HIS Histo 2007

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    HISTOLOGY DEPARTMENTMEDICAL FACULTY

    UNIVERSITAS PADJADJARAN

    LAB MANUALHematoimmunology System(Lymphoid System, CapillaryAnd Upper Respiratory Tract)

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    I. LYMPHOID SYSTEM

    I. LYMPHOID SYSTEM

    The lymphoid (lymphatic) system consists

    of organs whose tissues and cells impart

    acquired immunity to organism.

    -Immunity is the term use to describe this

    protective response.

    -Lymphoid organs : Thymus, spleen, lymph

    nodes and tonsils

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    C omponents lymphoid tissue :

    1. Reticular connective tissue stroma2. Mesenchymal reticular cells

    3. Epithelial reticular cells

    4. Lymphocytes : T and B lymphocytes,Plasma cells

    5. Macrophages

    6. Antigen presenting cells

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    Distribution of lymphoid tissue in thebody

    Distribution of lymphoid tissue in thebody

    Tonsils

    Lymph nodes

    LymphaticvesselsThymus

    Spleen

    Payerspatches of the ileum

    Lymph nodes

    Bone marrow

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    Bone marrow

    Stem cellproduces cells

    that .

    Bone marrowThymus

    Remain in theMigrate to the

    Interleukins

    T lymphocytes

    Migrating to non-thymic lymphoidtissue. producing

    B lymphocytes

    Immunoblasts

    Killer

    Generating

    Helper Suppressor Tlymphocytes

    Generating

    T and B memorycells Plasma cells

    Immunoblasts

    Blood,lymph

    When activatedby antigens,

    produce

    Producing

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    The thymus is a central lymphoid organsituated in the mediastinum at about the levelof great vessels of the heart.

    Structure :Lobe

    Lobules (2) :

    1. Cortex : small lymphocyte, epithelial reticular celland blood-thymus barrier.

    2. Medulla : - Hassalls corpuscles

    - Extend into the core of each of the

    lobules

    THYMUSTHYMUS

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    4 . Medulla

    5. Lobule

    1. C apsule

    3. C ortex

    2. Interlobular trabeculae

    6. Secondary (incomplete)trabeculae7. Medulla continuous

    8. Lobule sectioned tangentially

    9. Thymic corpuscle (Hassalscorpuscles)

    10. C ortex

    11. Interlobular trabeculae

    12. Blood vessels in trabeculae

    1. Venula

    2. C apillary

    3. Trabecula

    4 . C ortex (thymic

    lymphocytes)

    8. Degenerating center of thymiccorpuscle)

    6. Aggregations of reticularcells

    7. Thymic corpuscle (Hassalscorpuscle)

    5. Medulla (thymic lymphocytesand stroma)

    9. Reticular cells in10. Isolated reticular cells

    THYMUSTHYMUS

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    Desmosome

    Desmosome

    Desmosome

    Epithelialreticular cell

    Lymphocytes

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    Histogenesis and involution :

    Third pharyngeal pouches (endodermal)

    F unctions :

    1. T-lymphocyte production

    2. Hormone production : thymopoietin, thymosin

    3. Blood-thymus barrier

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    Lymph nodes are encapsulated sphericalor kidney-shaped organ composed of lymphoid tissue.

    S cattered in group along lymphatic vessels inthe neck, axilla, groin, thorax and abdomen,they act as in-line filter of the lymph,removing antigen and cellular debris andadding Ig.

    LYMPH NODESLYMPH NODES

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    Structure (5) :

    1. C ortex :

    The dark-staining owing to presence of tightly packedlymphocytes.

    S econdary lymphoid nodules (containing primarily Blymphocytes) with germinal centers.

    2. Medulla :Lighter staining than cortex.

    Composed of cords of lymphoid tissue (medullary cord)

    separated by medullary sinuses.

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    3. Paracortical zone :

    This is the T-dependent region, lying between the

    cortical lymphoid nodules and the medulla.Characteristized by the presence of many high-endothelial post capillary venules.

