Histology: GI Tract Flashcards
Overview of Digestive System
Gastrointestinal Tract:
- Oral Cavity
- Pharynx
- Esophagus
- Stomach
- Small Intestine
- Large Intestine
- Anal Canal
Accessory Digestive Organs:
- Salivary Glands
- Liver
- Gallbladder
- Pancreas
Oral Cavity
Lining Mucosa
- Stratified squamous non-keratinized epithelium
- Insides of cheeks, floor of mouth (under tongue)
- Covers striated muscle
Masticatory Mucosa
- Stratified squamous parakeratinized epithelium
- Surface cells retain pyknotic (condensed) nuclei
- Roof of mouth, dorsum of tongue, gums
Lamina Propria/Submucosa
- Dense, irregular CT
- Large bands of collagen (type I)

Lining Mucosa of Oral Cavity
- Stratified squamous non-keratinzed epithelium

Masticatory Mucosa of Oral Cavity
- Stratified squamous parakeratinized epithelium
- Dorsum of tongue
- Roof of mouth/gums

Lamina Propria of Oral Cavity
- Dense, irregular CT
- Contains minor salivary glands (purple in middle of slide)
- Nerves

Lip
- Transition from dry epithelium to wet epithelium (Vermillion – red part of lips)
- Keratinized stratified squamous epithelium
- Thin
- Rich capillary bed (why they appear red)
- Skin on right (hair follicles and keratinized)
- Oral mucosa on left
Tongue

-
Striated Muscle
- Intrinsic Muscles (arranged in 3 planes: up/down, in/out, longitudinally)
- Extrinsic Muscles
- Attachments outside tongue
-
Specialized oral mucosa
- Taste sensation
-
Papillae
- Filiform
- Fungiform
- Foliate
- Vallate
- Taste Buds

Filiform Papillae
- Most numerous
- Anterior aspect of tongue (in front of sulcus terminalis)
- Heavily Keratinized
- Conical projections with tips pointing backwards
- NOOO taste buds


Fungiform Papillae (mushroom shaped)
- Scattered among filiform papillae
- Lightly keratinized
- Contain tastebuds on dorsal surface

Foliate Papillae
- Lateral edges of tongue
- Rudimentary in humans
- Taste budes on lateral walls

Vallate Papillae
- 8-12 large papillae
- Anterior V-Shape to Sulcus Terminalis
- Thinly keratinized
-
Dome shaped surrounded by a moat
- Tast buds on lateral sides
- In lamina propria: von Ebner glands open into base of papilla to dissolve substances
Taste Buds
- Pale-staining oval bodies within epithelium
- Surface opening: taste pore
-
Neuroepithelial (gustatory cells)
- Extend microvilli through taste pore with sensory receptors
- Synapse with sensory neurons
- 10-day turnover rate
- Support Cells (“squiggly nucleus”)
-
Basal Cells
- Stem cells
-
Neuroepithelial (gustatory cells)

Teeth
- 32 Permanent Teeth
- Parts of Tooth
- Crown (covered by enamel; above gumline)
-
Neck
- Gingival sulcus b/w neck and gum
-
Root
- Extends into dental alveoli
- Covered by cementum

Enamel
- Hardest substance in body (96% hydroxyapetite)
- Covers crown of tooth
- Produced by ameloblasts (formed as tooth is developing)
- Secrete matrix which then becomes mineralized
Image (Developing tooth):
- CT on left
- A: ameloblasts
- E: developing tooth
- D: dentin

Cementum
- Calcified tissue that covers root of tooth
- Similar to bone: avascular, no Haversion system
- Produced by cementocytes
- Anchors periodontal ligaments to tooth
Image:
- B: alveolar bone
- L: periodontal ligament (anchor tooth to bone)
- C: cementocytes

Dentin
- Calcified tissue that makes up the majority of the tooth
- Harder than bone (70% hydroxyapetite)
-
Produced by odontoblasts
- Derived from neural crest cells
- Line pulp cavity in center of tooth
- Secrete predentin (non-mineralized)
- Dentinal processes extend into canals called dentinal tubules that dentin mineralizes around

Pulp Cavity
- Contains dental pulp
- Highly vascularized
- Well-innervated
- Narrows at root to form root canal
- Apical Foramen is opening at tip of root canal
- Blood vessels and nerves enter pulp cavity

Periodontium
- Supporting structure for teeth:
- Gingiva (gums)
-
Periodontal ligament (fibrous CT with collagen)
- Binds cementum to alveolar bone
- Weakened by vitamin C deficiency (cannot make collagen) –> Scurvy
-
Alveolar Bone
- Lacks lamellar pattern
- Continuously remodeling

