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119 Cards in this Set

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Describe the embyrological development of the adrenal gland
2 fused primordia forming the cortex and the medulla
What does the cortex of the adrenal gland secrete?
steroids
What does the medulla of the adrenal gland secrete?
catecholamines
What is the adrenal cortex derived from?
intermediate mesoderm
What is the adrenal medulla derived from?
neural crest cells
Describe the stroma of the adrenal gland
Consists of a dense connective tissue capsule which sends trabecular through the cortex to the medulla
What supports the parenchyma of the adrenal gland?
meshwork of reticular fibers
How is the parenchyma of the adrenal gland arranged?
surround the vasculature
Describe the blood supply at the capsule of the adrenal gland
suprarenal arteries form a plexus at or within the capsule
Name the two types are arteries that derive from the capsular plexus of the adrenal gland
cortical and medullary
Describe the progression of the cortical arteries in the adrenal gland
Form loops (like arcades) just under the capsule, then progress as straight, unbranched arteries until they reach the medulla where they anastomose
Describe the contribution of arteries to the cortex of the adrenal medulla
Does not receive blood from the cortical or medullary arteries
Describe the blood flow of the medullary arteries
Travel from the capsular plexus through the trabeculae to reach the medulla where they split to form a plexus
Where do the medullary arteries drain to?
the venous sinuses
Where in the adrenal gland are the venous sinuses located?
within the medulla
Describe the venous sinuses
lined by a fenestrated epithelium
Describe the blood received by the medulla
contains both corticosteroid-rich blood from the cortical arteries and oxygen rich blood from the medullary arteries
What do the sinus veins unite and empty into?
the central vein
What do adrenocortical cells secrete?
corticosteroids
Describe primary organelles located in the adrenocortical cells that aid in the synthesis of corticosteroids
1) lipid droplets
2) mitochondria
3) sER
Why are there lipid droplets in the adrenocortical cells?
They (cholesterol esters) are the precursor to corticosteroids (the storage form).
Describe the synthesis and secretion of corticosteroids
No storage form, secreted via diffusion (no secretory granules)
How do the lipid droplets of the adrenocortical cells change?
They vary in relationship to the activity (high glucocorticoids mean low lipid droplets) and location within the cortex
What is the importance of mitochondria within the adrenocortical cell?
the first step of steroid synthesis and some of the last steps of glucocorticoid and mineralocorticoid synthesis occurs here
Describe the prevalence of sER in the adrenocortical cells
The steps of glucocorticoid synthesis that don't occur in the mitochondria occur in the sER
Name the 3 layers of the adrenal gland cortex
Zona glomerulosa
Zona fasiculata
Zona reticularis
How are layers of the adrenal gland different in terms of appearance
appearance changes based on the capillary organization
What layer is the outermost layer of the adrenal gland?
zona glomerulosa
Describe the organization of cells in teh zona glomerulosa
arranged in clumps or arcades(small cells)
What do cells in the zona glomerulosa synthesize?
mineralocorticoids
What regulates the activity of the zona glomerulosa?
the renin-angiotensin system of the kidney
What is the thickest layer of the adrenal cortex?
zone fasiculata
What do cells in the zona fasiculata synthesize?
glucocorticoids
How are cells in the zona fasiculata organized?
in parallel arrays around the capillaries
What is another name for cells in the zona fasiculata layer?
spongiocytes
How are cells in the zona fasiculata different from other cells in the adrenal cortex?
large, may be binucleate, large lipid droplets,
What is the principal product of cells from the zona fasiculata?
glucocorticoids (and to a lesser extent, adrenal androgens)
What regulates the activity of cells in the zona fasiculata?
ACTH
What is the innermost layer of the adrenal cortex?
the zona reticularis
Describe the arrangement of cells in the zona reticularis
anastomosing cords
Describe the cell structure of cells in the zona reticularis
few lipid droplets, lipofuscin granules, small, darkly staining
What do cells of the zona reticularis secrete?
androgens (and to a lesser extent, glucocorticoids)
What regulates the activity of cells within the zona reticularis?
