Histology - Post Mid-term Flashcards
What are the 2 major divisions of the lymphatic system?
- Tissues [no capsule]
- Diffuse (loose/dense)
- Nodular (primary-neonate/secondary) - Organs [capsule]
- Primary: bone marrow, thymus
- Secondary: lymph nodes, spleen, tonsils
What are the 2 types of diffuse lymphoid tissue?
- Loose - Lamina propria (first response)
2. Dense - Walls of GI tract, along mucous membrane
What are 2 major differences (histologically) between the thymus and a lymph node?
Thymus: no afferent lymph vessel, no reticular fibers
Lymph node: PALS cover the central arteriole
The difference between loose & dense lymphoid tissue…
Loose: few lymphocytes
Dense: many lymphocytes, supported by reticular fibers
A germinal center indicates…
A response to antigen
What are the 2 divisions of nodular lymphoid tissue
- B cells w/in germinal center [maturing]
2. Corona/mantle on the outside with T cells
What are differentiating characteristics of the thymus?
- NO afferent lymphatic vessels
- ERC’s
- Cortex is divided; medulla is continuous
- Capsule: dense irreg. C/T
What is the origin of the thymus?
3rd pharyngeal pouch
What syndrome results in lack of a thymus?
DiGeorge Syndrome
What is the difference between the cortex & the medulla of the thymus?
Cortex: immature thymocytes & ERC’s
Medulla: mature T lymphocytes
What type of capillaries are in the thymus?
Continuous
How are ERC’s held together?
Desmosomes
What is the function of the ERC’s?
Blood-thymus barrier
Where are Hassall’s corpuscles found?
ONLY in the medulla
When does the thymus undergo involution?
After puberty
What is the function of the lymph node?
Filter lymph fluid
What area 2 distinguishing characteristics of lymph nodes?
- Afferent lymphatic vessels
2. Reticular fibers
Where are lymphatic nodules in a lymph node?
Cortex (w/ B lymphocytes)
Medulla: T, B, plasma cells
What lymph organ is associated with cancer metastasis?
Lymph node
What are the functional divisions of the lymph node?
- Capsule
- Cortex
- Paracortex
- Medulla
- Hilum
Beneath the capsule of a lymph node is…
Subscapular sinus
What type of epithelium lines the afferent vessel?
Flat epithelial cells
Trace the flow of lymph in a lymph node.
Afferent lymphatic –> subscapular sinuses –> radial/trabecular sinuses –> medullary sinus –> efferent lymphatics
Differentiate between the outer cortex & paracortex of a lymph node.
Outer cortex: mainly B cells
Paracortex: mainly T cells
Where are HEV’s?
Deep cortex of a lymph node; allow for the transition of lymphocytes from the blood stream to the lymph tissue
What are the 2 components of a lymph node’s medulla?
- Cords - B lymphocytes, plasma cells, reticular cells – branched extension of dense lymphoid tissue
- Sinuses - Dilated spaces w/ lymph, few macrophages
What type of collagen is found in lymph nodes?
Collagen III (Can stain w/ PAS & Silver)
What is the embryologic origin of the spleen?
Mesoderm
What is the function of the spleen?
- Filter blood
2. Immune response to antigens
The outer spleen is covered by:
Simple squamous epithelium`
The blood vessels penetrate the parenchyma of the spleen through
Trabeculae
The parenchyma of the spleen consists of:
- Red pulp (Cords of Billroth & sinusoids)
2. White pup (central a.)
What are the divisions of the splenic artery?
- Branches along capsular artery –> trabeculae –> central arteries
Who surrounds vessels in the spleen?
PALS (periarteriolar lymphatic sheath)
What is found around the layer of PALS?
B lymphocytes
What is the rim of lymphocytes + APC’s referred to in the spleen?
Marginal zone – this is where lymphocytes come into contact with antigens
What differentiates the spleen from a lymph node?
The eccentric central artery
What composes the splenic cords of Billroth?
RBC’s, lymphocytes, plasma cells, macrophages, granulocytes (immune cells draped on reticular fibers)
What are Littoral cells?
Splenic sinusoids are lined by elongated endothelial cells, called Littoral cells
What happens to healthy RBC’s in the spleen?
Healthy RBC’s – flexible – enough to squeeze between the endothelial cells to enter the cords; older ones are trapped and degraded by macrophages (found right outside the sinusoids)
What is the function of the tonsil?
Process antigens that enter the body through the oral cavity
What is the term for the annular arrangement of lymphoid tissue in the oral cavity?
Waldeyer’s ring
In general, all tonsils are lined by …
Epithelium
Palatine tonsils are lined by
Stratified squamous NK epithelium
* Deep crypts w/ dead bacteria, etc.
