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Updated: Jul 18, 2026

A Standardized Method for the Analysis of Liver Sinusoidal Endothelial Cells and Their Fenestrations by Scanning Electron Microscopy
Published on: April 30, 2015
Ageing and the liver.
Thomas Sersté1, Nadine Bourgeois
1Department of Gastroenterology, Erasme University Hospital, Route de Lennik 808, 1070 Brussels, Belgium. thomas.serste@skynet.be
Liver aging reduces organ function, impacting metabolism and increasing DNA damage. Older liver donors are linked to poorer transplant outcomes and faster hepatitis C progression.
Area of Science:
- Hepatology
- Gerontology
- Molecular Biology
Background:
- The liver undergoes significant functional and structural changes with advancing age.
- These age-related modifications impact hepatic metabolism, cellular integrity, and response to disease.
- Understanding these changes is crucial for managing liver health in aging populations.
Purpose of the Study:
- To review current knowledge on age-related liver modifications.
- To highlight the impact of liver aging on disease progression and transplantation outcomes.
Main Methods:
- Literature review of age-related liver changes.
- Analysis of studies on liver aging, metabolism, DNA damage, and transplantation.
Main Results:
- Liver volume and blood flow decrease with age.
- Hepatocytes show reduced metabolic activity, altered gene expression, and accumulated oxidative DNA damage.
- Histological changes include pigment accumulation and sinusoidal pseudocapillarization.
- Hepatitis C virus (HCV) infection progresses faster in individuals infected after 40.
- Older donor livers are associated with primary graft non-function and increased post-transplant mortality.
- Donor age predicts the severity of recurrent HCV disease.
Conclusions:
- Liver aging significantly impairs hepatic function and cellular health.
- Age-related liver changes have profound implications for disease susceptibility, progression, and transplantation success.
- Further research into mitigating age-related liver decline is warranted.
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