Components of mucosa Claudia F. Martinez de la Pena Hawazen Binmahfouz Mucosa membrane is in mostly line cavities exposed to external environments. The mainly components of mucosa are the epithelial cells, secreted specialized cells, mucous and associated immune cells like dendritic cells and macrophages.(9) Most mucosal surfaces are covered by a hydrated gel formed by mucins (family of heavily glycosylated proteins) that are secreted by specialized epithelial cells, such as gastric foveolar mucous cells and intestinal goblet cells, and create a barrier that prevents large particles, including most bacteria, from directly contacting the epithelial cell layer. (10) Oral mucosa Esophageal mucosa Gastric mucosa Intestinal mucosa GI Tract Nasal mucosa Olfactory mucosa Bronchial mucosa Respiratory Tract Uterine mucosa Penile mucosa Ocular mucosa Examples of mucosal composition: 1. Bronchial mucosa: Epithelium Lamina propria glands Vascular tissue Elastic matrix (8) 2. Oroesophageal mucosa stratified squamous epithelial cells Lamina propria Fig. 1. Oral mucosa (7). 3. Gastric mucosa (5) Ephiteliial cells Special mucous (neck cells) Biocarbonate ions 4. Intestinal mucosa Epithelial cells Lamina propria Muscularis mucosa Fig. 2 and 3. Intestinal Mucosa. http://www.vetmed.vt.edu/education/Curriculum/VM8054/Labs/Lab18/Lab18.htm#. http://faculty.southwest.tn.edu/jiwilliams/models_of_the_digestive_system.htm Mucosa types differentiate in two types according to their primary role and anatomical features. 1. Type I mucosal surfaces represent the Gut, small intestine, colon, lung, airways, alveolar space, upper female reproductive organ of the intestine, lung, and uterus. 2. Type II mucosal surfaces are represented by those of the oral and vaginal cavities Type I mucosa are covered by simple epithelial of one cell layer. Their physiological functions are absorption and respiration. Type I mucosa have specialized cells that secreted mucous like globet cells and express a polymeric Ig receptor (pIgR), allowing dimeric IgA to access the lumen. Neonatal Fc receptor is another receptor which can be sometimes found in type I mucosa to transport the IgG. (4) Type I mucosa is associated with many lymphoid tissue and form Mucosa-associated lymphoid tissue (MALT), it can be found in gut (gut-associated lymphoid tissue GALT), nose (nasopharynxassociated lymphoid tissue NALT), bronchial (bronchus-associated lymphoid tissue BALT), conjunctiva- associated lymphoid tissue (CALT), lacrimal duct-associated (LDALT), larynx-associated (LALT) and salivary ductassociated lymphoid tissue (DALT). The main function of MALT is to produce and secrete IgA across mucosal. (3). (Fig 4). Type II mucosa are covered by stratified squamous epithelia (keratinocytes). The main function of type II mucosa is to provide physical protective barriers for activities that are important for the host species, such as mastication and coition They lack plgR and thus does not transport IgA into the lumen. A MALT organised structures are not present in Type II mucosal surfaces but they are drained by regional lymph nodes. (4) (See fig.4 and 5) Fig. 4 Type I and Type II mucosae. (4) Fig. 5.Schematic representation of MALT. (1) Mucus: Mucus is a secretion product of specialized cells present in mucosa which form a layer above epithelial cells. It consist of mucin fibers that highly adhesive and that traps foreign particulates. The shear-dependent viscosity of mucus helps maintain an unstirred layer of gel through which particles must diffuse before they can contact epithelial cells. These unstirred layers of mucus form a diffusional barrier that helps create much of the selective permeability of the mucus blanket.(2) Fig. 6. Normal human mucus thickness. 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