Portal Venous Systems, Hepatic Portal System and Liver Functions, Animation

Alila Medical Media
28 Jan 201904:16

Summary

TLDRThe script explains the circulatory system's standard flow and introduces the portal venous system as a deviation, where blood from one capillary bed drains into another before reaching the heart. It highlights the hepatic portal system's role in filtering substances absorbed through the gastrointestinal tract, emphasizing the liver's dual function as a nutrient regulator and detoxifier. The liver's first pass effect on orally administered medicines is also discussed, noting the importance of liver metabolism in drug efficacy.

Takeaways

  • 🔴 The circulatory system typically involves oxygenated blood from the heart flowing through arteries to capillaries for nutrient and gas exchange.
  • 🔵 A capillary bed is a network of capillaries that nourishes a specific area of the body.
  • 🟢 De-oxygenated blood from capillary beds drains into veins to return to the heart.
  • 🟠 A portal venous system deviates from the standard circulatory system by having a capillary bed drain into another capillary bed via veins before returning to the heart.
  • 🟡 The hepatic portal system is a well-known portal system that carries blood from the gastrointestinal tract, spleen, and pancreas to the liver for processing before it enters the general circulation.
  • 🟤 The liver acts as a gatekeeper, processing nutrients and regulating the amount that enters the bloodstream, such as converting excess glucose into glycogen for storage.
  • 🟣 The liver also detoxifies the blood, screening for and removing potentially harmful substances like toxins and pathogens before they reach the rest of the body.
  • 🟥 The liver's role in metabolism means that most orally administered medicines are metabolized in the liver, which can lead to a phenomenon known as the first-pass effect.
  • 🟧 Some drugs are designed as pro-drugs, requiring conversion in the liver to become active, highlighting the liver's importance in drug activation and metabolism.
  • 🟩 The hepatic portal system ensures that substances absorbed through the GI tract, including nutrients, toxins, and pathogens, are first processed by the liver.

Q & A

  • What is the typical function of the circulatory system in transporting blood?

    -The circulatory system typically transports oxygenated blood from the heart through arteries to capillaries, where nutrient and gas exchange occurs. De-oxygenated blood then drains into veins to return to the heart.

  • What is a capillary bed and what is its role in the circulatory system?

    -A capillary bed is a network of capillaries that nourish an area. It is where the exchange of nutrients and gases takes place, and it is essential for the proper functioning of the circulatory system.

  • What is a portal venous system and how does it differ from the common circulatory system setup?

    -A portal venous system is a deviation from the common circulatory system setup. It involves a capillary bed draining into another capillary bed before returning to the heart. This system is venous because the vessels connecting the two capillary beds are veins, which contain de-oxygenated blood.

  • Why is a portal system beneficial for direct transportation of substances between organs?

    -A portal system is beneficial because it allows for the direct transportation of substances from one organ to another without spreading them throughout the entire body, thus making the process more efficient.

  • Can you provide an example of a portal system and its function?

    -An example of a portal system is the hypophyseal portal system, which connects the hypothalamus and the pituitary gland. Hormones produced by the hypothalamus are secreted into this system to reach the anterior pituitary and regulate the production of pituitary hormones.

  • What is the hepatic portal system and its main components?

    -The hepatic portal system is a portal system that involves the liver. It consists of venous drainage from most of the gastrointestinal tract, the spleen, and the pancreas, which pools into the portal vein to reach the liver before returning to the heart.

  • How does the liver function as a gatekeeper in the hepatic portal system?

    -The liver acts as a gatekeeper by processing all substances absorbed through the GI tract, including nutrients, toxins, and pathogens, before they can reach the general circulation. This allows the liver to regulate the amount of nutrients entering the blood and to detoxify the blood from potentially harmful substances.

  • What is the liver's role in regulating blood sugar levels?

    -The liver plays a crucial role in regulating blood sugar levels by converting excess glucose into glycogen for storage after a meal and converting glycogen back to glucose to be released into the blood during fasting, thus preventing excessive fluctuations in blood sugar.

  • How does the liver process free amino acids resulting from protein digestion?

    -The liver processes free amino acids by synthesizing them into new proteins and pro-enzymes. Excess free amino acids, which can be harmful, are either converted to other forms of energy storage or broken down into urea to be removed in waste.

  • What is the liver's function as a detoxification organ in the context of the hepatic portal system?

    -As a detoxification organ, the liver screens the blood for potentially toxic substances and pathogens and removes them before they can reach the rest of the body. It can remove substances such as alcohol and drugs from the blood.

  • What is the first pass effect and its pharmacological implication?

