Cells- Histology, epithelial tissues and mesenchymal tissues Flashcards

1
Q

Ways to assess a legion

A
A-asymmetry
B-border
C-colour
D-diameter
E-evolving
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2
Q

How to perform histology on a legion- Tissue and fixation

A

Tissue- Need to remove the tissue

Fixation- Need to preserve the tissue.

  1. Stopping intrinsic autolytic enzyme action (autolysis)
  2. Prevention of bacterial contamination (putrefaction)
  3. Increasing mechanical strength to preserve structure / morphology

Ways to preserve tissue is by different fixatives:

– Aldehyde fixatives form protein covalent cross-links
– Alcohol fixatives denature proteins causing aggregation/ fixation
– Oxidizing fixatives form protein cross-links via oxidation
– Freezing – very quick (intra-operative FS) – but poor morphology

Examples of fixatives :

Formalin (formaldehyde solution):
– Forms protein covalent cross-links
– Good penetration / mechanical strength
– Good tissue morphology (the study of the forms of things) preservation
– Poor nucleic acid preservation (DNA/RNA)

Glutaraldehyde:
– Similar to formalin but larger molecule
– Needs smaller tissue samples
– Works well at low temperatures
– Used for electron microscopy- very important

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3
Q

How to perform histology on a legion- Cut up/ block selection and tissue processing

A

Cut up/ block selection- Cut up/ block selection- Cut up tissue into blocks and place tissue in plastic cassette

Tissue processing-

Aim – Thin slice of tissue to examine under microscope
• To slice thinly enough, the tissue must be stiff & resistant to mechanical trauma. Fixation helps.
• The tissue is placed in wax to allow thin sections to be cut.
• Remove water from tissues by alcohol (dehydration)
• Replace alcohol with xylene (clearing)
• Replace xylene with paraffin wax (wax infiltration)
• Orientate tissue to form a block (embedding / blocking out)

Why can’t we put straight in wax?- tissue is rich in water, wax is hydrophobic. Thus remove water from tissue and replace with wax

The end product of tissue processing is called the paraffin box. This is Formalin Fixed Paraffin Embedded (FFPE) Tissue.

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4
Q

How to perform histology on a legion- Section cutting and mounting and section staining

A

Section cutting- Make a thin slice of tissue from the wax box, put on water, put on glass slide, stain it.

Section staining- Dyeing the tissue
• An unstained tissue section/slide is translucent to light
• To make visible we use dyes

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5
Q

Haematoxylin and eosin stain (H&E)- most common tinctorial stain

A

Haematoxylin (purple)- basic dye, stains acidic structure purple thus DNA are purple

Eosin (pink)- acidic dye, stains basic structures pink thus proteins in cytoplasm are pink

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6
Q

How to perform histology on a legion- Section scanning and microscopy and diagnosis and prognosis

A

Last two steps

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7
Q

Epithelium/epithelia

A

Layer or layers of cells that cover body surfaces or line body cavities

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8
Q

Structure of basement membrane

A
Epithelial cells
Hemidesmosome
Lamina lucida-part of basal lamina
Lamina densa- part of basal lamina
Reticular lamina
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9
Q

Main features of epithelial tissues

A
  • Derived from endoderm, mesoderm and ectoderm
  • They line all the bodies surfaces except- articular cartilage / tooth enamel / anterior iris
  • Cellular
  • Sit on a layer of connective tissue called the basal lamina
  • Stuck tightly together- intra-cellular junctions/complexes
  • Polarity-apical/basal i.e. top/bottom
  • Avascular-rely on diffusion
  • Regeneration- rapid turn-over of new cells
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10
Q

Main functions of epithelial tissues

A
  • Absorption (e.g. stomach / small / large intestine)
  • Surface movement (e.g. cilia in airways / fallopian tube)
  • Secretion of substances (e.g. glands such as sweat, pancreas)
  • Gas exchange (lungs)
  • Surface lubrication (pleural / pericardial / peritoneal mesothelium)
  • Sensation
  • Protection
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11
Q

Why are cell-cell adhesion complexes important to epithelial function?