ACTH
Describe the location of the adrenal medulla in the adrenal gland
Central region, surrounded by adrenal cortex
How is the adrenal medulla similar to a sympathetic ganglia?
derived from neural crest cells
How is the adrenal medulla similar to postganglionic sympathetic nerve?
receives innervation from pre-ganglionic sympathetic nerve and secrete catecholamines
Name 2 hormones that are secreted from the adrenal medulla
epinephrine and norepinephrine
What is another name for cells of the adrenal medulla which contain catecholamines?
adrenal chromaffin cells
Describe the arrangement of adrenal chromaffin cells in the medulla
arranged in cords around the sinuses and capillaries
Name the two types of adrenal chromaffin cells
adrenergic and noradrenergic
Which cell is more frequent in the adrenal medulla: the adrenergic or the noradrenergic
adrenergic
Describe organelle composition of the adrenal chromaffin cells
moderate rER and prominent Golgi, secretory vesicles,
How is dopamine created in the adrenal chromaffin cell?
converted from tyrosine in the cytoplasm
What is the fate of dopamine in the adrenal chromaffin cell?
converted to norepinephrine in the secretory vesicle
How can norepinephrine be converted to epinephrine?
transported to the cytoplasm from the secretory vesicle where PNMT converts it to epinephrine
Other than epinephrine or norepinephrine, what is contained and secreted within the secretory vesicles?
enkephalins
How does the level of glucocorticoids present effect the level of adrenergic vs. noradrenergic cells in the adrenal medulla?
high levels of glucocorticoids are needed to make PNMT which can convert noradrenergic cells to adrenergic cells
What do adrenal chromaffin cells derive from?
neural crest cells
Other than adrenal chromaffin cells, what can neural crest cells differentiate into in the adrenal medulla
neurons
How do glucocorticoids affect neural crest cell differentiation?
Glucocorticoids tend to favor the differentiation into adrenal chromaffin cells rather than neurons
What types of cells might be present in the adrenal medulla
adrenal chromaffin cells (both adrenergic and noradrenergic) and neurons
What is the primary function of the adrenal gland in the fetus?
major secreter of androgens
What effect do androgens from the fetal adrenal gland have on development?
They migrate to the placenta where they are converted into estrogens which are important for the maintenance of pregnancy
What and where is the fetal zone of the fetal adrenal gland
between the cortex and the medulla. Functions to secrete androgens
When does the fetal adrenal gland lose the "fetal zone"
within 2-3 weeks after birth
Describe the parenchyma of the thyroid gland
thyroid follicles
Describe the structure of lymphoid follicles
spherical structures that vary in size and number
Describe the composition of lymphoid follicles
Consist of epithelium surrounding a central lumen
Describe the contents of the lumen in the lymphoid follicle
material called colloid, which is rich in thyroglobulin
What is the chief protein of the lymphoid follicle?
thyroglobulin
Describe the epithelium of lymphoid follicles
simple (height size depends on activity of the follicle)
Describe the size and epithelium of inactive lymphoid follicles
large follicles, simple squamous epithelium
Describe the size and epithelium of active lymphoid follicles
Small, simple columnar epithelium
Describe the stroma of the lymphoid follicle
loose connective tissue running between the follicles, and a basal membrane encapsulating follicles
Describe the blood supply to the lymphoid follicle
basal lamina is lined by fenestrated capillaries
Describe the lymphatics of the thyroid gland
run throughout the loose connective tissue, but not closely associated with the follicle
Describe the capsule of the thyroid
composed of dense connective tissue, send trabeculae into the thyroid to support the follicles
Name the two cells associated with the lymphoid follicle
parafollicular cells and thyroid follicular cells
What in the lymphoid follicles are the parafollicular cell and thyroid follicular cell located?
typically in the epithelium
What is the major cell lining the thyroid follicle?
thyroid follicular cells
What do thyroid follicular cells do?
synthesize triiodothryonine and thyroxine (as well as thyroglobulin and components of the colloid)
What regulates activity of the thyroid follicular cell?
stimulated by thyroid stimulating hormone
Describe the apical surface of the thryoid follicular cell
contains numerous microvilli. In very active cells, phagocytic pseudopod is also noticed projecting into the lumen
What separates the apical surface from the basolateral surface of the thyroid follicular cell?
