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139 Cards in this Set

  • Front
  • Back

Muscle fiber

individual muscle cell

structure of Skeletal muscle fiber

multiple nuclei at periphery of the muscle fiber.


1-30 mm in length, 10-100 in diameter


Surrounded by external lamina(basal lamina)

Bands

A: entire myosin


H: myosin only


I: actin only


Z disc: actin


M line: myosin

Triads

one T tubule+ 2 terminal cistern(sarcoplasmic reticulum, smooth ER)


1: allow nervous impulse to reach all part of the fiber


2: release Ca2+

Function of Connective tissue in skeletal muscle

1 Transmit force of contraction to insertion


2 separate into compartments

Endo/ peri/ epi- mysium

endo: surround each muscle fiber


peri: surround group of fiber, divide into fascicles.


epi: dense connective, surround the entire muscle, continuous with tendon

Cardiac m structure

Cylindrical, branch, and form interwoven bundles

Intercalated disc(junctions)

1 Adherent junction


2 gap junction

Neuron

1 functional unit


2: cell body, dendrites, axon, and synapses


3 complex circuit

supportive cell

outnumbered


astrocytes, oligodendrocytes and microglia cells in the CNS; comprised of Schwann cells in the PNS

Cell body

nucleus: highly euchromatic


nissel substance


extensive cytoskeleton support


major synthetic region

dendrite

highly branched


nissel(like cell body)


form most receptor field

axon

usually one


devoid nissel


originated from axon hillock


first region is initial segment(rich in channels)

pre-synaptic component

distal of axon


terminal buton(contains mitochondria and vesicles)


post synaptic

thickening on its cytoplasmic site

Microglia

phagocytic cell


derived from mesoderm

astrocyte

Stellate morphology


1: physical and nutrient support


2: scar formation


3: maintain homeostasis

Oligodendrocyte

myelin in CNS

Schwann cell

surround axon


surround cell body in ganglion

internode

single myelin segment

CNS vs PNS myelin

CNS: one to many(40-50)


PNS: one to one

Ganglia

group of cell body in PNS

Nerves

bundle of axon in PNS

Gray matter

neuron body and dendrites in CNS

White matter

also called tracts


bundle of axon in CNS

Connective tissue in PNS

Endoneurium: surrounding the Schwann cell


peri: around a group of axon


epi: entire nerve

Connective tissue in CNS

Meninges


1 pia matter


2 arachnoid


3 dura matter

Pia matter

1 surface of the brain


2 accompany large blood vessel

arachnoid

1 separated from pia by trabeculae


2 contain blood vessels and CSF(produced by choroid plexus)


3 make the leptomeninges with pia matter

Dura matter

1 outer most


2 dense connective tissue

Simple squamous

j

simple cuboidal

j

simple columnar

j

stratified squamous

j

stratified cuboidal/columnar

j

Pseudostratified columnar

j

transitional

j

Microvilli

j

Cilia

Cilia

1 actively motive evagination of luminal plasmalemma, 2- 10 um long


2 axoneme(cilia, 2 w goblet cell, 3 w basal lamina)


3 microtubules 9+2

Basal lamina

Lamina densa+ lamina lucida


produced by epithelial cell


Type 4 collagen, laminin, proteoglycan


acellular, up to 100 nm


Basement membrane

Basal lamina + reticular lamina


reticular lamina: produced by connective tissue

Cell junction

Desmosome


Tight junction


Gap


Desmosome

help anchor cell to each other, but space maintained


Types:


spot desmosome: 15-30 intercelluar space, tonofilament


hemidesmosome: basal lamina


belt desmosome: zone of adhesion, 10-20, actin filament, terminal web

Tight junction

1: plasmalemmal fusion


2: functions: adhesion, exclusion, migration of protein.

Gap junction

1: 2-4 nm gap


2: metabolic and electrical coupling


3: connexons

Endothelium- surface

negative charge


- repel blood cell and platelet(-)


- attract to basement membrane(+)

Endothelium - structure

a. simple squamous epithelium lining blood vessels & heart – specialized to mediate and monitor exchange of molecules
b. rests on a basement membrane
c. linked by cell junctions – strongest in arterioles and loosest in venules
d. permeability barrier = endothelium + basement membrane
e. long-lived cells, though replaced by pre-existing cells by mitosis

Fiber(blood)

