Liver histology

Last updated: November 01, 2022

Liver histology

Watch later

Watch later

Necrosis and apoptosis
Inheritance patterns
Cervical cancer
Innate immune system
B- and T-cell memory
B-cell development
MHC class I and MHC class II molecules
Inflammation
Cell-mediated immunity of natural killer and CD8 cells
T-cell development
Introduction to the immune system
Cell-mediated immunity of CD4 cells
Immunodeficiencies: Combined T-cell and B-cell disorders: Pathology review
Immunodeficiencies: T-cell and B-cell disorders: Pathology review
Development of the placenta
Development of twins
Development of the umbilical cord
Development of the fetal membranes
Mendelian genetics and punnett squares
Hardy-Weinberg equilibrium
Inheritance patterns
Independent assortment of genes and linkage
Evolution and natural selection
Down syndrome (Trisomy 21)
Edwards syndrome (Trisomy 18)
Patau syndrome (Trisomy 13)
Fragile X syndrome
Huntington disease
Myotonic dystrophy
Friedreich ataxia
Turner syndrome
Klinefelter syndrome
Prader-Willi syndrome
Angelman syndrome
Beckwith-Wiedemann syndrome
Cri du chat syndrome
Williams syndrome
Alagille syndrome (NORD)
Achondroplasia
Polycystic kidney disease
Familial adenomatous polyposis
Familial hypercholesterolemia
Hereditary spherocytosis
Li-Fraumeni syndrome
Marfan syndrome
Multiple endocrine neoplasia
Neurofibromatosis
Tuberous sclerosis
von Hippel-Lindau disease
Albinism
Cystic fibrosis
Gaucher disease (NORD)
Glycogen storage disease type I
Glycogen storage disease type II (NORD)
Glycogen storage disease type III
Glycogen storage disease type IV
Glycogen storage disease type V
Hemochromatosis
Mucopolysaccharide storage disease type 1 (Hurler syndrome) (NORD)
Krabbe disease
Leukodystrophy
Niemann-Pick disease types A and B (NORD)
Niemann-Pick disease type C
Primary ciliary dyskinesia
Phenylketonuria (NORD)
Sickle cell disease (NORD)
Tay-Sachs disease (NORD)
Alpha-thalassemia
Beta-thalassemia
Wilson disease
Alport syndrome
X-linked agammaglobulinemia
Fabry disease (NORD)
Glucose-6-phosphate dehydrogenase (G6PD) deficiency
Hemophilia
Mucopolysaccharide storage disease type 2 (Hunter syndrome) (NORD)
Lesch-Nyhan syndrome
Muscular dystrophy
Ornithine transcarbamylase deficiency
Wiskott-Aldrich syndrome
Mitochondrial myopathy
Autosomal trisomies: Pathology review
Muscular dystrophies and mitochondrial myopathies: Pathology review
Miscellaneous genetic disorders: Pathology review
Complement system
Liver anatomy and physiology
Cholestatic liver disease
Gallstones
Liver histology
Cirrhosis: Clinical
Non-alcoholic fatty liver disease
Anatomy of the pelvic girdle
Fascia, vessels and nerves of the upper limb
Anatomy of the brachial plexus
Cell cycle
Mitosis and meiosis
Metaplasia and dysplasia
Gel electrophoresis and genetic testing
DNA mutations
Heart failure

Transcript

Watch video only

The liver is the largest internal organ in the body and weighs about 1.5 kg.

It’s surrounded by a capsule of fibrous connective tissue called Glisson’s capsule.

If we look at the liver from an inferior view, which is a view from the bottom of the liver, we can see that the liver is divided into a large left lobe and right lobe, as well as two smaller lobes, called the quadrate and caudate lobes.

The liver parenchyma or functional tissue of the liver is organized into thousands of hepatic lobules, which have a dual blood supply that comes from terminal branches of the hepatic portal vein and hepatic artery.

The blood then flows through sinusoids surrounded by hepatocytes before draining into the lobule’s central vein.

Hepatocytes are the main functional cells of the liver that perform a large variety of functions, including the production of bile, a number of plasma proteins, and non-essential amino acids; the metabolism of fat, carbohydrate, and protein; the storage of glucose, vitamins, and iron; and the breakdown or detoxification of metabolic waste products, drugs, and toxins.

At lower magnification, the hexagonal shape of the hepatic lobules can be identified by their slightly darker edges and the prominent central veins in the center of each lobule.

The portal triad consists of a bile ductule, portal venule, and arteriole.

After identifying the lobule, it can be easier to locate portal triads in an image since they’re typically located at the corners of the lobules.

If we take a closer look at just one portal triad, we can more easily identify the portal venule by its large diameter and thin walls compared to the arteriole, which has a much smaller diameter and thicker walls.

Similar to this image, the portal tract can sometimes have more than one bile duct.

The bile ducts can be identified by their prominent simple cuboidal epithelium.

Also in this image are a couple small lymphatic vessels, which have even thinner walls than the venule.

Let’s now take a closer look at the hepatocytes, which are large polygonal epithelial cells that form branching plates that are only one-cell thick, separated by sinusoids, and radiate outward from the central vein.

The sinusoids carry blood from the hepatic arteriole and portal venule to the central vein, while the bile canaliculi or capillaries carry the bile produced by hepatocytes in the opposite direction in order to drain into the bile ductules.

The hepatocyte’s cytoplasm is very eosinophilic, or pink because they contain a lot of mitochondria.

Key Takeaways

The liver consists of thousands of hepatic lobules, which on microscopic examination are identified by their prominent central vein, as well as a slightly pale central portion of the lobule compared to the edges of the lobules. On corners of lobules lie portal triads, each containing a portal venule, hepatic arteriole, and bile duct. Venules can be identified by their large lumen and thin wall, as opposed to arterioles that have a thicker wall and a smaller diameter. The bile duct is identified by its simple cuboidal epithelium. The main cells of the liver parenchyma are hepatocytes. These are large polygonal cells with eosinophilic cytoplasm and basophilic nuclei.