肝脏的架构。

Enzyme Pub Date : 1992-01-01 DOI:10.1159/000468776
D Sasse, U M Spornitz, I P Maly
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引用次数: 51

摘要

肝实质的发育始于内脏的内胚层细胞生长到横隔的间质。在最终器官中,上皮细胞(肝细胞)和间充质来源的非实质细胞保持着密切的联系。肝脏及其肝细胞在两个方向上起作用:肝细胞的血管极起摄取作用,而胆道极则发挥分泌作用。肝微血管包括两条传入血管(动脉和门静脉终末分支)、窦状静脉和肝小静脉终末。窦状细胞围绕着毛细血管,但也具有过滤、吞噬、脂肪储存和防御等高度专业化的功能。自主神经支配在机体代谢功能的调控中起着重要作用。在细胞水平之上,肝实质的适当结构几个世纪以来一直是有争议的讨论对象。提出并讨论了肝小叶、门静脉单位、肝腺泡等结构的概念。最后,肝实质被描述为一个与末端血管相关的不规则交错系统。
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Liver architecture.

The development of liver parenchyma starts from entodermal cells which grow out from the gut into the mesenchyma of the septum transversum. In the definitive organ this close association of epithelial cells (hepatocytes) and mesenchyma-derived nonparenchymal cells is maintained. The liver, and with it each hepatocyte, acts in two directions: the vascular poles of the hepatocytes serve in an ingestive sense, while at their biliary poles secretory functions are exerted. Hepatic microvascularization comprises two afferent vessels (arterial and portal terminal branches), the sinusoids and the terminal hepatic venule. Sinusoidal cells surround the capillaries but also have highly specialized functions with regard to filtration, phagocytosis, fat storage and defense. The autonomic innervation plays an important role in the regulation of metabolic functions. Above the cellular level the proper architecture of the liver parenchyma has been the object of controversial discussions for centuries. The concept of the liver lobule, the portal unit, the liver acinus and other structures are presented and discussed. Finally, the liver parenchyma is described as an irregular interdigitating system of regions related to the terminal blood vessels.

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Functional hepatocellular heterogeneity for the production of plasma proteins. Liver cell heterogeneity: functions of non-parenchymal cells. Hepatocyte heterogeneity in the metabolism of carbohydrates. Zonal liver cell heterogeneity. Hepatocyte heterogeneity in the metabolism of amino acids and ammonia.
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