Cirrhosis Overview

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What is the primary characteristic of cirrhosis?

Extensive accumulation of collagen fibers in response to inflammation

Why do lipophilic drugs and pollutants diffuse readily into hepatocytes?

As a result of close contact facilitated by the fenestrated epithelium of the sinusoid

Why are phalloidin and microcystin considered hepatotoxins?

Because they are substrates for sinusoidal transporters

What is the primary function of phase II enzymes in hepatocytes?

Enhance removal from the body by adding a polar group

Why are phase I enzymes considered crucial in hepatocytes?

Often convert xenobiotics to reactive electrophilic metabolites

What determines whether a reactive metabolite will initiate liver cell injury or be detoxified safely?

Phase I and phase II reactions

Which process causes mitochondrial injury in cases of alcohol abuse?

Accumulation of reactive acetaldehyde metabolite

What facilitates the removal of debris from damaged liver cells by releasing cytotoxic proteases and reactive oxygen species?

Immune responses

Why is the liver often the dominant target site of specific toxins?

Its location between the intestinal tract and the rest of the body

What condition consists of a build-up of lipids in hepatocytes?

Steatosis

Learn about the characteristics and progression of cirrhosis, where hepatic cells are replaced by fibrotic scars leading to irreversible damage. Understand the poor prognosis of cirrhosis, typically caused by repeated exposure to chemical toxins.

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