    -The first pass effect is a pharmacological phenomenon where most medicines administered orally are metabolized in the liver and may become deactivated before reaching the general circulation and target organs. This implies that some medicines must be taken via other routes to bypass liver metabolism, while others are specifically designed as pro-drugs that require conversion in the liver to become functional.

Outlines

00:00

🔴 Circulatory System and Portal Venous System

The paragraph explains the typical circulatory system where oxygenated blood from the heart travels through arteries to capillaries for nutrient and gas exchange. It then describes the capillary bed and how deoxygenated blood returns to the heart via veins. The concept of a portal venous system is introduced as a deviation from this norm, where a capillary bed drains into another capillary bed via veins before reaching the heart. This system allows for direct transportation of substances between organs without systemic distribution. Examples include the hypophyseal portal system connecting the hypothalamus and pituitary gland for hormonal regulation, and the hepatic portal system where substances from the gastrointestinal tract are processed by the liver before entering the general circulation.

Mindmap

Keywords

💡Circulatory System

The circulatory system is the body's 'transport' network, responsible for the movement of oxygen, nutrients, hormones, and blood cells throughout the body, as well as the removal of metabolic wastes. In the video, it is the foundational concept around which the discussion of blood flow, capillary beds, and the portal venous system is built, illustrating the standard pathway of blood circulation from the heart through arteries to capillaries and back to the heart via veins.

💡Arteries

Arteries are blood vessels that carry oxygenated blood away from the heart to various parts of the body. They play a crucial role in the circulatory system, as mentioned in the script where oxygenated blood from the heart flows 'through arteries to capillaries.' Arteries have thick, muscular walls to withstand the high pressure of blood pumped by the heart.

💡Capillaries

Capillaries are the smallest and most numerous blood vessels in the body, facilitating the exchange of nutrients, oxygen, and waste products between the blood and body tissues. The script describes them as the site of 'nutrient and gas exchange,' emphasizing their importance in the delivery of essentials to cells and the removal of waste.

💡Capillary Bed

A capillary bed is a network of capillaries that serves to nourish a particular area of the body. The script mentions that 'A network of capillaries that nourish an area is called a capillary bed,' highlighting how these networks are essential for localized nutrient and gas exchange.

💡Portal Venous System

A portal venous system is a specialized arrangement in the circulatory system where blood from one capillary bed is directed to another capillary bed before returning to the heart. The script explains this as a 'deviation' from the standard circulatory system and provides the example of the hepatic portal system, which is central to the liver's role in processing nutrients and detoxifying the blood.

💡Veins

Veins are blood vessels that return deoxygenated blood to the heart. In the context of the portal venous system, the script specifies that 'the vessels that connect the 2 capillary beds are veins,' indicating that they carry deoxygenated blood, unlike arteries.

💡Hypophyseal Portal System

The hypophyseal portal system is a specific type of portal system mentioned in the script that connects the hypothalamus and the pituitary gland. It is highlighted as a means by which hormones produced by the hypothalamus are 'secreted into the portal system to reach the anterior pituitary,' where they regulate the production of pituitary hormones.

💡Hepatic Portal System

The hepatic portal system is a portal venous system that carries blood from the gastrointestinal tract, spleen, and pancreas to the liver before it returns to the heart. The script emphasizes its importance in the 'first processing' of all substances absorbed through the GI tract, including nutrients, toxins, and pathogens.

💡Liver

The liver is a vital organ with various functions, including detoxification and nutrient regulation. The script describes it as acting like a 'gatekeeper to the body,' processing nutrients and regulating their amounts in the blood, as well as screening for and removing potentially toxic substances before they enter general circulation.

💡First Pass Effect

The first pass effect is a pharmacological concept mentioned in the script that refers to the metabolism of orally administered medicines in the liver before they enter general circulation. This can lead to the deactivation of some medicines, which is why the script notes that 'some medicines MUST be taken via OTHER routes to BYPASS liver metabolism.'

💡Pro-drugs

Pro-drugs are a type of medication that requires conversion in the body, specifically in the liver as mentioned in the script, to become active. The script explains that some drugs are 'SPECIFICALLY designed as Pro-drugs and must be taken orally,' highlighting the liver's role in activating these medications.

Highlights

The circulatory system typically involves oxygenated blood flowing from the heart through arteries to capillaries for nutrient and gas exchange.

A capillary bed is a network of capillaries that nourish an area.

Deoxygenated blood from capillary beds drains into veins to return to the heart.

A portal venous system is a deviation where a capillary bed drains into another capillary bed before returning to the heart.

Portal systems are venous because they contain deoxygenated blood.

