Module 2B Flashcards

1
Q

Dual Origins of the Skin

A

Epidermis(superficial layer) –develops from surface ectoderm

Dermis(deep layer) –develops from the underlying mesenchyme

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Initially, the embryo is covered by a single layer of ectodermal cells. In the beginning of the second month, this epithelium divides, and a layer of flattened cells,__, is laid down on the surface.

A

the periderm, or epitrichium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

With further proliferation of cells in the basal layer during the second month, a third, ___ is formed

A

intermediate zone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Finally, at the end of the fourth month, the epidermis acquires its definitive arrangement, and four layers can be distinguished, namely:

A

BASAL LAYER, OR GERMINATIVE LAYER - is responsible for production of new cells. This layer later forms ridges and hollows, which are reflected on the surface of the skin in the fingerprint.

SPINOUS LAYER - consists of large polyhedral cells containing fine tonofibrils.

GRANULAR LAYER - contains small keratohyalin granules in its cells.

HORNY LAYER - forming the tough scalelike surface of the epidermis, is made up of closely packed dead cells containing keratin.

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

True or False

Cells of the periderm are usually cast off during the second part of intrauterine life and can be found in the amniotic fluid

A

True

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

During the first 3 months of development, the epidermis

is invaded by cells arising from the neural crest. These cells synthesize melanin pigment in __

A

melanosomes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Dermis is derived from mesenchyme that has three sources:

A
  1. Lateral plate mesoderm - supplying cells for dermis in the limbs and body wall
  2. Paraxial mesoderm - supplying cells for dermis in the back
  3. Neural crest cells - supplying cells for dermis in the face and neck
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

During the third and fourth months, the corium forms many irregular papillary structures called __ which contain a capillary and sensory nerve organ

A

dermal papillae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q
  • a deeper layer of the dermis which contains a large amount of fatty tissue
A

Subcorium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q
  • a whitish paste formed by secretion from sebaceous glands and degenerated epidermal cells and hairs
  • it protects the skin against the macerating action of amniotic fluid
A

vernix caseosa

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Hairs begin development as solid epidermal proliferations from the germinative layer that penetrates the underlying dermis. At their terminal ends, ___ invaginate.

A

hair buds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q
  • are rapidly filled with mesoderm in which vessels and nerve endings develop
A

hair papillae

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

cells in the center of the hair buds become spindle-shaped and keratinized, forming the hair shaft, while peripheral cells become cuboidal, giving rise to the __

A

epithelial hair sheath

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The ___ is formed by the surrounding mesenchyme. A small smooth muscle (arrector pili), also derived from mesenchyme, is usually attached to the dermal root sheath.

A

dermal root sheath

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Continuous proliferation of epithelial cells at the base of the
shaft pushes the hair upward, and by the end of the third month, the first hairs appear on the surface in the region of the __.

A

eyebrow and upper lip

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

The first hair that appears, __, is shed at about the time of birth and is later replaced by coarser hairs arising from new hair follicles.

A

lanugo hair

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Cells from small bud at epithelial wall of hair follicle form the __

A

sebaceous glands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Cells from the central region of the gland degenerate, forming a fat-like substance __ secreted into the hair
follicle, and from there, it reaches the skin.

A

sebum

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Two types of Sweat Glands

A
  1. Eccrine - Buds from germinative layer of the epidermis

2. Apocrine - From same epidermal buds that produce hair follicles

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Sweat glands and mammary glands develop from __

A

epidermal proliferations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Mammary glands are modified sweat glands and first appear as bilateral bands of thickened epidermis called __

A

mammary lines or mammary ridges

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Development of Nails

A
  • Ectodermal thickening in the dorsum of digits

- Nail fields, surrounded by nail folds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q
  • Largest organ
  • 15-20%
  • Integument, cutaneous covering
A

