[PDF][PDF] The liver sieve: considerations concerning the structure and function of endothelial fenestrae, the sinusoidal wall and the space of Disse

E Wisse, RB De Zanger, K Charels… - …, 1985 - Wiley Online Library
E Wisse, RB De Zanger, K Charels, P Van Der Smissen, RS McCuskey
Hepatology, 1985Wiley Online Library
Sinusoids in the liver lobule (Figure 1) are invested with a unique type of endothelial lining
(Figure 2) consisting of endothelial cells with flattened processes perforated by small
fenestrae of about 0.1 pm in size (Figure 3). The open fenestrae lack a diaphragm and are
arranged in groups to which the name “sieve plates” was given (1). A basal lamina is lacking
and for that reason the fenestrae constitute an open connection between the sinusoidal
lumen and the space of Disse. It is thought that the major part of the transport and exchange …
Sinusoids in the liver lobule (Figure 1) are invested with a unique type of endothelial lining (Figure 2) consisting of endothelial cells with flattened processes perforated by small fenestrae of about 0.1 pm in size (Figure 3). The open fenestrae lack a diaphragm and are arranged in groups to which the name “sieve plates” was given (1). A basal lamina is lacking and for that reason the fenestrae constitute an open connection between the sinusoidal lumen and the space of Disse. It is thought that the major part of the transport and exchange of fluid, solutes and particles between the blood and the space of Disse occurs through these open fenestrae. As a result, obvious filtration effects can be expected when particles of about the size of the fenestrae arrive in the liver. Another unique feature of liver sinusoidal endothelial cells is the high endocytotic capacity, which, together with the fenestrae and the absence of a basal lamina, makes them unique in the body (2). To the best of our knowledge, this particular type of endothelial cell is not found in any other organ. The distinction between endothelial cells and three other types of sinusoidal cells, ie, Kupffer, fat-storing and pit cells, has repeatedly been described and reviewed (3, 4).
Fenestrae were first observed following perfusion fix-ation (1); fixation is highly critical in the preservation and visualization of endothelial fenestrae, and this is valid for the sinusoidal area as a whole. No sophisticated apparatus is ileeded for perfusion fixation of the liver, but successful perfusion fixation is critically dependent on fast and well-dosed anesthesia of relatively stress-free
Wiley Online Library