What Are Hepatocytes and What Do They Do?

Hepatocytes are the primary cells of the liver, an organ central to many bodily processes. They perform a vast array of functions fundamental to maintaining health. These specialized cells ensure the body operates smoothly. Their proper functioning is paramount for overall well-being.

Defining Hepatocytes

Hepatocytes comprise approximately 70% to 80% of the liver’s total mass, making them the most abundant cell type. These cells are polyhedral, allowing them to tightly pack together. They are arranged in organized structures called hepatic cords or plates, which radiate outwards from a central vein, forming the liver’s basic functional units. Each hepatocyte typically contains one or two nuclei and is rich in mitochondria and other organelles, reflecting high metabolic activity.

Key Functions of Hepatocytes

Hepatocytes play a central role in the body’s metabolism, handling carbohydrates, fats, and proteins. They store glucose in the form of glycogen, releasing it when blood sugar levels drop, a process known as glycogenolysis. When glucose is scarce, hepatocytes can synthesize new glucose from non-carbohydrate sources like amino acids and glycerol through gluconeogenesis. They also manage fat metabolism by synthesizing cholesterol, producing lipoproteins for fat transport, and breaking down fatty acids to generate energy.

Beyond energy management, hepatocytes process proteins. They deaminate excess amino acids, converting nitrogen groups into urea for excretion, which prevents ammonia buildup. The liver also synthesizes a wide range of essential plasma proteins. Albumin, which maintains osmotic pressure in the blood, and various clotting factors are produced exclusively by hepatocytes.

Hepatocytes serve as the body’s primary detoxification center. They break down and neutralize harmful substances, including drugs, alcohol, and metabolic waste products like bilirubin. This process involves two phases: modifying toxins to make them reactive, then conjugating them with other molecules for water-solubility and easier excretion. This safely removes damaging compounds from the bloodstream.

Hepatocytes produce and secrete bile, a digestive fluid containing bile salts, cholesterol, and waste products. Bile is transported to the gallbladder for storage or directly into the small intestine. Bile salts are essential for emulsifying dietary fats, aiding digestion and absorption, and bile also eliminates cholesterol and bilirubin from the body. Hepatocytes also store several nutrients, including fat-soluble vitamins (A, D, E, K) and B12, along with minerals like iron and copper, releasing them as needed.

The Liver’s Regenerative Power

Hepatocytes have an exceptional capacity for regeneration. Unlike most other cell types, they can re-enter the cell cycle and divide rapidly in response to injury or significant tissue loss. This allows the liver to repair itself and restore its original size and function even after substantial damage. This regenerative capacity involves various growth factors and signaling pathways.

This regenerative ability is medically significant, especially in living donor liver transplantation. A portion of a healthy donor’s liver can be transplanted into a recipient. Both the donor’s remaining liver and the transplanted segment grow back to nearly full size within weeks or months. This healing mechanism highlights the liver’s resilience and its central role in maintaining health.

Hepatocytes and Overall Liver Wellness

Healthy hepatocytes are directly linked to the liver’s overall wellness and, by extension, the entire body. They efficiently perform metabolic, detoxifying, and synthetic roles, contributing to homeostasis. This includes maintaining stable blood sugar levels, ensuring proper nutrient distribution, and eliminating harmful substances. The liver’s function as the body’s central chemical factory depends on these cells.

Conversely, if hepatocytes become damaged or dysfunctional, their ability to perform these important tasks is compromised. This can lead to a range of systemic issues, such as impaired nutrient metabolism, toxin accumulation in the bloodstream, and deficiencies in essential proteins. For example, reduced detoxification can result in a buildup of harmful compounds, affecting brain function or other organs. Therefore, supporting hepatocyte health through lifestyle choices and medical care is fundamental to maintaining overall bodily well-being.