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Summary MPharm Y1 Liver

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Lecture note on liver anatomy, liver disease, and assessing liver function.

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July 17, 2025
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Liver Anatomy

Liver
●​ Largest internal organ in the body
●​ Clean the blood coming from the digestive tract before
passing it to the rest of the body
○​ Prevent any toxins goes to blood & other organs
○​ Occurs through the portal system

The portal system
●​ Vein system including hepatic portal vein
●​ Drain the nutrition and food from the digestive tract and waste products from the
spleen
●​ When all these veins meet , they become the portal vein
○​ The portal vein goes through the liver


Blood supply
●​ Liver receives ~25% of cardiac output from hepatic artery
○​ 75% from the gut via the portal vein (nutrient rich & deoxygenated)
○​ 25% via the hepatic artery (oxygenated blood)

Hepatic lobules
●​ Liver is composed of smaller structures called lobules
●​ Lobule is surrounded by branches of the hepatic artery (oxygen), portal vein
(nutrients) and bile duct
●​ At the centre of each lobule is a branch of the hepatic vein
●​ 80% of the liver mass is made of specialised epithelial cells called hepatocytes –
carry out most of the liver’s functions
●​ Hepatocytes are arranged in plates and are separated by blood-filled channels
called sinusoids

Sinusoids
●​ Similar function to capillaries (material exchange)
●​ But increased permeability, allowing larger molecules to cross (e.g., proteins)
○​ Incomplete surrounding diaphragm (basement membrane)
○​ The endothelial layer contains large intercellular gaps

, Nutrients
●​ Converts these nutrients into forms that can be stored or used
●​ Mediates their transport to tissues
●​ Store some nutrients
○​ Glycogen (excess glucose stored as glycogen)
■​ Pancreatic hormones – insulin and glucagon
○​ Fat
○​ Iron
○​ Vitamin A
●​ Liver send bile to gallbladder, which secretes it into duodenum –dissolve the fats
●​ Easy digestion by intestinal enzymes into fatty acids and glycerol for easier
absorption into the body

Fat (lipid) metabolism
●​ LDL is considered "bad" cholesterol because it raises blood cholesterol levels
●​ HDL is considered "good" cholesterol because it helps lower cholesterol levels

Detoxification
●​ The liver is a detoxification organ
●​ Liver convert that fat soluble toxins or compound into water soluble and then
excreted to the urine or faeces. -> Detoxification

Production of plasma proteins
●​ all are produced in liver (made by hepatocytes)
○​ except immunoglobulins (produced in immune cells)
●​ Albumins (regulate osmotic pressure of the blood) and clotting factors
●​ Globulins
●​ Fibrinogens

Production of bile
●​ Bile produced in liver (500 mL/day)
●​ Stored in gall bladder
●​ Secreted into small intestine
○​ Purpose = Neutralisation & Emulsification
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