A

Epithelium is about adhesion (sticking). CAMS (Cellular adhesion molecules) are critical for epithelium integrity, adherence to underlying basal lamina and intrinsic function.

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12
Q

Structure of an epithelia- TAG DH

A

Tight junction- Occludin/claudin seals to protein movement/paracellular diffusion; apical

Adherens junction- TM proteins connect across cytoskeletons, below TJs

Gap junctions- small channels allow intracellular ion/small molecule exchange

Desmosome- TM protein connect to others (linked to intermediate filaments) from adjacent cells

Hemi-desmosome- provide attachment to underlying basal lamina

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13
Q

How to name epithelial cells

A

Specialisation, number of layers, type of layer, epithelium

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14
Q

Epithelium for protection- uses?

A
  • Prevents dehydration, chemical, mechanical etc. damage
  • Covering of inter/outer surfaces
  • Multi-layered for strength – i.e. stratified
  • Replicative to replace sloughed / damaged cells
  • Tight seals between cells
  • Specialisations such as keratinisation for oesophagus, skin, vagina etc. (squamous) Bladder and urinary tract (transitional)
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15
Q

Epithelium for absorption- uses?

A
  • Epithelial lining of gut specialised for absorption e.g. glucose, ions and water
  • Relies on cell polarity
  • Brush border for increasing surface area and hence more area for absorption
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16
Q

Epithelium for surface movement- uses?

A

Cilia move in co-ordination to provide unidirectional movement. Found in airways (mucus), testis (sperm) and fallopian tube (ova).

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17
Q

Epithelium for gas exchange- uses?

A

Single layer of squamous cells that line blood vessels (endothelium) – minimal distance for gaseous diffusion.

Functions of endothelium in the epithelium:

  • Produce prostacyclin (avoids blood clots)
  • Control vascular cell growth
  • Modulate smooth muscle activity
  • Trigger blood coagulation
  • Regulate the traffic of inflammatory cells
18
Q

Epithelium for surface lubrication- uses?

A
  • Mesothelium is simple (unilayer) epithelium known as serosa
  • Lines all body cavities
  • Potential spaces contain protein rich fluid (serous)
  • Lubrication of surfaces that move against each other
19
Q

Epithelium for secretion- uses?

A

• Function varies
• Isolated epithelial cells (e.g. goblet cells)
• Organised multicellular glandular structures:
-Ducts open onto epithelial surfaces = exocrine glands
-Glands without ducts secreting into blood stream = endocrine glands

20
Q

Mechanisms of exocrine secretion- merocrine

A

– Protein product in intra-cellular vesicle
– Vesicle membrane fuses with cell membrane
– Protein product released by exocytosis
– Fused plasma membrane recycled by endocytosis (the taking in of matter by a living cell by invagination of its membrane to form a vacuole)
– E.g. Pancreatic enzymes in exocrine pancreas

21
Q

Mechanisms of exocrine secretion- apocrine

A

– Protein product in vesicle
– Approaches apical membrane
– Apical membrane pinches off with loss of some apical membrane

22
Q

Mechanisms of exocrine secretion- holocrine

A

– Secretory product accumulates in cytoplasm
– Cell disintegrates to release product
– Sebum in sebaceous glands

23
Q

Disorders of epithelial function- Epidermolysis bullosa

A
  • Blistering skin disorder
  • Inherited
  • Gene mutation of adhesion molecules that stick the epithelium to the basement membrane
  • Abnormal anchoring of epidermis to dermis
  • Blisters
24
Q

Disorders of epithelial function- CF

A
  • Mutations in CFTR gene
  • Defective chloride channel on apical surface of epithelial cells
  • Lungs but also exocrine glands e.g. pancreas
  • Less water in mucous-thickens
  • Builds up-cannot expel
  • Infection
25
Q

Disorders of epithelial function-Congenital ciliary dyskinesia

A
  • Autosomal recessive

* Abnormal cilia function leads to secretion accumulation

26
Q

Mesenchymal tissues

A

Come from mesoderm (middle germ layer of the embryo)- connective tissues e.g. muscle, bone, cartilage, fat, blood/lymph

27
Q

Connective tissue definition and purposes

A

The material which lies beneath epithelia

Purposes:
Structure
Metabolic-blood vessels
Defence-immune cells
Storage-fat
Repair-scarring
28
Q

What makes up connective tissue?

