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Related Concept Videos

Liver Regeneration01:24

Liver Regeneration

The liver is an important organ in vertebrates that plays an essential role in metabolism. It is also responsible for storing and redistributing nutrients such as carbohydrates, fats, and vitamins in the body. Additionally, the liver releases bile salts which are critical for digesting food and eliminating toxic metabolites from the body.
Cells of Liver
The liver comprises four major types of cells— hepatocytes, stellate, Kupffer, and sinusoidal endothelial cells. The hepatocytes are large...
Liver Physiology01:30

Liver Physiology

The liver, an essential organ in the human body, performs over 200 vital functions that can be broadly categorized into metabolic, hematological, endocrine regulation, and bile production.
Metabolic Regulation:
The liver is the central organ involved in regulating blood composition. It stabilizes blood glucose levels, maintaining them within the range of  70–110 mg/dL. When these levels drop, the liver breaks down glycogen reserves and releases glucose into the bloodstream. It can also...
Hepatic Portal System01:21

Hepatic Portal System

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At its core, the hepatic portal vein is the result of a confluence of the superior and inferior mesenteric veins along with the splenic vein. Each of these veins has a unique role. The superior mesenteric vein is responsible...
Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow01:26

Effect of Hepatic Disease on Pharmacokinetics: Drug Dosing and Hepatic Blood Flow

Chronic liver disease significantly impacts drug metabolism due to alterations in hepatic blood flow and enzyme accessibility. This disruption affects the body's pharmacokinetics—the movement and processing of drugs within the system. Key enzymes crucial for metabolizing medications become less accessible, changing how drugs are processed and utilized. Furthermore, liver disease influences the synthesis of plasma proteins, such as albumin and globulins, which play critical roles in drug binding...
Cirrhosis II: Pathophysiology01:24

Cirrhosis II: Pathophysiology

Cirrhosis is a progressive chronic liver injury caused by prolonged inflammation, excessive fibrotic remodeling, and impaired regeneration. Over time, repeated hepatic insults disrupt the liver’s architecture and function, leading to reduced blood flow, impaired bile drainage, and diminished metabolic capacity.Pathophysiology of cirrhosisCirrhosis arises from three main responses to chronic liver damage: inflammation, immune activation, and hepatocyte death. These processes lead to structural...
Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test01:22

Effect of Hepatic Disease on Pharmacokinetics: Pathophysiologic Assessment and Liver Function Test

In clinical practice, the direct measurement of hepatic blood flow to evaluate liver function presents significant challenges due to the intricate and specialized nature of the necessary techniques. Consequently, healthcare professionals often rely on empirical estimates derived from thorough patient examinations and liver function tests to gauge liver health. Among the tools at their disposal, the Child–Pugh and MELD scoring systems stand out for their ability to categorize and assess the...

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Related Experiment Video

Updated: May 14, 2026

Human Liver Microphysiological System for Assessing Drug-Induced Liver Toxicity In Vitro
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Human Liver Microphysiological System for Assessing Drug-Induced Liver Toxicity In Vitro

Published on: January 31, 2022

Liver support systems: will they ever reach prime time?

Rafael Bañares1, María-Vega Catalina, Javier Vaquero

  • 1Liver Unit, Facultad de Medicina, Universidad Complutense de Madrid, Hospital General Universitario Gregorio Marañón, IISGM, CIBEREHD, Madrid, Spain. rbanares@telefonica.net

Current Gastroenterology Reports
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Liver support systems offer temporary aid for liver failure patients, improving disease state but not survival rates. Advances in artificial and bio-artificial devices show promise for liver function support.

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Last Updated: May 14, 2026

Human Liver Microphysiological System for Assessing Drug-Induced Liver Toxicity In Vitro
11:06

Human Liver Microphysiological System for Assessing Drug-Induced Liver Toxicity In Vitro

Published on: January 31, 2022

An All-Human Hepatic Culture System for Drug Development Applications
07:23

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Published on: October 20, 2023

Functional Human Liver Preservation and Recovery by Means of Subnormothermic Machine Perfusion
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Published on: April 27, 2015

Area of Science:

  • Biomedical Engineering
  • Hepatology
  • Regenerative Medicine

Background:

  • Liver failure poses significant challenges, necessitating temporary support solutions.
  • Artificial and bio-artificial liver support devices represent key technological advancements.
  • Current systems, while improving pathophysiology, have not enhanced patient survival.

Purpose of the Study:

  • To review the current evidence on artificial and bio-artificial liver support systems.
  • To focus on the clinical aspects and applications of these devices.
  • To assess the overall impact of liver support systems on liver failure management.

Main Methods:

  • Review of existing clinical evidence and research on liver support systems.
  • Analysis of artificial liver support devices utilizing dialysis.
  • Evaluation of bio-artificial liver support devices incorporating cellular components.

Main Results:

  • Liver support systems demonstrate beneficial effects on the pathophysiology of liver failure.
  • These benefits are particularly noted in acute-on-chronic liver failure cases.
  • Despite improvements in disease state, survival rates have not been significantly enhanced.

Conclusions:

  • Artificial and bio-artificial liver support systems provide crucial temporary support for liver function.
  • Further development is needed to translate current benefits into improved patient survival.
  • Clinical application and understanding of these devices remain critical for advancing liver failure treatment.