Respiratory System

BIO 408

Histology

Dr. D. L. Daley

 

Overview: Respiratory System

n    Composed of the lungs and airways leading to the external environment

n    Breathing or ventilation - movement of air into & out of the lungs

n    External respiration - exchange of O2 in the inspired air for CO2  in the blood

n    Transport of gases - conveyance of O2 and CO2 to and from the cells

n    Internal respiration - exchange of CO2 and O2 in the vicinity of the cells of the body

Nasal Cavity

n    Divided into left and right halves by cartilaginous and bony nasal septum

n    Each nasal cavity is bounded laterally by a bony wall and a cartilaginous ala (wing) of the nose

n    Communication to the outside is via nares or nostrils and via choana with the nasopharynx

n    Projecting from the bony lateral wall are three thin, scroll-like bony shelves, situated one above the other

n    Superior, middle and inferior nasal conchae

Anterior Nasal Cavity

n    Dilated portion of the nasal cavity - vestibule

n    Lined with skin that has short stiff hairs called vibrissae - keeps out dust

n    Dermis contains numerous sebaceous glands and sweat glands

n    Dermis is anchored by numerous collagen bundles to the perchondria of the hyaline cartilage segments that form the supporting skeleton of the ala

Posterior Nasal Cavity

n    Lined with pseudostratified ciliated columnar epithelium

n    Goblet cell population is very high in the deeper regions of the nasal cavity

Nasal Cavity: Olfactory Region

n    Roof of the nasal cavity, the superior aspect of the nasal septum and the superior nasal concha are covered with olfactory epithelium (60 mm thick)

n    Appears yellow in the living person

n    Composed of three cell types

n   Olfactory, sustentacular and basal cells

Olfactory Cells

n    Bipolar neurons whose apical aspect, the distal terminus of a slender dendrite, is modified to form a bulb. the olfactory vesicle

n   This projects above the surface of surrounding sustentacular cells

n    Scanning EM reveals 6 to 8 long nonmotile olfactory cilia extended from the olfactory vesicle and lie on the free surface of the epithelium

Sustentacular & Basal Cells

n    Sustentacular cells - 50-60 mm tall columnar cells

n    Have granules with yellow pigment

n    These cells probably provide physical support, nourishment and electrical insulation for the olfactory cells

n    Basal cells - short pyramid-shaped cells - apical aspect does not reach the the epithelial surface

n    Capable of replacing olfactory and sustentacular cells

Paranasal Sinuses

n    The ethmoid, sphenoid, frontal and maxilla bones of the skull have large mucoperiosteum-lined spaces called paranasal sinuses - these connect with the nasal cavities

n    Epithelium is ciliated columnar and the cilia normally sweep the mucous layer toward the nasal cavity

Pharynx

n    The pharynx begins at the choana and extends to the opening of the larynx

n    Three regions

n    Superior nasopharynx

n    Middle oral pharynx

n    Inferior laryngeal pharynx

n    Nasopharynx is lined with a respiratory epithelium

n    The oral and laryngeal regions are lined with stratified squamous epithelium

Larynx

n    The larynx is positioned between the pharynx and the trachea

n    Responsible for phonation and prevents entry of solids or liquids into the trachea

n    The wall of the trachea is reinforced by several hyaline cartilages (unpaired thyroid and cricoid cartilages) & the inferior aspect of the paired arytenoids and the elastic cartilages (unpaired epiglottis, the paired corniculate and cuneiform cartilages) and the superior aspect of the arytenoids

Larynx

n    Cartilages of the larynx are held together by ligaments and their movements are controlled by intrinsic and extrinsic muscles

n    Lumen of the larynx has two pairs of shelf-like folds, superior positioned vestibular folds and inferiorly placed vocal cords (free edge (vocal fold) reinforced with dense regular connective tissue (vocal ligament)

n    During phonation the vocal folds are strongly adducted, forming a narrow slit between them

n    Lined with pseudostratified ciliated columnar epithelium

Trachea

n    12 cm long & 2 cm wide tube - begins at the cricoid cartilage and ends when it bifurcates into the primary bronchi

n    Wall is reinforced by 10 to 12 horseshoe shaped hyaline cartilage rings (c rings)

n    The open end of the rings faces posteriorly and are connected to each other by smooth muscle (trachealis muscle)

n    Contraction of the trachealis muscle decreases the diameter of the trachea - speeds up air flow - during coughing to remove foreign matter from the passage way

Tracheal Mucosa

n    Composed of pseudostratified ciliated columnar epithelium and a subepithelial connective tissue (lamina propria) and a relatively thick bundle of elastic fibers separating the mucosa from the submucosa

n    Six cell types

n    Goblet cells, ciliated columnar cells, basal cells, brush cells, serous cells and DNES (diffuse neuroendocrine system) cells - all of these cells touch the basement membrane

