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Histology
study of tissues
Importance: many organic dysfunctions are diagnosed at the tissue level
specialized cells
cells uniquely suited to perform a particular function
Tissue
a group of structurally and functionally related cells and their external environment performing together common functions
pathology
study of abnormal tissues
Interpreting Tissue Sections - Tissue Preparation
fixation, section, stain, observation
Cross-section of a tissue

Longitudinal section of a tissue

Types of tissues
Epithelial
Connective
Nervous
Muscular
Epithelial tissue
Protects organs by covering/lining
Always sitting on a connective tissue. Basement membrane between the two

Connective tissue
A body tissue that provides support for the body and connects all of its parts

Muscular Tissue and Types
Contracts and moves the various parts of the body.
Three types: skeletal, cardiac, smooth

Nervous tissue
sends electrical signals through the body
Control mechanism: to control human function along with endocrine system

Tissue Makeup
Cells and Matrix
Tissue Matrix
Matrix = Extracellular material around cells that give strength and tensile and compressive forces, directs and holds cells in place, regulation of development, mitotic activity and survival
- Matrix is ground substance and protein fibers
Matrix - Ground substance
diverse consistency
contains interstitial or extracellular fluid
water
ions
nutrients
macromolecules
- glycoproteins (CAMs - cellular adhesion molecules)
- glycosaminoglycans GAGs ("trap" water in the ECM")
- proteoglycans (make ECM firmer, resistance to compression, intercellular cement)
Matrix - fibrous proteins
collagen, elastic, reticular
Nervous Tissue
composed of two types of cells:
- Neurons (functional unit of cell)
- Neuroglia - around cell
Function: transmission of information and assimilation
Transmit electrical signals
Structure is highly specialized to send and receive electrical signals
Body of cell, then extensions
Located in brain, spinal cord, nerves, and ganglia

Muscle Cells
Three types, all responsible for contraction.
Skeletal:
- Striations
- Voluntary
Cardiac
- Striations
- Branched
- Intercalcated discs
- Involuntary
Smooth
- Non-striated
- Fusiform
- Involuntary
Function: contraction, facilitate movement. Movement of difference orifices
Skeletal Muscle Tissue
Striations, voluntary
Long, cylindrical
Facilitates movement of skeleton
Long, so multinucleated
You decide how and when to contract the cell

Cardiac muscle tissue
Striations, branched, intercalated discs, involuntary
Smooth muscle tissues
non-striated, fusiform, involuntary
Eyeball, skin, wall of blood vessels

Epithelial Tissue/Epithelium
Cover/lining epithelium
Glandular epithelium
Highly cellular, little matrix
Cells are packed together by tight junctions and desmosomes
Functions:
- Protection
- secretion
- immune defense
- transport into other tissues: transcellular and paracellular, aka small intestine absorption
- sensation
Form surfaces - fast regeneration (such as in stomach)
Components:
Basement membrane connects epithelial tissue to connective tissue
Apical surface face lumen
basal lamina (glycoproteins, proteoglycans, micro filaments) and reticular lamina
Basal, lateral, and apical surface
Avascular
Highly innervated
High regeneration capacity

Classification of Epithelial Tissue
Shape:
- Squamous
- Cuboidal
- Columnar
- Transitional
Number of layers:
- simple
- stratified - more than one layer of tissue
- pseudostratified - actually simple, composed of one layer but the cells have different heights. nuclei are at different heights
Types of Simple Epithelium
one layer - shape is just different
simple squamous, simple cuboidal, simple columnar, pseudostratified columnar
types of stratified epithelium
more than one layer of cells - shape is just different
stratified squamous, stratified cuboidal, stratified columnar, transitional
Need to know what it is, where it is found in the body, and function
Simple Squamous Epithelium
Single layer of flat and irregular cells
Barely any matrix between cells
Locations: alveoli, lining heart and blood vessels, surface layer o pleura, pericardium, peritoneum, and organs, glomerular capsule
Functions: covering organs, diffusion (quick passage of CO2 or O2), smooth lining of vessels etc., secretion of serous fluid, reduction of friction
Myocardium - simple squamous separate blood and myocardium

Simple squamous cross-section

Simple Cuboidal Epithelium
Small cubes or wedge shaped cells in a single layer
Round and central nucleus
Apical surface in towards lumen
Basement membrane - sticky layer that attaches the basal surface and the underlying connective tissue
Locations: glands and glandular organs, renal tubules (reabsorption and secretion), liver, gland ducts, ovaries, thyroid follicles, vagina of a child
Function: secretion of fluids, reabsorption

simple cuboidal cross-section

simple columnar epithelium
tall cells in one layer
Oval nuclei in basal part of cell
Apical surface towards lumen:
- ciliated
- "non-ciliated/smooth": if it has microvilli or not (brush border)
mucus-secreting goblet cells
location: stomach, intestines, uterine tubes, larger bronchioles, gallbladder
function:
protection
absorption
secretion
all cells have basal side on basement membrane, on underlaying connective tissue
no gaps - such as in stomach, no gaps keep HCl acid from moving through

