Anatomy Step I Basic Histology Slides 1) Chondrogenic Ossification -2 ways of ossification: -intramembranous oss.: direct mineralization of matrix secreted by osteoblasts -chondrogenic oss.: deposition of bone matrix an a preexisting cartilage matrix -> this takes place in a piece of hyaline cartilage -responsible for formation of long and short bones -steps: 1) formation of bone collar (hollow bony cylinder at mid portion produced by intramembraneous oss. 2) degeneration at cartilage with cell enlargement & calcification of matrix process begins at diaphysis (blood cells enter here+ osteoclasts+ Osteoproginator cells) 3) osteoblasts adhere to calcified matrix & produce layers of primary bone 4) creation of 2nd ossification centers in epiphysis -> ossification centers produce cavities that are filled with bone marrow 5 zones of chondrogenic ossification 1) Resting Zone: hyaline cartilage 2) Proliferate Zone: chondrocytes divide & form columns 3) Hypertrophic cartilage Zone: large chondrocytes with accumulated glycogen -matrix reduced to thin septa 4) Calcified cartilage Zone: -death of chondrocytes -calcification matrix septa 5) Ossification Zone: appearance of chondrogenic bone tissue -formation of blood capillaries. & osteoprogenitor cells (-> osteoblasts) 2) Bone (cross ground) = specialized CT composed of intercellular calcified material (bone matrix) 3 cell types: a. osteoclasts (multinucleated giant cells, veabsorbtion and remodeling of bone tissue) b. Osteoblasts (synthesize organic components of matrix derived from osteoprogenitor cells later become osteocytes) c. Osteocytes (found in lacunae within the matrix) -> communicate with capillaries via canaliculi Bone surfaces: a. Endosteum (lining inner surface) i. CT & osteoprogenitor cells b. Periosteum (lining outer surface) i. Sharpeys fibers (= collagen fibers) bind periosteum to bone ii. Composed of osteoprogenitor cells c. Endo- and Periosteum supply bone with nutrients & new Osteoblasts Bone tissue: a. Haversian system (osteon) i. Lamellae (parallel collagen fibers) -> interstitial outer & inner circumferential ii. Lacunae (withosteocytis inside lamellae) iii. Central vascular canal iv. Cementing substance v. Haversian canal (parallel) vi. Volkmann’s canal 3) Blood smear (MGG) Blood cells Erythrocytes o Nucleated, biconcave, 7.5 micrometer in diameter o Outer thickness 2.8 micrometer o Inner thickness 0.8 micrometer o Normal value: 3.9-5.5 Milton /microliter in women 4.1-6 million/microliter in men o Young RBC = reticulocyte o Lifespan ~120 days Leukocytes (6000-8000 per microliter) o Neutrophil granulocyte 60-70% of all leukocytes 12-15 micrometer in diameter Nucleus with 2-5 Lobes Contain specific (almost invisible) granules & purple stained azurophilic granules Lifespan: 1-4 days in CT I half life of 6-7 hours in blood o Eosinophil granulocyte 2-4% of all leukocytes Bilobed nucleus Presence of many large elongated specific granules (eosin) o Basophil granulocyte >1% of all leukocytes 12-15 micrometer in diameter Nucleus divided in irregular shapes but overlying specific granules blurr the vision o Lymphocytes (20-30%) Classified into groups according to surface markers, involved in immune reactions Diameter varies from 6-18 micrometer Dark stained nucleus with light blue stained rim of cytoplasm o Monocytes (4-6%) Nucleus = oval, kindney or horseshoe shaped shaped Lighter stained nucleus than in lymphocyte Diameter 12-20 micrometer o Platelets 150-300000 per microliter of blood 4) Lymphatic node i. Eucapsuled, kidney-shaped lymphoid tissue organ ii. Everywhere in the body along lymphatic vessels iii. Important in defense against microorganisms iv. Lymph from tissue fluids in filtered in lymph nodes CT capsule (with trabeculae send to the inside) Outer cortex: i. Subcapsular sinus ii. Intermediate sinuses iii. Lymphoid nodules within B lymphocytes (with germinal centos, embedded in meshwork of reticular cells & fibers) Inner cortex: i. Contains T lymphocytes Medulla i. Medulluvy cords (projections of inner cortex) ii. Medullary lymphoid sinuses (lined by reticular cells and Macrophages) Afferent lymphatic vessels (drain into