Salivary Biology Flashcards

1
Q

Unit structure of salivary gland

A
  1. Secretory ducts
  2. Striated ducts
  3. Intercalated ducts
  4. Acini
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2
Q

Where is the first saliva (primary) initially produced ?

A

Acini

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3
Q

Intercalated duct

A

Take the saliva from the acini and feed it into the striated duct. Don’t do much to the saliva.

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4
Q

Striated duct

A

Folded basal membrane - hence name.
Folding of the cell increases the surface area (for exchange). Play a significant role in modification of the saliva.

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5
Q

Secretory duct

A

Much larger. Moving towards the mouth, the wall of the ducts becomes stratified (multiple layers of cells).

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6
Q

Structure of acini

A
  1. Pyramidal cells with a central lumen.
  2. Polarised cells - peripheral nucleus.
  3. Different acini produce different saliva types
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7
Q

What is this type of cell?

A

Serous acinar cell (prominent nucleus, basophilic RER, granular, DARK staining)

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8
Q

What kind of Salivary cell is this?

A

Mucous acinar cell (pale cytoplasm, not easily stained, flattened nucleus, many large mucin granules)

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9
Q

What kind of salivary cell is this?

A

Mucous acinus & serous demilune ( artefactual? Mucous acini capped by serous cells)

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10
Q

Myoepithelial cells

A

On acini and intercalated ducts:
- Contractile elements
- “squeeze” secrection

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11
Q

structure of intercalated ducts

A

Low cuboidal cells, large central nucleus, difficult to see in routine wax section

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12
Q

Structure of striated ducts

A
  1. Not present in sublingual glands
  2. Active modification of primary salivary
  3. Central nucleus due to massive basal membrane folding.
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13
Q

Structure of secretory (collecting) ducts

A
  1. Large lumen
  2. Pseudostratified
  3. Stratified near termination - merges with stratified squamous oral epithelium.
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14
Q

Consituents of saliva

A

Water, electrolytes, organic components

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15
Q

Primary acinar secretion

A
  1. Cell at rest; sodium outside is high, potassium inside is high.
  2. Activated by nerve; increases permeability of cell to potassium.
  3. Lots of potassium now outside the cell; this activates the movement of sodium, potassium and chloride into the cell.
  4. This increases basal exchange of sodium to move outside the cell, and potassium into the cell.
  5. Potassium and chloride then flows out.
  6. Shift in charge (sodium is attracted - by chloride - between the cells to move into saliva).
  7. Water is then drawn into the saliva through osmotic gradient.
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16
Q

What is the primary acinar secrection like?

A

Ionic concentrations similar to that of plasma.
Concentrations unaffected by flow rate.
Will undergo modification in the ductal system.

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17
Q

Ductal modification

A
  1. Conversion from isotonic to a hypotonic solution
  2. Resorption of Na+ and Cl-
  3. Secretion of HCO3- and K+
  4. Dependent upon flow rate.
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18
Q

Striated ducts at rest

A

Impermeable to water (active transport happening)

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19
Q

Striated ducts cell activated

A

Increase in potassium inside the cell and decrease of Na+

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20
Q

Striated ducts activates: compensatory movements to and from the lumen

A

As the saliva flows through the striated ducts, there is an increase in potassium concentration and a decrease in sodium and chloride concentration.

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21
Q

Striated duct cell activated: exchanger

A

Active pump is activated, Bicarbonate and chloride.

Adds bicarbonate to secretion and removes chlorides.

Bicarbonate buffers pH changes.

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22
Q

Striated duct; flow rate low

A

Much time for resorption of Na+ (very low Na+ in saliva)

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23
Q

Striated duct; high flow rate

A

Less time for resorption of Na+, less reduction (Na+) in saliva

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24
Q

Striated duct; high gland activity

A

Increased HCO3- bicarbonate in saliva

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25
Q

Organic components

A

Secreted by the acinar cells

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26
Q

Control of saliva

A

Autonomic nervous system (parasympathetic/ sympathetic

27
Q

Sympathetic saliva

A

Fight or flight, dilation, heart rate up etc

Saliva is = viscous low volume secrection (“dry mouth”)

28
Q

Parasympathetic salvia

A

Rest and digest, heart decreases, elimination of faeces.

