Accessory GI histology Flashcards
What are the features of the pancreatic acinar gland seen by light microscopy?
compound acinar gland cells with branching ducts, pyramidal cells arranged around a central lumen, round nucleus with prominent nucleolus- actively producing a product, basophilic cytoplasm with acidophilic zymogen granules (protein rich product)
What are the features of the pancreatic acinar gland seen by electron microscopy?
many free polyribosomes and RER in basal cytoplasm, prominent Golgi complex with many small vessicles on cis-face and developing zymogen granules on trans-face, acini surrounded by unfenestrated capillaries on basal surface of acinus cells
What are the features of the intercalated ducts in the pancreas?
between secretory portion and intralobular ducts, centroacinar cells (unique to pancreas, the intercalated duct has push into acinus), low cuboidal to squamous cells, nuclei surrounded by pale staining cytoplasm, secrete HCO3, Na, and H2O
What are the features of the intralobular ducts in the pancreas?
cuboidal epithelium to low columnar, secretes large volume of HCO3 rich fluid, lacks striated ducts
What are the features of the interlobular ducts in the pancreas?
abundance of CT surrounding, low columnar to high columnar, actively transport H2O and HCO3
What are the features of the main pancreatic duct?
joins bile duct unite to form single duct, enter into duodenum at the hepatopancreatic ampulla, lined by simple tall columnar cells, runs the length of the pancreas, dumps into the second part of duodenum
What is the make up of the secretions of the acinar cells?
digestive enzymes and proenzymes; trypsinogen, chymotryspinogen, elastase, carboxypeptidase, ribonucleases, phospholipase, amylase
What controls the secretions of the acinar cells?
neural control predominates- vagus, cholinergic neurons increase secretion, hormonal control mostly CCK, increases secretion of a fluid rich in proenzymes
What is the make up of the secretions of the centroacinar cells and intercalated ducts?
release HCO3
What controls the secretions of the centroacinar cells and intercalated ducts?
hormonal control predominates, mainly secretin which increases secretion of a fluid with poor enzyme activity but rich in bicarbonate ion; neural control vagus and cholinergic neurons increase secretion
What does the endocrine portion of pancreas do?
synthesizes and secretes hormones (insulin and glucagon) which regulate metabolism of glucose, lipids and proteins; cells in the islets of langerhans
What are the features of the islets of Langerhans?
scattered among the acini, aggregations of cells enclosed in reticular fibers, penetrated by fenestrated capillaries, more numerous in body and tail of gland, type of cells in islets not identifiable by routine histological preparations, lack of collagen, composed mostly of alpha, beta and delta cells
What do the beta cells do, where are they found and what percent of the islets do they make up?
secrete insulin; found in the center of the islet, 70% of islet cells
What do the alpha cells do, where are they found and what percent of the islets do they make up?
secrete glucagon, found at periphery, 15-20%
What do the delta cells do, where are they found and what percent of the islets do they make up?
secrete somatostatin and perhaps gastrin, peripheral location, 5-10%
What do other hormone secreting cells do and what percent of the islets do they make up?
pancreatic polypeptide, 5-10%