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[HISTOLOGY] Endocrine System

Feb 26, 2018

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    Histology: Endocrine System | 1

    Endocrine SystemSubject: Anatomy

    Lecturer: Eduardo Gonzales, MD

    Major integration and control systems of the body

    1. nervous system

    2.

    endocrine system

    two systems work parallel but independent of each

    other

    but overlaps exist both anatomically and functionally

    both receive and respond to stimuli

    but response of endocrine system is

    slower

    more diffuse

    longer-lasting

    Endocrine System

    comprised of all cells and glands that elaborate

    o cells

    occur singly or in clusters in various

    organs in the body

    e.g., enteroendocrine cells of GIT

    o glands (endocrine glands)

    no excretory duct (ductless glands)

    richly supplied with capillaries

    Endocrine glands

    distinct organs

    1.

    pituitary gland

    2. pineal gland

    3.

    thyroid gland

    4. parathyroid gland

    5.

    adrenal glands

    component of organs

    1.

    endocrine portions of hypothalamus

    2. islets of Langerhans

    Hypothalamus part of diencephalon

    at base of brain behind optic

    chiasm

    forms floor and part of wall of 3rd

    ventricle

    consists of:

    nuclei

    nuclear

    areas

    tracts

    Hypothalamus: functions

    controls many body

    functions (e.g.,

    thirst, hunger,

    satiety,

    temperature, sexual behavior, circadian rhythms,

    etc.)

    elaborates hormones

    Hormones

    I.

    posterior pituitary hormones

    1. oxytocin

    2.

    anti-diuretic hormone (ADH)

    II. hypophyseotrophic hormones (neurohormones)

    1.

    corticotropin-releasing hormone (CRH)

    2.

    thyrotropin-releasing hormone (TRH)3. growth hormone-releasing hormone (GRH)

    4. growth hormone-inhibiting hormone (GHIH;

    somatostatin; SS)

    5. gonadotrophin-releasing hormone

    (leutinizing hormone-releasing hormone;

    GnRH;LHRH)

    6. prolactin-inhibiting hormone (PIH)

    I. posterior pituitary hormones

    o magnocellular secretory neurons

    o in supraoptic and paraventricular nuclei

    II.

    hypophyseotrophic hormones (neurohormones)

    o parvocellular secretory neurons

    o widely dispersed in hypothalamus but

    mostly in:

    arcuate nucleus paraventricular nucleus

    periventricular nucleus

    Pituitary gland

    a.ka. hypophysis cerebri

    size:

    o 12 mm transverse & 8 mm in AP

    diameters

    weight:

    o 500 mg

    location:o attached to inferior surface of

    hypothalamus

    o lodged in hypophyseal fossa of sella

    turcica of sphenoid bone

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    Hypothalamus and Pituitary Gland

    key organs involved in interplay of nervous and

    endocrine systems

    extensive neural and vascular connections exist

    between these organs

    Parts:

    1. neurohypophysis

    2. adenohypophysis

    2 parts differ developmentally, structurally and

    functionally

    1.

    Neurohypophysis from neural ectoderm

    downgrowth of diencephalon

    connection with brain persists & becomes

    infundibulum (pituitary stalk)

    a)

    median eminence

    b) pituitary stalk (infundibulum; infundibular stem;

    infundibular stalk; hypophyseal stalk)

    c) pars nervosa (posterior lobe; infundibular process)

    2. adenohypophysis

    from oral ectoderm derived from an outgrowth of oral mucosa

    (Rathkes pouch) connection of Rathkes pouch with oral cavity

    severed later

    a) pars distalis (anterior lobe)

    b) pars tuberalis (pars infundibularis)

    c) pars intermedia (intermediate lobe)

    Neurohypophysis

    a)

    median eminence

    portion attached to hypothalamus

    axons of parvocellular neurons terminate

    here

    b)

    pituitary stalk

    downward extension of median eminence

    expands inferiorly to form pars nervosa

    1. hypothalamo-hypophyseal tract

    o axons of cells insoand pv nuclei on

    their way to pars nervosa

    2. neuroglial cells (pituicytes)

    o stellate; processes interconnects with

    other pituicyte

    o supportive functions to secretory

    neurons

    3. capillaries

    c) pars nervosa

    distal portions and terminations of axons of

    neurons in soand pvnuclei

    pituicytes

    capillaries

    Neurohypophysis

    not really a gland; does not produce hormones

    stores two hormones produced by cells of so and pv

    nuclei

    secretions stored in axon terminals in pars nervosa

    Herring bodies

    o aggregation of secretions

    o deeply-staining

    o basophilic structures.

