Module 2 - Histology (The study of Tissues) 1. Tissues are the building materials of your body. 2. Four types in the body a) Epithelial Tissue - lining of organs and forms glands. Ex: outer layer of skin, lining of mouth and stomach, thyroid gland, pancreas, liver, etc. b) Connective tissue - supports, binds insulates. Ex: bone, cartilage, tendons, fat c) Nervous tissue - sends and receives signals. Ex: Brain, spinal cord and nerves d) Muscle tissue - allows for movement 3. EPITHELIAL TISSUE - covers surfaces of many parts of the body a) Tile Floor Analogy - Cells are like Tiles. Tiles have 2 surfaces - the surface you walk on and the underside of the tile which is glued to the wooden floor beneath it. b) Epithelial Linings - cells attached together to form two surfaces like the tiles i. The free surface (like the top surface of the tile) - open to its surroundings, anything passing by can come in contact with it ii. The basal surface (like the underside of the tile) - the underside of the cell, just like the underside of the tile is attached to something else (underlying tissue) by some kind of glue. iii. The basement membrane is the glue that the epithelial cells secrete to attach to the tissue below it. 1. The basement membrane is a vascular a) lacking blood vessels (so there are no blood vessels in the basement membrane or epithelial tissue, so no way to get energy, nutrients or oxygen on their own) 2. The epithelial tissue and basement membrane get oxygen and nutrients from the tissue below the basement membrane which has blood vessels a) the oxygen and nutrients diffuse across the basement membrane into the epithelial cells. iv. Epithelial cells die rapidly (one example: skin cells - flaky/dandruff) 1. These dead epithelial cells are replaced by Mitosis. a) Another Example: Epithelial lining of the stomach is one cell layer thick it is replaced rapidly by mitosis. 2. The ability to repair itself by mitosis is one very important characteristic of epithelial linings. c) Classifying Epithelial Linings - Look at 2 Things i. The number of LAYERS 1. One layer - Simple Epithelium 2. Several layers - Stratified Epithelium (stratified means “layered”) ii. The SHAPE of the cells making up the layers 1. Flat cells in the tissue - Squamous Epithelium (squamous =“flat or low to the ground”) 2. Cube shaped cells in the tissue - Cubodial Epithelium 3. Tall Column like Cells - Columnar Epithelium d) Simple Squamous Epithelium - one layer of cells thick and cells are squatty i. Function: Allows for Diffusion, this tissue offers minimal barrier in order to allow for diffusion of oxygen and nutrients ii. This epithelium is not going to give a lot of protection and won’t have a lot of cellular machinery (organelles) for complex tasks iii. Perfect places for simple squamous epithelium 1. Lining of blood vessels - In our lungs, oxygen moves into blood vessels strictly by diffusion through the delicate simple squamous epithelium lining it. 2. Tiny air sacs (aveoli) of the lungs (found deep in the lungs) Diffusion of oxygen and Co2 can occur easily to allow for Oxygen and Carbon dioxide to be exchanged in the blood, because simple squamous does not have much of a barrier. e) Simple Cuboidal Epithelium - one layer of cells thick and cells are shaped like cubes i. Function: Allows for Diffusion in addition to Absorption (active transport) and Secretion (exocytosis) ii. The epithelium cells are thicker in this kind of tissue , so there is more room for cellular machinery like mitochondria, golgi apparatus, endoplasmic reticulum and so forth. iii. Perfect places for simple columnar epithelium are for example the Kidneys. 1. In order to cleans your blood, your kidneys are absorbing certain substances and secreting others constantly f) Simple Columnar Epithelium - one layer of cells thick and cells are tall like columns i. Function: Performs more complex secretion and absorption tasks ii. The epithelium cells in this tissue are taller, allows for even more room for cellular machinery. There is also a new type of cell found in this tissue, called GOBLET cells 1. Goblet cells - produces mucus (a complex mixture of fluids, proteins and carbohydrates that covers, protects and lubricates a free surface within the body iii. Perfect places for simple columnar Epithelium are the linings of your stomach and intestines 1. Stomach fluid is very acidic form the acid released by the glands in the stomach to allow to begin digestion ( this would immediately kill kill the epithelial cells if not protected) 2. Mucus produced by goblet cells protects epithelial lining from being damaged by the acid (there is a blanket of mucus over the free surface to protect the stomach) 1. Stratified Epithelial Tissue (tissue with several layers of cells) a) Stratified Squamous Epithelium - multilayered, squatty cells (smooshed pancakes) i. The tissue named for the cells at the free surface. ii. The deeper cells are called basal cells (near the basal surface) 1. ie. Basal cell carcinoma - CA of skin cells close to the basal surface. iii. The basement membrane shown in figure 