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Dental Histology Exam 2
Salivary Glands
84
Medical
Professional
10/04/2008

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Term
Salivary Glands are what type of gland?
Definition
Tubulo-acinar glands
Term
What is a secretory end piece?
Definition
-Terminal secretory end structures consisting of groups of cells surrounding a central lumen -Basal lamina surrounds entire structure
Term
What are the 2 types of secretory cells?
Definition
Serous and mucous
Term
What is located between the secretory cells and the surrounding basal lamina?
Definition
Myoepithelial cells
Term
What can are found in aging glands?
Definition
Oncocytes
Term
What type of secretory cells are normally found in acini?
Definition
Serous
Term
What type of secretory cells are normally found in tubular end pieces?
Definition
Mucous
Term
Structure of mixed serous-mucous glands?
Definition
Mucous tubules open into proximal duct system (intercalated) while small groups of serous cells (demilunes) line the outer surface of the tubules and their secretion reaches lumen though canaliculi between mucous cells
Term
Serous cells are shaped how?
Definition
Pyramidal and arranged in acini
Term
How are serous cells organized?
Definition
In a single layer around small central lumen of the acinus
Term
Which end of a serous cell is in contact with lumen? Its periphery?
Definition
Apical lines the lumen. Basal lined periphery
Term
Serous cells have what kind of nucleus?
Definition
Round, located near basal side.
Term
Serous cells stain how?
Definition
Basal side and nucleus are basophilic (has lots of RER).

Apical side has zymogen granules and stain eosiniphilic. Cell borders are poorly defined.
Term
Serous cells use junction complexes like tight junctions to separate apical and basal domains. True or false?
Definition
True. Remember these are a type of epithelial cell!
Term
What are canaliculi?
Definition
Finger like extensions of lumen located between adjacent serous cells. Serous cells contain many desmosomes and gap junctions along its length. Microvilli project from lateral cell membrane in lumen of canaliculi.
Term
How are mucous cells arranged?
Definition
In elongated secretory end structures called mucous tubules.
Term
All mucous cells contain canaliculi. True or false?
Definition
FALSE. The only ones that do are covered in serous demilune cells.
Term
What kind of nucleus do mucous cells have?
Definition
Flat and compressed against the basal membrane due to large amounts of secretory granules.
Term
What do mucigen granules contain?
Definition
Mucous glycoproteins call Mucins.
Term
What are mucins?
Definition
Strongly hydrophilic glycoproteins found in mucigen granules. Largely carbohydrate. Suck up water to form mucous. Can be stained with PAS.
Term
What are myoepithelial cells?
Definition
Non-secretory cells found between basal cell membrane of secretory cells and the basement membrane that surround tubules and acini. Also found on outer surface of intercalated ducts
Term
What are the characteristics of myoepithelial cells?
Definition
Octopus shaped, contain myofilaments, dense bodies and attachments plaques. Joined to adjacent cells by desmosomes. Play a possible contractile role in secretion.
Term
In aging glands, what do oncocytes replace? What do the look like? What is their function?
Definition
They replace serous cells and duct lining cells. Cuboidal to low columnar and eosinophilic. Their function is unknown.
Term
What are the 3 components of salivary glands?
Definition
Terminal secretory end structures, Ducts, and Connective tissue stroma
Term
Saliva formation occurs in how many stages?
Definition
2
Term
What is the first stage of saliva formation?
Definition
Primary saliva produced by cells in S.E.P's and intercalated ducts. It is isotonic, contains most components and all water (which comes in via SEP's)
Term
What is the second staged of saliva formation?
Definition
Primary saliva is modified in striated and excretory ducts by reabsorption and secretion of electrolytes. Saliva that leaves is Hypotonic.
Term
How are secretory protein granules released?
Definition
NE binds to B-adrenergic receptor. G-protein, andeyl cyclase, cAMP, protein kinase A, and cascade of phosphorylation lead to granule exocytosis. Fuse with apical membrane and release contents.
Term
What part of the nervous system controls protein secretion?
Definition
Sympathetic (NE binds to B-adrenergic receptors)
Term
What part of the nervous system regulates water secretion by SEP's?