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    Neurohypophysis: Hormones

    a.k.a. posterior pituitary hormones

    1. oxytocin

    o stimulates contraction of smooth muscles in

    myometrium; aids in parturition

    o stimulates contraction of myoepithelial cells

    in mammary gland; aids in ejection of milko in males, facilitate sperm transport within

    male genital tract.

    2. vasopressin (anti-diuretic hormone; ADH)

    o increases permeability of collecting ducts of

    kidney; concentrates urine

    oxytocin is produced by one cell type

    vasopression is produced by another cell type

    both cell types are present in both so and pv nuclei

    Adenohypophysis part of gland that

    synthesizes hormones

    Sub-parts:

    o pars distalis

    (anterior lobe)

    o pars tuberalis

    (pars

    infundibularis)

    o pars intermedia

    (intermediate

    lobe)

    a) pars distalis (anterior lobe)

    o biggest (sub)part of gland

    o comprises about 70% of gland

    o produces nearly all the hormones secreted by

    pituitary gland

    o hormones collectively

    referred to as anterior

    pituitary hormones

    Histology

    o epithelial cells

    cords

    clusters

    (note: anastomosing and

    irregularly arranged)

    o capillaries

    o connective tissue

    minimal

    mostly reticular

    fibers.

    Epithelium

    o types (based on staining of cytoplasm under LM)

    A.

    chromophils

    affinity for acid dyes

    acidophils (alpha cells) - cytoplasm

    stains red

    basophils (beta cells) - cytoplasm stains

    blue or purple

    B. chromophobes

    pale-

    staining

    with acid

    dyes

    comprise65% of

    epithelial

    cells

    o types (based on staining of cytoplasm under LM)

    A. chromophils

    1.

    acidophils (alpha cells)

    a. somatotrophs

    most abundant of chromophils 50% of epithelial cells

    secrete somatotropin (growth

    hormone)

    affects practically all cells

    b. mammotrophs

    20% of epithelial cells

    scattered singly all over lobe

    larger secretory granules than

    somatotrophs

    secrete prolactin stimulates growth and

    activity of mammary

    glands during pregnancy

    & lactation

    in males, helps regulate

    testicular function

    increase in size and number in

    pregnancy

    most acidophils secrete only one type of

    hormone

    a few (somatomammotrophs) secrete both

    somatotropin and prolactin

    2. basophils (beta cells)

    c.

    thyrotrophs

    % of epithelial cells

    polygonal cells with long

    processes

    secretory granulessmallest of

    5 cell types

    produce thyrotropin (thyroid

    stimulating hormone; TSH)

    TSH stimulates thyroid gland

    to produce thyroid hormones

    Note: names

    are based on

    hormones

    that cell type

    secretes

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    d. Corticotrophs

    20% of epithelial cells

    few secretory granules and

    only slightly larger than those

    in thyrotrophs

    secrete corticotropin (ACTH;

    adrenocorticotropin; adreno-corticotropic hormone) that

    stimulates adrenal cortex.

    e. Gonadotrophs

    5% of epithelial cells

    large, round cells

    distributed singly throughout

    pars distalis

    secretory granules moderate &

    variable in size

    produce gonadotropins luteinizing hormone (LH)

    follicle stimulating

    hormone (FSH)

    not known yet whether there

    are 2 types (one producing LH;

    another FSH) or just one type

    producing both hormones

    B.

    chromophobes

    o

    pale-staining with acid dyeso comprise 65% of epithelial cells

    o actually consist of three (3) types of

    cells

    chromophils (majority & mostly

    corticotrophs)

    o resting

    o have just released their secretory

    granules

    o in process of producing secretory

    granules

    o few granules that dont manifest in

    LM

    folliculostellate cells (FS cells)

    o nonsecretory with branching

    processes

    o form supporting network for other

    cells

    undifferentiated stem cells.