    4 . Lymphatic Vessels :- Afferent lymphatic vessels

    - Efferent lymphatic vessels

    Afferent vessels subcapsular sinus peritrabecular

    S inuses medullary sinuses efferent vessels

    exiting through the hilum

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    F unction :- Filtration of lymph

    - Lymphocyte production (lymphopoiesis)- Immunoglobulin production

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    1. Pericapsular fat andconnective tissue

    2. C apsule

    3. Lymphatic tissue

    4 . C apsule andafferent lymphatics

    5.C

    ortex

    6. Medulla

    7. Trabeculae

    8. Blood vesselsin trabeculae

    9. Marginal(subcapsular)

    sinus

    10. Arterioles

    11. Efferentlymphatic vessels

    12. Hilus

    13. Medullarysinuses

    14 . Medullary cords

    15. C ortical nodules

    (Lymphatic nodules)16. Marginal(subcapsular) sinus

    17. Germinal centers

    18. Veins

    LYMPH NODE (PANORAMIC VIEW)LYMPH NODE (PANORAMIC VIEW)

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    The largest of the lymphoid organ, the spleen

    lies in the upper left quadrant of the

    abdominal cavity. It serves as theimmunologic filter of the blood.

    SPLEENSPLEEN

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    Structure (2) :1. Splenic pulp :

    a. White pulp- Periarterial lymphatic sheaths (PAL S ) :

    T dependent region- Peripheral white pulp (PWP) :

    B lymphocytes and secondary lymphoid noduleb. Red pulp :- Red pulp cords (Billroths)- S plenic sinusoid- Endothelial cells (elongated on the sinusoids

    long axis)c. The marginal zone :

    - Border between the white and red pulp- Marginal sinuses

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    2. Splenic circulation :a. Arterial supply :

    Abdominal aorta S plenic arteryTrabecular artery Central arteriesPenicilliar arteriole Capillaries and sheeted

    arterioles sinuses of

    red pulpb. Open and closed theories of splenic circulation

    c. Venous drainage

    S inusoid red pulp veins Trabecular vein

    S plenic vein inferior mesenteric vein

    Hepatic portal vein liver

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    F unctions :

    1. Production of blood cells

    2. Destruction of erythrocytes

    3. Defense of the organism : filter for the blood4. S torage of blood

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    7. Germinal center

    8. Tangentialsection of asplenic nodule

    9. C entral arteries(t.s) in splenicnodules

    10. Venoussinuses in thered pulp

    11. Trabecular veins

    12. Trabeculae (t.s)13. Sheathed artery

    14 . Pulp arteries(arterioles)

    1. Peritoneumand capsule

    2. Splenic nodules(white pulp)

    3. Trabeculae

    4 . Trabecular artery

    5. Splenic cords inthe red pulp

    6. C entral artery(l.s)

    SPLEENSPLEEN

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    Peripheral whitepulp (B cells)

    Trabecular artery

    Marginal zonesinuses

    Periarterial lymphaticsheath (T cells)

    C losecirculation

    Trabecula

    Peniciliar arteriole

    Trabecular veins

    Pulp vein

    Opencirculation

    Sheath

    Marginal zone

    sinuses

    S

    S

    S

    S

    C entral artery

    Sinusoid

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    Sinusoid (closedcirculation)

    Splenic cord

    Sinusoid (open

    circulation)

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    This incompletely encapsulated lymphoidaggregates contain many lymphoid

    nodules, they underlie the mucousmembranes (epithelial lining) of mouth andpharynx.

    TONSILSTONSILS

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    1. Stratified squamousepithelium

    2. Lymphatic nodules

    3. Tonsillar crypts

    4 . Epithelium of crypt(tg.s)

    5. Internodular septum (trabecula)

    6. Skeletal musclefibers

    7. Germinal center

    8. Merging nodules

    9. Internodular septum (trabecula)

    10. F undi of crypts

    11. Blood vessel inthe capsule

    12. Skeletal musclefibers

    PALATINE TONSILPALATINE TONSIL

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    Skeletalmuscle

    C rypt

    Epithelium

    Salivary gland

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    Location

    Number per individual

    Number of crypts per tonsil

    Epithelial covering

    Capsule

    P alatine TonsilsLateral walls of theoral pharynx, belowthe level of the soft

    palate

    2

    10 20

    Nonkeratinizedstratified squamous

    Thick partial capsuleof dense connectivetissue

    P haryngeal TonsilBack of thenasopharynx in themidline, above the levelof the soft palate

    1

    Surface pleated, but nocrypts

    Ciliated pseudostratifiedcolumnar epithelium

    Thin partial connectivetissue capsule

    Lingual TonsilsAt the back of thetongue (floor of the

    pharynx)