A

Extra cellular matrix:
• A gel called ground substance which contains glycosaminoglycans, proteins and glycoproteins
• Through the gel are run fibres e.g. elastin (stretch), collagen (structure/strength)
• Percolating tissue fluid (which leaks out of capillaries)

Cells:
• Fibroblasts which make collagen, elastin and glycosaminoglycans
• Adipocytes store fat
• Immune cells

29
Q

Marfan syndrome

A

Defect in fibrillin. Can lead to joint laxity, cataract, valvular heart disease and aortic dissection

30
Q

Immune cells

A

Cells which live in the connective tissue

  • Tissue macrophages (histiocytes) phagocytose debris/pathogens, can form multinucleate giant cells
  • Mast cells produce vasoactive substances such as histamine in response to an allergy
  • Cells which wander in from the blood in response to injury
31
Q

White blood cells/leucocytes

Mononuclear leucocytes and granulocytes

A

Mononuclear leucocytes (don’t have lobed nuclei) (looks like one big dot) vs granulocytes (make granules have lobed nuclei) (looks like pepper-dotted)

Mononuclear leucocytes :
Lymphocytes- Dense nuclei, poorly stained cytoplasm. T cells and B cells.
Plasma cell- Granular nuclei and basophilic cytoplasm. Clock-faced nuclei. Type of B cell. Antibody production.

Granulocytes/polymorphonuclear leucocytes/ polymorphs:

  • Cytoplasmic granules
  • Multilobed nucleus
32
Q

Neutrophil

A

Have multi lobed nucleus

33
Q

Eosinophils

A
  • Bilobed nuclei
  • Eosinophilic (pink) cytoplasmic granules
  • ‘Tomato wearing sunglasses’
34
Q

Basophils

A

These are rarely seen and act like mast cells (produce vasoactive substances such as histamine in response to an allergy)

35
Q

Blood vessels

A
  • Arteries elastic to accommodate surges in blood, muscular to direct flow
  • Arterioles
  • Capillaries
  • Venules (small blood vessel that allows deoxygenated blood to return from capillary beds to veins)
  • Veins valves, blood pumped by adjacent muscles
36
Q

Blood vessel structure

A

Tunica intima= inner lining (endothelium)
Thick ‘in’ side

Tunica media= muscular layer
‘In the middle’

Tunica adventita/externa= outer CT network
Out on an ‘adventure’

37
Q

Lymph use

A

Lymph nodes filter lymph which returns to the blood at the thoracic duct and right lymphatic duct. Goes through the whole body and collects all the excess fluid.

Diseases related to lymph: splenomegaly, lymphoedema, tonsillitis and inflammation of lymph nodes.

38
Q

Bone use

A
  • Movement
  • Protection
  • Haematopoieis (formation of blood cells)
  • Structure
  • Calcium homeostasis (calcium maintenance)
39
Q

Bone’s appearance

A
  • Osteoblasts make osteoid (extracellular matrix)
  • This is mineralised (calcium) to make bone
  • Osteoblasts become trapped as osteocytes which maintain the bone
  • Osteoclasts resorb bone in response to stress/growth/calcium status
  • Woven (immature)
  • Lamellar (mature) compact or cancellous
40
Q

Cartilage appearance

A
  • Chondroblasts make ground substance and collagen fibres (extracellular matrix)
  • Chondroblasts become trapped as chondrocytes
41
Q

Types of cartilage

A
  • Hyaline cartilage (nose, trachea, joints, end of ribs)
  • Elastic cartilage (ears)
  • Fibrocartilage (invertebral discs, pubic symphysis)
42
Q

Joints (connect bone together and provide movement) and diseases in joints

A
•	Bone
•	Cartilage
•	Synovium (synovial joints) 
•	Ligaments 
•	Tendons
•	Muscles
Diseases in joints: Arthiritis, fracture, deformity and hip fracture.