acids, and convert harmful ammonia into urea, making them essential for metabolic processing.
Q2: How does bile move through the liver after hepatocytes secrete it?
Hepatocytes secrete bile into small ducts called bile canaliculi. From there, bile flows into bile ductules and subsequently into larger bile ducts. This organized ductal system ensures efficient bile transport and delivery to the gallbladder and small intestine for digestive functions.
Q3: What structures make up the portal triad and where is it located?
The portal triad comprises three key structures: a branch of the hepatic artery, a branch of the hepatic portal vein, and a bile duct. Located at each corner of the liver lobule, the portal triad ensures delivery of oxygen-rich arterial blood and nutrient-laden venous blood to hepatocytes while facilitating bile drainage.
Q4: What role do liver sinusoids play in hepatic blood flow?
Liver sinusoids are enlarged, heavily fenestrated vessels positioned between hepatocyte plates that collect blood from the portal triads. Blood flows through these sinusoids and empties into the central vein, eventually reaching hepatic veins that drain into the inferior vena cava. This arrangement enables efficient nutrient and oxygen delivery to hepatocytes.
Q5: How do stellate macrophages contribute to liver function?
Stellate macrophages, also called hepatic macrophages or Kupffer cells, are star-shaped cells embedded in sinusoid walls. They filter blood by removing debris such as bacteria and worn-out blood cells, protecting the body from harmful substances and maintaining blood quality as it circulates through the liver.
Q6: What is the hepatic acinus and why is it significant?
The hepatic acinus is the most accepted anatomical arrangement of hepatocytes, portal triads, and sinusoids within the liver. This organizational model explains how the liver's structural components work together to facilitate blood detoxification, nutrient processing, and bile production in a coordinated, efficient manner.
Q7: How much bile do hepatocytes produce daily and what cellular structures enable this?
Hepatocytes secrete approximately 900 milliliters of bile daily. This high secretory capacity is supported by abundant cellular apparatus including rough and smooth endoplasmic reticulum, Golgi apparatus, peroxisomes, and mitochondria. These organelles provide the energy and synthetic machinery necessary for continuous bile production and other metabolic functions.