Skin

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Functions of the Skin

A
  • Protection
  • Excretion
  • Sensory
  • Thermoregulation
  • Metabolic
  • Sexual signaling
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
the skin is composed of:
epidermis - an epithelial layer of ectodermal origin | dermis - a layer of mesodermal connective tissue
26
At the irregular junction between the dermis and epidermis, projections called __ interdigitate with invaginating epidermal ridges to strengthen adhesion of the two layers.
dermal papillae
27
Beneath the dermis lies the ___ a loose connective tissue layer usually containing pads of adipocytes.
subcutaneous tissue or hypodermis
28
- consists mainly of a stratified squamous keratinized epithelium composed of cells called keratinocytes. - forms the major distinction between thick skin and thin skin - Germinal basal layer mitosis
Epidermis
29
There are also three much less abundant epidermal cell | types:
pigment-producing melanocytes antigen-presenting Langerhans cells tactile epithelial cells called Merkel cells
30
Rate of mitosis/ Rate of desquamation
15-30 days, 25 to 50 days
31
epidermis consists of four layers of keratinocytes or five layers in thick skin namely
1. Stratum Basale 2. Stratum Spinosum 3. Stratum granulosum 4. Stratum lucidum 5. Stratum corneum
32
- is a single layer of basophilic cuboidal or columnar cells on the basement membrane at the dermal-epidermal junction - Hemidesmosomes in the basal cell membranes join these cells to the basal lamina, and desmosomes bind the cells of this layer together in their lateral and upper surfaces - is characterized by intense mitotic activity and contains, along with the deepest part of the next layer, progenitor cells for all the epidermal layers - basal stem cells for keratinocytes found here - Nucleus: large; Cytoplasm: basophilic
basal layer (stratum basale)
33
An important feature of all keratinocytes in the stratum basale is the cytoskeletal __, intermediate filaments about 10 nm in diameter
keratins
34
- is normally the thickest layer, especially in the epidermal ridges - Large, cuboidal to polygonal, some flattened cells - Numerous cytoplasmic prickles bound by desmosomes to adjacent cells - Central nucleus - Cytoplasmic basophilia - Cytokeratin (synthetic fibrillarprotein) aggregates to form tonofibrils (intracellular fibrils) - Tonofibrils converge upon desmosomes
Stratum spinosum
35
- 2-3 rows of flattened cells - Nucleus: central - Cytoplasm filled with numerous “keratohyalin”, coarse basophilic granules
Stratum granulosum
36
- found only in thick skin - consists of a thin, translucent layer of flattened eosinophilic keratinocytes held together by desmosomes - Nuclei and organelles have been lost, and the cytoplasm consists almost exclusively of packed keratin filaments embedded in an electron-dense matrix - Few layers of compacted highly refractile eosinophiliccells - Wavy clear strip - Cytoplasm contain dense packed filaments in a matrix called “Eleidin” - Desmosomes are still seen
stratum lucidum
37
- consists of 15 to 20 layers of squamous, keratinized cells filled with birefringent filamentous keratins. Keratin filaments contain at least six different polypeptides with molecular - Dead and dying cells - Flat and cornified cells; anucleated - Filled with mature keratin - Squamous plates or scales fused together - Plates are remnants of cells that contain keratin
stratum corneum
38
- Deeper layers contain cornified cells with desmosomal junctions, orderly pattern of intracellular keratin - Most superficial layer slough off or “desquamates” - Desquamation: preceded by disruption of desmososmes and internal structure of cells
stratum corneum
39
Structural changes in keratinization involve the following:
* Aggregation and arrangement of filaments * Formation of keratohyaline granules * Loss of organelles as a result of accumulation of granules
40
Cells of the Epidermis
Keratinocytes Melanocytes Langerhans cells Merkel cells
41
- Principal cells/ parenchyma | - Synthesize keratin: a family of polypeptides with 40,000 to 70,000 m.w.
Keratinocytes
42
- Synthesis and release of the brown pigment “melanin” - exists in various forms from yellowish brown to black and has a protective function against ultraviolet light - Located scattered infrequently in the basal layer and junction of dermis - Round cells with pale-staining cytoplasm - From cell body –long cytoplasmic processes, run in spaces between keratinocytes of stratum spinosum - Contain tyrosinase for melanin synthesis
Melanocytes
43
- antigen-presenting cells (APCs) which are usually most clearly seen in the spinous layer - represent 2% to 8% of the epidermal cells - Cytoplasmic processes extend from these dendritic cells between keratinocytes of all the layers, forming a fairly dense network in the epidermis - bind, process, and present antigens to T lymphocytes in the same manner as immune dendritic cells in other organs - Birbeck granules: rod-like with regular cross-striations, one end distends in a vesicle (tennis racket)
Langerhans cells
44
- are sensitive mechanoreceptors essential for light touch sensation - Joined by desmosomes to keratinocytes of the basal epidermal layer - resemble the surrounding cells but with few, if any, melanosomes. - are abundant in highly sensitive skin like that of fingertips and at the bases of some hair follicles - originate from the same stem cells as keratinocytes - Presence of dense cored vesicles in the cytoplasm - Considered paraneuronsinvolved in sensory reception
Merkel Cells
45
- is the layer of connective tissue that supports the epidermis and binds it to the subcutaneous tissue (hypodermis) - thickness varies with the region of the body and reaches its maximum of 4 mm on the back - is very irregular and has many projections (dermal papillae) that interdigitate with projections of the epidermis
dermis
46
- - an important constituent of both zones - Black against red stained collagen - Long and thick in reticular, and follow course of collagen fibers - Very fine, scanty, scarcely stained in papillary
Elastin
47
Cellular components of Dermis
- Fibroblasts - Lymphocytes - Mast cells - Tissue macrophages
48
The dermis contains two sublayers with indistinct boundaries
papillary layer | reticular layer
49
- thin layer which includes the dermal papillae - consists of loose connective tissue, with types I and III collagen fibers, fibroblasts and scattered mast cells, macrophages, and other leukocytes - From this layer, anchoring fibrils of type VII collagen insert into the basal lamina, helping to bind the dermis to the epidermis - Contains venules, Arterioles, Capillary loops, Lymphatics and Fine nerve twigs from Meissner’s corpuscles (tactile)
papillary layer
50
