Histology Flashcards

1
Q

describe the three main components of connective tissue

A

ground substance
- semi solid clear gel
- made up of glycoproteins and glycosaminoglycans like hyaluronic acid
- water binding ability due to proteoglycans and glycosaminoglycans
- gives tissue volume
fibres
- collagen, elastin and reticular fibres.
- collagen is very strong, elastin is stretchy and reticular makes a network.
cells
- blasts and cysts to make up the connective tissue components.
- fibroblasts, osteoblasts, chondrocytes etc
- there are also immune cells in some, but not in cartilage tendons or ligaments

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

describe the criteria used to classify connective tissue

A

there are three classifications: proper, supporting and fluid.

proper
- loose, dense, or elastic
- dense regular and dense irregular
- dense regular is strong in one direction due to fibre arrangment, found in tendons and ligaments
- dense irregular is strong in many directions, like dermis of the skin.
- elastic is dense too, found in arteries.
- loose is areolar, adipose and reticular
- areolar holds together the GIT, anchors organs of the body
- reticular is found in spleen and lymphatics
- adipose is fat, helps with energy storage and shock absorption.

supporting
- bone and cartilage
- cartilage can be hyaline, elastic and fibrocartilage
- hyaline is joints
- elastic is epiglottis and ear
- fibrocartilage is vertebrae and meniscus of the knee

fluid
- blood
- important for transport and immunity

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

describe some connective tissue disorders with oral manifestations

A

scurvy
- lack of vitamin c affects collagen synthesis
- glycine, proline and hydroxyproline form collagen structure, and vitamin C is a co factor for forming this
- collagen supports blood vessels, tendons and skin. they are fragile without it
- causes teeth to become loose, haemorrhages and death

systemic lupus erythematosis
- autoantibodies attack host tissues like skin, bone, tendon and kidneys
- cause dryness, soreness, buccal and palatal lesions in the mouth

sjogrens
- autoantibodies affect glands producing tears and saliva
- dry eyes and mouth, make mouth susceptible to infection and caries

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

describe the relationship between the structure and function of connective tissues

A

all connective tissues have different structural arrangements for their function

tendons
- dense regular, helps tendon transfer the force of muscle contraction to bone
- connect muscle to bone

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

describe features common to all epithelial tissues

A

structurally:
- continous sheets of cells
- tightly bound together
- polarised

functionally:
- cover and line surfaces
- form a barrier

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

classify epithelial tissues

A

structure differs by shape of cell, number of layers, and apical specialisations

squamous are flat, cuboidal are square, and columnar are long, with nuclei at the basement membrane.

apical specialisations include cilia, keratin and microvilli

number of layers are either single, simple, or many, stratified, or single with nuclei at different levels, pseudostratified

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

list the functions of different epithelial classifications

A

simple squamous - passive diffusion, lungs and capillaries

simple cuboidal - small ducts involved in absorption or secretion, renal tubules and salivary glands

simple columnar - absorption - small intestine

cililated simple columnar - ovum from ovary to uterus, female reproductive tract

pseudostratified columnar ciliated - respiratory epithelium

stratified cuboidal - secretory - some glands and ducts

stratified columnar - secretory and protective - male urethra and glands

stratified squamous - protective, skin and oral mucosa

transitional - expansion and stretch, bladder only

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

disorders of epithelium in oral environment

A

ulcerations
- break in the continuity of epithelium
- can be infectious or not

oral squamous carcinoma
- dysplastic epithelium
- invades adjacent tissue

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

describe the organisation of skeletal muscle at the tissue level

A

composed of skeletal muscle cells
- elongated, cylindrical fibres with multiple peripherally located nuclei
- main type in skeletal muscle

individual muscles are organs, composed of muscle tissue, connective and nervous tissues.

each fibre is wrapped by endomysium. each fasicle of fibres is wrapped by perimysium, and each group of fasciles is wrapped by epimysium

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

describe the components of skeletal muscle fibres involved in contraction by sliding filament mechanism

A

myofibrils are arrangement to show a striated appearance
myofibrils are composed of myosin (dark bands) and actin (light bands), and the actin is bisected by z lines

it is the z lines that divide each myofibril into contractile units called sarcomeres

each sarcomere contains an A band, H band , M line, and a bisected I band.

A band - the entire length of the myosin filament

H band - the length of myosin not overlapping actin

M line - bisects the myosin

I band - the length of actin not overlapping the myosin

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

identify the components of the neuromuscular junction and the special adaptations of muscle fibres that support synchronous contraction of sarcomeres

A

skeletal muscle is innervated by somatic motor neurons
a motor unit is the single motor neuron and the muscle fibres it innervates

neuronal action potentials are converted into acetylcholine at the NMJ, which is detected by receptors on muscle fibres to stimulate action potential and contraction. this is excitation contraction coupling

excitation contraction coupling mechanism in detail:
- sarcolemma is the membrane, invaginates into the sarcoplasm (cytoplasm) to form t tubules that are continuous with the extracellular sapce
- sarcoplasmic reticulum is smooth endoplasmic reticulum containing calcium
- sarcolemma and SR support sarcomere contraction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

identify the structural and functional differences between skeletal muscle and cardiac muscle cells