2.4 of the stratified squamous epithelium is not flat but undulates (wave like, see figure 2.4) iv. Found: 1. In the skin (only the top layer, epidermis) v. Function: 1. Forms a barrier. Skin is the barrier against taking on or losing water (bathtub example); against pathogenic organisms, and protection against ultraviolet rays. vi. How Skin is made: 1. Basal cells in the skin divide by mitosis, when division takes place, cells get pushed upward. The new cells stay near the bottom of the epithelial tissue and the older cells are pushed upward and flake off because they are dead by the time they reach the top. 2. The dead cells contain a waterproofing protein called Keratin a) The skin is called a kertanized membrane 3. Surface cells of the skin are dead because the basement membrane of the stratified squamous epithelium is avascular because the upper cells are often too far away to get oxygen and nutrients. b) Moist Stratified Squamous Epithelium - multilayered “living cells” make up this tissue i. The surface cells are still alive unlike the stratified squamous epithelium surface cells are dead ii. The layer of the cells that make up this tissue is is covered in mucus and does not produce keratin (non-keratnized). iii. Found: 1. In the Mouth a) Though the surface cells in the mouth are alive, it’s still much less active then deeper cells because it’s farther away from diffusing oxygen and nutrients c) Stratified Cubodial Epithelial Tissue and Stratified Columnar Epithelial Tissue i. Layered versions of the simple cuboidal and simple columnar tissue ii. FUNCTION: Both tissues offer protection and tend to be used for secretion iii. Found: 1. Stratified Cuboidal epithelium - parts of salivary glands (secrete saliva in mouth) 2. Stratified Columnar epithelium- in your larynx d) Stratified Transitional Epithelium - multilayered, “changeable” i. Function: offers good PROTECTION because it is multilayered, but also remarkable because it STRETCHES. ii. Found: 1. The Urinary Bladder a) Holds urine (needs to expand) before expelled form body b) The Bladder is the size of a thumb when empty iii. Many layers when relaxed. Few layers when stretched. e) Pseudo Stratified Epithelium (“false”- “layered”) i. All the cells touch the basement membrane (bottom). 1. TRUE Stratified epithelium only the cells at the bottom touch the basement membrane, other layers would be in the upper layers (far from the basement membrane) 2. Similarities to Simple Epithelial Tissue: All layers touch the basement membrane 3. Differences to Simple Epithelial Tissue: Some cells are shorter than others 4. Similarities to Stratified Tissue: Not all the cells touch the free surface, making it more like stratified tissue, so called Pseudo Stratified. ii. The cells have Goblet cells and often has Cilia iii. Found: 1. Nasal passages 2. Air sinuses of the skull 3. Airways of the lungs (tubes through which air travels) a) The mucus from the goblet cells traps particles from the air and the cilia then move the particles out of the airway (the tubes) b) This air cleaning function is necessary to keep the lungs clean and allows for efficient exchange of gases farther down in the lung (aveoli) f) Glandular Epithelium i. Two types of glands: Exocrine and Endocrine 1. Exocrine glands a) Have ducts that allow to secret a product out to a surface b) Many in the body - come in different shapes and sizes but have basic structure i. ii. c) All have secretory portion (cells that do the secreting) All have a duct (passage through which chemicals travel to reach the surface Exocrine Gland Classification - ways of secretion of chemicals i. Merocrine glands 1. Exocrine glands that secrete without losing cellular material a) Mero means “part” and crine means “secretion” b) Example: Sweat glands ii. Apocrine glands 1. Exocrine glands that have cytoplasm in their secretions. a) Pinch off the tip of the epithelial cells b) Apo means “apex” or “tip” c) Cellular material becomes apart of the secretion d) Example: Mammary glands iii. Holocrine glands 1. Exocrine glands with secretions of disintegrated cells a) Releases entire cells into the duct. b) “Holo” means “whole” c) Cells rupture: contents including the nuclei spill into duct d) Ruptured cells replaced by mitosis. e) Example: Sebaceous glands 2. Endocrine glands - Cells packed close together a) Secrete chemicals called hormones directly into blood stream b) Hormone secreted directly into the blood stream and then can be taken rapidly all over the body in the blood stream c) No ducts d) Tiny blood vessels called capillaries present through the cells i. The blood takes oxygen and nutrients to the cells ii. Picks up anything the cells secrete e) Endocrine cells i. Secrete their hormones by exocytosis and then blood in the capillaries carry the hormones throughout the body. Module 2 - Histology (The study of Tissues) 1. CONNECTIVE TISSUE a) Function: i. Forms infrastructure of the body ii. Binding and Supporting Tissue 1. Holds you up 2. Holds you together 3. Binds tissues together iii. Insulates *** Vascular b) Connective Tissue Cells