    Small and numerous

    One crypt per tonsil

    Lightly keratinizedstratified squamousepithelium

    No definitivecapsule

    Table : Comparison of the TonsilTable : Comparison of the Tonsil

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    K ey Features

    Cortex and Medulla

    Lymphoid nodules

    Cords and sinuses

    Unique structure

    Thymus

    Yes

    No

    No

    Hassallscorpuscles

    Lymph Nodes

    Yes

    Yes

    Yes

    Corticalnodules,

    subcapsular sinus

    Spleen

    No

    Yes

    Yes

    Centralarteries

    Tonsils

    No

    Yes

    No

    Epithelialcovering

    Table : Distinguishing structural features of the

    lymphoid organs

    Table : Distinguishing structural features of the

    lymphoid organs

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    Lymph node

    Spleen

    Outer cortex(mainly B cells)

    Inner cortex(mainly T cells)Medullary cord(mainly B cells)

    White pulp

    Peripheral white pulp(mainly B cells)

    Trabecula

    Red pulp

    Peripheral lymphaticsheath (mainly B cells)

    Artery

    Distribution of B and T cells in lymph nodes andspleen S, sinusoid

    Distribution of B and T cells in lymph nodes andspleen S, sinusoid

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    II. BLOOD VESSELS

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    BLOOD VESSELSBLOOD VESSELS

    Classified according to type and size

    A. BLOOD C APILLARIES

    J 7 9 Qm

    S ingle layer endothelial cells with bulging nuclei

    Basal lamina

    Pericytes / mesenchymall cell

    At the junction of a capillary, there is a ring of smooth muscle (precapillary sphincter)

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    TYPES O F C APILLARIES

    a. Continuous capillaries

    S mooth nonporous

    Junctional complexes

    Muscles, the brain and peripheral nerves

    b. Fenestrated capillaries

    Fenestrae : +

    Two types : - unobstructed pores

    - Pores + thin diaphragma

    Kidneys, intestines, endocrine glands

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    c. S inusoidal capillaries (discontinuous)

    Wide lumens

    Follow a tortuous path

    Gaps between endothelial cells

    Fenestration ++

    Phagocytic cells

    Discontinuous basal lamina

    Liver, spleen, bone marrow

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    2a

    1

    b

    3 Fenestrated

    Continuous

    Discontinuous

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    III. RESPIRATORY SYSTEM

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    There is 3 major part :1. Ventilating mechanism :

    Includes :DiaphragmRib cageIntercostal muscle

    Abdominal musclesElastic connective tissue in the lungs

    A . Components and Basic Functions

    of Respiratory System

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    2 . Conducting portion :

    It includes :

    Nasal cavity

    Nasopharynx

    Larynx

    Trachea

    BronchiBronchioles

    Terminal bronchioles

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    3. Respiratory portionIt includes :

    Respiratory bronchioles

    Alveolar ducts

    Atria

    Alveolar sac

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    The main divisions ofthe respiratory tract.The natural proportions

    of these structureshave been altered forclarity; the respiratorybronchiole, for example

    is in reality a shorttransitional structure

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    a. General features :Ciliated pseudo stratified columnar

    Goblet cellsb. Epithelial cell types :

    Ciliated columnar cells

    Mucous goblet Brush cellsBasal cellsSmall granule cells

    B.Wall Structure

    1. Respiratory epithelium

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    Trachea

    In the bronchi : smooth muscle cells encircle the walls

    The muscle layer gradually decrease until it disappears

    at the level of the alveolar ducts

    2 . Lamina propria

    3. Smooth muscle

    Loose connective tissueMucous glands ( upper tract )

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    D istinguishing features of respiratory tract components

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    The nasal cavity consists of 2 structures :

    1. The external vestibule

    2. The internal nasal fossae

    N asal Cavity

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    The paranasal sinuses are blindcavities in :

    Frontal

    Maxillary

    Ethmoid

    Sphenoid bones

    Paranasal Sinuses

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    The upper part of the pharynx

    N asopharynx

    LarynxEpiglottis

    Laryngeal Cartilages

    Vocal apparatus

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    Respiratory epithelium

    Lamina propria : mixed seromucous glands

    Presence of 16 - 20 C-shape cartilage rings

    Smooth muscle bundles : trachealis muscle

    T rachea

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    T RACHEA

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    T RACHEA(SECTION AL VI EW)

    1. Perichondrium

    2. Cartilage :matrix

    3. Flattenedchondrocytes

    4. Cartilage :territorialmatrix

    5. Epithelium :pseudostratifiedciliated columnar

    6. Basementmembrane

    7. Elastic fibers(elasticmembrane)

    8. Duct of a trachealgland (t.s)

    9. Mucous alveoluswith a serousdemilune

    10. Goblet cell

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