Bio 207 Histology Workshop Goals: --To familiarize you with some of the tissues most susceptible to cancer. --To contrast normal and cancer tissues. --To demonstrate different levels of structure and function in the human body. Background: Histology is the study of tissues. Histology is the area of biology that falls between anatomy (the study of organs and organ systems) and cell biology (the study of the cells that make up tissues). The major tissue types are the epithelia--tissues that form the linings and coverings of the body, connective tissues--those that underlie the epithelia and form much of the “substance” of body structures, muscle tissues--those involved in movement or stretching and nervous tissues--those involved in signaling in the nervous system. Where do histological slides come from? Start with a particular organ--for example, the lung. To prepare a section of lung for histology, lung tissue was preserved in some way and embedded in paraffin or a plastic medium. Then the tissue was cut into very thin sections using a sharp blade (called a microtome). Finally the embedding medium is cleared away and the section is stained, most commonly with hematoxylin and eosin stains. These give a pink color to the cells and stain the nuclei darker than the rest of the cell (often blue or purple). One of the most difficult aspects of histology is figuring out what you are looking at. What do you see when you look at a section of lung tissue under the microscope? First we need to recall what the lung does and what its role is in the respiratory system. The respiratory system provides oxygen to the body. It does so by conducting oxygen through a series of tubes (from the mouth and nose to the pharynx, trachea and bronchi). The last of these tubes, the bronchi, branch into smaller ducts in the lungs (the bronchioles) ultimately ending in air sacs called alveoli. Thus in a section of lung tissue you will see mostly cells of the alveoli and bronchioles, along with blood vessels (in order for oxygen to go from the lungs to the heart and out to the various parts of the body, the blood vessels must come in close proximity to the lungs). What does histology have to do with cancer? In cancer cells are growing out of control. They begin to look and act differently from the cells around them. With current technologies, it is not possible to detect cancer cells at the very earliest stages--these cells look the same as normal cells! Removing tissue samples from a patient, preparing histological sections and observing abnormal cells is how most cancers are currently diagnosed. Most cancers affect epithelial tissues and are often designated as carcinomas. Cancers of the connective tissues and muscle are more rare and are usually referred to as sarcomas. Although blood is considered to be a type of connective tissue, since it must be constantly replenished, it contains many rapidly dividing cells that can become cancerous. Cancers of the circulating blood cells are called leukemias, while solid tumors 1 of blood cells lodged in particular organs are called lymphomas. You will see today to how some of these different cancers affect the structure and appearance of tissues. Workshop procedure: Part 1 Lung Cancer: An example to contrast normal vs. cancer tissue 1. We will first briefly run through how to use the microscope, focusing on a slide of human lung. 2. Look at the lung tissue in the slide and compare to the picture of lung cancer on the demonstration slide. What are the differences? Part 2 Histology of epithelial tissues Once you are familiar with the microscopes, use them to identify the major types of epithelia. Epithelia are among the tissues most prone to cancer and are also the most easily identified of the different tissue types. Cancers of the epithelia are called carcinomas. Identify the major types of epithelia, esp. simple squamous, simple cuboidal and simple columnar, on the various slides using the following handout as a guide. Glandular tissue is also an epithelium and can be found in the breast, prostate, and other organs; cancers of glands are often called adenocarcinomas. Slides to look at Epithelial type 1. lung (alveolar cells and endothelial cells of a capillary) simple squamous 2. kidney (ductal cells) simple cuboidal 3. intestine (cells of intestinal lining) simple columnar Part 3 Compare normal and cancer tissues 1. Each pair of students will be given two slides, one of a normal tissue section (LABELED #A) and one of the corresponding tissue affected by cancer (LABELED #B). Try to get your slide in focus, look at it briefly, then look at that of your partner. You may want to stay with lower power objectives at first to try to scan around and figure out what you’re looking at. If you are assigned a slide of a leukemia or lymphoma, first get your slide in focus under the 40x objective (400x magnification) and then ask the instructor to help you add immersion oil and switch to the oil immersion lens (100x objective) for optimal viewing. 