Definition
Both parasympathetic and sympathetic. Ach binds to cholinergic wile NE binds to A-adrenergic receptors to activate release of CA from intracellular stores (Via IP3)
Term
What is the main mechanism for water secretion?
Definition
Increased Ca concentration opens Cl channels in apical cell mem. and K channels in basal mem. Activates basolateral Na/K/2Cl cotransporter. Cl efflux into lumen drags Na with it. Large amount of particles in lumen, cause water to move out.
Term
Fluid secretion is driven by what?
Definition
Active transport of electrolytes
Term
What is a second mechanism for fluid secretion?
Definition
Cl cause HCO3 to move into lumen. Na/H+ coupled antiport pump restores pH after acidification. pH of saliva increases as flow increases.
Term
What is the flow if the ductal system, starting from the SEP's?
Definition
1. SEP's drain into small intercalated ducts. 2. These drain into intralobular striated ducts. 3. These drain into interlobular excretory ducts. 4. These open onto mucosal surface
Term
Which ducts receive saliva directly from SEP's?
Definition
Intercalated ducts
Term
What type of epithelium lines intercalated ducts?
Definition
Simple low cuboidal and contain a small amount of RER.
Term
Where are intercalated ducts most easily identifiable?
Definition
In the Parotid gland, where they are the longest
Term
What do intercalated ducts contribute to saliva?
Definition
Antibacterial substances such as lysozyme and lactoferrin
Term
Which dust to intercalated ducts drain into?
Definition
Intralobular striated ducts
Term
Where are striated ducts located?
Definition
Within lobules. Easily identifiable because they are largest intralobular structures
Term
What type of epithelium lines striated ducts?
Definition
Simple columnar. Have central nucleus and eosinophilic cytoplasm
Term
Striated ducts look similar to what?
Definition
Pink necklaces
Term
What causes the striations in striated ducts?
Definition
Deeply folding basal plasmalemma of the lining cells where parallel rows of elongated mitochondria reside.
Term
Where are striated ducts the longest?
Definition
In the sub-mandibular gland
Term
The apical cytoplasm of striated duct cells contain what?
Definition
Secretory granules and electron-lucent vesicles. Granules contain Kallikreins, vesicles might play role in endocytosis of stiff in lumen.
Term
Striated ducts drain into what?
Definition
Interlobular excretory ducts
Term
Where are excretory ducts located?
Definition
Between lobules of glandular parenchyma (interlobular)
Term
Excretory ducts are surrounded by what?
Definition
Collagenous connective tissue
Term
What type of epithelium lines excretory ducts?
Definition
Pseudostratified or stratified columnar.
Term
What are the types of cells located in excretory ducts?
Definition
Columnar cells, smaller basal cells, some goblet cells and small amounts of brush (nerve receptor)and dendritic antigen presenting cells.
Term
What type of epithelium lines the excretory ducts are they approach the oral mucosa?
Definition
Stratified squamous. This then merges with the epithelium of the mucosa.
Term
Saliva is isotonic withing the SEP's and intercalated ducts. True or False?
Definition
True. It remains isotonic through intercalated ducts where Lysosyme and lactoferrin may be secreted. Becomes hypotonic as it passes through striated and excretory ducts.
Term
How does saliva become hypotonic?
Definition
More Na and Cl are reabsorbed from saliva than K and HCO3 is secreted. This occurs mostly in striated ducts.
Term
What is the deciding factor of the final electrolyte composition of saliva?
Definition
Its flow rate along the ducts. Very high flow rates = higher NA + CL + HCO3 lower K (This is due to shorter time spent in contact with ducts plus HCO3 is driving force for greater secretion)
Term
What regulates electrolyte reabsorbtion and secretion of saliva?
Definition
The ANS and aldosterone (causes NA reabsorbtion in saliva, sweat and urine))
Term
What type of connective tissue surrounds MAJOR salivary glands?
Definition
Collagenous CT CAPSULE. Extends into paranchyma as septae or trabeculae and divide gland into lobules
Term
What type of connective tissue surrounds minor salivary glands?