29
Q

Glossopharyngeal nerve

A

Parasympathetic fibres from the inferior salivary nucleus to the:

  1. Otic ganglion (parotid gland)
  2. Remak’s ganglion (lingual gland)
30
Q

Facial nerve

A

Fibres from the facial nucleus to the:

  1. Submandibular ganglion (sublingual and submandibular gland)
  2. Pterygopalatine ganglion (palatal gland).
31
Q

Post ganglionic transmitter for parasympathetic control

A

ACh

32
Q

Receptor for parasympathetic control of salivary secrection

A

Muscarinic

33
Q

Parasympathetic control (molecular mechanisms)

A
  1. Increased permeability of potassium in acinus
  2. Responsible for the big increase of saliva flow, small, variable increase in organic components, contraction of myoepithelial cells.
34
Q

Parasympathic control; antagonist

A

Atropine

35
Q

Atropine clinical significance

A

Causes dry mouth when prescribed to patients

36
Q

Sympathetic control; Ganglion transmitter

A

ACh

37
Q

Sympathetic control; target tissue transmitter

A

Noradrenaline in salivary glands ( Note; ACh at some tissues e.g. sweat glands)

38
Q

Sympathetic fibres - journey

A

Spinal cord (lateral horn) —> sympathetic chain —> superior cervical ganglion —> Trigeminal branches/blood vessels —> glands and blood vessels.

39
Q

What does noradrenaline do?

A

Does NOT inhibit salivary secrection.
Increases exocytosis of organic components.
Contraction of myoepithelial cells.

40
Q

Frey’s syndrome

A
  • sometimes seen post- parotid surgery
  • damage to auriculotemporal nerve
  • Regeneration of damaged nerves (nerves mixed and misdirected)
  • salivary stimulation activated sweat glands.

= gustatory sweating.

41
Q

Control of salivation

A
  1. Gustily afferents (sour etc)
  2. Mechanoreceptive afferent (PDL fibres etc)
42
Q

Saliva - Parotid

A

99% serous

43
Q

Saliva - submandibular

A

Mixed: serous (80%), mucous (20%) - serous demilunes

44
Q

Saliva - sublingual

A

Largely mucpus

45
Q

Minor

A

Mucous secretions - exception serous glands of Von Ebner

46
Q

At rest where does saliva come from?

A

Mainly submandibular

47
Q

When stimulated, where is saliva coming from?

A

Majority from parotid gland

48
Q

Olfactory-salivary reflex?

A

An olfactory-parotid reflex DOES NOT exist in humans (lemon smell), there is an olfactory-submandibular reflex ( beef smell).

49
Q

Serous

A

Latin for serum = watery fluid

50
Q

Mucous

A

Latin mucus = slime

51
Q

Functions of saliva

A

Protects tissues, lubricates, facilitates removal of carbs (enzymes), inhibits demineralisation, recycles ingested fluoride into mouth, anti microbial etc,

52
Q

Time of day - saliva

A

Salivary flow rate decreases massively over night - wake up with dry mouth

53
Q

Age - salivary flow rate

A

Increases up to the age of 15

Old age - decreases (this could be drug induced)

54
Q

Xerostomia

A

Lack of saliva ( disease/damage)

55
Q

Xerostomia problems

A
  1. Increased caries
  2. Mucosal infections
  3. Painful oral mucosa
  4. Difficulty (chewing, swallowing etc)
56
Q

Electrolytes in saliva: Cations

A

Sodium, potassium, calcium, magnesium

57
Q

Buffering of saliva…

A

By bicarbonate, more added as flow rate increases.

58
Q

Saliva: remineralisation mechanism

A
  1. Calcium and phosphate supersaturated
  2. Increased flow rate - more alkalia = reduces demineralisation
  3. Can lead to calculus formation
59
Q

Salivary amylase

A
  1. Breaks down carbohydrates
  2. Inactivated by acid in stomach
  3. May be importance in breaking down polysaccharides
60
Q

Salivary lipase

A
  1. From lingual minor glands serous glands of von Ebner.
  2. First stage of fat digestion (cleaning of tastebuds, remains active at gastric pH, breaks down milk)
61
Q

Mucin (mucous glycoproteins)

A

Complex molecules (they have a peptide core, oligosaccharide chains)

Lubricate, coat all soft tissues

62
Q

Statherin

A

Prevent precipitation of Ca and phosphate (stops calculus formation, salivary stones etc)

63
Q

Which is the only minor salivary glands that aren’t mucous glands?

A

Von ebner - they’re serous.