Major Salivary Glands
- Parotid
- Submandibular
- Sublingual
Compound branched tubuloacinar glands
- Branching duct system
- Mucous tubules
- Serous acini
Also:
- Myoepithelial Cells
- Surrounded by dense CT capsule

Salivary Gland Acini
- Serous acini
- Produce watery, protein-rich secretion
- Zymogen granules (inactive enzymes)
- Nucleus in basal part of cell (basophilic)
- Produce watery, protein-rich secretion
- Mucuous Tubules
- Produce thick, mucous secretion
- Mucinogen granules (don’t stain well)
- Produce thick, mucous secretion
- Mixed Acini
- Serous Demilunes

Salivary Gland Ducts
-
Intercalated Ducts
- Simple cuboidal epithelium
- Smaller than acini
- Secrete bicarbonate into saliva
- Absorbs Cl- from saliva
-
Striated Ducts (basal membrane folded)
- Simple columnar epithelium with centrally located nuclei
- Larger than acini
- Reabsorb Na+
- Secrete K+ and bicarbonate

Excretory Ducts
- Ultimately empty into oral cavity
- Named: parotid duct, submandibular duct
As duct size increases, epithelium changes:
- becomes Pseudostratified columnar, Stratified columnar, and finally stratified squamous (at entrance to oral cavity)

Parotid Gland
- Largest salivary gland
- Completely serous (all serous acini)
- Intercalated ducts, Conspicuous striated ducts
- Adipose Tissue
Mumps: viral infection of parotid gland

Submandibular Gland
- Mixed serous and mucous gland (mostly serous)
- Many striated ducts
- Produced 2/3 of saliva

Sublingual Salivary Glands
- Smallest
- Mixed, mostly mucous
- Some serous demilunes
- Few striated ducts (not as prominant)

General Organization of GI Tract
4 Layered Wall:
- Mucosa (lines lumen)
- Submucosa (CT layer)
-
Muscularis
- 2 layers (usually) of smooth muscle
-
Serosa (mesolthelial lining) or Adventitia (connective tissue)
- Visceral peritoneumis serosa (intraperitoneal)
- Adventitia near organs that are retroperitoneal
Mucosa
Epithelium
- Changes along course of GI tract
Lamina Propria
- Loose CT, GALT
- Glands
Muscularis Mucosae
- Thin layer of smooth muscle

Esophagus
- Muscular tube
- Longitudinal mucosal folds
- Surrounded by ADVENTITIA (no serosa)

Esophageal Mucosa
- Stratified squamous non-keratinized epithelium
- Lamina Propria:
- Lymphocytes
-
Esophageal Cardiac Glands
- Distal esophagus (near stomach)
- Secrete mucous
-
Muscularis Mucosae
- Longitudinal smooth muscle (along length of tube)
- Thicker in proximal portion to aid with swallowing

Gastroesophageal Reflux Disease
Acid Reflux
- Stomach contents enter esophagus
- Heartburn (pyrosis)
- Risk Factors:
- Obesity, pregnancy, smoking, hiatal hernia
Chronic GERD causes changes in epithelium (metaplasia)
- Stratified squamous epithelium replaced by simple columnar with goblet cells (similar to lower GI tract)
- Called Barrett’s Esophagus (higher risk of esophageal cancer)
Esophageal Submucosa
- Dense, irregular CT
- Blood/lymphatic vessels
-
Submucosal/Meissner’s Plexus
- Parasympathetic ganglia
- Unmyelinated
- Esophageal Glands (Proper)
- Secrete mucous (lubricate food)
- In upper 1/2 of esophagus

Esophagus: Muscularis Externa
- 2 layers of muscle
- Inner circular layer
- Outer longitudinal layer
- Myenteric Plexus b/w layers (parasympathetic to smooth muscle)
- Upper 1/3:
- Striated Muscle (skeletal)
- Middle 1/3:
- Both striated and smooth muscle
- Lower 1/3:
- Smooth muscle

Gastroesophageal Junction
- Stratified squamous (esophagus) to simple columnar (stomach)

Stomach

Histologically divided into 3 Regions:
- Cardia
- Fundus (Body)
- Pylorus
Rugae:
- Transient folds of mucosa and submucosa

Gastric Mucosa
-
Simple Columnar Epithelium
- Has Gastric Pits
- Lamina Propria:
- Gastric Glands
- Muscularis Mucosae
Image (stains mucus)

Gastric Pits/Glands

Surface Mucous Cells
- Secretes thick, alkaline mucous
Mucous Neck Cells
- Thinner, less alkaline mucous
- In isthmus/neck
Parietal Cells
- “Fried egg” appearance
- Secrete HCl and intrinsic factor (needed to absorb B12, without –> pernicious anemia)
- Acid secretion stimulated by histamine/gastrin
Chief Cells
- Basophilic cells (image)
- Digestive enzymes –> zymogen granules
- Pepsinogen (converted to pepsin in stomach lumen) and gastric lipase
Enteroendocrine Cells
- Do not stain well
- Secrete into blood
- Secrete gastrin in stomach (fxn vary through GI tract)
- Secrete hormones from basal surface
Stem Cells (in the isthmus/neck)