- is much thicker, consists of dense irregular connective tissue (mainly bundles of type I collagen), with more fibers and fewer cells than the papillary layer - A network of elastic fibers is also present, providing elasticity to the skin - between the collagen and elastic fibers are abundant proteoglycans rich in dermatan sulfate - Blood vessels are larger and deeper - Cells are mainly fibroblasts and histiocytes
reticular layer
51
- consists of loose connective tissue that binds the skin loosely to the subjacent organs, making it possible for the skin to slide over them -also called the hypodermis or superficial fascia, contains adipocytes that vary in number in different body regions and vary in size according to nutritional state - has extensive vascular supply which promotes rapid uptake of insulin or drugs injected into this tissue
subcutaneous layer
52
Skin Appendages
- Hairs - Sebaceous glands - Sweat glands - Nails
53
- Highly modified keratinized structures - Produced by hair follicles - Hair bulb: a terminal expansion of the follicle where hair growth takes place - Dermal papilla: vascular tissue - Arrector pili muscle
Hairs
54
- One or more associated with a hair follicle - Secrete an oily substance called sebum - Embedded in the dermis except in areas lacking hairs - Holocrine - Mucous secretion - Closely applied to hair follicles into which they drain - Lubricates the epidermis and hair. - Simple branched alveolar glands
Sebaceous glands
55
Relationship between hair follicle, sebaceous gland, and arrector pili:
- Smooth muscle form arrectorpilimuscle; obliquely placed in relation to epidermis - Contraction of muscle = erection of hair shaft (and follicle), producing depressions in the skin (orange peel appearance) known as gooseflesh - Compression of sebaceousglandsaids in emptying glands into hair follicle, oiling the hair shaft - Sebum (mixture of triglycerides, waxes, squalene, and cholesterol and its esters and remnants of degenerating/dead cells).
56
- Act as an excretory organ by eliminating metabolic waste products. - Secrete watery fluid, ammonia, sodium, chloride, urea, and uric acid by merocrine process - Discharge directly into the skin surface - Sudoriferous and simple, coiled tubular glands - Important in thermoregulation - React by secreting in stressful situations
Sweat glands
57
- Secretory portions: Single layer of large cuboidal or columnar cells - Excretory ducts: Two layers of smaller cuboidal cells; Narrower lumen - Myoepithelial cells: Between secretory cells and basement membrane Contraction expels sweat into ducts
Eccrine sweat glands
58
- Activated by adrenergic nerves; secretion increased by emotional stress. - Secretory portion Coiled tubular type Widely dilated lumen Low cuboidal cells Eosinophilic cytoplasm
Apocrine sweat glands
59
- A highly specialized appendage - Consists of dense keratinized plate: Nail plate - Rests on a stratified squamous epithelium: Nail bed - Proximal end of the nail: Nail root
Nails
60
Composition of Nails
Nail matrix:underlying nail root; nail growth occurs Lunula:white crescent shape at base of nail Nail fold:skin overlying root of nail Eponychium:highly keratinized free edge Hyponychium:skin beneath free end of nail
61
- keratocytes are typically produced and differentiate at accelerated rates, causing at least slight thickening of the epidermal layers and increased keratinization and desquamation - caused by overactive T lymphocytes that trigger an autoimmune reaction in the skin, which can also lead to inflammation with redness, irritation, itching, and scaling, with a defective skin barrier
psoriasis
62
- involves skin depigmentation, often only in affected patches, due to the loss or decreased activity of melanocytes
vitiligo
63
Melanocytes can normally proliferate in skin to produce | __
moles or benign melanocytic nevi
64
Central nervous system (CNS) is formed in week 3 of development, during which time the neural plate develops. The neural plate, consisting of neuroectoderm, becomes the ____, which gives rise to the brain and spinal cord. -- closure in craniocaudal function
neural tube
65
Peripheral nervous system (PNS) is derived from three sources:
1. NEURAL CREST CELLS 2. NEURAL TUBE, which gives rise to all preganglionic autonomic nerves (sympathetic and parasympathetic) and all nerves (-motoneurons and -motoneurons) that innervate skeletal muscles 3. MESODERM, which gives rise to the dura mater and to connective tissue investments of peripheral nerve fibers (endoneurium, perineurium, and epineurium)
66
refers to the formation and closure of the neural tube
Neurulation
67
The three primary brain vesicles and two associated flexures develop during __
week 4
68
Three Primary brain vesicles
a. PROSENCEPHALON (FOREBRAIN) is associated with the appearance of the optic vesicles and gives rise to the telencephalon and diencephalon. b. MESENCEPHALON (MIDBRAIN) remains as the mesencephalon. c. RHOMBENCEPHALON (HINDBRAIN) GIVES rise to the metencephalon and myelencephalon.
69
Two Associated Flexures
a. CEPHALIC FLEXURE (MIDBRAIN FLEXURE) is located between the prosencephalon and the rhombencephalon. b. CERVICAL FLEXURE is located between the rhombencephalon and the future spinal cord
70
Five secondary brain vesicles become visible in week 6 of development and form various adult derivatives of the brain.
1. Telencephalon 2. Diencephalon 3. Mesencephalon 4. Metencephalon 5. Myelencephalon
71
gives rise to the cerebral hemispheres, caudate, and putamen
Telencephalon
72
gives rise to the epithalamus, subthalamus, thalamus, hypothalamus, mammillary bodies, neurohypophysis, pineal gland, globus pallidus, retina, iris, ciliary body, optic nerve (CN II), optic chiasm, and optic tract
Diencephalon
73
gives rise to the midbrain
Mesencephalon
74
gives rise to the pons and cerebellum
Metencephalon
75
gives rise to the medulla
Myelencephalon
76
Failure of the anterior neuropore to close results in upper neural tube defects like __
anencephaly
77
The posterior neuropore closes during week 4 (day 27). Failure of the posterior neuropore to close results in lower NTDs like
spina bifida with myeloschisis
78
As the neural plate folds, some cells differentiate into ___
neural crest cells
79
The rostral part of the neural tube becomes the adult __
brain
80
The caudal part of the neural tube becomes the adult __
spinal cord
81
- Fast-acting control system - Responds to internal and external change - Activates muscles and glands
Nervous system
82
Functions of the Nervous System
SENSORY INPUT - gathering information INTEGRATION - To process and interpret sensory input and decide if action is needed MOTOR OUTPUT - A response to integrated stimuli; The response activates muscles or glands
83
Functional Classification of the Peripheral Nervous System
