Page 275 - Veterinary Toxicology, Basic and Clinical Principles, 3rd Edition
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242 SECTION | II Organ Toxicity




  VetBooks.ir  sinusoidal membrane. Lysosomes within hepatocytes are  the blood in zone 1, and there is little uptake by the time
                                                                blood reaches zone 3.
             involved in storage and export of metals and minerals
                                                                  Bile secretion is a major hepatic function and essen-
             into canaliculi.
                Sinusoids are located between cords of hepatocytes,  tial for uptake of lipid nutrients, protection against oxi-
             which are larger than capillaries and lined by special-  dative insults in the small intestine, and for excretion of
             ized endothelium. The endothelial lining is discontinu-  endogenous and xenobiotic compounds. Bile is com-
             ous, the sinusoidal endothelial cells having fenestrae, to  posed of bile salts, bilirubin, GSH, phospholipids, cho-
             allow movement of fluid and molecules less than    lesterol, proteins, organic anions, metals and conjugated
             259 kDa into the space of Disse, located between the  xenobiotics (Treinen-Moslen, 2001; Pineiro-Carrero and
             endothelium and the hepatocytes (Watkins, 1999;    Pineiro, 2004).
             Treinen-Moslen, 2001; Plumlee, 2004). Within the     Canaliculi enter canals of Hering in the portal triad
             space of Disse, hepatocytes contact free and protein  that leads to interlobular and intrahepatic bile ducts, sur-
             bound molecules that may be absorbed by diffusion or  rounded by bile duct epithelial cells, which coalesce to
             aforementioned  active  transport  (Watkins,  1999).  form the hepatic bile duct. Most animal species have a
             Remarkable metabolic diversity of the hepatic zones is  gall bladder for bile storage but it is absent in others:
             needed in order to accommodate the liver’s numerous  horses and related species, rhinoceroses and tapirs, ele-
             functions. Zone 3 hepatocytes are involved in glycolysis  phants, camelids, porcupines, pigeons, rats, deer, ratites,
             and lipogenesis. Zone 1 hepatocytes are involved in bile  and many parrots. Gall bladders may or may not be pres-
             salt extraction, fatty acid oxidation, gluconeogenesis  ent in giraffes and hippopotamuses (Oldham-Ott and
             and protein synthesis and thus are rich in mitochondria  Gilloteaux, 1997). Most carnivores have a gall bladder,
             for energy production (Treinen-Moslen, 2001; Pineiro-  the exceptions being dolphins and other cetaceans.
             Carrero and Pineiro, 2004; Plumlee, 2004). Gradients of  The gall bladder stores and concentrates bile, then
             metabolic enzymes involved in bioactivation and detoxi-  empties into the duodenum. When the gall bladder is
             fication have been shown along different zones of the  absent,  bile  empties  directly  into  the  duodenum
             acinus (reviewed by Jungermann and Katz, 1989). Zone  (Ramaiah, 2007). Bile enhances nutrient uptake in the
             3 is particularly rich in phase I metabolic enzymes and  small intestine, protects enterocytes from oxidation and
             zone 1 has the highest concentration of GSH involved in  facilitates excretion of xenobiotics and endogenous waste
             phase II metabolism (Thawley, 2016).               in the feces (Treinen-Moslen, 2001).
                The blood supply of the liver is mainly from the portal
             vasculature: 60% 80% from branches of the portal vein,  Cell Types of the Liver
             which is oxygen depleted but supplies nutrients, xenobio-
             tics, and toxicants from the GIT, and 20% 40% from the  Seven intrinsic cell types have been identified in the liver:
             hepatic artery, which is oxygenated (Treinen-Moslen,  the parenchymal cells (or hepatocytes), the hepatocytic
             2001). Oxygen is quickly consumed to meet the high met-  stem cells (oval cells) and five nonparenchymal cell
             abolic demands of the parenchymal cells as the blood  types. Nonparenchymal cells include bile duct epithelium,
             flows towards the terminal hepatic venule, also known as  sinusoidal endothelium, described above, as well as resi-
             central vein. As a consequent of this structure, hepato-  dent macrophages (Kupffer cells), large granular lympho-
             cytes in zone 1 receive blood that is 9% 13% oxygenated  cytes (pit cells), and lipid storing hepatic stellate cells
             but nutrient replete, whereas blood received by zone 3 is  (HSC or Ito cells). Hepatocytes represent about 60% of
             only 4% 5% oxygenated and nutrient depleted (Sturgill  the total cell number and 80% of hepatic tissue volume in
             and Lambert, 1997; Treinen-Moslen, 2001). Therefore  the rat liver, and the smaller nonparenchymal cells are
             zone 3 or the centrilobular zone is susceptible to hypoxia  estimated to constitute about 30% of total cellular popula-
             (Thawley, 2016).                                   tion, but only 6% 7% of tissue volume (Dahm and
                Another well-known gradient seen in acinar zonation  Jones, 1996).
             is that of bile. Bile salts and bilirubin from blood enter  Oval cells, the hepatocytic stem cells, are located in
             hepatocytes via active transporters on the sinusoidal mem-  the canals of Hering, where bile canaliculi from the
             brane, then are secreted into canalicular lumen via the  hepatic cords converge with bile ductules of the portal
             canalicular membrane (Treinen-Moslen, 2001). Bile cana-  triad. If hepatocyte replication is impaired, the oval cells
             liculi are dynamic structures formed between hepatocytes  proliferate and differentiate and eventually become both
             by the hepatocyte membranes (Treinen-Moslen, 2001;  hepatocytes and biliary epithelial cells (Fausto and
             Plumlee, 2004). Bile flows from hepatocytes into canali-  Campbell, 2003; Jaeschke, 2008). Experimental blockade
             culi, and towards the bile duct within the portal triad of  of hepatocyte proliferation can potentially lead to contin-
             the acinus, from zone 3 to 1, in the opposite direction of  ued oval cell proliferation, leading to neoplastic transfor-
             the blood flow. Bile salts are efficiently extracted from  mation  and  resulting  in  hepatocellular  tumors.
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