Cells of the Tracheal Mucosa

n    Goblet cells - 30% of total - produce mucinogen which when hydrate is called mucin

n   Narrow base (stem) and a expanded theca containing the secretory granules

n    Ciliated columnar cells - 30% of total - tall and slender - have cilia and microvilli on their apical surfaces - move the mucus along

Cells of the Tracheal Mucosa

n     Basal cells - short cells - 30% of total - considered to be stem cells

n     Brush cells - 3% of total - small granule mucus cells - narrow columnar cells with tall microvilli - function unknown

n     Serous cells - 3% of total - columnar cells - dense secretory granules - unknown function

n     DNES cells (diffuse neuroendocrine system) - 3% to 4% of total - small granule cells - numerous granule in the basal cytoplasm - release pharmacological agents thought to control the functioning of the other cells

Submucosa and Adventia of the Trachea

n    Submucosa - dense irregular connective tissue - many mucous and seromucous glands - ducts open onto the epithelial surface

n   Rich blood supply and lymphoid elements

n    Adventia - fibroelastic connective tissue

n   C rings the most prominent feature

Bronchial Tree

n    Begins at the bifurcation of the trachea as right and left primary bronchi (extrapulmonary bronchi)

n    The primary bronchi arborize to form a tree-like array of air tubes that decrease in size

n    Intrapulmonary - secondary bronchi serve a lobe of the lung

n    Each secondary bronchi subdivides into smaller branches called tertiary bronchi

Bronchial Tree

n    Each tertiary bronchi arborizes but leads to a  bronchopulmonary segments (discrete section of the lung)

n    Each lung has 10 bronchopulmonary segments that are completely separate from one another by connective tissue

n     All of these tubes have irregular plates of cartilage rather than c rings

Bronchioles

n    No hyaline cartilage in their walls - less than 1mm in diameter

n    A bronchiole or primary bronchiole supplies air to a pulmonary lobule

n    Considered the 10th to 15th generation of dichotomous branching of the bronchial tree

n    Clara cells - columnar cells with dome shaped apices with short blunt microvilli

n    Produce protective secretion, degrade toxins & can regenerate the epithelium

Terminal Bronchioles

n    Each bronchiole subdivides to from several smaller bronchioles - less than 0.5 mm in diameter - the terminus of the conducting portion of the respiratory system

Respiratory Bronchioles

n    Similar to terminal bronchioles but heir wall is interrupted by thin-walled pouch-like structures called alveoli

n   This is the first place where gas exchange can occur

n   As these divide they become narrower in diameter and their population of alveoli increases

n   They eventually terminate in an alveolar duct

Alveolar Ducts, Atrium and Alveolar Sacs

n    Do not have walls of their own, rather they are merely linear arrangements of alveoli

n    Each duct ends in a blind out-pouching composed of two or three clusters of alveoli (cluster know as an alveolar sac)

n    These sacs open into a common space called the atrium

n    Slender connective tissue between alveoli is called the interalveolar septa (reinforce the duct)

n    Fine elastic fibers encircle the alveolar ducts and sacs

Alveolus

n    Small outpouching about 200mm in diameter of the respiratory bronchioles, alveolar ducts and alveolar sacs

n    The primary unit of gas exchange

n    About 300 million - give the lungs its spongy nature

n    The total surface area for gas exchange is estimated at 140 m2 (size of a average two bedroom apartment)

n    Surrounded by capillaries needed for gas exchange with the blood

Alveolus

n    Type I Pneumocytes - 95% of the alveolar surface is composed of these squamous epithelial cells

n   Very thin cells - only 80nm in width

n   Form occluding junctions with one another - no seepage of extracellular fluid into the alveolus

Alveolus

n    Type II pneumocytes - 5% of the total surface

n    Cuboidal cells that are interspersed among and form occluding junctions with Type I pneumocytes

n    Have short apical microvilli

n    Show membrane bound lamellar bodies that contain the pulmonary surfactant that these cells secrete

n    Surfactant - two phospholipids, dipalmitoyl phosphatidycholine & phosphatidylglycerol & for unique proteins, surfactant proteins A, B, C and D

Alveolar Macrophages

n    Also called dust cells

n    Migrate between type I pneumocytes and enter the lumen of the alveolus

n    Phagocytose duct particles and bacteria

n    About 100 million macrophages migrate tot he bronchi and are transported via cilia tot he pharynx to be swallowed or expectorated

Interalveolar Septum

n    Region between two adjacent alveoli - lined with alveolar epithelium

n    May be very narrow and house only a continuous capillary & its basal lamina or it may be wider with connective tissue elements

Pleural Cavities

n    The thoracic cavity is separated into three regions

n    Left and right thoracic (pleural) cavities and a centrally located mediastinum (Heart, great vessels, trachea, esophagus, thymus & lymph nodes)

n    The lining is a serous membrane, the pleura

n    Composed of simple squamous epithelium and a subserous connective tissue

n    The visceral pleura covers and adheres to the lung and the remainder of the pleura , the parietal pleura, lines and adheres to the walls of the thoracic cavity