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Histology: Epithelium - Study Notes for Medical Students, Lecture notes of Histology

These comprehensive study notes delve into the structure and function of epithelial tissues, a fundamental topic in histology. Various types of epithelium, including simple squamous, cuboidal, columnar, stratified squamous, transitional, and pseudostratified, with detailed explanations of their characteristics, locations, and functions. It also explores glandular epithelium, including exocrine and endocrine glands, and their mechanisms of secretion. The notes are enriched with clear diagrams and tables, making it an excellent resource for medical students to understand the intricacies of epithelial tissues.

Typology: Lecture notes

2022/2023

Uploaded on 11/10/2024

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HISTOLOGY
Topic: EPITHELIUM
Clinical Instructor/s: Dr. Antonette A. Baes
Layout by: Alyssa Gayle Garcia
INTRODUCTION TO TISSUES
Tissue is group of cells that perform a similar functions
Parenchymal cells are specific cells that is responsible for the
function of the organ
o E.g., The parenchymal cells of the liver that
produces bile are the hepatocytes
Stroma are connective tissues were the parenchymal cells are
located
Figure 1. Four Basic Types of Tissues
CHARACTERISTICS OF EPITHELIUM
Closely aggregated usually polyhedral
Only a small amount of extracellular matrix; has a few
connective tissues
Strong intracellular adhesion
Avascular
o no blood vessels, gets nutrition from the
connective tissue
o The connective tissues’ blood vessels diffuse the
nutrients and oxygen to supply the cell
All epithelial cells rest on basal lamina
o Basal lamina is the reason for its polarity; meaning
it has an apex and a base
Base is the part of the cell attached to the
basal lamina
Apex is the part of the cell facing the
lumen
o Basal lamina is composed of lamina densa and
lamina lucida
Lamina densa - electron dense layer;
composed of type IV collagen fibers
Lamina lucida - electrolucent; type III
collagen fibers
o Basement membrane is composed of basal
lamina
o Under the light microscope, only the basement
layer is visible since it is thick
o However, under the electron microscope, we can
delineate the basement membrane (lamina lucida
and densa)
FUNCTIONS
Covering and protecting surfaces and body cavities
o Is skin equivalent to epithelium?
Skin is an organ, epithelium is a tissue
Epidermis = epithelium; stratified
squamous keratinized
Absorption
Secretion
Contraction
o Myoepithelial cells - covering the secretory portion of
gland. Singular cells that has contractile “tentacles”
that helps in secretion
Sense of taste and smell - the neuroepithelial cells present in
eyes and ears
MAJOR CLASSIFICATION OF EPITHELIUM
Covering Epithelium
o Lines all external (skin), internal surfaces (lumen of
blood vessels: endothelium) and body cavities
(mesothelium - simple squamous)
o All substances entering and leaving the organ
passes through it
o How to name an epithelial lining?
Shape of topmost cell
Squamous - flattened
Cuboidal - square
Columnar - rectangular
Number of cell layers
Simple - one layer
o The cells are attached
to the basement
membrane
o Generally, contains the
following:
Lamina
Propia:
OUTLINE
I Introduction to Tissues
II Characteristics of Epithelium
III Functions of Epithelium
IV Major Classification of Epithelium
Function of the Major Classification of Epithelium
V Cell Surface Modifications
VI Glandular Epithelium
VII Classification According to How Secretory Products Leave
The Cells
VIII Classification Based On Consistency Of Secretion
IX Clinical Significance
FOUR BASIC TYPES OF
TISSUES
EPITHEL
IUM
CONNEC
TIVE
MUSCUL
AR
NERVOU
S
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Topic: EPITHELIUM Clinical Instructor/s: Dr. Antonette A. Baes Layout by: Alyssa Gayle Garcia INTRODUCTION TO TISSUES ● Tissue is group of cells that perform a similar functions ● Parenchymal cells are specific cells that is responsible for the function of the organ o E.g., The parenchymal cells of the liver that produces bile are the hepatocytes ● Stroma are connective tissues were the parenchymal cells are located Figure 1. Four Basic Types of Tissues CHARACTERISTICS OF EPITHELIUM ● Closely aggregated usually polyhedral ● Only a small amount of extracellular matrix; has a few connective tissues ● Strong intracellular adhesion ● Avascular o no blood vessels, gets nutrition from the connective tissue o The connective tissues’ blood vessels diffuse the nutrients and oxygen to supply the cell ● All epithelial cells rest on basal lamina o Basal lamina is the reason for its polarity; meaning it has an apex and a base ▪ Base is the part of the cell attached to the basal lamina ▪ Apex is the part of the cell facing the lumen o Basal lamina is composed of lamina densa and lamina lucida ▪ Lamina densa - electron dense layer; composed of type IV collagen fibers ▪ Lamina lucida - electrolucent; type III collagen fibers o Basement membrane is composed of basal lamina o Under the light microscope, only the basement layer is visible since it is thick o However, under the electron microscope, we can delineate the basement membrane (lamina lucida and densa) FUNCTIONS ● Covering and protecting surfaces and body cavities o Is skin equivalent to epithelium? ▪ Skin is an organ, epithelium is a tissue ▪ Epidermis = epithelium; stratified squamous keratinized ● Absorption ● Secretion ● Contraction o Myoepithelial cells - covering the secretory portion of gland. Singular cells that has contractile “tentacles” that helps in secretion ● Sense of taste and smell - the neuroepithelial cells present in eyes and ears MAJOR CLASSIFICATION OF EPITHELIUM ● Covering Epithelium o Lines all external (skin), internal surfaces (lumen of blood vessels: endothelium) and body cavities (mesothelium - simple squamous) o All substances entering and leaving the organ passes through it o How to name an epithelial lining? ▪ Shape of topmost cell ● Squamous - flattened ● Cuboidal - square ● Columnar - rectangular ▪ Number of cell layers ● Simple - one layer o The cells are attached to the basement membrane o Generally, contains the following: ▪ Lamina Propia:

OUTLINE

I Introduction to Tissues II Characteristics of Epithelium III Functions of Epithelium IV Major Classification of Epithelium ● Function of the Major Classification of Epithelium V Cell Surface Modifications VI Glandular Epithelium VII Classification According to How Secretory Products Leave The Cells VIII Classification Based On Consistency Of Secretion IX Clinical Significance FOUR BASIC TYPES OF TISSUES EPITHEL IUM

CONNEC

TIVE

MUSCUL

AR

NERVOU

S

COLLEGE OF MEDICINE (BATCH 2027) connective tissue ▪ Capillaries: supplies the cells in the epithelium nutrients and oxygen ● Stratified - several layers

  • See Table # 3 p. 8 for summary Table 1. Simple Epithelium Simple squamous epithelium
  • single layer of thin cells
  • nuclei are the thickest and most visible structures.
  • lining of vessels and cavities Simple cuboidal epithelium
  • cells are roughly as tall as they are wide
  • greater thickness allows cytoplasm to be rich in mitochondria and other organelles Simple ciliated columnar epithelium
  • taller than they are wide
  • apical cilia or microvilli
  • terminal bars (complexes of tight and adherent junctions) present at the apical ends of cells Table 2. Stratified Epithelium Stratified Squamous Keratinized Epithelium
  • cells form many layers, with the less differentiated cuboidal cells near the basement membrane
  • many desmosomes and become more irregular in shape and then flatten as they accumulate keratin
  • moved progressively toward the skin surface, where they become thin, metabolically inactive packets (squames) of keratin lacking nuclei Stratified non- keratinized epithelium
  • flattened cells of the surface layer retain their nuclei and most metabolic functions Transitional stratified epithelium or urothelium
  • superficial layer of large, dome- like cells at the top sometimes called umbrella or facet cells .Ciliated pseudostratified epithelium “false”
  • tall, irregular cells all are attached to the basement membrane
  • nuclei are at different levels and not all cells extend to the free surface, giving a stratified appearance
  • cilia is present

COLLEGE OF MEDICINE (BATCH 2027) Figure 6. Respiratory epithelium  Respiratory tract  Goblet cells - unicellular cells that secretes mucin STRATIFIED TRANSITIONAL EPITHELIUM Figure 7. Ureter  Contains facet cells in the topmost layer BOWMAN’S CAPSULE Figure 8. Bowman’s capsule  Distal Convoluted Tubule  Proximal Convoluted Tubule  Ducts - Simple columnar and simple cuboidal  Bowman’s capsule - Simple squamous SIMPLE CUBOIDAL Figure 9. Ovary  Germinal epithelium (previously believed to produce a follicle in the oocyte)- lining the ovary CELL SURFACE MODIFICATION  Structures that are found at the apex of the epithelial cells  Cilia o Long, highly motile structures o Axoneme: composed of a central pair of microtubules surrounded by 9 microtubular pairs. Attached to a basal body o Propulsion of mucus to clear the airways  Microvilli o Extensions of the cytoplasm which increases the surface area for better absorption and secretion (always present in GIT) o Brush/Striated border o Stereocilia: longer branch less motile  It is an extension of the cytoplasm of the cell  Present in vas deferens and the ear  Flagella o Similar to cilia but longer and single o Motile in the sperm CILIUM Figure 10. Cilium ● Dynein arms – connects one doublets to another ● Radial spoke – connect the doublet to the central microtubule