Sensory (afferent) division - nerve fibers that carry information to the central nervous system Motor (efferent) division - nerve fibers that carry impulses away from the central nervous system
84
Motor (efferent) division: Two subdivisions
Somatic nervous system - voluntary | Autonomic nervous system - involuntary
85
- Also known as the soma and as the perikaryon - Trophic (nutritive) and genetic center of a neuron - The nucleus is spherical, usually large, pale staining, centrally located with a prominent nucleolus. - It is described to have a “fish eye” appearance.
Cell Body
86
- The cytoplasm contains Nissl’s granules, which are basophilic, due to the abundance of granular reticulum and ribosomes. - It also contains mitochondria, centrosomes, neurofibrils and inclusions of glycogen, fat and lipofuschin.
Cell Body
87
- are usually numerous in number - Short cytoplasmic processes that are specialized in receiving stimuli - are found close to the soma. - divide into branches and their surfaces are covered with minute, tiny spines called gemmules, which serve as sites of synaptic contact - have Nissl’s bodies, neurofibrils , mitochondria, centrosomes and inclusions.
Dendrites
88
- Also known as the axis cylinder. - Usually, there is one axon per neuron. - It is a long cytoplasmic process that is specialized in conduction of action potentials - It contains neurofibrils and mitochondria. - It does not contain Nissl’s substance.
Axon
89
Regions of Axon
1. Axon hillock 2. Initial segment 3. Axon proper 4. Terminal arborization 5. Terminal end bulb
90
- Part of the perikaryon that leads directly into the axonal process - first portion of the axon
Axon hillock
91
- Part of the myelinated axon between the apex of the axon hillock and the beginning of the myelin sheath
Initial segment
92
- Main trunk of the axon, excluding the initial segment
Axon proper
93
- Also known as telodendroglia | - Make synaptic contact
Terminal arborization
94
- Also known as terminal bouton - Contains abundant mitochondria and neurosecretory vesicles. - Forms part of a synapse, the pre-synaptic membrane - contacts another neuron or non-nerve cell at a synapse to initiate impilse
Terminal end bulb
95
regions with concentrated RER and other polysomes appear as clumps of basophilic material called __
chromatophilic substance or Nissl substance, Nissl bodies
96
Classification of Neurons
1. Structure (morphology) 2. Function 3. Size 4. Neurotransmitter released
97
Types of Neurons According to Morphology
1. Multipolar 2. Bipolar 3. Pseudounipolar 4. Unipolar
98
- More than 2 processes, usually with multiple dendrites and a single axon - Found in motor neurons of the CNS and peripheral autonomic ganglia
Multipolar
99
- Has 2 processes, consisting of a single axon and a single dendrite - Found in the retina, spiral (cochlear) and vestibular ganglia
Bipolar
100
- Single process close to perikaryon but divides into 2 branches, forming a T shape - Found in cerebrospinal ganglia or sensory ganglia located in the dorsal root of the spinal cord
Pseudounipolar
101
- Contains a single process | - Usually not seen in adult man
Unipolar
102
Types of Neuron according to function
1. Sensory neuron 2. Motor neuron 3. Association neuron
103
- Also known as afferent neuron - Carries nerves impulses toward the center - Example: cerebro-spinal ganglia
Sensory neuron
104
- Also known as efferent neuron - Carries impulses away from the center - Example: anterior horn cell of the spinal cord
Motor neuron
105
- Serves as linkage between afferent and efferent neurons - transmit impulses from one part of the CNS to another - Their processes do not leave the CNS - Example: interneurons of the spinal cord
Association neuron
106
Type of Neuron: According to size
1. Golgi type l - Long axon and large soma - Example: motor neurons of the spinal cord 2. Golgi type ll - Short axon and small soma - Example: interneurons of the spinal cord
107
Type of Neuron: According to neurotransmitter released
1. Cholinergic neuron Example: parasympathetic postganglionic neuron 2.Adrenergic neuron Example: sympathetic postganglionic neuron
108
- Contact area of one axon with the dendrites or perikaryon of another - They possess polarity - artificially stimulated axons can propagate a wave of depolarization in either direction, but the signal can travel in only one direction across a synapse, which functions as a unidirectional valve
Synapse
109
Each synapse has three major structural components, namely:
1. Pre-synaptic membrane - Portion of the terminal bouton membrane closest to the target cell 2. Synaptic cleft - Synaptic gap; Fluid filled space that guide the neurotransmitter across the gap 3. Post-synaptic membrane - Portion of the plasma membrane of the next neuron or target cell
110
Synapses are named according to the structures they connect, namely:
Axo-dendritic Axo-somatic Axo-axonic Dendro-dendritic
111
Direction of Signal Transmission
1. Orthodromic spread 2. Antidromic spread 3. Saltatory conduction 4. Blocking signal transmission
112
- Sequence of depolarization or impulse transmission travels along the axon away from the cell body
Orthodromic spread
113
Impulse travels toward the cell body
Antidromic spread
114
Depolarization of myelinated axons occur only at the nodes of Ranvier
Saltatory conduction
115
Cold, heat and pressure on a nerve fiber can block impulse conduction
Blocking signal transmission
116
- Consists of: Brain and Spinal cord - is characterized by cells which are closely packed with little extracellular substance and are connected by frequent cell to cell junction - Foremost of it’s properties is a special type of intercellular junction, the chemical synapse, which is important for survival
Central Nervous System
117
- Contains the perikaryons of mostly unmyelinated and some myelinated nerves and neuroglial cells such as protoplasmic astrocytes, oligodendrocytes and microglia
Gray mater
118
- Contains myelinated nerve fibers and neuroglial cells like the fibrous astrocytes, oligodendrocytes and microglia
White mater
119
- Also known as glial cells - Supporting cells of the CNS - These include: Astrocytes; Oligodendrocytes; Microglia and Ependymal cells - Do not synapse with other cells - On H&E stain, only the nuclei are seen while cytoplasm and processes of the neuroglia are not visible
Neuroglial Cells
120
- Most important supporting element of the CNS - Nucleus is spherical and centrally located - It is pale staining - Processes have expanded pedicles at their ends
Astrocytes
121
There are two types of Astrocytes
1. Protoplasmic astrocytes - Found in gray mater of the CNS - Abundant granular cytoplasm - Processes have many branches but shorter and relatively thick 2. Fibrous astrocytes - Found in white mater of the CNS - Cytoplasm shows fibrillar material - Processes are long, slender and smooth that branch infrequently
