7 - Exocrine Tissues Flashcards

1
Q

Where is the parotid gland?

A

Wraps around the mandibular ramus (angle of the jawbone)

Anterior to the mastoid process, level with head of the mandible

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2
Q

What type of acini are found most commonly in the parotid gland?

A

Serous acini

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3
Q

The striated ducts in the parotid glands are made up of what type of epithelium?

How are these cells different from the way this type of epithelium usually appears?

A

Simple columnar epithelium

Nuclei are closer to the apical surface (normally closer to the basement membrane)

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4
Q

What types of acini are found in:

a) parotid glands
b) submandibular glands
c) sublingual glands

A

a) almost all serous acini
b) serous and mucous acini
c) almost all mucous acini

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5
Q

Where is the submandibular gland?

A

Lies behind the body of the mandible. In two parts, superficial and deep (separated by mylohyoid muscle)

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6
Q

How is salivary secretion regulated?

A

Only by neural control - no hormones

Parasympathetic - serous secretion rich in enzymes (large volume)
Sympathetic - mucous secretion

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7
Q

Describe the hepatic blood supply.

A
  • Hepatic artery - supplies liver with oxygenated blood from the aorta
  • Hepatic vein - returns deoxygenated blood from the liver to the inferior vena cava
  • Hepatic portal vein - connects capillary bed in stomach/intestine to the sinusoids in the liver

HA –> GI capillaries –> HPV –> liver sinusoids –> HV

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8
Q

What percentage of the hepatic blood supply comes from the portal vein?

A

70-75%

Remainder from the hepatic artery

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9
Q

In a liver sinusoid, a triad of vessels comes together, what are these vessels?

Where do the vessels drain into?

A

Triad - hepatic artery, portal vein, bile canaliculus

artery and portal vein drain into central vein –> hepatic vein

Bile canaliculus drains in opposite direction into the bile duct

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10
Q

What is a sinusoidal vessel?

Where in the body are these found?

A
  • Irregularly shaped blood vessel with large gaps between the cells (intercellular gaps)
  • Cells can get through into the blood
  • Incomplete basement membrane

Liver, spleen, bone marrow, lymph nodes

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11
Q

How many sinusoid segments (acini) make up a liver lobule? How are they arranged?

A

6

Hexagonal arrangement - portal triads around the edges draining into the central vein

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12
Q

Hepatocytes usually have …. or …. nuclei because the cells need to make lots of ………..

A

2 or 3, proteins

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13
Q

What do pit cells do in the liver?

A

Form of natural killer (NK) cell

Kills tumour cells that enter the sinusoids

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14
Q

What do stellate cells do in the liver?

A

Pick up and store vitamin A (retinoic acid) in cytoplasmic vacuoles

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15
Q

In hepatocytes, specialisations are on the ……………… surface of the cells, facing the sinusoids

A

Basolateral

Normally on apical surface in most cells

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16
Q

What is the space of Disse?

A

Space between the hepatocytes and the epithelial cells of the sinusoid

17
Q

What are Kupffer cells? What do they do?

A

Specialised macrophages that patrol the sinusoids

Recycle old red blood cells and ingest pathogens. Can take over RBC removal from the spleen (splenectomy)

18
Q

What happens to stellate cells in liver cirrhosis?

A

Lose vitamin A storage capability

Differentiate into myofibroblasts

19
Q

What does the liver store?

A
  • Iron
  • Lipid soluble vitamins (A, B12, D, K)
  • Glycogen
  • Copper
20
Q

What are the liver’s anabolic functions?

A

Makes more than 60% of body proteins

  • Plasma proteins (e.g. albumin)
  • Enzymes (e.g. catalase)
  • Lipid carrier proteins (HDL, LDL)
  • Amino acid synthesis
  • Haemopoiesis in the fetus
21
Q

What are the liver’s catabolic functions?

A

Destruction of:

  • Drugs
  • Hormones (e.g. steroids, insulin etc)
  • Haemoglobin (bilirubin)
  • Poisons/toxins

After splenectomy, also removal of RBCs

22
Q

Besides its storage and metabolic functions, what else does the liver do?

A
  • Bile production
  • Filtering of cellular debris
  • Hormone production (e.g. angiotensinogen)
  • Modifies hormones (e.g. thyroxine to T3)
23
Q

What is the largest exocrine gland in the body? What is its constitutive secretion?

A

The liver

Bile (bile salts)

24
Q

What does bile do?

A

Stored in the gall bladder and is slowly released into the duodenum

Emulsifies fats and assists in vitamin K absorption from the small intestine

25
Q

What is the largest endocrine gland in the body? What is its constitutive secretion? What is its regulated secretion?

A

The liver

Constitutive - albumin
Regulated - IGF-1

26
Q

Both the liver and pancreas have endocrine and exocrine secretions, what makes their secretion different?

A

In the liver, the same cell does both endocrine and exocrine functions (hepatocyte).

In the pancreas, different cells perform endocrine and exocrine functions.