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Endocrine - Histology
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21
Medical
Graduate
02/18/2011

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Term
Adenohypophysis
consists of?
embryology
Definition
Part of the pituitary gland
consists of: pars tuberalis, pars distalis (anterior lobe), pars intermedia (diffuse region)

forms from evagination of the oral ectoderm
moves upward to meet the post pit
termed "Rathke's pouch"
Term
Neurohypophysis
consists of?
embryology
where do its axons originate?
25% of pars nervosa is composed of __
Herring bodies
Definition
Part of the pituitary gland

consists of: median eminence, infundibular stem, pars nervosa (posterior lobe)

forms as an extension of the hypothalamus
- composed of neural tissue, is a functional part of the hypothalamus

Its 100,000 unmyelinated axons of secretory neurons originate in the SON & PVN of the hypothalamus

25% of pars nervosa is composed of pituicytes
- highly branched glial (support) cells

Herring bodies - accumulation of granules visible with light microscopy
Term
Blood supply to the pituitary
Definition
Blood supply to pars distalis = hypothalamohypophyseal portal circulation

blood from adeno- & neurohypophysis drains into sinuses

the sup & inf hypophyseal arteries supply pars nervosa, small supply to stalk
- capillary network in pituitary stalk forms the short hypophyseal vessels
- also delivers blood into sinusoids of the pars distalis

Sup hypophyseal a -> capillary bed -> portal vv -> capillary bed (pars distalis) -> hypophyseal v
Term
Pars distalis

Cells types (2) and what they consist of
Definition
Cords of cell interspersed with capillaries
Accounts for 75% of pituitary mass

Chromophobes (no H&E, may be support cells, may have been recently secreted)

Chromophils (store & make hormones, stains, basophils/acidophils, named for the hormone they secrete, specific hormone produced can be identified with histo procedures)
Term
Pars Intermedia
Definition
Rudimentary region in the pituitary

Made up of cords, follicles whose function is unknown

space b/t adeno- and neurohyphysis
Term
Pars tuberalis
Definition
outer covering of pituitary stalk

most cells secrete gonadotropins (LH, FSH)

arranged as cords alongside blood vessels
Term
Axons of the neurohypophysis

ADH & oxytocin

where is the terminal axon?
Definition
Neurosecretory granules concentrate at the dilated, terminal portions of the axon
- ADH and oxytocin are produced at the hypothalamus, move down to post pit, stored & released when triggered
- neurosecretory material is composed of either: oxytocin, ADH, neurophysin (binding pr, specific for each hormone)

terminal axon is apposed to fenestrated capillaries in the pars nervosa
Term
tumors of the hypophysis

about ___ produce enough hormone to produce clinical symptoms

what cells do tumors usually come from?

how might tumors present?
Definition
usually benign

about 2/3 produce enough hormone to produce clinical symptoms

tumors commonly from GH, prolactin, or ACTH producing cells of pars distalis

may present as vision problems b/c it's pressing down on optic chiasm
Term
Thyroid gland

derived from?
location?
major hormone products?
epithelial lining?
where are TSH receptors located
Definition
consists of two lobes united by an isthmus, composed of follicles
sphere lined by a simple epithelium, lumen contains colloid

derived from cephalic portion of the alimentary canal endoderm

located in cervical region anterior to larynx

T3, T4, TSH (TSH = main regulator of thyroid follicle)

epithelial lining ranges from simple squamous to low simple columnar

TSHR located on basal cell membrane of epithelial cell
Term
Morphology of thyroid follicles
Definition
hypoactive - mostly simple squamous epithelium

hyperactive - TSH stimulation i/c height of epithelial cells, d/c quantity of colloid & size of follicle

thyroid epithelial cells can simultaneously synthesize, secrete, absorb, and digest proteins
Term
Parafollicular cells
Definition
a.k.a. C cells

part of the follicular epithelium or isolated clusters b/t thyroid follicles

contains numerous, small granules

contains calcitonin - lowers blood Ca++ via inhibition of bone resorption
Term
Hashimoto's Disease
Definition
enlarged, inflamed hypofunctioning thyroid (goiter)

mostly infiltrated with immune cells

blue cells - lymphocytic infiltrates

virtually no thyroid follicles
Term
Primary diffuse hyperplasia
Definition
Grave's disease
Term
Parathyroid gland