1 concentric lamellae


2 internal external elastic laminae


3 collagen


4 elastic fibers


5 smooth muscle

Connective cell

make fiber


phagocytosis


immunologic


vasoactive

Vascular smooth m

except in capillaries and some venules


1 in all three tunics


2 orientation: intima and adventitia, longitudinal


3 only thing in tunica media of elastic, main in tunica media of others


4 gap junction- spreads innervation

Vasa vasorum

small blood vessel > 1mm diameter


visible in tunica adventitia and outer media


intima and inner media: diffusion

lymphatics

visible in adventitia

Nerves

except capillaries


a. vasomotor sym of arterioles


b. afferent- baroreceptor and chemo in adventitia

Elastic - general

1/10 thin wall


high elastic

Elastic - intima

1/6


tight junction


loose CT


internal elastic lamina

Elastic - media

1. smooth m between elastic lamellae


2. outer elastic lamina indistinct


3. 40 - 70 elastic lamellae


4. Thickest

Elastic/muscular - adventitia

1. Thin, unorganized


2. Dense irregular


3. vasa vasorum, lymphatics, nerves.

Arteriosclerosis

1 thicken intima, incite thrombosis


2 mostly in elastic artery, b/c thin wall and high blood pressure

Muscular - intima

1 gap and occluding junction between endothelium and loose CT


2 internal elastic lamina

Muscular - media

smooth m cell dominate


held by gap junction


control blood flow

Elastic

Elastic (conducting) arteries - aorta and major branches

Arterioles and Metarterioles-General

General information - <0.1 mm diameter
a. thickness of wall approximates diameter of lumen
b. regulation of blood pressure - account for about 1/2 the resistance and maintain relatively high hydrostatic pressure
c. delivers blood to capillary beds under low pressure

Arterioles - intima

a. endothelial cells linked by tight junctions and relatively impermeable
b. little or no subendothelial CT and internal elastic lamina very thin

Arterioles- media

a. 1-3 layers of smooth muscle that are responsive to sympathetic nerves and metabolic stimuli
b. metarterioles (also known as pre-capillary sphincters) lead into capillary beds
- here is where blood pressure is maintained
- opening and closing of lumen controls blood flow to capillary beds

Arterioles - pathologies

a. arterial hypertension caused by excessive contractile tone in the smooth muscle
b. hemorrhagic shock - normally loss of 500 ml blood will trigger a reactive contraction of arteriolar smooth muscle in order to maintain normal blood pressure, but a loss of blood volume in excess of 500 ml will make maintenance of normal pressure difficult or impossible without immediate replenishment of the fluid (e.g. blood, plasma, saline)
c. anaphylactic shock - decreased blood pressure due to arteriolar muscle paralysis

Capillaries -General

only endothelium, basement membrane, & an occasional pericyte
a. sites of blood-tissue exchanges
b. inner diameter 5-10 micro-m (1-2 endothelial cells in a cross-section)

Continuous capillaries

continuous endothelium & basement membrane
a. most common type of capillary
b. occluding junctions between endothelial cells

Fenestrated capillaries

Attenuated endothelium with continuous basement membrane
a. large fenestrae within endothelial cells, some covered with diaphragms
b. found in tissues where rapid interchange of gases and metabolites

Discontinuous capillaries (sinusoids)

- discontinuous basement membrane
a. larger diameter (30-40 Micro-m) than other types of capillary
b. large gaps between adjacent endothelial cells
c. flow of blood slower than in other types of capillary

Venules-General

a. endothelial cells joined loosely by cell junctions and have a continuous basement membrane
b. vessels continuous with a capillary network or an arteriole

Pericytic venule

also called post-capillary venule
a. 10-50 micro-m lumen diameter, tunica intima only
b. loose organization of cell junctions and gaps between endothelial cells
c. usually possesses one or more pericytes
d. the usual vessel involved in cellular movement into and out of the tissue space

Muscular venule

- usually associated with arterioles
a. endothelial cells joined by extensive tight and gap junctions
b. tunica media contains 1-3 smooth muscle cells
c. tunica adventitia relatively thick

Small Veins

0.2-1.0 mm diameter
1. Endothelial cells joined by extensive tight and gap junctions
2. Tunica media contains 2-4 layers of smooth muscle cells


3. Tunica adventitia the thickest layer

Medium Veins

1-10 mm diameter
1. Endothelial cells joined by extensive tight and gap junctions
2. Tunica intima may form semilunar valves - especially numerous in limbs, prevent gravitational backflow of blood
3. Tunica media contains 4-10 layers of smooth muscle cells
4. Tunica adventitia the thickest layer