tight junctions
Describe the organelle composition of thyroid follicular cells
prominent rER, prominent Golgi, phagocyic vacuoles and lysosomes
What are T3 and T4 derivatives of?
iodinated tyrosines
Where is the tyrosine that becomes iodinated to form T3 and T4?
a part of the thyroglobulin molecule
How does iodinated thyroglobulin relate to T3 and T4?
iodinated thyroglobulin is the storage form of T3 and T4
How are T3 and T4 released?
degraded from iodinated thyroglobuin into T3 and T4, then endocytosed
Describe the synthesis of thyroglobulin
synthesized on ribosomes on the rER, transported into the lumen where the carbohydrate chain is added. Protein moved to Golgi where carbohydrate is modified. Golgi releases it to the apical surface in a vesicle. Vesicle is expelled into lumen
What enzyme is responsible for the iodination of tyrosines within thyroglobulin?
thyroperoxidase
Where is thyroperoxidase located within the thryoid gland?
on the apical microvilli as an integral protein
Where does iodination of the tyrosine occur?
while the thyroglobulin protein is in the lumen
How is iodine collected for iodinated of tyrosines in the thyroid gland?
by an active transport mechanism which moves I- all the way across the thyroid follicle cells into the lumen
How does goiter develop?
if there is a lack of I-
What happens if there is not enough iodine in the thyroid?
thyroid becomes enlarged due to the pituitary increased TSH which in turn results in hyperplasia and hypertrophy of the thyroid
What triggers the degradation of thyroglobulin in the thyroid gland?
the need for T3 and T4
Describe the process of thyroglobulin degradation
phagocytic vesicles fuse with lysosomes to degrade thyroglobulin into secondary lysosomes. From here, thyroglobulin is degraded into individual amino acids (T3 and T4) which is secreted into the blood via the fenestrated capillaries
Where are parafollicular cells located?
Within the follicular epithelium of the thyroid follicles, but much less numerous than the thyroid follicular cells
What do parafollicular cells secrete?
calcitonin
Describe the shape and size of the parafollicular cells
Larger than the thyroid follicular cells, however the thyroid follicular cells overarch the parafollicular cells such that they do not reach the follicular lumen
Describe the organelle structures of the parafollicular cells
moderate rER, and prominent Golgi, numerous small secretory granules
Describe how the cells of the thyroid follicle represent the dual embryological origin of the organ
parafollicular cells derive from neuralcrest cells of the ultimobranchial bodies and the thyroid follicular cells derive from thyroid gland proper
Where is the parathyroid gland located?
Usually on top of the thyroid gland, but sometimes it can be located within in, or distant from it
How is the parenchyma of the parathyroid gland arranged?
around the blood capillaries
Name the 2 parathyroid parenchyma cells
parathyroid chief cell
oxyphil cell
What is the primary cell of the parathyroid gland?
parathyroid chief cell
What do parathyroid cells secrete?
parathyroid hormone
What does parathyroid hormone do?
causes an increase in Ca++
How can parathyroid hormone increase Ca in the blood?
stimulating bone resorption indirectly through osteoblasts
Describe the arrangement of parathyroid cells within the parathyroid gland
arranged in cords around the capillaries
Describe the defining characteristics of parathyroid chief cells
polygonal or cuboidal, light-staining cytoplasm, round euchromatic nucleus
Describe how oxyphil cells differ from the parathyroid chief cells
larger, numerous mitochondria, small heterochromatic nucleus, darkly staining cytoplasm
What is the function of the oxyphil cell?
unknown
What are oxyphil cells derived from?
Unknown, but believed that believe parathyroid chief cells
Describe the pattern of presence of oxyphil cells in humans
rare in children, grow more common as you age.
Describe the capsule of the parathyroid gland
thin connective tissue capsule
Describe the arrangement of nerves, blood supply, and lymphatics in the parathyroid gland
enter the gland with trabeculae from the capsule. Blood supply branches which is what the cells arrange themselves around
Describe another type of cell present in the parathyroid gland that is NOT one of the parenchymal cells
adipocytes (sometimes up to half the cells are adipocytes)