Medicine Notes Organisation of the Body Notes
1st year Oxford notes and tutorial essays in the module Organisation of the body. ...
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Epithelia
Define: planar sheets of cells that are held together by tight junctions, adherens, desmosomes, gap junctions and are associated with connective tissue. The epithelium supported on the basal side by a basement membrane called the basal lamina which the epithelial cells synthesise. Basement membrane, made up type 4 collagen and give epithelia structural integrity. Below the basal lamina lies the capillary bed, which provides epithelia with required nutrients and disposal of waste. The nucleus in epithelial cell is found closer to the basal surface than the apical surface
Found
-lining all surfaces of the body, line cavities, vessels
-act as interfaces between different compartments in the body
-line the internal and external surfaces of the body
-sepearte the external environment from the internal milieu
-major functional component of organs
-mediate selective transfer of substances
Functions of epithelial tissue
-seperate the internal and external environment
-selective diffusion, absorption, secretion and protection
-regulate the movement of solutes and water to and from the body
-skin, linings of the repiratory tract, alimentary canal and kidney tubules
Boundary and protection
-cover the inner and outer lining of body cavities- stomach and urinary tract
-barrier to contaminants
-cells replicate often to replace to damaged or dead cells- skin
Sensory function
Epithelial cells are avascular but are innervated- signals for sensory transduction
Vectorial transport and absorptive function- intestinal epithelia
-ability to translocate ions from one compartment to another- unidirectional transport
-achieved by the asymmetry of cell membranes at the two faces- cell is polarised- apical and basolateal membranes
Active transport of sodium ions
Ussing model
Sodium concentration is kept low by the basolateral Na-K ATPase
Na ions move down the electrochemical gradient into the cell via the apical membrane
Transepithelial movement of Na ions leaves the lumen negative with respect to the contraluminal side- couple the influx with other molecules such as glucose
Basolateral membranes
Na-K ATPase
K leak channels = high permeability to potassium ions
Low permeability to Na
Ca ATPase
Apical membranes
Have a high Pna, sodium channels
Tight and leaky epithelia
It tight epithelia, tight junctions prevent significant movement between cells
In leaky epithelia, tight junctions form imperfect seals, low resistance, leak pathway shunt for ions and water
Secretion –Glands
Some epithelial cells- goblet cells secrete fluids
–basal region attached to the basement membrane, filled with membrane bound secretory droplets to lubricate the cell surface- respiratory tract and small intestine
-exocrine and endocrine glands are formed by downgrowths of epithelium into the connective tissue
Exocrine glands retian their connection with surface epithelium
Endocrine glands glands whose connection with the surface is lost during development- ductless, secretions are picked up and transported to their site of action by the blood stream
Pancreas- Endocrine- islet of langerhans
Secretory epithelia- lungs and pancreas- active transport of CL-
Chloride ions enter the epithelial cells via the basolateral membrane – chloride ions accumulate within the cell and exite passively through chloride ion channels. The exit of chloride ions sets up a diffusion potential across the membrane= lumen negative
Movement
Some epithelial cells have cilia aid in moving substances
Classify epithelia- according to their appearance under the light microscope
-number of cell layers – simple epithelium (single layer) or stratified epithelium (epithelium of several layers, pseudo stratified stratified- single layer of cells which has the appearance of stratified epithelium since the nuclei are arranged at different heights
-cell shape- squamous (cells are flat) , cuboidal (cells are square in section), columnar (cells are taller than they are wider) – shape of the sections that are taken at right angles to the epithelial surface
-surface specialisations (apical)- keratin, cilia or microvilli
Simple epithelium
-consist of a single layer of cells- found at the surfaces involved in selective diffusion, absorption, secretion
-little protection for mechanical abrasion
-shape of the cells determined by the function
-simple squamous epithelium- flattened, irregular shaped cells, supported by the basement membrane. Nuclei are also flattened Function: passive diffusion- lungs, walls of capillaries
-simple cuboidal epithelium: nuclei is spherical, found lining small ducts and tubules that have excretory/absorptive functions- collecting tubules of the kidney- high levels of active transports- cytoplasm rich in mitochondria
-simple columnar epithelium- absorption and secretion- found lining the small intestine/ stomach
Pseudostratified
Single layer of cells that all rest on the basement membrane, nuclei of cells are at different levels- mostly in 2/3 rd of a cell- multi layered effect
Found: airways of the respiratory system, lining of the bronchus- cilia propel a surface layer of mucus
Stratified Epithelium
-contains 2 or more layers of epithelium
-Function: protective and poorly suited for absorption or secretion due to thickness
-classified according to the surface cells since the basal cells are cuboidal
-stratified squamous epithelium- multiple layers of epithelia that are cuboidal at the base and flatten towards the surface. The basal cells are continuously proliferating and migrate to the top. FUNCTION: protection against abrasion as the loss of the surface cells doesn’t compromise the underlying tissue. FOUND: lining the oral cavity, oesophagus
Keratinsed stratified squamous epithelium: EPIDERMIS- forms the epithelial surface of the SKIN. As the epithelial cells migrate from the basal layer to the apical layer, they flatten and as they mature they accumulate cross linked cytokeratin intermediate...
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1st year Oxford notes and tutorial essays in the module Organisation of the body. ...
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