2. Anatomy
• Largest gland in the body (1.5 Kg)
• Under the diaphragm, within the rib
cage in the upper right quadrant of the
abdomen
3. Anatomy
•4 Lobes
Major: left and right
Minor: caudate and
quadrate
•Ducts
Common hepatic
Cystic
From gallbladder
Common bile -
Choledochus
Joins pancreatic duct at
hepatopancreatic ampulla
5. GALLBLADDER ANATOMY
• Thin-walled green
muscular sac
• On the inferior surface of
the liver
• Stores bile that is not
immediately needed for
digestion
• When the muscular wall of
the gallbladder contracts
bile is expelled into the bile
duct
LIVER
GALL
BLADDER
6. BILE
• BILE – bile salts, bile
pigments, cholesterol,
neutral fats, phospholipids
and electrolytes
• Liver produces 0.5-1 l of
bile daily
• Bile salts emulsify fats
LIVER
GALL
BLADDER
7. LIVER ANATOMY
• Liver lobules – hexagonal
structures consisting of
hepatocytes
• Hepatocytes radiate
outward from a central
vein
• At each of the six
corners of a lobule is a
portal triad
• Liver sinusoids
8. LIVER ANATOMY
• Hepatocytes produce bile
• Bile flows through canals
called bile canaliculi to a
bile duct
• Bile ducts leave the liver
via the common hepatic
duct
11. Synthesis
• Protein metabolism
Synthesis of amino acids
• Carbohydrate metabolism
Gluconeogenesis
Glycogenolysis
Glycogenesis
• Lipid metabolism
Cholesterol synthesis
Lipogenesis
• Production of coagulation factors I, II, V, VII, IX, X and XI,
and protein C, protein S and antithrombin
• Main site of red blood cell production
• Produces insulin-like growth factor 1 (IGF-1), a polypeptide
protein – anabolic effects
• Production of trombopoetin
12. Breakdown
• Breaks down insulin and other hormones
• Breaks down hemoglobin
• Breaks down or modifies toxic substances
(methylation) → sometimes results in
toxication
• Converts ammonia to urea
13. Other functions
• Produces albumin, the major osmolar
component of blood serum
• Synthesizes angiotensinogen, the hormone
responsible for raising blood pressure when
activated by renin (enzyme released when the
kidney senses low blood pressure)
- Glukoniozdinisis (the synthesis of glucose from certain amino acids, lactate or glycerol). Note that humans and some other mammals cannot synthesize glucose from glycerol.
-3. (the breakdown of glycogen into glucose)
-4. (the formation of glycogen from glucose)(muscle tissues can also do this)
-I (fibrinogen), II (prothrombin)
-in the first trimester fetus
-Thrombopoietin is a glycoprotein hormone that regulates the production of platelets by the bone marrow.
-2. metabolites that are added to bile as pigment (bilirubin and biliverdin)
3. when the metabolite is more toxic than its precursor. Preferably, the toxins are conjugated to avail excretion in bile or urine.