Simple columnar epithelium cross-section

goblet cells
a column-shaped cell found in the respiratory and intestinal tracts, which secretes the main component of mucus.
in with simple columnar epithelium

pseudostratified columnar epithelium
Looks stratified, but all cells arise from basement membrane, nuclei at different heights, often ciliated
one layer. taller than wide, nuclei at different levels - all cells are attached to basal membrane
mucus-secreting goblet cells
location: lines respiratory airways, part of male urethra, epididymus
cilia towards lumen - pseudostratified columnar ciliated epithelium (PCCE)
function: secretion of mucus, trapping of dust particles, protection to lungs

stratified epithelium
many layers, cells cuboidal at base (basal) but flattened toward the apical surface by the lumen
when classifying stratified squamous, first note there are multiple layers, but then by the shape that are closer to the apical surface
Types:
- karatinized
- nonkarantinized
location: epidermis, oral cavity, part of pharynx, adult vagina, anus, esophagus
function:
- resists abrasion and friction
- prevents pathogens from entering the tissue of the organ
- retards water loss in skin
in places that have a lot of friction and trauma

keratinized stratified squamous epithelium
skin (epidermis)
top part is dead squamous cells, then the keratinized stratified epithelium on lop of connective tissue

stratified cuboidal epithelium
location: lining of ducts of sweat glands and mammary glands
function: protection, secretion
2+ layers and lumen

transitional epithelium
many layers with tear-dropped shaped cells become flattened when stretched, cells in basal layers are cuboidal
binucleated
location: urinary bladder, umbilical cord, ureter, proximal urethra, renal pelvis
function: remarkable stretching capabilities

cross section of cells

longitudinal section of cells

Need to know name, location, and function of cells
Glandular epithelium (epithelium lines or is found as glandular)
cluster of cuboidal cells
function: secretion
types: endocrine (endocrine glands), exocrine (secretory portion and duct - transporting of secretion and releasing in a surface)(muscus, tears, etc.)

Connective tissue
More matrix, less cells widely spaced
consists of cells, protein fibers (collagen fiber, elastic fibers, reticular fibers), and ground substance (liquid (blood) to a solid (bone))
diverse
all types arise from same embryonic tissue (mesenchyme)
Function: biding of organs, support and structural framework, physical protection, movement, storage, heat production, transport
Connective tissue
Proper/fibrous
- dense - dense regular, dense irregular, elastic connective tissue
- loose - areolar connective tissue, adipose tissue, reticular connective tissue
Supportive CT
- bone tissue
- cartilidge
- bone marrow
Fluid CT
- blood
- lymph
Cells of fibrous/proper CT
Resident
- fibroblasts - stallate cells, fiber producers, hyaluronan: chemical compound responsible for viscocity to ground substance
- fibrocytes: mature fibroblasts that maintan the fibers and ground substance
- adipocytes - for storage of fat
- fixed macrophages - phagocytize foreign materials - protection
- masenchymal stem cells: divide in response to injury or infection to form other cells
Wandering Cells
- Mast cells: local inflammation - heparin and histamine
- Free macrophages - derived from monocytes
- leukocytes: lymphocytes, neutrophils, and eosinophils

Cells of Fibrous CT

Protein fibers
collagen, reticular, elastic
Protein fibers - collagen
strength, keeping cell tissue together, resistance to tissue to tensile or compressive forces, thick pink masses
form matrix
collagen protein

Protein fibers - Elastic
flexibility, ability to stretch out (distensibility) and recoil (elasticity)
smaller fibers - fine lines - squiggly
elastin protein

Protein fibers - reticular
dark lines
composed of collagen protein

Proper fibrous connective tissue: Dense Regular Connective tissue
Matrix composed of highly organized thick collagen fibers in one direction
mainly fibroblasts - make the collagen bundles and ground substance. Then have fibrocytes that maintain
tendons (skeletal muscles to bone), ligaments (bone to bone), and aponeurosis
few blood vessels
function: support in the longitudinal direction

Proper Fibrous connective tissue: Dense Irregular Connective Tissue
Random arrangement of collagen fibers
Location: most of dermis, fibrous capsules of organs and joints, perichondrium and periosteum
function: resist stress, strong support in all directions
three planes of section
ground substance

