Adrenal and Pancreas Histology Flashcards

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
In general, how are cells arranged in the pancreatis islets?
in irregular cords within a spheroidal mass
26
Where in the pancreas are the islets most numerous?
more in the tail than in the head
27
What are the 5 different types of cells in the islets?
``` alpha cells beta cells delta cells pancreatic polypeptide cells gastrin (G) cells ```
28
What percentage of the islet cells are alpha cells?
20%
29
Where in the islet do alpha cells tend to be more numerous?
at the periphery
30
What do the alpha cells produce?
glucagon
31
What percentage of the islet cells are beta cells?
70%
32
Where in the islet are the betas more prominent?
in the center
33
What do the beta cells produce?
insulin
34
What percentage of the islet cells are delta cells?
less than 10%
35
What do the delta cells make?
somatostatin
36
What does somatostatin do as a paracrine effect?
suppresses secretion of insulin and glucagon
37
What does somatostatin do via endocrine effect?
reduces contractions of the alimentary tract and gall bladder smooth muscle
38
What percentage are PP cells?
about 1% - very few
39
What do PP (F) cells make?
pancreatic polypeptide
40
What does pancreatic polypeptide do?
inhibits enzymatic secretion from exocrine pancreas relaxes gall bladder resulting in decreased bile secretion
41
When you stain for glucagon and insulin, what colors are they?
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)