2 2. Begin to figure out what you are looking at by comparing the normal slide to pictures in histology or anatomy texts, available at the lab tables. 3. Start to note some of the differences between the normal tissue slide and the cancer tissue slide. Your notes and drawings can be used in answering the questions in the assignment. 4. Time permitting, you may want to move around the lab to see some of the slides representing other cancers and to talk with other students to see how they are approaching the assignment. You may want to view images of many of the slides available online in the cancer histology database at http://aristotle.oneonta.edu/coppermine/index.php The slides available include: Slide label (1A) human lung (1B) human bronchogenic carcinoma (2A) skin cornified (2B) human basal cell carcinoma (3A) human lung (3B) human adenocarcinoma of the lung (4A) stomach fundus human (4A) stomach and duodenum (4B) human carcinoma of stomach (5A) ileum human (5B) human carcinoma of colon [(6A) skin human pigmented and non-pigmented] [(6B) human malignant melanoma of skin] [Slide not available] (7A) peripheral blood smear (7B) human acute monocytic leukemia (8A) ovary human (8B) human adenocarcinoma of ovary (9A) mammary gland active (9B) human fibroadenoma of the breast (10A) uterus human progravid phase (10B) human adenocarcinoma of endometrium (11A) bladder human (11B) transitional cell carcinoma bladder (12A) prostate young human (12B) human carcinoma of prostate (13A) peripheral blood smear (13B) lymphatic leukemia acute blood smear (14A) peripheral blood smear (14B) human chronic lymphocytic leukemia smear 3 In lay terms lung cancer common skin cancer lung cancer stomach cancer colon cancer melanoma (lethal skin cancer) leukemia (cancer of blood) ovarian cancer breast cancer endometrial cancer bladder cancer prostate cancer leukemia leukemia (15A) lung human (15B) human alveolar cell carcinoma (16A) uterus human follicular phase (16B) human sarcoma of uterus (17A) peripheral blood smear (17B) Hairy Cell leukemia (18A) mammary gland active (18B) human adenocarcinoma of breast (19A) peripheral blood smear (19B) myeloblastic leukemia acute blood smear (20A) mammary gland human (20B) human adenocarcinoma of the breast (21A) trachea and esophagus (21B) human carcinoma of esophagus (22A) larynx (22B) human carcinoma of larynx (23A) peripheral blood smear (23B) lymphoma smear (24A) kidney (24B) kidney carcinoma lung cancer uterine cancer leukemia breast cancer leukemia breast cancer esophageal cancer cancer of the larynx lymphoma kidney cancer If you would like additional time to view the slides, or additional help in identifying the cancers in the slides, please arrange to meet the instructor during office hours or by appointment. I will try to schedule these for the microscope imaging station so we can capture what we see under the microscope. 4 5 Bio 207 HistologyWorkshop Questions (20 points) After completing the workshop, research your answers to the following questions, then briefly print or type your answers on separate pages. Be sure to cite any references you consulted (by author, year, title, volume, pages for journal or book or by URL address for web sources). You may download images from the Coppermine Cancer Histology Image Database (http://aristotle.oneonta.edu/coppermine/index.php) or from other internet sites to illustrate your answers. Due in class by Monday Sept. 14, 2009 1. Most types of cancers affect epithelial tissues. Why are epithelia most often affected? 2. Describe the major types of epithelial tissues. You may use your own illustrations, if you wish. The following questions are based on the cancer and normal tissue slides you were assigned during the workshop. 3. For the normal tissue slide you were assigned, determine where in the body (what organ or organ system and the location) it would be found. Describe, draw, or illustrate with images the relationship between the organ and the section you are looking at. 4. Identify the major cell types in the tissue, their organization (if any) and their functions? Which cells in the tissue might be rapidly dividing and thus more likely to become cancerous? 5. Compare your assigned cancer tissue slide to the normal tissue slide. What is the difference? Document in words, illustrations, and/or images the differences you see between the two.. 6. How far has the cancer progressed? Do you have any evidence from your slide that the cancer has become metastatic? Include cancer slide images or drawings to illustrate your answer. What are some of the limitations of using tissue biopsy and observation of histological slides as a means of detecting and diagnosing cancers? 6