Nuclei of Fibrocyte
long and squished

Nuclei of Fibrocyte
rounder

Proper Dense Connective Tissue: Elastic Connective Tissue
Fibroblasts and fibrocytes
Fibers made of collagen and elastic fibers - made up of elastin or titin protein
Location: lining of large blood vessels, vocal cords, suspensory ligament of penis, some ligaments of spinal column
Appearance: dark, squiggly lines
Allow for stretch and stretch back

Loose connective tissue
more ground substance
Less protein fibers, loosely arranged
Occupies space between and around organs
Areolar, adipose, and reticular
Loose connective tissue: Areolar
Matrix: collagen, elastin fibers, and reticular fibers
Cells: fibroblasts, fibrocytes, mast cells (histamine and heparin) and macrophages
Location: around nerves and BV, dermis , hypodermis , as sheets of tissue between muscles, forms adventitia, synovial membrane
Function: attaches epithelial tissues, diffusion, binds organs, immune function
Characterized by mast cells: induction of inflammatory response - contain granules that have local chemical compounds called histamine and heparin and stimulates redness of tissue
Heparin - prevents coagulation of blood
Histamine:

Loose Connective Tissue: Reticular Connective Tissue
Meshwork of reticular fibers, fibroblasts, fibrocytes, and leukocytes
Location: around liver, spleen, lymph nodes, thymus, bone marrow
Function: internal framework (stroma) for soft organs
LOOKS LIKE RED BLOSSOM TREES

Loose connective tissue: adipose tissue
Asipocytes store fat, nuclei, and cytoplasms in outer part. Large, pale, open cells
Brown fat vs white fat - brown fat has multiple lipid inclusions (abundance of mitochondira, extensive blood supply) found in infants and young children (around neck and back) as you become an adult, the brown fat becomes replaced with white fat, less insulation
Obesity is a disproportionate amount of adipose tissue in comparison to lean fat.. Hypotrophic obesity
Location: hypodermis, breast tissue, outside heart, kidney, eyeballs, and joints
Function: stores energy, protection, insulation

Supportive CT
Bone marrow, cartilage (hyaline, fibrocartilage, elastic), bone/osseous tissue
Supportive CT: cartilage
matrix composed of chondroitin sulfate, semisolid gel enclosing fibers and chondrocytes (mature chondroblasts, once enclosed become mature, then maintain the matrix), produced by chrondroblasts (make the matrix)
Lacuna - cavity where condrocytes are found - indentation in ground substance
Perichondrium - band of dense irregular tissue that surround two types of cartiledge - elastic and hyaline
Avascular - exception of vascular rule - has no blood vessels - gets nutrients from being in close proximity to other vascular tissue
Hyaline
Fibrocartiledge
Elastic cartiledge
Supportive CT: Cartilage: Hyaline Cartilage
Looks like pomegranate seeds
Most common, the weakest
Location: apex of nose, larynx, trachea, articular and costal cartilage
Chondrocytes appear in pairs like "eyes"
Collagenous fibers
Perichondrium
Function: reduces friction at joints, keeps airways open, model for bone growth

Supportive CT: Cartilage: Fibrocartilage/Fibrous Cartilage
Numerous collagen fibers
No perichondrium
Location: symphysis pubis, intervertebral discs, menisci of knees
Function: Protection at weight-bearing or stressed joints, shock absorption, resistance to compression
Lucuna: inside is a chondrocyte nucleus

Supportive CT: Cartilage: Elastic Cartilage
Netlike pattern of elastic fibers around chondrocytes
Perichondrium
Location: external ear, epiglottis, auditory canal
Function: flexible framework
Matrix mostly composed of elastic protein fibers (matrix, spider web looking) - there are lacunas, and inside there chondrocytes

Body Membranes
Mucous/Mucosa
Serous/Serosa
Cutaneous - skin
Synovial - found inside joints - synovial joints
Body Membranes: Mucosa
Lines digestive, urinary, respiratory, and reproductive tracts
Composed of epithlium and lamina properia - areolar CT

Body Membranes: Serosa/Serous
Composed of simple squamous epithelium (mesothelium) and areolar CT
Produces serous fluid (transudate) derived from blood plasma
Two layers: parietal and visceral
Pericardium, peritoneum, pleura

Clinical Applications: Tissues and aging
repair and maintenance grow less efficient
Alterations of structural and chemical composition
Clinical Applications: tumor/neoplasms
benign
malignant/cancer: carcinomas, sarcomas, myelomas, leukemias, lymphomas, gliomas, myosarcomas
Tissue repair
Regeneration: replacement of dead cells
epithelial tissue - replaced with themselves connective tissue - replaced with themselves smooth muscle - replaced with smooth muscle
Fibrosis - when cells are damaged or injured, cannot be replaced with new cells - instead gap of tissue gets filled with scar tissue produced by fibroblasts going through mitosis and filling with collagen
cardiac muscle, skeletal muscle, nervous tissue