i. Secretes extracellular material or matrix that gives it special abilities ii. Secretes a number of products outside of themselves iii. Cells are relatively far a part with a lot of extracellular material between them iv. Epithelial cells differ because their cells are packed tightly together c) Extracellular Matrix: Chemical substances located between connective tissue cells i. Ground Substance (chemical mixture of proteins (secreted by cells), water the proteins attract (gel-like), protein threads (form fibers) ii. Collagen (found in 1/3 bone tissue) a) Thread like protein fiber helping to hold connective tissue together i. Deep part of the skin has collagen that makes it firm ii. Collagen break down causes skin sag -> wrinkles d) Classifying Connective Tissue i. Based on the extracellular matrix because it gives it its function 1. Hard, Flexible or Stretchy ii. Four Basic Types of Connective Tissue Proper 1. Loose Connective Tissue a) Ground substance that is gel-like b) Some protein, some fluid, some collagen fibers (made of proteins that are elastic fibers) i. Allows connective tissue to be stretched c) Contains Fibro blasts i. Spindle-shaped cells that form connective tissue proper ii. Fibro blasts turns into Fibrocyte when fibroblast is completely surrounded by the matrix, connective tissue is done developing d) Function: i. Light-duty binding ii. Holds things together in all directions but very lightly 1. ie. similar to thin material that forms nylon hose iii. Not Very Strong but Flexible 1. Ex: when pulling skin - the force pulling back is loose connective tissue -- that connects the skin to the underlying muscle 2. Found in Hypo-dermis (not a part of skin) 2. Dense Irregular Connective Tissue a) More Collagen fibers oriented in all directions (irregular) i. Opposite of loose b) Skin divided into two layers i. Epidermis (stratified squamous epithelium) ii. Dermis (dense irregular connective tissue) - opposite of loose and has to do with how many collagen fibers there are *** Hypo-dermis (loose connective tissue, not a part of the skin) c) Function: i. Strength in all directions 1. ie: pair of jeans d) Found i. Capsules around Organs 1. ie: Kidneys have thin but tough capsule 3. Dense Regular Connective Tissue a) More Collagen Fibers lined up mostly in the same direction b) Have Fibroblasts but NO elastic protein fibers c) Function: i. Strong binding - Rope like strength ii. Tensile Strength 1. ie: pulling a rope versus putting a heavy object on a rope d) Found i. Tendons 1. Holds muscle to bone 2. Very strong 3. Difficult to pull tendon off bone, when injured: PAINFUL! 4. Some give - due to collagen fibers are wavy not because of elastic fibers ii. Ligaments 1. Attach bone to bone 2. Strong 3. Some give - due to collagen fibers are wavy not because of elastic fibers 4. Adipose Tissue a) Most similar to Loose Connective Tissue i. All materials of loose connective tissue but cells are adipocytes or fat cells b) Contain Adipocytes/Fat cells i. Fat cells fill with droplet of oil, enlarging them and pushing them close to one another c) Function: i. Support ii. Protection iii. Insulation iv. Metabolic Function d) Found i. Fat present around organs to support and protect it 1. Regardless of weight -substantial fat present to support each kidney - protected and held in place ii. Under the skin 1. Acts as insulation against outside temperature a) ie: bubble wrap - supports and protects what it covers but also insulates form temperature change iii. Compact way of storing nutrients for future energy production because the oils stored in each fat cell are energy-rich. 1. Carbs instead of fats would take up too much space 2. Shouldn’t have too much or too little e) Connective Tissue Proper Healing i. Very slow ii. Fibroblasts have to produce large amount of extracellular material iii. Longer time than Epithelial tissue where all cells undergo mitosis to heal iv. Connective tissue cells have BIG job to do, so even minor injuries to connective tissue proper can take a longer time 2. CARTILAGE a) Three Types: Hyaline Cartilage (bridge of nose), Elastic Cartilage (outer part of your ear, Fibro Cartilage (disks between backbones) i. All types have chondrocytes (cells that produce special extracellular material) b) Firmer than Connective Tissue Proper c) Cartilage Matrix is Firm d) Cell can not live directly in the Matrix e) Small hollowed-out spaces called Lacuna, in which cartilage cells live f) Found i. Bridge of you nose ii. Outer part of your ear iii. Disks between your Backbones g) A vascular - no blood supply (connective tissue proper is vascular) h) Thin - to allow easy diffusion of oxygen/nutrients for living chondrocyte cells i. No blood vessels in the matrix ii. If it gets thick, it dies iii. If thickens, replaced by bone which has blood supply that it brings along i) j) Cartilage Matrix Contains Collagen (like connective tissue proper) Hyaline Cartilage i. Collagen give it resiliency ii. Tissue that is both firm and Resilient like hard plastic iii. Found: Bridge of nose and framework of larynx, costal cartilage of