subcapsular sinus -> intermediate sinus -> medullary sinuses) Efferent lymphatic vessels at the hilum -> valves in the vessels help the unidirectional flow of the lymph Capillaries LYMPH NODE Stained with haematoxylin and eosin 1 - cortex 2 - paracortical zone 3 - medulla 4 - medullary cords 5 - lymphoid follicle of the cortex 6 - capsule 5) Spleen Largest accumulation of lymphoid tissue in the body -> defense against microorganisms & site for destruction of old RBCs , activation of lymphocytes Dense CT capsule + tuabeccle (into splenic pulp) -> carry blood vessels and nerves Circulation: i. Splenic a. -> trabeculae aa. -> central/ white pulp aa. (surrounded by PALS = periaterial lymphatic sheath) -> penicillar arterioles -> capillaries-> sinusoids > red pulp veins -> trabecular veins ->splenic vein (hilum) White pulp: i. PALS containing T Lymphocytes ii. Lymphoid nodules containing B lymphocytes iii. Marginal zone between white and red pulp (with few lymphocytes but many macrophages) Red pulp: i. Splenic cords (Billroth’s cords) -> containing reticular cells, T&B lymphocytes, macrophages, plasma cells & blood cells ii. Sinusoids (lined by elongated epithelial cells) Open theory –blood from peuicillar arterioles into Billroth’s cords then sinusoids Closed Theory – blood directly into sinusoids SPLEEN Stained with haematoxylin and eosin 1 - lymphoid follicle (white pulp) 2 - red pulp 3 - capsule 4 - trabeculae (connective tissue) SPLEEN (follicle) Stained with haematoxylin and eosin lymphoid follicle is circled with dotted line 1 - germinal center of the follicle 2 - mantie zone of the follicle 3 - marginal zone of the follicle 4 - periarterial area of the follicle 5 - central arteriole 6 - red pulp 7 - trabeculae SPLEEN (follicle) Stained with haematoxylin and eosin lymphoid follicle is circled with dotted line 1 - marginal zone of the follicle 2 - mantie zone of the follicle 3 - germinal center of the follicle 4 - periarterial area of the follicle 5 - central arteriole 6 - red pulp 7 - trabeculae 6) Radix of the tongue (= lingual tonsil) Located in a framework with mucous and serous glands(= lingual glands) as well as skeletal muscle bards (which differentiates it from the palatine tonsil) Stratified squamous non-keratinized epithelium (different than pharyngeal tonsil) -> shorter pits than palatine tonsil 2nd lymphatic follicles (under epithelium) -> B lymphocytes Interfollicular area -> T lymphocytes The lingual tonsil is not separated from the surrounding tissue by a capsule! Structures from surface into deep: i. Epithelium ii. Lymphoid tissue iii. Lingual glands iv. Skeletal muscle v. Adipose tissue 7) Parotid gland Branched aciuar salivary gland Exclusively serous cells Contain secretory granules rich in protein by amylase activity) (narrow Lumen!) CT containing plasma cells and lymphocytes (IgA) Intercalated and striated ducts PAROTID SALIVARY GLAND Stained with haematoxylin and eosin 1 - serous secretory units (acini) 2 - intercalated excretory duct 3 - striated excretory duct 4 - interlobular excretory duct 5 - interlobular connective tissue septa PAROTID SALIVARY GLAND Stained with haematoxylin and eosin 1 - serous secretory units 2 - striated excretory duct 3 - interlobular excretory duct PAROTID SALIVARY GLAND Stained with haematoxylin and eosin 1 - serous secretory units 2 - intercalated excretory duct 3 - striated excretory duct PAROTID SALIVARY GLAND Stained with haematoxylin and eosin 1 - serous secretory units 2 - myoepithelial cells 4 - interlobular excretory duct 5 - interlobular connective tissue septa PAROTID SALIVARY GLAND interlobular excretory duct Stained with haematoxylin and eosin 1 - interlobular excretory duct 2 - interlobular connective tissue septa 8) Submandibular gland Large, branched tubuloacinar gland Contains both mucous and serous cells but serous cells are predominant i. Serous cells (round nuclei basophilic cytoplasm , darker stained) ii. Mucous cells (light staining) Serous demilunes of Gianuzzi around mucous tubules (make up 10% of the tubules 90% are serous) the demilunes secrete lysozyme Striated ducts (recognized by basal striation due to basal