    b)

    pars tuberalis (pars infundibularis)

    o forms sleeve around pituitary stalk of

    neurohypophysis

    o more vascular than anterior lobe

    o contains hypophyseoportal system

    o sometimes with follicles that contain colloids

    o parenchymal cells arranged in cords or clusters

    around blood vessels

    o cells, mostly

    1. gonadotrophs

    2. thyrotrophs

    c)

    pars intermedia (intermediate lobe)

    o separates anterior from posterior lobe

    o boundary with anterior demarcated by groove that

    represents original lumen of Rathkes poucho better developed in fetus; rudimentary in adults

    o has follicles (Rathkes cysts) that contain eosinophiliccolloid material

    o cells

    form irregular clusters

    synthesize

    melanocyte stimulating hormone (MSH)

    in adults, production is minimal to

    nil

    physiologic action in humans is

    unknown

    may also produce bendorphins

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    Hypothalamic control on anterior lobe of pituitary

    gland

    hormones of anterior lobe of pituitary

    1. somatotropin

    2.

    prolactin

    3. thyrotropin

    4.

    corticotropin5. FSH

    6.

    LH

    hypophysiotropic hormones (neurohormones)

    1. growth hormone releasing hormone (GRH)

    2. growth hormone inhibiting hormone (GIH;

    somatostatin; SS)

    3.

    prolactin inhibiting hormone

    4. thryotropin releasing hormone (TRH)

    5.

    corticotropin releasing hormone (CRH)

    6.

    leutinizing hormone releasing hormone(LHRH; gonadotropin releasing hormone;

    GnRH)

    Note:

    each hypophysiotropic hormone exerts control over more

    than one pituitary hormone, e.g.

    TRH stimulates production of thyrotropin and

    prolactin

    GnRH stimulates secretion of both FSH and LH

    axons of nerve cells that produce hypophysiotropic

    hormones end in median eminenence hormones brought to anterior pituitary by

    hypophyseoportal system

    Pineal Gland

    (epiphysis cerebri)

    small; cone

    shaped

    o length = 8mm

    o weight = 120 mg

    arises as evagination of roof of diencephalon

    base attached to roof of 3rd

    ventricle by two stalks

    well-developed in children

    at puberty, starts to involute

    capsule

    o thin connective tissue; derived from the pia

    mater

    o septae incompletely divide organ into

    lobules.

    Cells

    1.

    pinealocytes(chief cell)

    modified

    neurons

    95% of cell

    population

    large nucleus

    poorly

    defined cell

    borders

    in cords or

    clusters surrounded by fenestratedcapillaries

    2.

    interstitial cells (glial cells)

    comprise 5 % of cell population

    similar to astrocytes morphologically

    3. mast cells

    few

    explains organs high histamine content.

    brain sand (acervulus; psammoma bodies;corpora

    arenacea)

    o

    distinctive feature of glando calcified, extracellular bodies

    o concentric, lamellar structures

    o increase in number with age

    o radiopaque

    o gland sometimes used as a landmark in X-

    ray studies of brain.

    melatonin

    o

    hormone elaborated by pinealocyteso

    secretion is stimulated by darkness and

    inhibited by light

    o in animals that breed seasonally

    regulates sexual development

    regulates reproductive cycle

    (seasonal breeding), hibernation

    and other metabolic processes.

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    o in humans

    blood level has diurnal pattern;

    higher at night than during day

    blood level much higher in children

    than adults

    physiologic function not known yet

    it may affect circadian rhythms andsleep patterns.

    Thyroid gland

    largest endocrine

    gland

    25-40 g in weight;

    slightly bigger in

    women than inmen

    arises as

    epithelial

    invagination at

    base of tongue

    parts:

    o two lateral lobes (right and left)

    o isthmus

    remains connected for a time to base of tongue by

    thyroglossal duct that later disappears

    foramen cecum

    o indicates point of origin of thyroid gland

    o apex of the V-shaped furrow (sulcus

    terminalis) that separates anterior 2/3 from

    posterior 1/3 of tongue.

    Thyroid gland: Histology

    capsule

    o two capsules

    o outer capsule - derived from pretracheal

    layer of the deep cervical fascia

    o true capsule

    closely invests gland

    septae divides organ into poorly-defined lobules

    Lobules

    o follicles

    several comprise each lobule

    spherical, cystic structures

    wall formed by simple cuboidalepithelium (usually)

    colloid-

    homogenous, gel-like

    material in cavity of

    follicles.