Large Veins-General

a. taken together veins form an important blood reservoir, normally have 4-5 times the volume of blood in corresponding arteries
b. includes major named veins and their main tributaries
c. these vessels are larger than 10 mm
d. walls are thin, approximately 1/20 the lumen's diameter

Large Veins-intima

a. endothelium held tightly together with tight cell junctions
b. well-developed CT and thick
c. contains numerous longitudinally-oriented smooth muscle cells

Large Veins- Media

a. relatively thin layer compared to same layer in arteries
b. smooth muscle oriented circularly

Large Veins- adventitia

a. thickest layer of the wall
b. contains longitudinally-oriented smooth muscle in dense irregular CT
c. smooth muscle strengthens wall and prevents its over distension

Endocardium

1. Possesses a continuous endothelium with junctions and an underlying basement membrane


2. Subendothelial layer - contains small blood vessels and in specialized myocardial cells of the impulse-conducting system of the heart


3. Cardiac valves


4. Cardiac skeleton

Cardiac valves

folds of endocardium with a central flat sheet of dense CT - the latter continuous with the dense CT of the annuli fibrosi
a. semilunar valves - tricuspid valves in aortic and pulmonary trunks
b. atrio-ventricular valves - free borders connected to papillary muscles by chordae tendinae
c. valves may be damaged by bacterial endocarditis - causes perforations

Cardiac skeleton

formed of dense irregular CT
a. annuli fibrosi - rings surrounding each valve and continuous with CT of valve
b. fibrous trigones - two triangular zones between annuli fibrosi
c. septum membranaceum - forms the superior portion of the interventricular septum
d. skeleton may be damaged in cases of rheumatic fever

Myocardium

1. Myocardium proper


2. Impulse conducting system

Myocardium proper

a. thinnest in atria and thickest in the left ventricle
b. fibers insert on components of the cardiac skeleton
c. muscle of atria and ventricles completely separate
d. fibers may be injured by reduction in available oxygen (ischemia)
e. muscle can not regenerate after injury, so scar tissue develops

Impulse-conducting system

a. formed of specialized cardiac muscle cells that coordinate and regulate contractions of atrial and ventricular muscles
b. sino-atrial node in endocardium of right atrium near the superior vena cava
c. impulses pass from SA node fibers next to atrioventricular node in endocardium of right interatrial septum
d. fibers then pass to atrioventricular bundle located within the septum membranaceum


e. Purkinge fibers

Purkinge fibers

impulses spread between cardiac muscle cells (in the myocardium) via intercalated Purkinge fibers - specific name for fibers which lie in the endocardium, connecting the SA & AV nodes, AV bundle and from the bundle to the myocardium - they appear larger and more vacuolated than normal cardiac muscle cells and conduct impulses much faster as well form discs

Epicardium

formed of dense irregular CT with adipocytes and visceral pericardium

Mechanical


Metabolic

mechanical: blood pressure


metabolic: local needs

Functions of immune system

1. immune surveillance and defense


2. immune tolerance


3. absorb lipids


4. maintain fluid balance

Humoral immunity

In blood stream


Antibodies against Ag;


Produced by plasma cells derived from B lymphocytes

Cellular (cell-mediated) immunity

Immunocompetent cells contact, react against, and destroy antigen;


mediated by T lymphocytes

features of lymphoid

1. Regions where lymphocytes represent the chief cellular constituent
2. Basically lymphocytes with a reticular connective tissue framework
3. Specialized entirely for the defense of the body against foreign substances

Reticular Cells

a. make reticular fibers
b. phagocytic - act like fixed macrophages
c. of mesodermal origin
d. ensheathe reticular fibers
e. unique ones in thymus - of endodermal origin & do not form reticular fibers

Reticular Fibers

Type III collagen that stains black with silver stains


4 Functions:


a. support lymphoid elements
b. line lymphatic capillaries (sinuses)
c. filtration - trap Ag and immunocompetent cells
d. provide place for interaction, cell division & differentiation

Reticular Cells

a. make reticular fibers
b. phagocytic - act like fixed macrophages
c. mesodermal origin
d. ensheathe reticular fibers
e. unique ones in thymus - of endodermal origin & do not form reticular fibers

Diffuse lymphatic tissue

– found in lamina propria
1. Reticular fibers produced by fibroblasts
2. Lymphocytes in relatively low concentrations

Lymphatic nodule

1. A rounded collection of tightly packed small lymphocytes on reticular CT
2. Germinal center


3. B dependant


4. Cap of tightly packed small lymphocytes.


5. not encapsulated by CT


6. primary vs secondary?