122
- Smaller cells - Nucleus is round, small and dense - The cytoplasm is also electron dense - Processes are less numerous and shorter - In the white mater of the CNS, this is precursor of myelin sheath
Oligodendrocytes
123
- Spider-like phagocytes - Dispose of debris - The cell bodies are smaller, denser and elongated - The nucleus is made up of of condensed chromatin material - The processes have a thorny appearance - are found in both grey and white mater
Microglia
124
- Supporting cells that line the central canal of the spinal cord and ventricular cavities of the brain - The cells are flattened to cuboidal to columnar shaped with wide bases - Their surfaces are provided with cilia during embryonic life - The nucleus is elongated
Ependymal Cells
125
- Composed of an outer (grey mater) cortex and an inner medulla - The cortical layer follow the involutions of the cerebellar folia - The medullary white mater is composed of myelinated nerve fibers and glial cells
Cerebellum
126
The cortex is composed of 3 layers (Cerebellum)
1. Molecular layer - Composed of dendritic arborizations with densely packed axons coursing parallel to the long axis of the folia - Contains basket cells and outer satellite cells 2. Purkinje cell layer - Sheet of large flask shaped cells, the Purkinje cells, which are uniformly arranged along the upper margin of granular layers 3. Granular layer - Consists of granule cells, which are small and numerous and numerous stellate cells
127
- is made up of an inner core of grey mater and an outer core of white mater - The grey mater is composed of anterior (ventral) horns and posterior (dorsal) horns joined at the center by a thin grey mater called the central commissure, surrounding the central canal - The neurons and their neuroglial cells are found in the grey mater - The white mater is primarily composed of myelinated nerve fibers and neuroglial cells
spinal cord
128
Coverings of the Central Nervous System
1. Dura mater 2. Arachnoid mater 3. Pia mater
129
- Pachymeninx - Dense connective tissue - Separated from the periosteum by the epidural space, which has loose connective tissue with thin walled veins and fat cells - Separated from the arachnoid by the subdural space
Dura mater
130
- Delicate impermeable membrane made up of loose connective tissue devoid of blood vessels - Has a cobbed web like appearance - A system of trabeculae extends into the pia mater and the cavities which forms the subarachnoid space, filled with cerebro-spinal fluid
Arachnoid mater
131
- Vascular membrane closely investing the brain and spinal cord - Composed of loose connective tissue with fine elastic fibers
Pia mater
132
- Composed of nerves and ganglia - The nerves are bundles of nerve fibers outside the CNS while the ganglia are groups of nerve cell bodies outside the CNS or found in peripheral nervous system
Peripheral Nervous System
133
- Nerves are composed of nerve fibers which either can be an axon or a dendrite - The conducting core of a nerve fiber is called the axis cylinder - They can either be myelinated or unmyelinated - Unmyelinated nerve fiber is devoid of myelin sheath
Peripheral Nerves
134
Myelination of a nerve fiber is derived from the __ where in they become spirally disposed along the membrane and becomes compacted to form the lamellae of myelin sheath
Schwann cells
135
-- is a bimolecular lipoprotein complex
myelin sheath
136
myelin sheath shows cone-shaped clefts called the __
cleft or incissures of Schmidt-Lantermann
137
Between 2 nodes of Ranvier is the neurolemma or __
sheath of Schwann cells
138
__ have elongated nuclei that lie parallel to the axon
Schwann cells
139
- is a fibrous connective tissue that covers a nerve, either myelinated or unmyelinated
sheath of Henle (sheath of Key and Retzius)
140
Types of Nerve Fibers According to Diameter
1. Group A fibers 2. Group B fibers 3. Group C fibers
141
- Myelinated large axons with long internodes - Rapid impulse conduction - Include motor and some sensory fibers
Group A fibers
142
- Myelinated intermediate sized axons with short internodes - Moderate rate of impulse conduction - Mainly visceral sensory fibers
Group B fibers
143
- Unmyelinated small axons - Slow rate of impulse conduction - Include autonomic and some sensory fibers
Group C fibers
144
Connective Tissue Coverings of Nerves
1. Endoneurium - Loose connective tissue surrounding the individual nerve fiber 2. Perineurium - Dense irregular connective tissue enclosing a bundle or fascicle of nerve fibers 3. Epineurium - Dense irregular connective surrounding a peripheral nerve
145
Neuroglial cells of the PNS
Schwann cells | Satellite cells
146
- Also known a neurolemma | - Capable of secreting myelin sheath in the PNS
Schwann cells
147
- gaps in myelin sheath along the axon
Nodes of Ranvier
148
- Specialized Schwann cells found in the dorsal root ganglia and the autonomic ganglia of the PNS
Satellite cells
149
- Aggregation of nerve cell bodies outside the CNS. - Two types of ganglia: Cranio-spinal ganglia Autonomic ganglia
Ganglion
150
- Also known as dorsal root ganglia - Found in the dorsal roots of all spinal nerves and some cranial nerves - Sensory in function - Pseudo-unipolar neuron - There are no synapses
Cranio-spinal Ganglia
151
- The satellite cells are more numerous with spherical nuclei and completely surround the soma of each ganglion cell. - The ganglion cells are concentrated peripherally. The cytoplasm of the ganglion cells contain small and uniformly distributed Nissl’s granules. - The nucleus is large, oval and centrally located.
Cranio-spinal Ganglia
152
- Consists of sympathetic and parasympathetic ganglia - These contain synapses - Visceromotor in function - Multipolar neuron
Autonomic ganglia
153
- The satellite cells are less numerous with ovoid nuclei and form a discontinuous sheath around the ganglion cell bodies. - The ganglion cells are smaller and do not show definite groupings. The cytoplasm of the ganglion cells contain Nissl’s granules that are intermediate in size and are massed toward the periphery. Lipofuschin granules are more frequently found in its cytoplasm. The nucleus is large, oval and eccentrically located.
Autonomic ganglia
154
- The involuntary branch of the nervous system - Consists of only motor nerves - Divided into two divisions: Sympathetic division and Parasympathetic division
Autonomic Nervous System
155
Differences Between Somatic and Autonomic Nervous Systems
1. Nerves Somatic – one motor neuron Autonomic – preganglionic and postganglionic nerves 2. Effector organs Somatic – skeletal muscle Autonomic – smooth muscle, cardiac muscle,and glands 3. Nerurotransmitters Somatic – always use acetylcholine Autonomic – use acetylcholine, epinephrine, or norepinephrine
156