    Cells

    o follicular (principal) cells

    comprise overwhelming majority

    round nucleus that contains fine

    chromatin material

    cytoplasm is slightly basophilic

    luminal surfaces are provided with

    numerous microvilli not discernible

    under LM

    the taller the cells and the more

    basophilic the colloid, the more

    active the follicle

    if epithelial cells are low (i.e.,

    squamous) and colloid is

    acidophilic, follicle is

    hypofunctional.

    o parafollicular cells

    a.k.a., mitochondria-rich cells;

    C cells; clear cells

    0.1% of cell population

    scattered singly or in small groups

    in epithelium

    much bigger & lighter-staining than

    follicular cells

    they form part of follicular

    epithelium (as per EM).

    Thyroid gland: hormones

    1. thyroid hormones

    thyroxine (T4)

    triiodothyronine (T3)

    2. calcitonin (thyrocalcitonin)

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    thyroid hormones: synthesis

    follicular cells

    1. synthesize thyroglobulin, a glycoprotein,

    which is then discharged by exocytosis into

    colloid

    2.

    collect iodine from blood and transport this

    to lumen of follicle in the colloid,

    1. some tyrosine residues in thyroglobulin are

    iodinated and condensed to form T3 & T4

    with aid of enzyme thyroid peroxidase

    2. T3 and T4 remain bound to thyroglobulin

    until they are to be secreted

    to secrete hormones, the follicular cells

    1. ingest colloid by endocytosis

    2. hydrolyze peptide bonds binding thyroid

    hormones to thyroglobulin

    3.

    release thyroid hormones into capillaries.

    thyroid hormones

    Function:

    regulate the metabolism of

    proteins, carbohydrates, fat

    and some vitamins

    control of secretion

    thyrotropin (TSH) from

    anterior pituitary; in response

    to thyrotropin-releasing

    hormone (TRH) from

    hypothalamus.

    Calcitonin

    synthesized and secreted by parafollicular cells

    function:

    o lowers blood calcium levels

    o inhibits bone resorption by directly

    suppressing osteoclasts

    control of secretion:

    o

    blood calcium levels directly regulate

    secretion of calcitonin.

    Parathyroid gland

    usually 2

    pairs

    (superior

    and

    inferior)

    yellowish-brown,

    tiny, ovoid

    bodies

    attached to posterior surface of thyroid gland

    each is about 6 mm in length, 3-4 mm in width and

    1-2 mm thick, and weighs about 50 mg

    lie within capsule of thyroid gland.

    origin:

    o inferior parathyroid glands arise from third

    pharyngeal pouch together with thymus

    o superior parathyroid glands arise from

    fourth pharyngeal pouch and attach

    themselves to thyroid glands.

    Parathyroid gland: histology

    capsule

    o thin connective tissue

    o septae incompletely subdivide gland into

    lobules

    parenchyma

    o epithelial cells

    in cords and clusters

    o capillaries

    numerous

    o adipose cells

    at age 25, comprise about 30% of

    volume of gland

    o follicles

    occasionally present in older

    individuals

    resemble those found in the

    thyroid gland.

    Parathyroid gland: Epithelial cells

    1. chief (principal) cells

    majority of the cells

    relatively small (8-10 m in diameter)

    polyhedral; homogeneous cytoplasm is faintly

    eosinophilic

    elaborate and secrete parathyroid hormone

    (PTH; parathormone)

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    2. oxyphil cells (acidophil cells)

    appear shortly before puberty

    increase in number with age

    occur singly or in clusters

    bigger than chief cells but nuclei slightly smaller

    cytoplasm with many acidophilic granules and

    hence, intensely eosinophilic

    nonsecretory and function is unknown

    maybe chief cells that are in a different

    physiological state.