embryo
histo

pathology
Definition
4 small glands located on posterior surface of the thyroid; one at each end of the upper & lower poles

derived from 3rd & 4th pharyngeal pouches

elongated, chord-like clusters of secretory cells

2 cell types: chief cells (make PTH), oxyphil cells (lot of mito, no known fn, i/c in # after puberty)

parathyroid adenoma - cells are too mitotically active
Term
Adrenal gland
cortex vs. medulla
Definition
cortex - coelomic intermediate mesoderm
medulla - neural crest cells

cortical cells don't store hormones as granules
hormones are synthesized & secreted on demand

cells have typical ultrastructure of a steroid producing cell - lot of sER, mitochondria
Term
Adrenal cortex
3 concentric layers
Definition
zona glomerulosa (15%) - immediately beneath connective tissue capsule, cells arranged as closely packed rounded clusters, surrounded by capillaries, secrete mineralcorticoids (aldosterone)

zona fasciculata (65%) - cells arranged as straight cords (1-2 cells thick), run perpendicular to surface, capillaries located b/t cords of cells, cells store lipid droplets & appear vacuolated, secrete glucocorticoids (cortisone, cortisol)

zona reticularis (7%) - innermost cortical layer, lies adjacent to medulla, cells arranged as irregular cords, secrete androgens & small amts of endrogens, lipofuscin & cell degradation may be seen
Term
Adrenal medulla
Definition
composed of polyhedral cells arranged in cords or clumps

profuse capillary supply w/ a few PS ganglion cells

cells are modified sympathetic, postganglionic neurons (derived from neural crest cells)

cells have lost axons & dendrites to become secretory cells

cells contain abundant membrane-bound electron dense secretory granules (storage form of epi/NE, contain ATP, binding protein chromogranin, enkephalin)

cells innervated by cholinergic endings of preganglionic sympathetic neurons
Term
Blood supply to adrenal gland
3 main arteries
vessels form a subcapsular plexus from which arise 3 groups of vessels
medulla vascularization
Definition
Superior suprarenal artery – from inferior phrenic artery
Middle suprarenal artery – from the aorta
Inferior suprarenal artery – from the renal artery

Arteries of the capsule
Arteries of the cortex that drains into the medulla
Arteries of the medulla that pass through the cortex (without feeding it) and form medullary capillaries

Consists of an arterial supply (medullary arteries) and a venous supply (cortical arteries)
• Medullary capillaries and cortical capillaries form the medullary veins
• These join to constitute the adrenal/suprarenal vein
Term
Islets of Langerhans

Histology
A, B, D, F cells
Definition
Represents the endocrine pancreas

Multihormonal endocrine structures
• Rounded clusters of cells within exocrine pancreas
• 1.0 million per pancreas
• Each islet is 100-200mm in diameter and contains several hundred cells

Consists of lightly stained, polygonal or rounded cells
Separated by a network of fenestrated capillaries
Both cells and vessels are innervated by autonomic nerve fibers
At least 4 cell types have been located in the islet
A Cells – regular granules with a dense core surrounded by a clear region
• Secretes glucagon
B Cells – irregular granules with a core formed by irregular crystals
• Secretes insulin
D Cells – secretes somatostatin – inhibits other cells
F Cells – secretes pancreatic polypeptide
Term
Pineal gland
size?
location?
histo
pinealocytes
astrocytes
Definition
a.k.a. epiphysis cerebri
Flattened organ about 5-8 mm in length and 3-5 mm in width
Located in the posterior extremity of the 3rd ventricle
Above the roof of the diencephalon, connected by a short stalk
Covered by the pia mater
Histology:
o Composed of cellular chords that form irregular lobules
o Cell types include pinealocytes and astrocytes

Pinealocytes
- Long and tortuous branches
- End as flattened dilations near vascular elements
- Cells produce melatonin

Astrocytes (Glial cells)
- Located between pinealocytes
- Contain large number of intermediate filaments
- Corpora arenacea – “brain sand” – increase from puberty
Term
Innervation of the pineal gland
Definition
Unmyelinated axons end among pinealocytes

Synapses observed

Vesicles containing norepinephrine and serotonin are observed
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