Reading Material-Digestive Tract LM SECTIONS: 1. The body of the tongue 1) Material: Vertical section of the body of tongue 2) Stain: H.E. 3) Requirement: Observe the filiform papillae and fungiform papillae. 4) Observation: Naked eye: The mucosa is purple-red stained and covers the surface of tongue. In the center is the thick deep rod-stained muscle. Low power: At first, distinguish the dorsal and ventral surface of tongue. The mucosa of the dorsal surface is irregular and projects outwar to form a number of papillae consisting of stratified squamous epithelium and lamina propria. According to the morphology, the papillae can be classified into filiform papillae and fungiform papillae. Filiform papillae are quite numerous and are elongated conical in shape. The cornified tips usually appear as candle towards one side. The layers of epithelium are more, and sometimes surface cells are separated from the deeper. Fungiform papillae have a mushroom-like outline and are less numerous than the filiform papillae. They have a narrow stalk and smooth-surfaced, dilated upper part. The epithelium is thinner and nonkeratinized. The lingual muscle appears as various sections of skeletal muscle bundles and is thick, Between muscle bundles some small mixed lingual glands can been seen. 2. Esophagus 1) Material: Cross section of esophagus 2) Stain: H.E. 3) 4) Requirement: master the general structures of the digestive tract and the structures of the esophagus. Observation: Naked eye: The lumen of the esophagus is irregular narrow space. The epithelium lining the lumen is stained purple-blue. Beneath mucous membrane there are light red-stained submucosa, two layers of red-stained muscle. Adventitia is unclear. Low power: Observe the structure from the lumen outward. According to the type of tissue, the wall may be divided into 4 layers. Mucosa: It is covered by nonkeratinized stratified squamous epithelium. There are some lightly-stained round or irregular masses in the epithelium. There are cross section of the papillae of lamina propria. In some sections the lymphoid nodules and the ducts of esophageal glands can be seen in the lamina propria. Note to observe whether the esophageal cardiac glands located in the lamina propria are present in this section. Muscular is mucosae is composed of a thicker layer of longitudinal smooth muscle bundle in waves following the plicae. Submucosa: That consists of loose connective tissue with small vessels, nerves, mucous acini of esophageal glands in it. (There are no esophageal glands in some sections.) Sometimes nerve plexus can be seen. The plexus consists of nerve fibers and nerve cells with a large round pale-stained nucleus. Muscle layer: It is rather thick and the muscle fibers are arranged into inner circular and outer longitudinal muscle layer. Note the type of muscle in the slide. Between the 2 muscle layers, the myenteric nerve plexus can be found. Adventita: That consists of loose connective tissue containing nerves, blood vessel fat, cells etc. 3. Fundus of stomach 1) Material: Cross section of fundus of stomach 2) Stain: H.E. 3) Requirement: Master the structures of stomach and identify the chief cells and parietal cells of the gastric glands. 4) Observation: Naked eye: The mucosa is stained in purple-blue. It projects into the lumen forming folds. Under the mucosa are submucosa and muscle layer. The Adventitia is unclear. Low power: Mucosa: The surface is lined by a simple columnar epithelium. The cytoplasm contains adequate mucigen granules, so that the cells are stained lightly. A transparent area is ptesent in the top of the cells. The boundary of the cells is clear. The epithelium invaginates into the lamina propria forming gastric pit. Under the epithelium is the lamina propria which contains a great number of gastric glande. The tubular glands may be present as longitudinal, oblique or cross sections, occasionally, it may be found in the section that the gastric glands communicate with the bottom of the pits. The museularis mucosae is thinner, which is thinner, which is composed of an inner circular and an outer longitudinal smooth muscle layer. Submcosa: It consists of loose connective tissue. Muscle layer: That is thicker and composed of an inner oblique, a middle circular and an outer longitudinal smooth muscle layer. The boundary between the inner oblique and middle circular smooth muscle layer is obscure. Serosa: It consists of a thin layer of loose connective tissue covered by mesothlium. High power: Observe the following carefully. (1) The mucosa is lined by a simple columnar epithelium. (2) The structure of gastric gland: It is composed of chief cells, parietal cells. Mucous neck cells and endocrine cells. Mainly identify the former two cells: Chief cells: They are predominant in the body and the base of the glands. The cells are columnar-shaped with basophilic cytoplasm which contains the abundant rough endoplasmic reticulum and with ovoid nuclei in the basal part of each epithelial cell. Parietal cells: They are larger, round or pyramidal in form. The cytoplasm is eosinophilic intensely. The cells are present mainly in the neck and the body of the glands. (3) The mesothelium of serosa is simple squamous epithelium. 4. The pylorus 1) Material: Longitudinal section of the pylorus 2) Stain: H.E. 3) Requirement: Compare it with the fundus of stomach. 4) Observation: Low power: The gastric pits are deeper than that in fundus. The pylorus glands are mucous gland in the lamina propria and the glandular epithelium is simple column in form. The cytoplasm is pale-stained. The circular smooth muscle layer in the pylorus is thicker. 5. Small intestine 1) Material: Cross section of ileum 2) Stain: H.E. 3) Requirement:Master the structures of small intestine and the structural characteristics of ileum. 