The respiratory system FUNCTION: Conduction of air - gas exchange (O2 CO2) Conditioning of air: cleaning, moistening, warming 1, cleaning - large dust particles are removed by vibrissae in the nose - smaller are trapped to the layer of mucus performed by glands and by goblet cells - ciliated epithelium remove the mucus layer from deeper part toward oral cavity – swallowed or expectorated 2, moistening - glands are responsible for moistening of the air 3, warming - rich superficial vascular network The respiratory system From the functional point of view the respiratory system is divided into: conducting portion upper – nasal cavity – paranasal sinuses – nasopharynx lower – larynx – trachea – bronchi – bronchioles – terminal bronchioles respiratory portion - respiratory bronchioles - alveolar ducts - alveolar sacs - alveoli – alveoli Support and flexibility of respiratory system Cartilage - primarily hyaline + some elastic cartilage - to support the wall of the conducting portion - preventing collapse of the lumen Elastic fibers - flexibility - the smallest bronchioles have the higher proportion of the elastic fibers Smooth muscles - contraction regulates air flow during inspiration and expiration Ciliated pseudostratified columnar epithelium with goblet cells (RESPIRATORY EPITHELIUM) 1. 2. 3. 4. 5. ciliated columnar cells (300 cilia, move of overlying mucus towards oral cavity) columnar cells with microvilli = brush cells goblet cells (terminal bronchioles Clara cells) undifferentiated short basal cells small granule cells = Kulchitsky cells - neuroendocrine AXONEME „9+2 patern“ 9 pairs of peripheral microtubules + • one central pair inserted into BASAL BODIES (modified centrioles - 9 triplets) two types of contractile proteins: tubulin and ciliary dynein rapid back-and-forth movement ,,beating motion,, EPIGLOTTIS • Elastic cartilage plate epiglottis • Tunica mucosa - lamina epithelialis mucosae - lamina propria mucosae: mixed glands • lingual surface and laryngeal surface EPIGLOTTIS LARYNGEAL SURFACE • epithelium thinner • Lmp has no papillae (smooth) Stratified squamous ep. nonkeratinized LINGUAL SURFACE • epithelium thicker • lamina propria mucosae forms papillae Stratified squamous ep. nonkeratinized papilla LPM LPM - lower (last third) laryngeal surface : respiratory ep. • Tunica Mixed glands mucosa - epithelium - lamina propria mucosae mixed glands • Elastic cartilage plate in the centre - openings - ducts from glands cross the plate to laryngeal surface TRACHEA 1.Tunica mucosa - pseudostratified columnar ciliated epithelium - lamina propria mucosae (loose connective tissue) ,,border,, - long.oriented elastic fibers 2.Tela submucosa - connective tissue - tracheal glands = mixed 3. Tunica fibrocartilaginea (fibromusculocartilaginea) - C-shaped rings of hyaline cartilage (= ,,cartilaginea,,) connected by anular ligaments (= ,,fibro,,) - dorsal part – pars membranacea contains trachealis muscle= smc (= ,,musculo,,) 4. Tunica adventitia - loose connective tissue TRACHEA OESOPHAGUS tracheal lumen trachealis muscle hyaline cartilage Respiratory epithelium basement membrane Tunica mucosa Tela submucosa - gll.tracheales Tunica fibrocartilaginea - Hyaline cartilage Tunica adventitia gll.tracheales - seromucous - tubuloacinar TUNICA MUCOSA: Lamina epithelialis mucosae (thick BM) Lamina propria mucosae tracheal glands Conducting portion: LUNGS – pulmo Branching of bronchial tree Primary bronchi Secondary bronchi Bronchopulmonal segment – anatomical and functional unit of the lungs Pulmonary lobules Pulmonary acinus R+L 3 – 2 lobar bronchi Tertiary bronchi 9-12 small bronchi (↓5mm) Bronchioles (↓ 1mm): Terminal bronchioles Respiratory bronchioles 2 and more Alveolar ducts Respiratory portion Alveolar sacs alveoli Spiral orientation of muscles and anastomosing cords of cartilage SECONDARY AND TERCIARY BRONCHUS TUNICA MUCOSA: a) pseudostratified columnar ciliated epithelium b) lamina propria (LCT) c) spiral smooth muscles (SM) TELA SUBMUCOSA: a) connective tissue b) seromucous glands (G) CARTILAGE (C): plates or islands SMALL BRONCHI (diameter < 5 mm) • epithelium – pseudostratified columnar ciliated • less goblet cells • lamina propria - seromucous glands decrease • bundles of smooth muscle cells increase • small islands of cartilage spliced by bundles of smooth muscle cells epithelium pseudostartified columnar ciliated smooth muscle tissue hyaline cartilage Bronchioles (diameter less than 1 mm) Main structural changes: - epithelium changes - glands are not present - cartilage disappeared - more smooth muscle cells and elastic fibers Terminal bronchioles - simple ciliated columnar-cuboidal epithelium with less developed cilia - with Clara cells - collagen and elastic fibers - more smooth muscles Respiratory bronchioles - simple ciliated cuboidal epithelium with Clara cells - collagen & elastic fibers, smooth muscles - the walls are interrupted by alveoli - branched into alveolar ducts - ductuli alveolares CLARA CELLS - secretory granules - decrease surface tension in the bronchioles - enzyme P450 (s- ER): detoxication - transport of IgA to the bronchial lumen - lysosyme terminal bronchiole Terminal bronchiolus Respiratory bronchiolus Respiratory bronchiolus - simple cuboidal ciliated ep. - collagen & elastic fibers - smooth muscles respiratory bronchiol ALVEOLAR DUCT - ductus alveolaris - thin tube - wall is interrupted by numerous alveoli - in wall – smooth muscle cells formed sphincters, they are the most distal place of smooth muscle presence - enters into alveoli (atrium) Respiratory portion Capillaries Respiratory bronchiole Alveolar duct Alveoli Pore Alveolar duct ALVEOLI = saclike evaginations •simple squamous epithelium: pneumocytes type I (alveolar, membraneous) - squamous pneumocytes type II (septal, granular) – cuboidal shape, produce surfactant •wall is supported by network reticular and elastic fibers GRANULAR PNEUMOCYTE: • GER, GA • Lamellar bodies limited by unit membrane – phospholipids synthesis and releasing of surfactant (lipoprotein complex) • FUNCTIONS: - decrease surface tension in alveoli - prevent collaps of alveoli - make alveolar surface wet - antibacterial Interalveolar septum 1. Thin portion - blood-air barrier is composed of: pneumocyte type I fused basal laminae endothelial cells Function: gas exchange (O2, CO2) 2. Thick portion contains: - fibroblasts, mast cells, macrophages, - reticular, elastic and collagen fibers BAB Alveolar pores: equalize air pressure and permit collateral circulation of the air Pleura - is composed of visceral and parietal layer - both layers are covered by mesothelium resting on a fine connective tissue layer - between these 2 layers is situated the pleural cavity with liquid Respiratory bronchiolus Alveolar sack