Portal systems enable direct transportation of substances between organs without spreading them throughout the body.

The hypophyseal portal system connects the hypothalamus and pituitary gland, facilitating hormone regulation.

The hepatic portal system is commonly referred to when 'portal system' is mentioned.

In the hepatic portal system, substances absorbed through the GI tract are first processed in the liver before entering general circulation.

The liver acts as a gatekeeper, processing nutrients and regulating their entry into the blood.

The liver controls blood sugar balance by converting excess glucose into glycogen and vice versa.

Amino acids from protein digestion are processed in the liver, synthesized into new proteins, or converted to urea for waste removal.

The liver detoxifies by screening and removing potentially toxic substances and pathogens from the blood.

Most orally administered medicines are metabolized in the liver, which can deactivate them before they reach target organs (first pass effect).

Some medicines must be taken via other routes to bypass liver metabolism, while others are pro-drugs requiring liver conversion to become functional.

Transcripts

play00:02

In the common setup of the circulatory system,  oxygenated blood from the heart flows through  

play00:08

arteries to capillaries – the smallest blood  vessels where nutrient and gas exchange takes  

play00:14

place. A network of capillaries that nourish  an area is called a capillary bed. Blood  

play00:20

from capillary beds, now DE-oxygenated,  drains into veins to return to the heart. 

play00:26

A portal venous system is a DEVIATION from this  configuration. It occurs when a capillary bed  

play00:33

drains into ANOTHER capillary bed BEFORE going  back to the heart. It’s a VENOUS system because  

play00:39

the vessels that connect the 2 capillary beds  are VEINS: they contain DE-oxygenated blood. 

play00:44

With this arrangement, a portal system allows  DIRECT transportation of substances from one organ  

play00:51

to another WITHOUT spreading them all over the  body. An example is the hypophyseal portal system,  

play00:57

which connects the hypothalamus and pituitary  gland. Hormones produced by the hypothalamus  

play01:03

are SECRETED into the portal system to REACH  the anterior pituitary, where they regulate  

play01:09

production of pituitary hormones. But the  better known portal system is perhaps the  

play01:15

one that involves the liver. In fact, when not  specified otherwise, the term “portal system”  

play01:20

usually refers to the hepatic portal system. In the hepatic portal system, venous drainage  

play01:26

from MOST of the gastrointestinal tract, plus  the spleen and pancreas, pools into the portal  

play01:33

vein to reach the liver, BEFORE returning to  the heart. This way, all substances ABSORBED  

play01:39

through the GI tract, including nutrients, toxins  and pathogens, are FIRST processed in the liver  

play01:46

BEFORE they can reach the GENERAL circulation.  The liver acts like a GATEKEEPER to the body,  

play01:52

it serves 2 major functions in THIS context. First, the liver processes the nutrients and  

play01:59

regulates the AMOUNT of nutrients that can ENTER  the blood. For example, after a meal, when glucose  

play02:06

SPIKES from digestion of carbs, the liver converts  EXCESS glucose into glycogen for storage. When the  

play02:13

body is fasting, glycogen is converted back  to glucose to be released to the blood. In  

play02:18

other words, the liver CONTROLS the BALANCE of  blood sugar, preventing excessive fluctuations. 

play02:25

The free amino acids resulting from protein  digestion are also processed in the liver,  

play02:31

where they are synthesized into NEW proteins  and pro-enzymes. EXCESS free amino acids,  

play02:38

which can be HARMFUL, are converted to other forms  of energy storage, or BROKEN DOWN to urea to be  

play02:46

REMOVED in waste. This brings us to the SECOND  function of the liver as a DETOXIFICATION organ.  

play02:52

The liver SCREENS the blood for potentially toxic  substances and pathogens, and REMOVES them BEFORE  

play02:59

they can reach the rest of the body. It can, for  example, remove alcohol and drugs from the blood. 

play03:05

An important pharmacological implication  of liver functions is that most MEDICINES  

play03:11

administered orally are METABOLIZED in the liver,  and MAY become DEactivated, before reaching the  

play03:18

general circulation and TARGET organs. This is  known as the first pass effect. For this reason,  

play03:25

some medicines MUST be taken via OTHER routes  to BYPASS liver metabolism. On the other hand,  

play03:32

some drugs are SPECIFICALLY designed  as Pro-drugs and must be taken orally,  

play03:37

as they require CONVERSION in  the liver to become functional.

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相关标签
Circulatory SystemHepatic PortalLiver FunctionsNutrient RegulationDetoxificationBlood Sugar ControlFirst Pass EffectGastrointestinal TractPortal VeinHormone RegulationPro-drugs
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