4) Observation Low power: Mucosa: There are a number of finger-like processes called villi at the surface of the mucosa. The villi project into the lumen and consist of epithelium and lamina propria. In sections, some villi are cut off. The longitudinal, cross and oblique sections of villi are present. There are many intestinal glands in the lamina propria. The glands may out in various sections. In addition, aggregations of a numerous lymphoid nodules form structures called Peyer’s patches, which may project from lamina propria into submucosa, so that the muscular is not intact. Submucosa: It consists of loose connective tissue. Muscle layer: That is composed of an inner circular and an outer longitudinal smooth muscle layer. Adventitia: It is fibrosa or serosa. High power: Observe the following carefully. (1) The intestinal epithelium is simple columnar. There is the striated border stained red and bright at the free surface of the columnar cells. The vacuolar cells between the columnar epithelial cells are goblet cells. (2) The lymph capillary in the core of the villi is called lacteal which is lined by simple squamous epithelium. (Demonstration). Around the lacteal the blood capillaries and some scattered lontitudinal smooth muscle cells can be seen. (3) Intestinal glands: In H.E. sections, the columnar cells and goblet cells of the intestinal glands can be seen, Paneth cells and endocrine cells of intestine are shown in demonstration sections. 6. Large intestine 1) Material: Large intestine 2) Stain: H.E. 3) 4) Requirement: Master the structural characteristics of large intestine and compare them with those of small intestine. Observation: Low power: There are folds but no villi in the large intestine, that the mucosa has a comparatively smooth surface. The goblet cells between the columnar cells are much more. In the lamina propria there are a great number of intestinal glands. In some sections, it can be seen that the smooth muscle fibers of the outer longitudinal layer gather into three equidistant longitudinal bands known as taeniae coli. The serosa may contain the adipose tissue that forms appendices epiploicae. 7. Appendix 1) Material: Cross section of appendix 2) Stain: H.E. 3) Requirement: Compare it with large intestine 4) Observation: Naked eye: The lumen is small and irregular. Low power: The general structure is similar to that of the large intestine, but the intestinal glands are fewer and shorter. The lymphatic tissue is much more abundant in the lamina propria. The muscularis mucosae is often incomplete, because the lymphatic tissue project into the submucosa. The boundary of lamina propria and submucosa is obscure. The muscle layer is thinner. There are no taeniaecoli and appendices epiploicae. Sections for demonstration 1. The taste buds 1) Material: Vertical section of the root of tongue 2) Stain: H.E. 3) Requirement: Observe the taste buds, and distinguish the taste cells and supporting cells. 4) Observation: The taste buds are mainly distributed in the epithelium of the circumvallate papillae’s lateral wall surrounded by a deep groove. They are ovoid bodies arranged perpendicular to the epithelium. They consist of taste cells, supporting cells and basal cells. (1) Taste cells: They are spindle-shaped with ovoid nuclei. Their cytoplasm and nuclei are stained deeply. The taste hairs are unclear. (2) Supporting cells: They are spindle-shaped and larger than taste cells. Their cytoplasm and nuclei are stained pale. 2. Oesophagogastric junction 1) Material: Longitudinal section of the oesophagogastric junction 2) Stain: H.E. 3) Requirement: Understand the change of epithelium at the oesophagogastric junction. 4) Observation: Low power: There is generally an abrupt change at the oesophagogastric junction from stratified squamous epithelium lining esophagus to the simple columnar epithelium that characterizes the stomach. And the gastric pits are present. 3. Paneth cells in intestinal glands 1) Material: Small intestine 2) Stain: H.E. 3) Requirement: Understand the morphological features of the paneth cells. 4) Observation: The cells are located in the bottoms of the intestinal glands and arranged in groups of 3-5 cells. They are pyramidal in shape. Their nuclei are round and situated near the base of the cells. The cells contain many acidophilic granules in their cytoplasm. 4. Endocrine cells in intestine 1) Material: Small intestine 2) Stain: Silver nitrate 3) Requirement: Understand the features of the endocrine cells. 4) Observation: The granules in the basal cytoplasm are stained black by using silver nitrate. In some cells the granules are so abundant that their nuclei are covered. Electron micrographs 1. Chief cells of the gastric glands It shows three chief cells, among them the middle is an intact cell. At upper right is a glandular cavity. There are a few microvilli at the free surface of the chief cells and abundant rough endoplasmic reticulum in the basal cytoplasm(ER). The apical cytoplasm contains numerous zymogen granules(secretory granules, SG). The Golgi apparatus is generally located just above the nucleus, but it is unclear in this picture. 2. Parietal cells of the gastric glands The middle in the photograph is a glandular cavity(L). At the below is an intact parietal cell. The membrane of the apical cell surface invaginates into the cytoplasm to form many intracellular canaliculi. (C). The canaliculi are lined by numerous microvilli. There are a number of larger mitochondria in the cytoplasm near the canaliculi. The smooth endoplasmic reticulum in the photograph is obscure. 3. Gastric endocrine cells. The middle in the photograph is a glandular cavity (1) surrounded by many mucous cells (2) The endocrine cells (3) are between the mucous cells. The cytoplasm contains argentophilic granules which generally occupy the basal portion. The endocrine cell at the upper belongs to open-type cell. Its free surface with a few microvilli may project to lumen. The endocrine cell at the below belongs to close-type cell. Its top isn’t exposed to the lumen. 4. Absorptive cells and goblet cells At upper left is a goblet cell and the others are absorptive cells which are tall column in shape and have ovoid nuclei located near the base of cell. The luminal surface is composed of closely packed, regularly arranged microvilli (MV) forming striated border with the light microscope. The lateral cell surfaces form interdigitating processes. The junctional complexes in this photograph are not obvious. The goblet cells between the absorptive cells contain numerous mucigen granules in the apical portion. The rough endoplasmic reticulum and Golgi apparatus are in the deeper portion of the cell.