ribs (ribs to sternum), caps on bones due to smoothness which is ideal for moveable joints (smooth hyaline cartilages slips against smooth hyaline cartilage with only lubricant between) k) Fibrocartilage i. Found: 1. In joints 2. Between Vertebrae of back bone ii. l) a) Vertebrae must be bound together by tough binding, resiliency to cushion spinal column as you walk, bend, jump Function 1. Tough binding 2. Resilient Support a) ie: soles of shoes iii. Elastic cartilage i. Not as much cartilage as the other two types of cartilage ii. Contains Elastic fibers which are stretchy like rubber band (soft plastic) iii. Found 1. Outer Ear 2. Tip of nose 3. ie: floppy puppy ears growing erect iv. Function 1. Highly flexible support 3. Bone Tissue a) Connective tissue in bone is known as Osseous tissue b) Contains cells that are far from one another c) Cells secrete ground substance, fibers, collagen, fluid d) Ground substance in bone becomes hardened through calcification 4. Blood Tissue a) Connective tissue in blood is known as Vascular Tissue b) Has Red and White blood cells that are not packed together c) Ground substance (the proteins in blood) d) Fluid (blood plasma) e) Has Fibers - normal blood protein are small and round fibers but simulated by injury they can join together like strings of beads as long/tangled fibers to create blood clots 5. Membranes a) Made of Epithelial Tissue and Connective Tissue i. Skin (cutaneous membrane) 1. Top layer of skin (epidermis) - stratified squamous epithelial tissue 2. Lower layer of skin (dermis) - dense irregular connective tissue 3. Below top/lower layer - find loose connective tissue b) Three categories in body i. Mucous membranes 1. Line the entire Digestive tract: mouth to anus 2. Urinary tract 3. Respiratory tract 4. Reproductive tract 5. All tracts open to the outside of the body (digestive opens at both ends, respirator opens at mouth and nose) 6. Function: Protects the body a) ie: respirator tract breathe in air with dust and dirt and respiratory tract traps foreign particles and move them out of the body ii. Synovial membranes 1. Found around moveable joints - used for lubricating 2. Bones in a joint covered in hyaline cartilage (quite smooth, allowing bones to of joint to move without bone rubbing against bone) 3. Joints still need to be efficient in use of energy even with hyaline cartilage 4. The hyaline cartilage is lubricate by synovial fluid 5. Synovial fluid is secreted by synovial membranes - creating little sac around side of joints iii. Serous membranes 1. Form thin double layers around the organs and secret a small amount of lubricating fluid into the space between the layers 2. Reduces friction between organs with movement 3. Found a) Heart b) Lungs c) Abdominal organs 6. Tissue Repair a) Two types of Repair i. Repair you get function back (cut on your skin) ii. Repair in which you get scar tissue (does not function like original tissue) iii. ie: heart attack example b) Stromal cells i. Structural cell that form the infrastructure ii. ie: cells that allows the liver to hold shape iii. If liver is damaged, will lay down scar tissue but can not restore function to the organ c) Parenchymal Cells i. Does the work that the tissue has been designed to do ii. ie: cells that secrete bile in the liver iii. If liver is damaged, need to be restored for the of the liver to continue doing its job d) Labile cells i. Cells of epithelial tissue are always undergoing mitosis 1. When skin is cut, the cells undergo mitosis constantly so neighboring cells will start reproducing to replace cells lost e) Stable cells i. Cells in your bones 1. Bone cells will die if bone breaks but neighbors of bone cells can undergo mitosis can repair injury of broken bone f) Permanent cells i. Cells of nervous tissue,cardiac tissue and muscle tissue 1. Can not undergo mitosis after infant stage a) In cardiac tissue i. during a heart attack no mitosis of neighboring cells to replace damaged cells ii. replaced by fibroblasts which produces connective tissue iii. Heals the wound but not in a functional way iv. Remaining cells that are healthy can be strengthened through exercise even though damaged cells can not be regenerated g) Recap i. Parenchymal cells in the heart are permanent cells - destroyed can’t be replaced, replaced by stromal cells (heals wound but function lost) ii. Parenchymal cells in skin are labile cells - when parencymal skin cells are lost-- thy are replaced with parenchymal skin cells , no function is lost iii. Bone and glands contain stable cells that can undergo mitosis h) Factors affecting Tissue Repair i. Better circulation leads to better tissue repair 1. Blood brings nutrients and oxygen , takes away wastes, brings in wbc’s to fight infection 2. Better nutrient means better tissue repair - protein and vitamins are critical for proper tissue repair a) ie. Vitamin C required for production of collagen b) Connective tissue repair requires Vitamin C. ii. Age affects Tissue Repair 1. Growth works to advantage 2. Adults in prime heal well 3. Old age makes healing process much slower