A

cardiac is found only in the heart to create autonomic contraction
elongated, branched cylindrical cells with one or two centrally located nuclei.
skeletal striated muscle has multiple, peripherally located nuclei.
both are striated.

cardiac muscle makes up the myocardium of the heart, the middle layer between the pericardium and the endocardium.
reticular connective tissue supports the cardiac muscle.

both cardiac and skeletal muscle have the same sarcomere arrangement, with t tubules and a sarcoplasmic reticulum. they both have a lot of mitochondria, glycogen and lipids. both contract by sliding filament mechanism.

however, cardiac is autonomic, the SR slowly leaks the calcium ions, and has intercalated discs to allow cardiac muscle cells to function as synctium.

skeletal contracts via motor neurons

cardiac contracts via sino atrial node and slow release of calcium ions. it is modulated by autonomic nervous system and hormones

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

identify the structural and functional differences between skeletal muscle and smooth muscle

A

smooth is elongated, spindle shaped cells
one nuclei, centrally located
no sarcomeres, which means there is no striation

comprises the gastrointestinal tract with inner circular and outer longitudinal

has actin and myosin like the skeletal, but arranged in criss cross lattice. when contracted it becomes shortened and globular.

skeletal is voluntary, smooth is involuntary. smooth is also non striated.

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

describe the main histological components of cartilage

A

ground substance with chondroitin sulphate

fibres like collagen and elastin

cells like chondroblasts and chondrocytes

hyaline cartilage contains collagen and ground substance, found in articulating bones

elastic cartilage is flexible and avascular, has elastic fibres concentrated around lacunae and collagen fibres

fibrocartilage is durable and tough, does not have much ground substance and is composed of dense irregular collagen and chondrocytes. found in vertebrae.

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

describe the histological components of cortical bone

A

compact bone, surrounded by periosteum, which is composed of an outer fibrous layer and an inner osteogenic layer.

layers of bone tissue are referred to as lamellae, and are arranged concentrically.

central canals run through the centre of each osteon to house blood vessels, nerves and lymphatics.

there is circumferrential lamellae that surrounds the entire cortical bone parallel to the periosteum.

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

describe the histological components of trabecular bone

A
  • contains lemellar bone as well
  • lamellae are found within trabeculae, which are the spikes in the bone.
  • the spaces between the trabeculae are where the nerves, blood and lymphatics are found
  • no osteons like seen in cortical bone
  • lined by endosteum
17
Q

describe the process of bone remodelling

A

remodelling can occur due to growth, mechanical stress, hormones and immunity

osteblastogenesis is bone formation, which should go in hand with osteoclastogenesis.

osteoblasts form bone

18
Q

provide examples of disorders of bone and cartilage

A

periodontitis
- inflammatory disease
- chronic immune response to oral bacteria leading to destruction of host tissues
- immune mediated uncoupling of osteoblasto and osteoclastogenesis
- alveolar bone is destroyed
- teeth are lost

osteomalacia
- rickets
- failure of osteoid to mineralise
- due to dietary deficiency like lack of calcium and vitamin D
- bones are weak and fracture

dental abnormalities
- associated with osteomalacia
- enamel hypoplasia
- delayed eruption

19
Q

describe the structure of skin

A

layers are epidermis, dermis and subcutaneous with associated structures like hair nails and glands

skin and mucosa have same structure

epidermis
- stratified squamous epithelium
- no vasculature
- 4-5 layers of it, from the outside in are stratum corneum, lucidum, granulosum, spinosum, basale
- cells include keratinocytes at 95%, langerhans, merkels and melanocytes. langerhans are found in spinosum, merkel and melanocytes are found in the basal layer.
- lucidum is only present in thick skin

dermis
- dense irregular connective tissue
- cells, vasculature, lymphatics, smooth muslce in some areas
- papillary and reticular layer
- papillary is interval with epidermis
- reticular is the dense connective tissue layer

20
Q

describe the functions of skin

A

protection from pathogens

thermoregulation through blood and hair and sweat

water regulation by preventing loss of moisture

sensation through touch temperature and pain

absorption

storage and synthesis of vitamin D, fat, glucose water and salt

21
Q

describe the function of mucous membranes

A
  • specialised lining that produces a lubricating fluid with mucin to trap microbes and particles
  • found in any region exposed to the external environment like mouth and nose
  • protective for mouth, nose and oesophagus
  • secretory for stomach
  • sensation for small intestine
22
Q

describe the structure of mucous membranes

A

epithelium and lamina propria constitute the mucosa
lamina propria is the areolar loose connective tissue that is found beneath mucosal epithelium and its basement membrane

gross types of oral mucosa are lining, masticatory, and gustatory.