Fundic Region
- Short gastric pits
- Longer gastric glands
- Parietal cells numerous in neck
- Chief cells numerous at bottom of gland

Pyloric Region
- Long gastric pits
- Short, wider glands
- Mucous cells predominate

Stomach Submucosa
- Dense, irregular CT
- Adipose
- Large blood vessels
- Submucosal (Meissner’s) Plexus
- Picture inlay

Stomach Muscularis Externa
3 Layers of Muscle
- Inner Oblique
- Middle Circular
- Enlargement leads to Pyloric Sphinctor
- Longitudinal Layer
Innervated by:
- Myenteric Aurbach’s Plexus (parasympathetic)
Entire stomach covered by a serosa (intraperitoneal)

Peptic Ulcers

- Erosion in lining of stomach
- Epigastric pain
- Caused by:
- H. Pylori
- NSAIDs
- Treatments:
- Acid Blockers (proton-pump inhibitors)
- Antibiotics
Small Intestine
- Principle site of digestion and absorption of food
- Plicae Circularis
- Villi
- Microvilli
Plicae Circularis
- Folds of mucosa and submucosa
- Increase intestinal surface area 3 fold
- Most prominent in jejunum (slide)

Villi
- Projections of epithelium and lamina propria
- Fibroblasts and smooth muscle
- Central lacteal (lymphatic capillary)
- Increase surface area 10-fold

Microvilli
- Covered by glycocalyx
- Enzymes for digestion
- Increase surface area by 20-fold

Intestinal Glands

- Extensions of epithelium down into lamina propria
- “Crypts”

Cell Types in Intestinal Epithelium
- Enterocytes
- Goblet Cells:
- Unicellular, mucous-secreting glands
- Paneth Cells
- M (microfold) cells
- Enteroendocrine cells
Enterocytes
-
Absorptive Cells
- Transcellular pathway (tight junctions b/w cells)
- Active transport
- Na+/K+ exchange pumps (Na+ out)
- Glucose transporters

Lipid Absorption
- Lipids broken down by lipases and emulsified by bile in lumen of gut
- Lipid diffuses across microvilli
-
Triglycerides resynthesized in SER
- Packaged into chylomicrons
- Transported across basolateral membrane into central lacteal
- Packaged into chylomicrons
Paneth Cells
- In basal portion of intestinal crypts
- Eosinophilic secretory granules
- Secrete lysozyme and alpha-defensins
- Regulate bacterial flora

M (microfold) Cells
- Overlie lymphatic nodules
- Basal plasma membrane invaginations
- APCs and lymphocytes
- Basal plasma membrane invaginations
- Microfolds on apical surface detect and endocytose antigens
- Predominantly in ileum
Duodenum

- Leaf-shaped villi
- Brunner’s glands in submucosa

Jejunum
- Finger-like villi
- Prominent plicae circularis
- No glands in submucosa

Ileum
- Shorter, leaf-shaped villi
- Fewer plicae circularis
- Peyer’s Patches (outlined in image)

Outer Small Intestine
- Submucosa
- Meissner’s Plexus
- Brunner’s Glands (duodenum)
- Peyer’s Patches (ileum)
- Muscularis Externa
- Myenteric (Auerbach’s Plexus)
- Serosa
- Except posterior aspect of duodenum (has adventitia)

Large Intestine Mucosa
- Aborbs water and electrolytes
- Eliminates waste, undigested food
- No Villi
- We DO have intestinal glands (simple tubular glands)
- GALT in lamina propria

Cell Types in Colon Epithelium
- Colonocytes
- Goblet Cells
- More in distal colon
- Enteroendocrine Cells
- M Cells
- No Paneth cells
Large Intestine: Muscularis Externa
- Inner Circular Layer
- Penetrated by teniae colie (allows segments to contract independently)
-
Discontinuous Outer Longitudinal Layer
-
Teniae Coli
- Continuous layer in appendix, rectum, anal canal
-
Teniae Coli

Polyps
- Abnormal growths in colon
- Usually benign
- Common in low-fiber diets
Appendix
- Large lymphatic nodules in lamina propria/submucosa

Anal Canal
3 Zones:
- Colorectal Zone
- Simple Columnar Epithelium
- Anal Transitional Zone
- Simple columnar to stratified columnar
- Squamous Zone
- Stratified Squamous Epithelium continuous with skin
Muscularis Externa:
- Inner circular layer becomes internal anal sphinctor
External Anal Sphinctor:
- Striated (voluntary) muscle