COLLEGE OF MEDICINE (BATCH 2027)

  • sliding movement of cilia ● Microtubules ● Majority of the respiratory epithelium Figure 11. Ciliary Axoneme ● The movement of the dynein arms will cause the movements of the cilia ● Rootlet is attached to the cytoskeleton that holds the cilia in place ● Basal body is composed of triplet microtubule Figure 11. Trachea ● Pseudostratified ciliated columnar epithelium ● Contains the cilia at the apex ● Hyaline cartilage – specific identity of trachea FLAGELLUM Figure 12. Seminiferous Tubule ● Stratified epithelium (lining) ● At the basal lamina is the spermatogonia. As it reaches the lumen, it becomes mature. ● Composed of different spermatogenic linings ● Myoid cells – contractile function VILLI/MICROVILLI Figure 13. Villi

COLLEGE OF MEDICINE (BATCH 2027) Figure 17. Junctional complexes of epithelial cells GLANDULAR EPITHELIUM ● Under epithelium since the surface epithelium invaginate underlying connective tissues ● Exocrine glands – maintained connection with the lumen o With ducts o Secretory granules ● Endocrine glands o Ductless o Hormone (secreted) ● Paracrine by diffusion Figure 18. Glandular epithelium PANCREAS Figure 19. Pancreas ● Organ with mix endocrine and exocrine glands ● Serous acinus – exocrine portion of the pancreas that produces lipase, amylase, etc. ● Islet of Langerhans - endocrine portion of the pancreas (alpha and beta cells, glucagon, insulin) ● Hormones are conveyed through the body using capillary MORPHOLOGY OF GLANDS (EXOCRINE) Simple Branched Coiled Acinar Branched Tubular Tubular Tubular (or Alveolar) Acinar Figure 20. Simple Glands ● Simple – one duct ● Acinar/alveolar – grape-like ● Compound – Several Ducts Compound Tubular Compound Acinar Columnar Tubuloacinar Figure 21. Compound glands CLASSIFICATION ACCORDING TO HOW SECRETORY PRODUCTS LEAVE THE CELLS

COLLEGE OF MEDICINE (BATCH 2027) A. Holocrine – whole cell will be destroyed (e.g., sebaceous gland) B. Merocrine – through exocytosis. Structure of secretory cells are not destroyed. C. Apocrine – only the apex of the cell will be destroyed upon secretion (e.g., mammary gland) CLASSIFICATION BASED ON CONSISTENCY OF SECRETION Figure 22. Salivary glands  Mucous o Flattened at the base o Tubular in shape o Light staining due to mucin pigments o Sublingual gland – mostly mucous (compound tubular)  Serous o Round, circular o Nucleus at the center o Basophilic (staining blue or violet) under the light microscope o Serous acinus – secretory portion of the gland o Parotid gland – mostly serous (compound acinar)

MUCOUS AND SEROUS ACINI

Figure 21. Mucous and Serous Acinar CLINICAL SIGNIFICANCE  Carcinoma – majority of the cancer cells originated in epithelium/epithelial tissue  Adenocarcinoma – adeno meaning gland. Originated from glandular epithelial tissue  Dysplasia – abnormal cell that can lead to cancer but reversible  Metaplasia - abnormal conditions, one type of epithelial tissue may undergo transformation into another type in another reversible process.  Hyperplasia – increase in number of cells o Physiologic (Liver growth) o Pathologic (Benign Prostatic Hyperplasia) – engorge gland, urethra, accumulation of urine, higher urinary frequency  Hypertrophy – enlargement of tissue through increase in cell size REFERENCE Junqueira, L. C. U., Carneiro, J., & Kelley, R. O. ( 2016 ). Basic histology. Stamford, Conn: Appleton & Lange. M.D. (2026) Histology Trans Table 3. Common types of covering epithelia Major Feature Cell Form Distribution Main Function Simple (one layer of cells) Squamous

  • Single layer of flat cells  Lining of vessels (endothelium);  Serous lining of cavities: pericardium, pleura, peritoneum (mesothelium)  Alveoli lining  Loop of Henle  Parietal layer of Bowman’s capsule  Inner and middle ear Facilitates the movement of the viscera (mesothelium), active transport by pinocytosis (mesothelium and endothelium), secretion of biologically active molecules (mesothelium)

COLLEGE OF MEDICINE (BATCH 2027) with 2 or more distinct levels of nuclei

  • Cells are usually cilliated  Auditory tube  Tympanic cavity  Lacrimal sac  Male urethra