membrane infoldings) SUBMANDIBULAR SALIVARY GLAND Stained with haematoxylin and eosin 1 - serous secretory unit 2 - mixed secretory unit 3 - intercalated excretory duct 4 - striated excretory duct 5 - interlobular excretory duct 6 - interlobular connective tissue septa 7 - mucous part of mixed secretory unit 8 - serous part (serous demilune) of mixed secretory unit SUBMANDIBULAR SALIVARY GLAND Stained with haematoxylin and eosin 1 - serous secretory unit 2 - mixed secretory unit 3 - intercalated excretory duct 4 - striated excretory duct 9) Oesophagus Muscular tube trans porting food from mouth to stomach Mucosa: -non keratinized stratified squamous epithelium Lamina propria mucosae: i. CT containing elastic fibers ii. At the end of Oesophagus may contain mucous secreting glands similar to cardiac glands of stomach Muscularis mucosae: -thick Layer (relatively) of smooth muscle cells Submucosa: i. Rich in blood vessels ii. esophageal glands (small mucous secreting glands) Muscularis: i. Proximally: striated muscle (~5 cm) ii. In midsection both striated and smooth muscle iii. Distally: only smooth muscle (2 Layers outer longitudinal inner circular) Adventitia: i. Strong CT (Loose CT) ii. Lower part: serosa ESOPHAGUS Stained with haematoxylin and eosin 1 - tunica mucosa 2 - tunica submucosa 3 - tunica muscularis propria 4 - tunica adventitia 5 - epithelium of the mucosa 6 - lamina propria of the mucosa 7 - muscularis mucosae 8 - glands in the lamina propria ESOPHAGUS Stained with haematoxylin and eosin 1 - tunica mucosa 2 - tunica submucosa 5 - epithelium of the mucosa 6 - lamina propria of the mucosa 7 - muscularis mucosae 8 - glands in the lamina propria ESOPHAGUS Stained with haematoxylin and eosin 1 - tunica mucosa 2 - tunica submucosa 3 - tunica muscularis propria 4 - tunica adventitia 5 - epithelium of the mucosa 6 - lamina propria of the mucosa 7 - muscularis mucosae 8 - glands in the lamina propria ESOPHAGUS Stained with haematoxylin and eosin 1 - tunica mucosa 2 - tunica submucosa 3 - tunica muscularis propria 5 - epithelium of the mucosa 6 - lamina propria of the mucosa 9 - glands in the submucosa 10) Ileum 3rd part of small intestine Mucosa: i. Simple columnar epithelium ii. (almost) no plicae circularis (Keckring’s values) = permanent mucous/submucous folds iii. Finger like shaped intestinal villi (pretty flat) iv. Few goblet cells many M (microfold) cells: 1. Overlying lymph follicles 2. Contain many lymphocytes & macrophages in basal invaginations 3. Endocytose antigens 4. Big round dark nuclei v. No muscularis mucosa Submucosa: i. Contains large lymph follicles (Payer’s patches) (B-cells) together with lamina propria mucosae ii. Parafollicular zones containing cells ILEUM Stained with haematoxylin and eosin 1 - tunica mucosa 2 - tunica submucosa 3 - tunica muscularis propria 4 - tunica serosa 5 - villi 6 - epithelium of the mucosa (covers villi) 7 - connective tissue of the lamina propria of the mucosa 6 - glands (crypts) in the lamina propria of the mucosa 11) Vermiform appendix = evagination of the cecum with small narrow lumen (part of large intestine) No teuiae coli or intestinal villi in the mucosa But a lot of lymph follicles in the mucosa & submucosa Fewer & shorter intestinal glands Almost completely missing muscularis mucosae Muscularis: circular & longitudinal lager 12) Liver 2nd Largest organ in the body 70%-80% of blood entering the liver comes from the portal vein Everything absorbed from the intestine first enters the liver (except fats which travel in the Lymph) Produces plasma proteins & eliminates/ neutralizes toxic substances Stroma i. Liver is covered by capsule = Glisson’s capsule (thicker at hilum) ii. Portal vein, hepatic Artery I hepatic duct & lymphatics covered by CT in portal spaces between lobules iii. Reticular fiber network supports hepatocytes & sinusoidal epithelial cells Liver Lobule = hexagonally shaped interconnected cell plates made up by hepatocytes (have round nuclei) with central vein i. Lobules demarcated by portal spaces portal triads containing bile ducts I blood vessels, lymphatics, nerves surrounded by CT (at Lobule corners) ii. Hepatocytes