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HistologyofImportantOrgans
wangmin2015HeartKidneyLiverSmallintestinelung1.Heart
endotheliumsubendothelium
subendocardium
Purkinjefiberinit
mesothelium,CT,adiposecells1.Endocardium(心內膜)2.Myocardium(心肌膜)3.Epicardium(心外膜)Conductivesystemofheart(impulsegeneratingandconducting)sinoatrialnodeatrioventricularnodebundles(1)Pacemakercell(2)Transitionalcell(3)Purkinjefiber2.LiverLargestinternalorgan(exocrinegland)Multi-roles:1)plasmaproteinssynthesesalbumins,globulins,lipoproteins,glycoproteins,fibrinogens…2)VitA.D.E.K3)Degradedrugsandtoxins4)Secretebile5)Endocrine–likefunctions:(modifyH.GF)(secretesAngiotensinogen)6)Bloodformationandfiltration
StructureofHepaticlobulesCentralveinHepaticplates(hepatocytes)HepaticsinusoidsDissespace
PortalArea(portaltriads)InterlobularAInterlobularVInterlobularbileduct
Hepatocyte
(5Monthslong,multi-functional,renewing)
LM:incords/plateslargepolyhedralacidophilic,withbasophilicparticles1-2nucleiEM:denseorganelles3kindsofsurfacesbilecanaliculiHepatocyteEMDenseorganellesandinclusionsabout1000MimuchRER(basophilicparticles)SER200-300proxisome(catalaseinit)muchlysosomesdepositsofglycogens,lipiddroplets,lipofusinpigmentThreekindsoffunctionalsurfacesBilecanaliculiandtightjunctions(bileleakage:mechanicaljaundice)
HepaticSinusoids
DiscontinuousendotheliumKupffercellsSinusoidalwallandspaceofDisseItocellinspaceofDisse“StellateC”“Fat-storingC”“PerisinusoidalC”lipiddroplets(VitA/D/K/E)Tissuerenewing-Causefibrosis3.SmallIntestine4LayersMucosasimplecolumnarlaminarpropriamuscularismucosaSubmucosaMusclelayerSerosa3
projections:P.V.MV2smalldigestiveglandsLT,NT
Villi
specificfeatures
forsmallintestinesMucosalprojectionsEpithelium+laminarpropria
MicrovilliSurfacecellularmembrane+cytoplasmPlicaeCircularesofsmallintestinecircularsubmucosalfoldscoveredbyvilli
Smalldigestiveglands
inintestinesMucosalglandsinallsegmentsepithelialinvaginationsextendthroughentirelaminarpropriaSubmucosalgland
deudenalG(Brunner’sG)SimplecolumnarEofsmallintestinesEnterocyte(absorptiveC)MucinsecretingC(Golblet)EnteroendocrineCPanethCMicrofoldCIntraepithelialLc(IEL)&IEMEnterocytesAbsorpionalstructures:MV:striatedborderGlycocalyxdigestiveenzymesterminaldigestionTightjunctionLaterobasalextracellularspaceVesiclesSecreting:enzymes,sIgA
(withplasmacells)Coreofvilli:LCT,SmoothM,immunecellsfenestratedCap:sugars,AA,FA…Lacteal(bigLCap):lipoprotein(chylomicrons)OthercellsinE
MicrofoldcellandmucosaimmunitySmallintestinalmucosalglandCellsinglands:1)enterocytes2)gobletcells3)enteroendocrinecells4)Panethcells:acidophilicgranules(antibacterialproteins,localinnateimmunity)5)UndifferentiatedC:lowerportionofgland6)Othercells(Lc)
GALTDiffusedLTIsolatedLnodule3)AggregatedLnodules(Peyer’spatches)Nervetissueinsmallintestinessubmucosalandmyentericnerveplexuses
4.kidney
sagittalplaneRenal
lobe:1pyramid&itscortexRenallobule:1ray&surroundinglabyrinthRenalcolumns(腎柱)corticaltissurebetweenpyramids
Renalstructure
Urinarytubules
Nephronrenalcorpuscleglormerulus(cap.mesangium)Bowman’scapsuleparietal/visceral/cavityrenaltubulesproximal/thin/distaltubulesCollectingtubulesJuxtaglormerularcomplexRenalcorpuscle1-4millions2polescomponents
glormerulusrenalcapsuleparietal:SSvisceral:podocyteGlomerulusfenestratedcapillariesmesangialcells(系膜細胞)RenalfenestratedcapillaryMesangialcellsAdheringtocapillarywallShortprocessesextending
toBMsurfacepossiblefunction:1)pericyte-like:supporting/
renewing/contracting2)actasmacrophage:cleaningBM3)secretion:renin,PGs,IGFs4)FcR-Pathologicalconditions
Podocyte
greatlymodifiedstructurePrimary
Secondaryprocessespediclesembracecapillariesinterdigitatedwitharegularslitof25nm,noorganelles,richinMF,MTcontactwithbasementmembraneslitdiaphragm:nephrinCellbodydonotcontactwithBMdevelopedcytoskeletonMechanicalfunction:supportshydrostatic
pressureProliferatessensitivelyto
inflammatoryfactorspodocyte
Filtrationmembrane
endothelialpores+BM+slitmembrane
“CrescentNephritis”
-fibrinleakedoutProximal&DistalTubulesProximaltubulesimplecuboidallargediameter/nallowlumenlargepyramidalcellsstronglyacidophilicnumerousMV(brushborder)lateral
processes(indistinctborderlines)basalinfoldings+Mi
(basalstriation)“ion-transportingcell”apicalcanaliculi,vesicles
(proteinabsorption)
Distaltublelessacidophilicnobrushborderlesslateralprocessesdeveloped
basalinfolding--apicalnucleussensitivetoALDOutermedullaInnermedulla(deep)
Collectingtubule40uto200upale-stainingcytoplasmfewerorganelleswater-permeableregulated
byADHJuxtaglomerular
apparatus
Juxtaglomerularcells(JGC)epithelializedSM
ofafferentA
reningranules
AngiotensinogenproteinaseMaculadensa
densedistaltubularcells
sensoryExtraglomerularmesangialcells
signaltransmitterRenin-Ang-ALD---sodiumwaterresorptionRenin-PAS+5.LungStructureserosa(visceralpleura)
lobes,lobules,stromaConductingPortionbronchusandbronchialtreebronchioleterminalbronchiole
RespiratoryportionR.bronchiolealveolarductalveolarsacalveoliTracheaandbronchus1)Mucosapseudostratifiedciliatedlaminarproper2)Submucosamixedglands3)AdventitiacartilagesEpithelialcells
ciliatedcellmucuscell
(goblet)brushcellsynapsessensorysmallgranulecellenteroendocrinebasalcellregeneratingGCCiliaGlandCartilageSMBronchioleanditsbranchesBronchioleanditsbranchesEpitheli
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