masticatory mucosa has a stratum corneum, and rete ridges

23
Q

describe the clinical considerations of skin

A

acne - overproduction of sebaceous glands

psoriasis - excessive turnover of epithelial cells

pemphigus - loss of desmoglein, cells are not well anchored, fluid forms blisters

vitiligo - loss of skin pigment due to destroyed melanocytes

basal cell carcinoma and squamous cell carcinoma where keratinocytes grow out of control

malignant melanomas - uv, moles, fair skin, sunburn

24
Q

describe the clinical considerations of mucous membranes

A

cystic fibrosis - inherited autosomal recessive disease

chloride channel protein is abnormal, causes viscous secretions

can affect many areas of the body, including salivary glands

25
Q

define histology and explain what tissues consist of

A

histology is the microscopic study of normal cells and tissues
disease is associated with disruption of normal structure and function

main types are:

  • epithelium - barrier and lining tissue, forms outer layer of skin
  • connective tissue - structural and functional support, cartilage, bone and blood
  • muscle tissue is specialised for contraction
  • nervous tissue which carries information through the body via electrical impulse.
26
Q

describe the key differences between light and electron microscopy

A

they differ in optical resolution and magnification

LM - basic cellular structure, resolution of 0.2 micrometers, commonly used for routine histopathology

EM - reveals ultrastructure, resolution is 1 nanometer, 200 times greater resolution than LM.

26
Q

describe the stages required to collect and prepare tissues for histological examination

A
  • specimen collection

incision or punch biopsy, for skin and oral surfaces
needle biopsy for organs or lumps, use of x ray to guide biopsy
endoscopic biopsy through flexible tube and light

  • fixation

preserves the structure by terminating biochemical reactions. use of formaldehyde and glutaraldehyde.

  • dehydration

water removed using graded alcohol series, done gradually to prevent distortion.

  • embedding

resin and paraffin to support the thin sections before being cut.

alcohol must be replaced by xylene in order to use paraffin as it is not compatible with alcohol.

  • sectioning

done with a microtome, sections are 7 nanometres thick and mounted on glass slides

  • staining

makes cells and components visible. many different stains can be used. most are aequeous, there has to be reversal of dehydration steps to remove the paraffin wax and replace with water.
- viewing

26
Q

describe commonly used staining procedures

A

haemotoxylin and eosin
- H stains nucleic acids blue/purple as it is basic and stains acidic structures
- E is acidic and stains basic structures like cytoplasm red or pink

periodic acid schiff
- stains complex carbs magenta
- mucins produced by goblet cells are PAS positive and stain magenta.
- usually combined with H&E

masson trichrome
- stains connective tissues
- collagen stains green/blue
- nuclei stains purple
- cytoplasm stains red
- muscle and blood cells stain red

immunohistochemistry
- antibodies required, they are conjugated to enzymatic or fluorescent indicators

alcian blue
- stains mucin and cartilage blue

van gieson
- stains collagen red
- stains nuclei, erythrocytes and cytoplasm yellow

reticulin
- stains reticulin fibres black
- combined with H&E

27
Q

describe the process of sliding filament mechanism

A
  • action potential travels along the sarcolemma and reaches the t tubule
  • DHP receptors are stimulated
  • these receptors are connected to the ryanodine receptor on the sarcoplasmic reticulum
  • when DHP is stimulated and changes shape, it causes the ryanodine receptor to open
  • this allows calcium to flow into the sarcoplasm from the sarcoplasmic reticulum
  • these float to the thin filament and bind to the c subunit of troponin
  • this subunit changes shape
  • this moves the tropomyosin out of the way, allowing the myosin head to bind to g actin proteins on f actin
  • before myosin can bind to actin, it must power up
  • the myosin head is an ATPase and releases energy to cock the head backward
  • it then binds to an active site
  • there is cross bridge formation, which is the trigger to release stored energy in the myosin head
  • when this happens the myosin head launches toward the m line
  • actin is pulled along with it
  • this is the power stroke
  • once the action potential ends, the calcium ions are pumped back into the reticulum, and the subunit is no longer bound to calcium, so the tropomyosin covers the actin once more
28
Q

describe the different classifications of exocrine glands

A

unicellular
- goblet cells

multicellular
- secretory sheets - simplest multicellular gland
- pockets of gland cells set back from the epithelial surface
- simple tubular are found in the glands of the stomach and colon
- simple branched tubular are found in the lower portion of the stomach
- simple coiled tubular are found in the lower portion of the stomach and small intestine
- simple acinar are sebaceous glands of the skin
- simple branched acinar are sebaceous glands of the skin
- branched tubular are mucous glands of the duodenum
- complex branched acinar are mammary glands
- complex branched tubuloacinar are found inthe pancreas

branched exocrine galnds are surrounded by fibrous tissue capsules and the septa from the capsule will divide the parenchyma into interlobar septa

merocrine glands produce secretions in vesicles

apocrine glands produce secetory products in pinched off portions of the cell

holocrine glands produce secretory products when dying

29
Q

describe the microscopic structure of branched glands

A

ducts extend along septa

interlobar ducts are lined by columnar stratified epithelium

interlobular ducts are lined by pseudostratified columnar epithelium

striated ducts and intercalated ducts have little connective tissue supporting them

striated ducts are lined by simple cuboidal which goes into columbar epithelium.

intercalated ducts are lined by simple cuboidal

myoepithelial cells lie between the secretory cells and basal lamina, they contract and squeeze the secretions from the acini along the duct