in labyrinthine, sponge like fashion with capillary spaces in between (= Liver sinusoids -> fenestrated endothelial cells) iii. Hepatocytes audeudothelial cells decided by a basal Lamina & sub endothelial space (=Space of Disse) -> in these spaces fluid, get into contact with Hepatocytes iv. Endothelial cells contain KUPFFER cells = Liver macrophages Blood supply: i. Portal vein system: portal vein ->portal venules (in portal spaces) -> inlet venules (open into sinusoids) -> central vein (increases in size & Leaves Lobule )-> sub lobular vein -> hepatic veins -> inferior vena cava ii. Arterial system: hepatic artery -> interlobular arteries (portal spaces) -> inlet arterioles -> sinusoids Bile i. Space between hepatocytes contain bile canaliculi -> form anastomosing network and open into bile ductules (= Herring’s canals) (cuboidal cells) ii. Bile ductules end in bile duct of portal spaces iii. Bile ducts fuse to form hepatic ducts iv. Bile canaliculi ->Hering’s canals-> interlobular bile duct ->left & right hepatic bile duct LIVER Stained with haematoxylin and eosin 1 - hepatic artery 2 - portal vien 3 - bile duct 4 - hepatocytes 1, 2, 3 - portal tract LIVER Stained with haematoxylin and eosin 1 - hepatic artery 2 - portal vien 3 - bile duct 4 - hepatocytes 1, 2, 3 - portal tract LIVER Stained with haematoxylin and eosin 1 - hepatic artery 2 - portal vien 3 - bile duct 1, 2, 3 - portal tract LIVER Stained with haematoxylin and eosin 1 - hepatic artery 2 - portal vien 3 - bile duct 1, 2, 3 - portal tract LIVER Stained with haematoxylin and eosin 4 - hepatocytes 5 - terminal hepatic (centrilobular) venule LIVER Stained with haematoxylin and eosin 4 - hepatocytes 5 - terminal hepatic (centrilobular) venule 6 - hepatic sinusoid LIVER Stained with haematoxylin and eosin 1 - capsule 2 - liver parenchyma LIVER Stained with haematoxylin and eosin 1 - capsule 2 - liver parenchyma 4 - hepatocytes 13) Pancreas (= mixed endocrine-exocrine gland -> producing digestive enzymes and hormones) Not to confuse with parotid gland! Covered by CT capsule sending septa into pancreas, dividing pancreatic Lobules Exocrine pancreas: i. Consists of serous acinar glands ii. No striated ducts, but intercalated ducts penetrating acinar Lumen -> centroacinarcells = intercalated duct cells, penetrating acinar lumen iii. Serous cells have spherical nucleus and contain zymogen granules iv. Secretes enzymes: trypsiogens, chymotrypsinogen, proelastase, protease E, Kallikreinogen, procarboxipeptidase, amylase, peptidases, phospholipase A, nuclease Endocrine pancreas (= islets of Langerhans) i. Multihormonal endocrine microorgan ii. Contains capillaries and Lightly stained polygonal cells, arranged in cords iii. Autonomic innervation iv. Cell types 1. α –Cells: glucagon 2. β –Cells: insulin 3. γ –Cells: Somatostatin 4. PP-Cells: pancreatic polypeptide 5. ε –Cells: glirelin PANCREAS Stained with haematoxylin and eosin 1 - glandular acinus 2 - islet of Langerhans 3 - main duct 4 - interlobular duct 5 - interlobular connective tissue septa PANCREAS Stained with haematoxylin and eosin 1 - acinus 2 - islet of Langerhans 3 - interlobular connective tissue septa 4 - intralobular duct 5 - interlobular duct PANCREAS Stained with haematoxylin and eosin 1 - acinus 2 - islet of Langerhans 3 - interlobular connective tissue septa 4 - blood vessels PANCREAS Stained with haematoxylin and eosin 1 - acinus 2 - islet of Langerhans 3 - intralobular duct 4 - interlobular connective tissue septa 14) Trachea Part of the upper respiratory tract Mucosa: ciliated pseudostratified columnar epithelium with goblet cells (= typical respiratory epithelium) Lamina propria: Loose CT Submucosa: containing blood vessels & mucous secreting submucosal glands Adventitia: CT Hyaline cartilage Smooth muscle: trochlealis muscle Located near trachea maybe found: i. Esophagus (with non-keratinized pseudostratified epithelium) ii. Thyroid tissue Muscularis mucosae only found at membranous part TRACHEA Stained with haematoxylin and eosin 1 - tunica mucosa 2 - tunica submucosa 3 - fibro-elastic layer 4 - tunica adventitia TRACHEA Stained with haematoxylin and