Why is zone 1 in liver more prone to ischemic injury?

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The discussion centers on the liver's blood supply, particularly the differences between the central and peripheral zones, and the impact of eclampsia on liver necrosis. Zone 1, known as the periportal zone, receives oxygen from both the portal vein and hepatic artery, but its oxygenation can decrease in conditions like cirrhosis. This zone is more susceptible to toxic and viral injuries, while Zone 3 is the least oxygenated and most vulnerable to ischemic damage. Eclampsia is noted to cause vascular damage, which aligns with the observed necrosis in Zone 1. The portal vein, while primarily transporting nutrients from the gastrointestinal tract, also contributes significantly to the liver's oxygen supply under normal circumstances, although this contribution is diminished in cirrhosis.
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Hi,

Is it because around central vein, there is only deoxygenated blood from the vein where as in the periphery there is hepatic artery. Also why does eclampsia cause zone 1 necrosis. Thanks :)
 
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sameeralord said:
Hi,

Is it because around central vein, there is only deoxygenated blood from the vein where as in the periphery there is hepatic artery. Also why does eclampsia cause zone 1 necrosis. Thanks :)

Zone 1 is the periportal zone. Although a vein, the portal vein supplies about half the liver's oxygenation in the normal situation, but this is reduced in cirrhosis. The hepatic artery normally supplies the other half. Zone 1 is more prone to toxic and viral injury (hepatitis). Zone 3 is normally the least oxygenated of the hepatic zones and the most prone to ischemic injury.

http://www.ncbi.nlm.nih.gov/pubmed/8455423

http://www.google.com/search?q=hepa...11%2F01%2Fanatomy-hepatic-veins.html;1078;851

EDIT: Look up the roles of the portal circulation and of the hepatic central veins.
 
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SW VandeCarr said:
Zone 1 is the periportal zone. Although a vein, the portal vein supplies about half the liver's oxygenation in the normal situation, but this is reduced in cirrhosis. The hepatic artery normally supplies the other half. Zone 1 is more prone to toxic and viral injury (hepatitis). Zone 3 is normally the least oxygenated of the hepatic zones and the most prone to ischemic injury.

double check here, the portal vein shouldn't have any oxygen you mean nutrients right from the GI.

to the original question, ecclampsia is a vascular damage, so yeah the logic stands
 
mazinse said:
double check here, the portal vein shouldn't have any oxygen you mean nutrients right from the GI.

to the original question, ecclampsia is a vascular damage, so yeah the logic stands

Hepatic portal vein blood does not have as high an oxygen content per unit volume as arterial blood, but it does in fact supply half the oxygen demand of the liver in the normal situation. This is reduced with cirrhosis. Because it transports a large volume of blood, the portal system can normally meet its share of the liver's oxygen requirements. Venous blood is not totally deoxygenated. Did you do any research before you posted? Did you read the link in the post you quoted?

http://en.wikipedia.org/wiki/Liver see Blood Flow
 
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