Definition
Areolar CT. They lack a distinct capsule
Term
Plasma cells secrete what in salivary connective tissue?
Definition
Dimeric IgA which is released into the stroma. The IgA are uptaked by epithelial cells via secretory component receptors and released with saliva. Has a secretory components that keeps it from being destroyed.
Term
What type of cells increase in number within the glands as one ages?
Definition
Adipocytes, particularly in the PAROTID gland.
Term
What are the major salivary glands?
Definition
Parotid, Submandibular and Major sublingual
Term
What type of gland is the Parotid?
Definition
Purely serous acini. Has very LONG intercalated ducts and SHORT striated ducts.
Term
What is the main excretory duct of the Parotid?
Definition
Stensen's duct
Term
What type of gland is the Submandibular?
Definition
Mainly serous acini with some mucous tubules. Has SHORT intercalated ducts and LONG striated ducts.
Term
What is the main excretory duct of the submandibular?
Definition
Wharton's duct
Term
What type of duct is the Major Sublingual?
Definition
Mostly mucous with some serous acini. Almost no intercalated and striated dicts.
Term
What is the main excretory duct of the Major Sublingual?
Definition
Bartholin's duct, which sometimes joins Wharton's or opens onto the sublingual fold.
Term
What type of glands are the minor salivary glands?
Definition
Almost purely mucous EXCEPT von Ebner's glands which are serous.
Term
What are von Ebner's lands associated with?
Definition
The circumvallate and foliate papillae
Term
The minor salivary glands are found throughout the oral mucosa EXCEPT for?
Definition
Gingivae, anterior hard palate and the anterior 2/3 of the tongue. Produce 7-10% of saliva.
Term
What is the daily saliva production range?
Definition
600-1000mL
Term
What is the saliva flow rate while eating?
Definition
"Stimulated flow rate" is 2-5 mL per min
Term
What is the saliva flow rate while resting?
Definition
"Non-stimulated flow rate" is 0.2-0.4 ml per min
Term
What is the stimulated flow rate for the Parotid gland?
Definition
0.5-2 mL per min. Similar to submandibular and sublingual.
Term
The viscosity of whole saliva depends on what?
Definition
The ratio of saliva being produced by each gland. Parotid and SubM are watery, SubL is more viscous and minor glands are all mucous.
Term
What percentage of saliva is produced by the major glands?
Definition
90%
Term
What type of saliva does the Parotid produce?
Definition
Clear watery saliva rich in enzymes like amylase, proline-rich proteins and glycoproteins.

SubM is similar but also contains mucins.
Term
What are the major components of saliva?
Definition
Water (90%), amylase, lysozyme, secretory IgA, glycoproteins (mucins) and electrolytes (Na, K, Cl, HCO3, Ca, HPO4).
Term
What are the 6 functions of saliva?
Definition
1. Lubrication
2. Mechanical washing
3. Tooth surface protection
4. Antimicrobial activity
5. Buffering
6. Digestion
Term
How does saliva enhance lubrication for swallowing and speaking?
Definition
Mucous glycoproteins
Term
How is mechanical washing enhanced?
Definition
By the large water volume
Term
How is tooth protection enhanced?
Definition
Glycoproteins form and enamel pellicle which binds to tooth surface. Bind calcium, forming supersaturated solution of Ca and P ions. Reduces dissolving of enamel and increases remineralization.
Term
6 antimicrobial factors of saliva?
Definition
1. Mucous barrier protects mucosa
2. Lysozyme kills some bacteria
3. Thiocynate ions do... something
4. Lactoferrin enhances Ig's
5. Serum Ig's enter in gingival fluid
6. IgA coats everything and prevents adherence of microorganisms.
Term
How does saliva buffer?
Definition
1. Bicarbonate and phosphate ions neutralize acids in foods and from bacteria
2. Prevents growth of bacteria that need a special pH
Term
How does saliva aid in digestion?
Definition
1. Amylase breaks down carbs into glucose and maltose.
2. Lipase breaks fat down.
3. Helps taste by dissolving food.
4. Neutralizes gastric juice.
5. Enhances bolus formation.
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