- Originates from T1 through L2 - Ganglia are at the sympathetic trunk (near the spinal cord) - Short pre-ganglionic neuron and long postganglionic neuron transmit impulse from CNS to the effector - Norepinephrine and epinephrine are neurotransmitters to the effector organs
Anatomy of the Sympathetic Division
157
- Originates from the brain stem and S1 through S4 - Terminal ganglia are at the effector organs - Always uses acetylcholine as a neurotransmitter
Anatomy of the Parasympathetic Division
158
- “fight-or-flight” - Response to unusual stimulus - Takes over to increase activities - Remember as the “E” division = exercise, excitement, emergency, and embarrassment
Sympathetic
159
- housekeeping activities - Conserves energy - Maintains daily necessary body functions - Remember as the “D” division - digestion, defecation, and diuresis
Parasympathetic
160
Responses of Nerve Tissue to Injury
Damage to the nerve cell body - May result in autolysis, a process termed “transneural degeneration” Damage to the axon - Primary, ascendant or retrograde degeneration - Secondary, descendant or Wallerian degeneration
161
- Proximal to the site of injury - Incomplete degeneration - Perikaryon enlarges - Chromatolysis or dispersal of Nissl’s substance occur - Nucleus moves to eccentric position - Change takes about two weeks
Primary degeneration
162
- Distal to the site of injury - Schwann cells proliferate and phagocytose the degenerated tissues and invade the remaining endoneural sheath - Changes take 2 to 3 days
Secondary degeneration
163
- This usually begins in the third week after an injury. The proximal stump of the axon gives rise to a protrusion of smaller processes termed neurites. - Neurites grow 3–4 mm/day distally, guided and then myelinated by the Schwann cells.
Nerve Regeneration
164
Layers of the Cerebral Cortex (from the outermost to the innermost)
1. Molecular layer 2. External granular layer 3. External pyramidal layer 4. Internal granular layer 5. Internal pyramidal layer 6. Multiform layer
165
- Also known as plexiform layer - Consists of horizontally directed nerve fibers or dendrites In the deeper portion, lies the HORIZONTAL CELLS OF CAJAL and spindle shaped cells
Molecular layer
166
- Composed of small pyramidal cells, some stellate cells and granule cells
External granular layer
167
- Composed of medium sized pyramidal cells, some stellate cells and granule cells
External pyramidal layer
168
- Composed of large pyramidal cells, numerous closely packed stellate cells (forming the BAND OF BALLERGER) and granule cells
Internal granular layer
169
- Composed of large pyramidal cells, some stellate cells and granule cells
Internal pyramidal layer
170
- Also known as polymorphic layer - Consists of predominantly fusiform cells - Granule cells, stellate cells and INVERTED CELLS OF MARTINOTTI are also found here
Multiform layer
171
- Muscular tissue is the primary tissue of motion wherein the fundamental protoplasmic property of contractility is highly developed. - responsible for locomotion and for the movements of the different parts of the body - develops from the mesoderm, except for the muscles of the iris which are neuroectodermal in origin
Muscular System
172
Skeletal muscle is derived from __, which | forms somites from the occipital to the sacral regions and somitomeres in the head
paraxial mesoderm
173
Smooth muscle differentiates from visceral __ surrounding the gut and its derivatives and from ectoderm (pupillary, mammary gland, and sweat gland muscles).
splanchnic mesoderm
174
Cardiac muscle is derived from visceral __ surrounding the heart tube.
splanchnic mesoderm
175
The myoblasts that form the skeletal muscles of the trunk are derived from __
mesoderm in the myotome regions of the somites
176
The limb muscles develop from __ in limb buds
myogenic precursor cells
177
This frontier separates two mesodermal domains in the embryo:
1. The PRIMAXIAL DOMAIN that comprises the region around the neural tube and contains only somite-derived (paraxial mesoderm) cells. 2. The ABAXIAL DOMAIN that consists of the parietal layer of lateral plate mesoderm together with somite cells that have migrated across the lateral somitic frontier.
178
– first indication is elongation of nuclei and cell bodies of mesenchymal cells as they differentiate to myoblasts
Myogenesis
179
- is a thick plate of mesoderm on each side of the midline. | - becomes organized into segments known as somitomeres, which form in a craniocaudal sequence.
Paraxial mesoderm
180
__ do not form somites but contribute mesoderm to the head and neck region (pharyngeal arches).
Somitomeres 1–7
181
The remaining somitomeres further condense in a craniocaudal sequence to form __ of the trunk region.
42–44 pairs of somites
182
- further differentiate into the sclerotome (cartilage and bone component), myotome (muscle component), and dermatome (dermis of skin component).
Somites
183
- is derived from somitomeres 1–7 of the head and neck region, which participate in the formation of the pharyngeal arches.
Head and neck musculature
184
- is derived from myotomes in the trunk region. Each myotome partitions into a dorsal epimere and a ventral hypomere.
Trunk musculature
185
- develops into the extensor muscles of the neck and vertebral column (e.g., erector spinae). - is innervated by dorsal rami of spinal nerves.
Epimere
186
- develops into the scalene, prevertebral, geniohyoid, infra hyoid, intercostal, abdominal muscles, lateral and ventral flexors of the vertebral column, quadratus lumborum, and pelvic diaphragm. - is innervated by ventral rami of spinal nerves.
Hypomere
187
Migration of myoblasts from the pharyngeal arches forms the muscles of branchiomeric in origin
Pharyngeal Arch Muscle
188
Muscles: Muscles of mastication, anterior belly of digastric muscle, mylohyoid, tensor tympani and tensor palatine Cartilage: Mandible, malleus, incus Nerve: CN V (Trigeminal Nerve)
1st Pharyngeal arch: MANDIBULAR ARCH
189
Muscles: Muscles of facial expression, stapedius, stylohyoid, posterior belly of the digastrics and auricular muscle Cartilage: Stapes, styloid process, stylohyoid ligament, lesser horn and upper part of the body of hyoid Nerve: CN VII (Facial Nerve)
2nd Pharyngeal arch: HYOID ARCH
190
Muscle: Stylopharyngeal muscle Cartilage: Lower part of the body and greater horn of the hyoid bone Nerve : Glossopharyngeal nerve
3rd Pharyngeal arch
191
Muscle: Cricothyroid levator and palatinepharyngeal constrictor (4th) Intrinsic muscle of the larynx (6th) Cartilage: Thyroid, cricoid, arytenoids, corniculate, cuneiform cartilages of the pharynx Nerve: Superior laryngeal branch of vagus nerve (4th) Recurrent laryngeal branch of the vagus nerve (6th)
4th and 6th Pharyngeal Arches
192
The smooth muscle in the walls of many blood and lymphatic vessels arises from __