eosin 1 - tunica mucosa 2 - tunica submucosa 3 - fibro-elastic layer 4 - tunica adventitia 5 - epithelium of the mucosa 6 - lamina propria of the mucosa 7 - lamina muscularis of the mucosa 8 - glands in the tunica submucosa 9 - hyaline cartilage TRACHEA Stained with haematoxylin and eosin 1 - tunica mucosa 2 - tunica submucosa 3 - fibro-elastic layer 5 - epithelium of the mucosa 6 - lamina propria of the mucosa 7 - lamina muscularis of the mucosa 8 - evacuatory ducts of submucosal glands 9 - hyaline cartilage 15) Lung Bronchus: i. Similar to trachea with respiratory epithelium, cartilage & serous glands Bronchiole: i. 5 mm or less in diameter ii. No cartilage or glands but goblet cells iii. Epithelium turns from ciliated pseudostratified into ciliated simple columnar/ cuboidal iv. Contain CLARA cells (no cilia but secretory granules which secrete protecting proteins) v. Neuroepithelial bodies (receive cholergic nerve endings) Respiratory bronchioles: i. Transition between conducting & respiratory portion ii. Similar to bronchioles, Later become alveolar ducts Alveoli: i. Wall: interalveolar septum (wall) consists of 2 Layers of squamous epithelial cells with CT matrix in between (elastic and reticular fibers) + capillaries in alveolar wall ii. Blood-air barrier: 1. Surface lining & cytoplasm of alveolar wall 2. Basal Lamina 3. Endothelial cells of capillaries iii. Type I Pneumocytes: 1. 97% of alveolar surface 2. Provide barrier of minimal thickness for gas exchange 3. Spindly cell around capillaries iv. Type II Pneumocytes: 1. Remaining 3% 2. Rounded cells 3. Contain Lamellar bodies 4. Secrete surfactant (↓surface tension) v. Dust cells = macrophages of the lung LUNG Stained with haematoxylin and eosin 1 - middle diameter bronchus 2 - epithelium of the mucosa 3 - lamina propria of the mucosa 4 - lamina muscularis of the mucosa 5 - tunica submucosa 6 - fibro-elastic layer 7 - tunica adventitia 8 - alveoli 9 - interstitial connective tissue of the lung 10 - glands in tunica submucosa LUNG Stained with haematoxylin and eosin 1 - middle diameter bronchus 2 - epithelium of the mucosa 3 - lamina propria of the mucosa 4 - lamina muscularis of the mucosa 5 - tunica submucosa 6 - fibro-elastic layer 7 - tunica adventitia 8 - alveoli 9 - interstitial connective tissue of the lung 10 - glands in tunica submucosa LUNG Stained with haematoxylin and eosin 1 - middle diameter bronchus 2 - epithelium of the mucosa 3 - lamina propria of the mucosa 4 - lamina muscularis of the mucosa 5 - tunica submucosa 6 - fibro-elastic layer 7 - tunica adventitia 8 - alveoli 9 - interstitial connective tissue of the lung 10 - glands in tunica submucosa LUNG Stained with haematoxylin and eosin 1 - small diameter bronchus 3 - alveoli LUNG Stained with haematoxylin and eosin 1 - small diameter bronchus 2 - alveoli 3 - epithelium of the mucosa 4 - lamina propria of the mucosa 5 - tunica muscularis propria 6 - tunica adventitia LUNG Stained with haematoxylin and eosin 1 - middle diameter bronchus 2 - epithelium of the mucosa 3 - lamina propria of the mucosa 4 - lamina muscularis of the mucosa 5 - tunica submucosa 6 - fibro-elastic layer 7 - tunica adventitia 10 - glands in tunica submucosa LUNG middle diameter bronchus Stained with haematoxylin and eosin 2 - epithelium of the mucosa 3 - lamina propria of the mucosa 4 - lamina muscularis of the mucosa 5 - tunica submucosa 6 - fibro-elastic layer 7 - tunica adventitia NOTE! There is bronchial system in the lung, from main, or primary, bronchi to bronchioles. Morphologically, there are only two types of bronches in the lung. One type is large and middle diameter bronchi. This type of bronchi have tunica submucosa and fibro-elastic layer. Another type of bronchi is small diameter bronchi. It includes small bronchi and bronchioles. This type has not both submucosal fibro-elastic layers. 16) Kidney Renal corpuscle i. Glomerolus 1. Fenestrated epithelium without diaphragms 2. Mesangial cells (receptors for Angiotensin II) ii. Basal membrane (= filtration barrier between endothelium & Podocytes) 1. Lamina densa (collagen & Laminin) 2. Lamina rara (fibronectin) iii. Bowman’s capsule 1.