SSN Histology Pituitary & Adrenal

advertisement
SSN Histology
Endocrine I
Comments to Patrick McCormick (pjm2109@columbia.edu)
Pituitary Gland
The secretion of all pituitary hormones is controlled by the hypothalamus which receives its
signals from higher CNS centers.
Posterior Pituitary (Neurohypophysis, pars nervosa) (PP)
1) Structure
a) is storage site for neurosecretions of hypothalamic neurons
i) is a direct extension of the CNS, so contains no collagen
ii) is downgrowth of nervous tissue from the hypothalamus (HT)
b) contains nonmyelinated axons of neurosecretory cells
i) cell bodies in the supraoptic and paraventricular nuclei of HT
c) contains pituicytes (analogous to neuronal glial cells)
2) Hormones – made in HT neurons, released by PP
a) ADH (Vasopressin)
i) Made in supraoptic nucleus cell bodies
b) Oxytocin
i) Made in paraventricular nucleus cell bodies
c) both hormones have direct action on non-endocrine tissue (not tropic)
3) Secretion
a) ADH & Oxytocin carried by fast vesicular transport through PP
i) are exocytosed into blood stream by an action potential
b) vesicles
i) vesicles are large, dense-core vesicles from trans-Golgi network.
ii) vesicles contain oxytocin, ADH, ATP, and the binding protein neurophysin.
iii) Herring bodies are accumulations of secretory vesicles near nerve endings
(1) these are sites for neurotransmitter storage or degradation
Anterior Pituitary (Adenohypophysis) (AP)
1) Structure
a) pars distalis is epithelial upgrowth from Rathke's pouch
b) Rathke's Pouch is ectoderm of the oropharynx, the roof of the primitive oral cavity
i) pars distalis – bulk of AP
(1) arises from thickened anterior pouch wall
ii) pars intermedia – divides AP and PP
(1) surrounds colloid-filled follicles
(2) cells secrete melatonin-stimulating hormone (MSH)
(3) MSH derived from POMC (pro-opiomelanocortin) precursor
iii) pars tuberalis
(1) contains veins of hypothalamo-hypophyseal system
2) Blood Supply
a) Course
i) Arterial blood runs from ICA to the superior hypophysial artery to the
hypothalamus
ii) blood is distributed in the primary capillary plexus in the median eminence
iii) plexus drains to hypophyseal portal veins, leading to secondary capillary plexus
iv) portal veins supply venous blood to AP
v) all capillary plexuses are fenestrated
vi) finally drains to cavernous sinus
b) Portal Blood Supply Importance
i) HT hormones can be delivered to AP directly and in high concentration
ii) HT hormones do not appear at high levels in systemic circulation
iii) Most of the AP has no direct arterial supply
3) Hormones
a) All AP hormones are synthesized in AP
b) With one exception, all AP hormones are regulated by HT stimulating hormone
i) exception: prolactin is inhibited by dopamine
Tropic
modulate the secretory activity of
other endocrine glands
TSH
ACTH
FSH
LH
Direct-Action
act directly on non-endocrine tissue
GH
Prolactin
The secretory cells of the anterior pituitary are divided into classes based on staining of their
secretory vesicles with Masson's stain:
Chromophils
Acidophils (red/pink) Basophils (blue/black)
Mammotrophs (Prl)
Gonadotrophs (FSH, LH)
Somatotrophs (GH)
Corticotrophs (POMC  ACTH)
Thyrotrophs (TSH)
(FLAT = Black, PeG = Pink)
Chromophobes
(orange/gray)
smallest cell type
few granules
unstained cytoplasm
Note that the corticotrophs have been thought to be chromophobes because they have few
granules and stain very lightly.
SSN Histology
Endocrine I
Comments to Patrick McCormick (pjm2109@columbia.edu)
Adrenal Gland
The adrenal gland is made of 2 distinct parts that have different origins and secrete different
classes of hormones:
1) adrenal cortex
a) derived from the outer mesoderm
b) secretes steroid hormones
2) adrenal medulla
a) derived from the neural crest
b) secretes peptide hormones
Blood Supply
1) capsular plexus is network of small vessels, descended from arteries
2) in cortex
a) plexus feeds cortical sinusoids
b) sinusoids drain to medullary venules
c) venules drain to central vein of adrenal gland
3) in medulla
a) plexus sends small arteries to medulla
b) arteries form capillary network around medullary cells
i) medullary cells get both fresh arterial blood and cortical sinusoid blood
c) capillaries drain to central vein of adrenal gland
Adrenal Cortex
1) Purpose: secretes steroid hormones
2) Histological characteristics
a) abundant lipid droplets (which are washed out during the fixation process)
b) vesicular mitochondria
c) abundant smooth ER
3) Structure – 3 parts (from outer capsule inward)
a) Zona Glomerulosa (ZG):
i) comprises about 15% of the cortical volume
ii) the cells are arranged in twisting loops or arching cords
iii) the cells have less cytoplasm than the Zona Fasciculata (ZF) so ZG appears as a
darker layer (at lower powers)
iv) they produce mineralocorticoids (e.g. aldosterone)
(1) responsible for increased Na+ and water retention
(2) secretion of these hormones are under the feedback control of the reninangiotensin system
b) Zona Fasciculata (ZF):
i) comprises about 80% of the cortical volume
ii) the cells are arranged in long straight columns
iii) the cells have a large amount of lipid rich cytoplasm  light appearance
iv) the cells should appear large and pale due to the washed out lipid vacuoles
v) they produce glucocorticoids (e.g. cortisol)
(1) important in regulating carbohydrate, fat, and protein metabolism
vi) secretion of hormones is under the feedback control of the CRF-ACTH system
c) Zona Reticularis (ZR):
i) comprises about 5-7% of the cortical volume
ii) cells are arranged in an irregular network of branching cords and clumps
iii) cells are noticeably smaller & darker than ZF cells
iv) some of the cells appear brown; this is lipofuscin
(1) pigment produced from normal "wear and tear" of the cells
v) principally produce a small amount of androgens, some glucocorticoids
vi) secretion of hormones is under the feedback control of the CRF-ACTH system
Adrenal Medulla
1) General
a) the cells are large compared to the ZR
b) look for the large, muscular central vein
2) Histology
a) cells stain basophilically on H&E (they secrete peptide hormones, so they don't have the
characteristic "bubbly/frothy" look of steroid secreting cells)
b) some cells may have a brownish tint due to the accumulation of chromaffin pigment
(which is oxidized catecholamines)
c) cells secreting norepinephrine show a more vigorous chromaffin reaction
3) Hormones
a) the cells of the medulla synthesize, store, and secrete catecholamines
i) (norepinephrine and epinephrine)
4) Regulation
a) cells are stimulated to release their hormones into the bloodstream by preganglionic
svmpathetic fibers
b) cells may also be regulated by glucocorticoids (e.g. cortisol) coming directly from the
cortex via the cortical sinusoids
Source
zona glomerulosa
zona fasciculata
zona reticularis
adrenal medulla
Hormone
mineralocorticoids (e.g. aldosterone)
glucocorticoids (e.g. cortisol)
sex steroids, some glucocorticoids
catecholamines (NorEpi, Epi)
Regulation
renin-angiotensin system
CRF-ACTH system
CRF-ACTH system
autonomic sympathetic
innervation, direct adrenal cortical
glucocorticoids
Download