< Back to Images

PART 14: Disorders of the Gastrointestinal System
SECTION 2   Liver and Biliary Tract Disease

303 The Hyperbilirubinemias
Allan W. Wolkoff

Figure 303-1  Hepatocellular bilirubin transport. Albumin-bound bilirubin in sinusoidal blood passes through endothelial cell fenestrae to reach the hepatocyte surface, entering the cell by both facilitated and simple diffusional processes. Within the cell it is bound to glutathione-S-transferases and conjugated by...
view large
Figure 303-2  Structural organization of the human UGT1 gene complex. This large complex on chromosome 2 contains at least 13 substrate-specific first exons (A1, A2, etc.). Since four of these are pseudogenes, nine UGT1 isoforms with differing substrate specificities are expressed. Each exon 1 has its own promoter...
view large