An enlarged pharyngeal tonsil is called …
Adenoid (in posterior pharyngeal wall / nasopharynx)
How do we differentiate pharyngeal tonsils from palatine tonsils?
Pharyngeal – Respiratory pseudostratified epi + St. sq. NK epi
Lingual tonsils are associated with…
Mucus glands
3 characteristics of endocrine organs
- Cords of cells invested in RETICULAR fibers
- FENESTRATED capillaries
- Produce hormones into B/S or C/T
Who controls the pituitary gland?
Hypothalamus
What is another name for the pituitary gland?
Hypophysis
How do hormones get from the hypothalamus to the pituitary gland?
Hypothalmo-hypophyseal portal system
The pituitary is divided into… (mention embryologic origin)
Anterior- cells + reticular fibers – Rathke’s pouch (oroectoderm)
Posterior- nervous tissue (neuroectoderm)
Pars intermedia: remnants of Rathke’s Pouch
What is the posterior pituitary?
Herring bodies store hormones produced in hypothalmus
Supraoptic- ADH/Vasopressin
Paraventricular- oxtytocin
What are Herring’s bodies?
Storage units in the posterior pituitary?
What are glial cells called in the posterior pituitary?
Pituicytes
Pars intermedia of the pituitary produces…
MSH (melanocyte stimulating hormone)
What types (major) of cells do we see in the anterior pituitary?
- Chromophobes (stem cells/degranulated/support/unknown fx)
2. Chromophils – acidophils/basophils
What are the different types of chromophils of the anterior pituitary?
Acidophils - Somatotrophs (GH) / Mamotrophs (prolactin)
Basophils - Gonadotrophs (FSH, LH), Corticotrophs (ACTH), Thyrotrophs (TSH)
Describe the embryology of the adrenal gland.
Cortex: mesoderm
Medulla: neural crest cells
Describe the 3 zones of the adrenal cortex (and their products).
- Zona glomerulosa - aldosterone (mineralcorticoid)
- Zona fasciulata
- Zona reticularsia
(2 & 3: cortisol (glucocorticoid) & androgens/DHEA
Describe the regulation of the adrenal cortex
Zona glomerulosa - angiotensin 2
Zona fas & Zona retic - ACTH
Briefly describe the renin-angiotensin-aldosterone cascade.
Angiotensinogen –> (renin) AT1 –> (ACE) AT2 –> aldosterone (reuptake Na/H20 – inc. BP)
Describe the products of the adrenal medulla
Catecholamines (adrenaline/noradrenaline)
Describe the blood supply of the adrenal gland
- Subcapsular plexus (capsule/cortex/medulla)
2. Central vein (supra-renal vein)
The endocrine pancreas cells are located within:
Islets of Langerhans
The endocrine pancreas cells are:
Alpha - periphery - glucagon
Beta - central - insulin
Delta - somatastatin (paracrine) & gastrin
F/PP - pancreatic polypeptide
The parathyroid glands… (fx)
PTH (chief cells)
Stimulate osteoclastic activity
Increase serum calcium
Decrease serum phosphate
The 2 types of parathyroid cells are:
- Chief (PTH) - smaller/basophilic
2. Oxyphil - acidophilic (unknown fx)
The pineal gland is responsible for secreting…
Melatonin (Pinealocytes)
The thyroid gland is divided into…
Follicles w/ colloid – lined by simple squamous
Stroma – C/T with fenestrated vessels + C cells
The thyroid secretes…
Calcitonin (reduce serum Ca)
T3/T4 (from thyroglobin w/in the colloid) – metabolism
Calcitonin promotes
Osteoblastic activity
Thyroid hormones store
Iodine
Endocrine stomach
Gastrin
Endocrine duodenum
Gastrin, secretin, CCK
Endocrine heart
ANF (atrial natiuretic peptide)
Endocrine kidneys
EPO (active vitamin D)
Endocrine adipose
Leptid, Resistin
Endocrine placenta
HCG, lactogen, relaxin
What cells release renin in the kidney?
JG cells
* In response to decreased extracellular fluid volume (detected by macula densa)
What is the distinguishing histological feature of the PCT of the kidney?
Brush border
Which cells of the renal corpuscle are phagocytic?
Mesangial cells
Mesengial cells have receptors for..
- Angiotensin 2
2. ANP
Vascular endothelium of the renal corpuscle are…
Fenestrated capillaries w/o diaphragms
Modified simple squamous epithelium lining the glomerulus/Bowman’s capsule…
Podocytes
The renal corpuscle consists of:
- Glomerulus
2. Bowman’s capsule
The uriniferous tubule consists of:
- Nephron (metanephric intermed. mesoderm)
2. Collecting duct (uteric bud)