Skip to main content

Abnormalities in the Hepatic Sinusoids: Pathological Basis of Self-perpetuation of Liver Cirrhosis

  • Chapter
Microcirculation in Circulatory Disorders

Abstract

The hepatic microcirculatory system consists of four microvascular components: the terminal portal venule and hepatic arteriole as two afferent vessels, the sinusoids corresponding to the capillary bed, and the terminal hepatic venule as an efferent vessel. This microvascular unit is the basis for the simple liver acinus, which has been proposed as the smallest functional unit of the hepatic lobule [1]. The major components among these microvessels are the hepatic sinusoids, which are characterized by the presence of the sieve-like pores [2], i.e., the sinusoidal endothelial fenestrae (SEF), and by the absence of the basement membrane beneath the sinusoidal endothelial cells. These ultra-structural characteristics reflect the active exchange of metabolites between the sinusoidal blood and the hepatocytes, maintaining constant liver cell functions. In this respect, impairment of the sinusoidal blood flow directly leads to a variety of liver cell dysfunction.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Rappaport AM (1973) The microcirculatory hepatic unit. Microvasc Res 6: 212–228

    Article  PubMed  CAS  Google Scholar 

  2. Wisse E (1970) An electron microscopic study of fenestrated endothelium lining of rat liver sinusoids. J Ultrastruct Res 31: 125–150.

    Article  PubMed  CAS  Google Scholar 

  3. Oda M, Nakamura M, Watanabe N, Ohya Y, Sekizuka E, Tsukada N, Yonei Y, Komatsu H, Nagata H, Tsuchiya M (1983) Some dynamic aspects of the hepatic microcirculation—Demonstration of sinusoidal endothelial fenestrae as a possible regulatory factor—. In: Tsuchiya M, Wayland H, Oda M, Okazaki I (eds) Intravital observation of organ microcirculation. Excerpta Medica, Amsterdam, pp 105–138

    Google Scholar 

  4. Oda M, Tsukada N, Watanabe N, Tsuchiya M (1983) Heterogeneity of hepatic lobule—Some ultrastructural aspects of hepatic microcirculation system—. J Clin Electron Microscopy 16: 437–438

    Google Scholar 

  5. Oda M, Tsukada N, Watanabe N, Komatsu H, Yonei Y, Tsuchiya M (1984) Functional implications of the sinusoidal endothelial fenestrae in the regulation of the hepatic microcirculation. Hepatology 4: 754

    Google Scholar 

  6. Tsukada N, Oda M, Nakamura M, Ichikawa E, Watanabe N, Akaiwa Y, Yonei Y, Komatsu H, Kaneko K, Tsuchiya M, Kiryu Y, Fujiwara T (1984) Ultrastructural characteristics of liver sinusoidal endothelial fenestrae—An in vivo and in vitro study—. J Clin Electron Microscopy 17: 619–620

    Google Scholar 

  7. Tsukada N, Oda M, Yonei Y, Honda K, Akaiwa Y, Kiryu Y, Tsuchiya M (1986) Alterations of the hepatic sinusoidal endothelial fenestrae in response to vasoactive substances in the rat—In vivo and in vitro studies. In: Kim A, Knook DL, Wisse E (eds) Cells of the hepatic sinusoid. The Kupffer cell foundation, Rijswijk, pp 515–516

    Google Scholar 

  8. Oda M, Tsukada N, Komatsu H, Kaneko K, Nakamura M, Tsuchiya M (1986) Electron microscopic localizations of actin, calmodulin and calcium in the hepatic sinusoidal endothelium in the rat. In: Kim A, Knook DL, Wisse E (eds) Cells of the hepatic sinusoid. The Kupffer cell foundation, Rijswijk, pp 511–512

    Google Scholar 

  9. Oda M, Tsukada N, Komatsu H, Yonei Y, Honda K, Tsuchiya M (1986) Mechanism of contraction and dilatation of sinusoidal endothelial fenestrae in the liver. Hepatology 6: 771

    Google Scholar 

  10. Tsukada N, Oda M, Azuma T, Kaneko K, Ishii M, Komatsu H, Honda K, Akaiwa Y, Nakamura M, Funatsu K, Mizuno Y, Kiryu Y, Tsuchiya M (1987) Involvement of calcium ions in the contraction of the sinusoidal endothelial fenestrae—An in vitro study—. In: Tsuchiya M, Asano M, Mishima Y (eds) Microcirculation annual 1987. Nihon-Igakukan, Tokyo, pp 95–96

    Google Scholar 

  11. Tsukada N, Oda M, Kaneko K, Komatsu H, Yonei Y, Honda K, Akaiwa Y, Ichikawa E, Nakamura M, Funatsu K, Mizuno Y, Kiryu Y, Tsuchiya M (1986) Possible involvements of mast cells and sinusoidal endothelial fenestrae in endotoxin-induced hepatic microcirculatory disturbances—An in vivo and in vitro study. In: Tsuchiya M, Asano M, Hayashi H, Kambara T (eds) Microcirculation annual 1986. NihonIgakukan, Tokyo, pp 35–36

    Google Scholar 

  12. Oda M, Tsukada N, Honda K, Komatsu H, Kaneko K, Azuma T, Nishizaki Y, Watanabe N, Tsuchiya M (in press) Hepatic sinusoidal endothelium—Its functional implications in the regulation of sinusoidal blood flow. Symposium on Hepatic Microcirculation. In: Tsuchiya M, Asano M, Mishima Y, Oda M (eds) Proceedings of Fourth World Congress for Microcirculation, July 27–30, 1987, Tokyo

    Google Scholar 

  13. Oda M, Funatsu K, Maruyama K, Okazaki I, Kamegaya K, Tsuchiya M (1982) Electron microscopic studies on collagen formation and degradation in the liver. In: Tsuchiya M, Tamayo RP, Okazaki I, Maruyama K (eds) Collagen degradation and mammalian collagenase. Excerpta Medica, Amsterdam, pp 174–197

    Google Scholar 

  14. Schaffner F, Popper H (1963) Capillarization of hepatic sinusoids in man. Gastroenterology 44: 239–242

    PubMed  CAS  Google Scholar 

  15. Tsukada N, Oda M, Kaneko K, Komatsu H, Yonei Y, Honda K, Akaiwa Y, Ichikawa E, Nakamura M, Fujiwara T, Kiryu Y, Tsuchiya M (1985) Ultrastructural observations of sinusoidal endothelial fenestrae in rat and human cirrhotic liver. J Clin Electron Microscopy 18: 606–607

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1988 Springer-Verlag Tokyo

About this chapter

Cite this chapter

Oda, M. et al. (1988). Abnormalities in the Hepatic Sinusoids: Pathological Basis of Self-perpetuation of Liver Cirrhosis. In: Manabe, H., Zweifach, B.W., Messmer, K. (eds) Microcirculation in Circulatory Disorders. Springer, Tokyo. https://doi.org/10.1007/978-4-431-68078-9_24

Download citation

  • DOI: https://doi.org/10.1007/978-4-431-68078-9_24

  • Publisher Name: Springer, Tokyo

  • Print ISBN: 978-4-431-68080-2

  • Online ISBN: 978-4-431-68078-9

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics