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A Standardized Method for the Analysis of Liver Sinusoidal Endothelial Cells and Their Fenestrations by Scanning Electron Microscopy
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The liver sieve and atherosclerosis.

Robin Fraser1, Victoria C Cogger, Bruce Dobbs

  • 1*Department of Pathology, University of Otago, Christchurch, New Zealand.

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Area of Science:

  • Hepatology
  • Cell Biology
  • Vascular Biology

Background:

  • The liver sinusoidal endothelial cell (LSEC) lining the hepatic sinusoid possesses unique fenestrations.
  • These fenestrations form the 'liver sieve,' a critical structure for liver function.
  • The liver sieve facilitates selective uptake of various substrates, notably lipoproteins.

Purpose of the Study:

  • To elucidate the structure and function of the liver sieve.
  • To investigate the consequences of liver sieve dysfunction (defenestration).
  • To explore therapeutic potential related to the liver sieve.

Main Methods:

  • Descriptive analysis of LSEC fenestrations.
  • Review of evidence linking fenestration status to substrate uptake.
  • Exploration of pathological conditions associated with defenestration.

Main Results:

  • Fenestrations in LSECs are clustered in sieve plates, forming a permselective ultrafiltration system.
  • Defenestration of the liver sieve occurs in conditions like cirrhosis, fibrosis, diabetes, and aging.
  • Liver sieve defenestration impairs the hepatic uptake of substrates, including lipoproteins.

Conclusions:

  • The liver sieve is vital for hepatic substrate exchange, particularly lipoprotein metabolism.
  • Defenestration negatively impacts liver function and is associated with disease and aging.
  • Pharmacological modulation of the liver sieve holds therapeutic promise for dyslipidemia, gene therapy, and liver regeneration.