somatic mesoderm
193
The muscles of the iris (sphincter and dilator pupillae) and myoepitheial cells in mammary and sweat glands are derived from the __
ectoderm
194
Cardiac myoblasts differentiate from the __
primordial myocardium
195
Myoblasts adhere to each other but the intervening cell membranes do not disintegrate. These areas of adhesion give rise to __
intercalated discs
196
- Absence of the pectoralis muscle, often its sternal part, is usually its sternal associated with
syndactyly (fusion of digits)
197
- Failure of normal muscle development may be widespread leading to immobility of multiple joints - involved muscles are replaced partially or completely by fat and fibrous tissue
Congenital arthrogryposis
198
- Fixed rotation and tilting of the head due to fibrosis and shortening of the sternocleidomastoid muscleon one side - result from tearing of fibers of the sternocleidomastoid muscle during childbirth
Congenital torticollis
199
- Composed of elongated cells in the axis of contraction and organized in long units of structure which are often referred to as Muscle fiber and Intercellular substance
Muscle Tissue
200
- a form of loose connective tissue found between the smooth muscle cells but it is more abundant between cardiac and skeletal muscle - a rich network of capillaries and nerves are found in this connective tissue which also serve to bind together the muscle fibers
Intercellular substance
201
General Characteristics of Muscular Tissue
- unit of structure is elongated in shape which is an adaptation to its function of contraction - sarcoplasm appears fibrillar due its contents of myofibrils - staining is acidophilic or pinkish because it has a distinct affinity to acid stains - cells and fibers are bound together by varying amounts of areolar connective tissue containing blood vessels and nerves
202
Cytoplasm of muscle cells and fibers which are acid staining
Sarcoplasm
203
Cell membrane complex consisting of an external coating of protein polysaccharide over sarcoplasm
Sarcolemma
204
Granules in the sarcoplasm which under the elerctron microscope is actually a mitochondrion
Sarcosome
205
- Fine threadlike structures in the sarcoplasm which are responsible for muscle contraction - may appear either striated or not - is composed of finer myofilaments
Myofibrils
206
- A linear unit which are membrane bound structures containing granules and sarcoplasmic reticulum, within the cytoplasm
Sarcomere
207
- Refers to the smooth endoplasmic reticulum which is responsible for the release or uptake of calcium ions during contraction and relaxation of muscle respectively
Sarcoplasmic reticulum
208
There are three types of muscle tissues based on structure and function. These are:
Skeletal muscle Cardiac muscle Smooth muscle
209
- Striated, voluntary muscle - Composed of cylindrical muscle cells, which are referred to as “fibers” because of their shape in the light microscope - Large numbers of parallel muscle fibers are grouped into fascicles or bundles
Skeletal muscle
210
Organization of Skeletal Muscle
EPIMYSIUM - external sheath of dense connective tissue, surrounds the entire muscle PERIMYSIUM - thin connective tissue layer that immediately surrounds each bundle of muscle fibers (fascicle) ENDOMYSIUM - surrounds the external lamina of individual muscle fibers
211
- Multinucleated - Nuclei are found in the periphery or eccentrically located - In transverse sections, they are resolved as fine dots either uniformly distributed or grouped in polygonal areas called the fields of Cohnheim.
Skeletal Muscle Cell
212
- are interpreted as shrinkage artifacts and have no functional significance
cohnheim’s fields
213
- Functional and structural unit of contraction in skeletal muscle - In longitudinal sections of muscle, it shows the cross striations, due to alternating dark and light bands - is defined as the segment between two successive Z lines and therefore includes the A band and half of the two contiguous I bands.
Sarcomere
214
The dark bands are called the __ because they are doubly refractile or birefringent under polarized light.
A bands or anisotrophic bands
215
The light bands are called the __ because they do not alter polarized light.
I bands or isotrophic bands
216
Each I band is bisected by a dark transverse line called
Z line
217
At the center of the A band is a pale zone termed the __
H band (intermediate disc of Hensen)
218
In the center of this H band is a narrow dark line, known as __
M band (mesophragma)
219
- is specialized for Ca2+ sequestration
sarcoplasmic reticulum
220
- To trigger Ca2+ release from sarcoplasmic reticulum throughout the fiber simultaneously and cause uniform contraction of all myofibrils, the sarcolemma is folded into a __ - long fingerlike invaginations of the cell membrane penetrate deeply into the sarcoplasm and encircle every myofibril near the aligned A- and I-band boundaries of sarcomere
system of transverse or T tubules
221
This specialized complex, consisting of SR-T tubule – SR components, is known as the __
triad of skeletal muscle
222
- occupy the interior of the muscle fiber - In transverse sections, they are uniformly distributed in polygonal areas called CONHEIM’S AREA OR FIELDS OF CONHEIM, believed to be a shrinkage artifact - are grouped into parallel bundles longitudinally arranged along the muscle fiber - These bundles constitutes the KOLLICKER’S COLUMNS which are separated from the adjacent bundles by a narrow area of granular sarcoplasm
Myofibrils
223
The myofibrils, under electron microscope, are found to be composed of smaller units called __
myofilaments
224
- thicker; the principal constituent of the A band.
myosin filaments
225
- thinner; constitutes the the I band, that extends on either sides of the Z lines
actin filament
226
The mechanism of contraction is due to __ with each other.
sliding or overlapping of the myofilaments
227
Each axonal branch forms a dilated termination situated within a trough on the muscle cell surface. This synaptic structure is called __ - are located in narrow zones in a given muscle - always lies in the mid-portion of the fiber it supplies - Larger muscle fibers have larger end plates
Motor End Plate
228
This specialized junctional region at the termination of a motor nerve on skeletal muscle fibers is also termed as __
myo-neural junction
229
- Red muscle - Small fibers - Slowest ATPase activity - Many mitochondria - Abundant myoglobin (red) - Glycogen – minimal - Energy is more from aerobic O2 phosphorylation - Slow twitch, continuous, prolonged contractions - Fatigue resistant / less tension - Postural back muscles - High endurance athletes
Red (slow; Type I)
230
- medium fibers - fast ATPase activity - Many mitochondria - Many myoglobin (pink) - Glycogen abundant - O2 phosphorylation + Anaerobic glycolysis - Fast twitch / rapid contractions/short burst - Fatigue resistant / hi tension - Leg muscles - Middle distance athletes
