While liver cells increase in volume as they mature, the overall liver size tends to decrease with advanced age.
Here's a more detailed explanation:
The liver undergoes changes throughout a person's life. Initially, liver cells (hepatocytes) grow larger as they mature and develop their full functionality. However, as a person ages, several factors can contribute to a reduction in liver size.
- Cell Loss: Similar to many organs, the liver experiences a gradual loss of cells as part of the natural aging process. These cells aren't always replaced at the same rate, leading to a net decrease in liver volume.
- Decreased Regeneration: The liver has a remarkable ability to regenerate after injury. However, this regenerative capacity tends to diminish with age. This means that if the liver is damaged (e.g., due to alcohol consumption or viral infections), it may not repair itself as effectively in an older individual, potentially contributing to a smaller size.
- Reduced Blood Flow: Blood flow to the liver can decrease with age due to changes in the cardiovascular system. Adequate blood flow is crucial for the liver's function and maintenance, so reduced blood supply can impact its overall health and size.
- Fat Accumulation: While not directly causing liver growth, fatty liver disease (steatosis) becomes more common with age, and while it can increase liver size initially, in later stages of life with other age-related factors, the overall liver size might still be reduced compared to its peak.
- Medications and Toxins: Older individuals are more likely to be taking multiple medications, some of which can be toxic to the liver. Chronic exposure to toxins can damage liver cells and contribute to a decrease in liver size over time.
In summary, while individual liver cells initially grow in size as they mature, the overall liver volume tends to decrease in later life due to a combination of factors including cell loss, reduced regeneration, decreased blood flow, and potential exposure to toxins and medications.