Adrenal and Pancreas Histology Flashcards

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1
Q

What are the two distinct parts (structurally and functionally) of the adrenal glands?

A

cortex and medulla

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2
Q

The cortex is derived from????

A

mesoderm

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3
Q

The medulla is derived from____

A

neural crest

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4
Q

How is the adrenal gland innervated - with parasymethetics of sympathetics?

A

sympathetic

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5
Q

What’s special about how the medulla is innervated?

A

most fibers end in the medulla as preganglionic sympathetics on medullary cells so that the medullary cells are essentially the postganglionic neurons

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6
Q

What are the three layers of the adrenal cortex?

A

zona glomerulosa
zona fasiculata
zona reticularis

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7
Q

Describe the zona glomerulosa. WHat do the cells look like/

A

It’s the narrow outer zone

cells are in ovoid groups or cords and they are round, with vasophilis nuclei and eosinophilic cytoplasm. abundant smooth ER and sparse lipid content

there is a rich capillary network

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8
Q

What hormones are secreted by the zona glomerulosa

A

the salts

mineralocorticoids: aldosterone and deoxycorticosterone

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9
Q

Describe the zona fasciculata?

A

it’s the broadest and middle zone

cells are arranged in parallel cords radiating towards the medulla.

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10
Q

What surround the cords of cells?

A

longitudinal meshwork of sinusoidal capillaries

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11
Q

Describe the cells of the zona fasciculata. what are they called?

A

spongiocytes (because they look like a sponge)

they are cuboidal or polyhedral with abdunant lipid droplets. abundant smooth ER. the mitochondria have tubular cristae

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12
Q

What hormone is produced by the zona fasiculata?

A

glucocorticoids

cortisol or hydrocortisone

some androgens and estrogens, but very little

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13
Q

Describe the structure of the zona reticularis

A

it’s the innermost zone of the cortex

has irregular cords of cells forming an anastomosing network

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14
Q

Describe the cells of the zona reticularis

A

they are dark again - few lipid droplets

abundant SER (steroid producing)

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15
Q

What hormones are produced by the zona reticularis cells?

A

mainly the sex steroids

also some glucocorticoids and extremely minimal estrogen

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16
Q

What are the main cells of the adrenal medulla?

A

chromaffin cells surrounded by capillaries and venules

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17
Q

What are the general characteristics of chromaffin cells?

A

columnar/ovoid/polyhedral
non-regenerative
prominent golgi and rough ER (less SER because not making steroids)
small secretory granules containing catecholamiens or chromogranins

18
Q

How are chromaffin cells triggered to release either epinephrine or NE?

A

a preganglionic sympathetic nerve releases ACh on it

so it acts almost like postganglionic sympathetic neuron

19
Q

What is the developmental origin of the chromaffin cells?

A

neural crest

20
Q

What keeps the chromaffin cells in this axon-less and dendrite-less state?

A

the glucocorticoids secreted by the zona fasciculata

21
Q

What do we call the few chromaffin cells that are extra-adrenal near the symapthetic chain ganglia or around the aorta? What do they secrete?

A

paraganglia cells
aortic chromaffin bodies
organs of Zuckerkandl

secrete epinephrine

22
Q

How is blood supplied to the adrenal gland?

A

via the subcapsular plexus of capillaries

23
Q

What are the 3 sets of capillaries that make up the subcapsular plexus?

A
  1. capsular plexus
  2. cortical sinusoidal (fenestrated) vessels
  3. medullary fenestrated capillaries
24
Q

The medullary venules unite to form what?

A

the medullary (central) vein which then goes on to make the suprarenal vein

25
Q

In general, how are cells arranged in the pancreatis islets?

A

in irregular cords within a spheroidal mass

26
Q

Where in the pancreas are the islets most numerous?

A

more in the tail than in the head

27
Q

What are the 5 different types of cells in the islets?

A
alpha cells
beta cells
delta cells
pancreatic polypeptide cells
gastrin (G) cells
28
Q

What percentage of the islet cells are alpha cells?

A

20%

29
Q

Where in the islet do alpha cells tend to be more numerous?

A

at the periphery

30
Q

What do the alpha cells produce?

A

glucagon

31
Q

What percentage of the islet cells are beta cells?

A

70%

32
Q

Where in the islet are the betas more prominent?

A

in the center

33
Q

What do the beta cells produce?

A

insulin

34
Q

What percentage of the islet cells are delta cells?

A

less than 10%

35
Q

What do the delta cells make?

A

somatostatin

36
Q

What does somatostatin do as a paracrine effect?

A

suppresses secretion of insulin and glucagon

37
Q

What does somatostatin do via endocrine effect?

A

reduces contractions of the alimentary tract and gall bladder smooth muscle

38
Q

What percentage are PP cells?

A

about 1% - very few

39
Q

What do PP (F) cells make?

A

pancreatic polypeptide

40
Q

What does pancreatic polypeptide do?

A

inhibits enzymatic secretion from exocrine pancreas

relaxes gall bladder resulting in decreased bile secretion

41
Q

When you stain for glucagon and insulin, what colors are they?

A

glucagon is brown (so you’d expect more brown at the periphery) and insulin is blue (so you’d expect more blue in the center)