Intermediate (Type IIa)
231
- White muscle - Large fibers - High ATPase activity - fast glycolytic (high anaerobic enzyme activity) - Less mitochondria - Less myoglobin (light pink) - More Glycogen - Energy is less from glycolysis - rapid contractions/ fatigue – prone - small muscles w/ large NMJ – fine movements (hands ands eyes)
White (fast; Type IIb)
232
Regeneration of Striated Muscle
Skeletal muscles increase in volume during intense activity by enlargement of the existing fibers through an increase in the amount of sarcoplasm but not in the number of fibrils After destruction of muscle fibers, regeneration always starts from existing fibers which is most successful when the nuclei with the surrounding sarcoplasm remain alive. A large defect in the muscle tissue is replaced by a connective tissue scar.
233
Distinguishing Features of Skeletal Muscles
- Consists of elongated muscle fibers that do not branch - Big diameter of the muscle fibers - Nuclei are peripherally located and multinucleated in appearance - Striated myofibrils arranged in characteristic KOLLICKERS COLUMNS - Presence of two types of myofilaments (thick myosin and thin actin) - More abundant areolar tissue containing blood vessels intervening between sections of the muscle fibers - May contain more striations - Absence of the intercalated discs
234
- A unique and distinguishing characteristic of this muscle is the presence of darkly staining transverse lines that cross the chains of cardiac cells at irregular intervals, the intercalated discs.
Cardiac Muscle
235
There are three main junctional specialization within the discs, namely: (Cardiac Muscle)
Fascia adherens Desmosomes Gap junction
236
- Also known as fascia junction - Is the most prominent membrane specialization in the transverse portion of the disc - Serves as anchoring sites for actin filaments of the terminal sarcomeres
Fascia Adherens
237
- Also known as maculae adherens - together these serve to bind cardiac muscle cells firmly together to prevent their pulling apart under constant contractile activity
Desmosomes
238
- On the lateral portion of the discs, which has ionic continuity between adjacent cells
Gap Junction
239
- The pattern of cross striations of cariac muscle is similar to that of skeletal muscle. - Its contractile substance is composed of actin and myosin filaments in the same interdigating relationship as that of the skeletal muscle.
Cardiac Muscle
240
Cardiac Muscle: Sarcoplasmic Reticulum and Transverse Tubule System
- The T tubule system of cardiac muscles are more numerous and larger than that of skeletal muscle. - T tubules are located at the level of the Z lines rather than at the A-I junction. - sarcoplasmic reticulum is composed of a simple plexiform arrangement of tubular elements occupying slender clefts within the mass of myofilaments. - The association is called “DIADS” because T tubules are associated with only one cisternae at any point
241
Distinguishing Features of Cardiac Muscles
- elongated muscle fibers that branch - Mono or bi-nucleated and located centrally - Myofibrils appear striated, composed of thin and thick bands when viewed in electron micrographs - Presence of intercalated discs - Sarcoplasmic reticulum is not as well developed - Absence of terminal cisternae - T tubes appear larger and siuated at the Z line - Presence of bigger and numerous mitochondria containing closely-placed cristae with angulations resulting in a characteristic “zig-zag” appearance
242
- Can be found dispersed in the connective tissue of certain organs - May be grouped to form a small bundle, like the arrector pili muscle in the skin - May be the predominant tissue, like the uterus
Smooth Muscle
243
- is composed of spindle or fusiform shaped cells - Contains one, centrally located, nucleus - Arranged into layers or sheets - Covered by connective tissue sheaths - myofilaments criss cross obliquely through the cell, forming a latticelike network - They do not form a sarcomere - T tubule system is not regularly arranged as that seen in striated muscle
Smooth Muscle Cell
244
True or False Contraction of smooth muscle cells is relatively slow and the cells may remain contracted for long periods without fatigue
True
245
- Smooth muscle cells that lie between the glandular epithelial cells and the basal lamina of the secretory alveoli (acini) of salivary glands, lacrimal glands and mammary glands. - referred to as “basket” cells because of their branching, stellate shape and their position near the base of the alveolus - expel the secretion from the acini to the ducts of the glands by contraction
Myoepithelial Cells
246
Regeneration of Smooth Muscle
Capacity for regeneration is small, and great defects in smooth muscle heal by scar formation. It is practically certain that they can develop from perivascular mesenchymal cells The smooth muscle, especially of the uterus, is capable of undergoing both hypertrophy and hyperplasia in the event of pregnancy. A smooth muscle cell may divide by mitosis to form additional smooth muscle cells but this capacity is limited
247
Distinguishing Features of Smooth Muscles
- spindle or fusiform shaped muscles which do not branch - Myofibrils appear non-striated, myofilaments when viewed under electron microscopy are not divided distinctly into two types - Nucleus is single and situated in the middle bulging portion of the cells - Presence of scanty loose connective tissue between the smooth muscles - Electron micrographs reveal presence of dense bodies - Sarcolemma show pinocytic vesicles - Few, long and slender mitochondria
248
``` Shape: Elongated with blunt ends Arrangement: Bundles or fascicles Number of nucleus: Multi-nucleated Location of nucleus: Peripheral Cross-striations: Present SR-T tubule system: Triadic pattern Contraction: Quick, forceful and voluntary ```
Skeletal Muscle
249
``` Shape: Elongated with branching ends Arrangement: Bundles or fascicles Number of nucleus: Mono- or bi-nucleated Location of nucleus: Central Cross-striations: Present SR-T tubule system: Diadic pattern Contraction: Rhythmic and involuntary ```
Cardiac Muscle
250
``` Shape: Elongated with tapering ends Arrangement: Layers or sheets Number of nucleus: Mono-nucleated Location of nucleus: Central Cross-striations: Absent SR-T tubule system: Absent Contraction: Slow and involuntary ```
Smooth Muscle
251
- X linked recessive disease affecting boys - Associated with total absence of dystrophin, a protein of the membrane cytoskeleton that is necessary for stabilizing the cell membrane of all three types of muscle - Results to progressive muscular weakness which ultimately becomes fatal
Duchene’s Muscular Dystrophy