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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
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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:
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
COLLEGE OF MEDICINE (BATCH 2027) connective tissue ▪ Capillaries: supplies the cells in the epithelium nutrients and oxygen ● Stratified - several layers
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)
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)
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
COLLEGE OF MEDICINE (BATCH 2027) with 2 or more distinct levels of nuclei