Germinal center

1 oval pale staining area


2 contains dividing cells and macrophages

Solitary nodules

1. Are not encapsulated by dense CT but communicate freely with surrounding non-lymphoid loose connective tissue.
2. May be primary or secondary
3. High endothelial venules (HEV) are frequently in diffuse lymphatic tissue associated with nodules. These are venules having tall cuboidal endothelial cells which allow the escape of lymphocytes from the vessel into the tissue. They may be found in any of the MALT

Peyer's patches of ileum

Large lymphoid aggregations in the lamina propria on the ab- mesenteric side of the small intestine. They may bulge into the intestinal lumen

Appendix

a small lumen and very active large lymphoid nodules.

Tonsil

a. found in fauces - form the ring of Waldeyer
b. consist of paired palatine and lingual tonsils and single pharyngeal
c. all are covered by epithelium on oral and pharyngeal surfaces
d. reach maximum development in childhood
e. sites of lymphocyte production

Palatine tonsils

a. between glossopalatine and glossopharyngeal arches
b. covered by moist, stratified squamous epithelium which invaginates the
surface to form crypts
c. primary and secondary nodules along crypts
d. capsule and trabeculae form framework
e. post-capillary venules and efferent lymphatic channels in CT

Pharyngeal Tonsil (Adenoids)

a. unpaired and found on roof and posterior wall of nasopharynx
b. lined on surface with respiratory epithelium (i.e. pseudostratified ciliated columnar with goblet cells)
c. no crypts but folds
d. formed of both diffuse and nodular lymphoid tissue

Lingual Tonsils

a. paired, on root of tongue
b. each with a single opening and a deep crypt that is surrounded by nodules
c. lined by moist stratified squamous epithelium

Lymphatic Channels-general

1. A drainage system, the smallest vessels end blindly
2. Found throughout the body except in cartilage, bone, bone marrow, CNS, eye, internal ear, epidermis
3. Convey lymph from extracellular space to venous circulation
4. Flow of lymph caused by breathing and contraction of surrounding skeletal muscle
5. Way that antibodies and lymphocytes return to blood

Lymph

1. An ultrafiltrate of blood plasma derived from the extracellular space
2. Contains water, electrolytes, plasma proteins, antibodies
3. Lymphocytes and macrophages conveyed in fluid

Lymphatic Capillaries

1. Variable shape and diameter, lined by endothelial cells
2. Lack continuous basement membrane or is entirely lacking
3. Supported by underlying collagen fibers

Lymphatic Vessels and Ducts

1. Have large lumens, thick walls and some possess valves
2. Unidirectional flow dependent on valves and muscle contractions
3. Lymph nodes occur along path
4. Ducts possess tunica intima, media and adventitia
a. right lymphatic duct
b. thoracic duct - begins at cisterna chili
5. All lymph returns to the blood-vascular system

Lymph Nodes-General

1. Occur in series along lymphatic vessels, usually in groups
2. Highly organized lymphoid tissue
3. Function to filter lymph

1. General Features

a. lymphoid tissue traversed by lymph sinuses lined by reticular cells
b. lymphocytes, macrophages, plasma cells
c. cortex and medulla defined by lymph sinuses

2. Stromal Elements

a. node surrounded by capsule which are continuous with trabeculae
b. formed by reticular cells and fibers

3. Lymph Sinuses

a. receive afferent lymphatic vessels into marginal (subcapsular) sinus
b. cortical sinuses arise from marginal sinus and follow trabeculae
c. continue into medulla as medullary sinuses; then continuous with efferent lymph channels
d. lymphocytes exit the node via the efferent lymph channels

4. Cortex

a. dense masses of lymphatic tissue with trabeculae
b. has primary and secondary lymphoid nodules as well as diffuse lymphoid tissue
c. far cortical area - B cell dependent zone
d. deep cortical area - T cell dependent zone

5. Medulla

a. medullary cords - formed by a couple layers of small lymphocytes surrounding blood capillaries
b. vessels anastomose and branch
c. spaces between cords are the medullary sinuses

6. Blood supply

a. blood vessels enter and leave at hilus
b. run in medullary cords and trabeculae
c. post-capillary venules in deep cortex - where lymphocytes enter the node

Functions

a. filters lymph
b. immunological surveillance
c. lymphocyte production


As lymph flows through lymphatic vessels in route to the blood-vascular system, it is filtered by at least one lymph node

Phagocytosis

99% of the antigen carried by lymph removed by macrophages spanning the sinuses of lymph nodes.

Immune response

Only 1% of the antigen entering a lymph node passes through a lymphoid nodule. This antigen stimulates the formation of germinal centers and active cellular proliferation causing enlargement of the lymph node.
Long-lived lymphocytes present in the blood-vascular circulation re-enter the lymph node via HEV to stimulate an immune response.

Tumor cell

may be trapped in lymph nodes. These cells may then metastasize.

Tonsil(3 groups)

1.palatine


2. pharyngeal


3. lingual

MALT

mucosa associated lymphoid tissue


1 GI


2 respiratory


3 reproductive

Spleen - general

1. Lymphoid organ that functions to clear blood of particulates and dead cells
2. Unique structure allows blood to contact macrophages

Functions of the Spleen

1. Blood Filtration
a. removes endogenous or foreign material from blood
b. destroys aged RBCs, platelets, and leukocytes in pulp cords
2. Hemoglobin Degradation
a. macrophages of cords metabolize iron and store it as hemosiderin pigment
b. heme degraded to bilirubin and excreted in the bile
3. Immune Activities
a. produce antibodies and participate in immune reactions
b. architecture supports interactions needed for mounting an immune response
4. Hemopoiesis
a. site of RBC production in the fetus
b. produces lymphocytes and macrophages throughout life

Spleen - general

a. parenchyma composed of white pulp and red pulp
b. nodular and diffuse lymphoid tissue present
c. venous sinuses and splenic cords

Spleen- Stromal

a. entire organ surrounded by thin capsule that gives rise to trabeculae
b. reticular cells and fibers support parenchyma
c. hilus where blood vessels enter/leave organ
d. large caliber blood vessels run in trabeculae

White Pulp (Malpighian corpuscles)

a. periarterial lymphoid sheaths (PALS) - lymphoid tissue surrounding a central artery where they leave trabeculae
b. germinal centers often present - B cell dependent areas, antigens cause them to enlarge
c. T cell dependent areas surround germinal centers

Red Pulp - network of venous sinuses and cords

a. pulp cords (Cords of Billroth)
- spongy cellular mass of reticular CT and cells
- contain all cellular elements of the blood
- macrophages are actively phagocytic
b. marginal zone - adjacent to white pulp
- contains small sinuses
- receives major portion of incoming arterial blood

Arteries of spleen

a. central artery - usually eccentrically placed arteriole in white pulp
b. penicillar arteries - arterioles that pass into red pulp, usually possess 1-2 layers of surrounding lymphocytes
c. capillaries - 2-3 from each penicillar arteries, layer of phagocytic cells surrounding, how they terminate unclear

Venous Sinuses and Veins

a. sinuses permeate entire red pulp, lined by flattened reticular cells and have wide lumens
b. walls of sinuses supported by ribs of reticular fibers and fenestrated basal lamina - allows easy passage of cells
c. venous sinuses empty into veins of red pulp, these have endothelial cell with continuous basal lamina
d. splenic vein drains from hilus
e. lymphatics poorly developed, only efferent channels

Open circulation

a. capillaries open directly into red pulp cords & gradually filters to sinuses
b. why the theory may be true:
- RBCs in cords
- inject dye into splenic artery - goes into cords and later into sinuses
- inject dye into splenic vein - sinuses & cords fill easily; not arteries

Closed circulation

a. capillaries communicate directly with lumens of venous sinuses
b. why the theory may be true:
- not enough RBCs in cords
- dye experiments may rupture small blood vessels

Primary lymphoid organ

1 thymus(T cell)


2 bone marrow(B cell, and pre-T cell)

Secondary lymphoid organs

1 lymphatic nodules- filter tissue fluid


2 lymph nodes - filter lymph


3 spleen - filter blood

Cell types of parenchyma

1 B cell


2 T


3 immunoblast


4 Ag presenting cells

B vs T cells

B: 35%, plasma and memory


T: 65%, Helper, killer, memory

Immunoblast

1 a lymphocyte that has been activated by an antigen


2 form from B and T

Antigen presenting cell

- monocyte- macrophage(MM) derived


- process AG to lymphocytes


- include: marcophage, epidermal langerhans cells, dendritic cells, epithelial cell of thymus

HEVs

high endothelial venules


- associated w/ diffuse lymphatic tissue


- allow lymphocytes to escape from vessel