    Parathyroid gland: hormone

    parathyroid hormone (PTH; parathormone)

    o only hormone produced by parathyroid

    gland

    o secreted by chief cells

    o

    most important regulator of blood calciumlevel

    o increases circulating blood level of calcium

    by

    indirectly increasing number and

    activity of osteoclasts

    inhibiting bone formation by

    osteoblasts

    enhancing calcium reabsorption in

    renal tubules

    increasing conversion of vitamin D

    to its active form increasing excretion of phosphate

    by kidneys

    promoting absorption of calcium in

    digestive tract.

    o control of secretion

    secretion of PTH dictated by blood

    levels of ionized calcium

    high calcium level inhibits

    secretion and calcium is

    deposited in bone

    low calcium level

    stimulates secretion

    Adrenal Gland

    a.k.a, suprarenal

    gland; adrenals

    paired (left and

    right), flat,

    pyramidal organs

    on upper pole of kidneys

    each weighs about 5 g and 50 mm long or high, 30

    mm wide and 10 mm thick.

    hilus

    indentation at middle of anteromedial aspect

    where adrenal vein leaves gland

    (note: adrenal arteries enter gland through

    capsule).

    Adrenal gland: histology

    capsule

    o relatively thick

    o collagenous connective tissue; rich in

    reticular fibers

    o elements penetrate gland up to medulla.

    parts:

    o differ embryologically, structurally and

    functionally

    o cortex

    outer area

    completely surrounds medulla

    mesodermal origin

    essential for life

    some of its hormones play vital

    roles in metabolic activities

    o medulla

    ectodermal origin

    not essential for life

    hormones help individual cope

    with emergencies.

    Cortex

    80-90% of adrenal gland

    produce steroid hormones (adrenocortical

    hormones)

    produces numerous hormones, but only a few are

    important

    1. mineralocorticoids

    aldosterone

    2. glucocorticoids

    cortisol

    corticosterone

    3. androgens

    dehydroepiandrosterone (DHEA)

    androstenedione.

    Layers:

    1. zona glomerulosa

    2. zona fasciculata

    3.

    zona reticularis

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    zona glomerulosa

    15% of cortex

    rounded or

    pyramidal cells

    arranged in

    irregular ovoid

    clusters

    cell clusters

    separated by

    sinusoids that are

    supported by fine

    connective tissue

    septae

    cells have

    deeply-

    staining

    nucleus with one or two nucleoli

    cytoplasm is scanty and eosinophilic.

    mineralocorticoids, mainly aldosterone

    hormone produced by cells of this zona

    increases Na+reabsorption by collecting

    tubules of kidney

    control of aldosterone secretion

    mainly by renin-angiotensin system

    of kidneys

    secondarily by corticotropin (ACTH)

    from anterior pituitary.

    zona fasciculate thickest layer

    (78%) of adrenal

    cortex

    cells form long,

    thin (usually one-

    cell thick), straight

    cords arranged

    perpendicular to

    capsule

    cords separated by

    sinusoids that are

    supported by fine

    connective tissue

    septae.

    cells (also called spongiocytes)

    large, polyhedral

    vesicular nucleus with prominent nucleolus

    abundant, faintly-basophilic cytoplasm

    cytoplasm vacuolated because of many lipid

    droplets so the name.

    glucocorticoids

    hormones produced by cells of this zona

    mainly cortisol and corticosterone

    regulate carbohydrate, lipid and proteinmetabolism

    primary regulator of the activity of cells of

    zona fasciculata is corticotropin (ACTH)

    from anterior pituitary.

    zona reticularis

    innermost and

    thinnest layer (7% of

    volume of cortex)

    cells small and

    arranged in shortanastomosing cords

    between cords are

    sinusoids

    cells histologically

    similar to cells of

    zona fasciculata but

    less

    vacuolated

    (less lipid droplets)

    nucleus stain more intensely.

    Hormones1. a small quantity of glucocorticoids (cortisol and

    corticosterone)

    2. androgens dehydroepiandrosterone (DHEA) and

    androstenedione

    activity less than 20% those of

    testicular androgens

    hardly any physiological effect on

    normal people

    not enough to induce masculinization

    of women

    primary regulator of activity of cells of this zoneis corticotropin (ACTH)

    gonadotropins do not affect cells of zona

    reticularis.

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    Medulla

    comprises only 10-20% of adrenal gland

    thin region completely surrounded by cortex

    central part with large medullary veins that drain

    entire gland.

    Cells:

    1.

    chromaffin cells most of adrenal medulla consist of

    these cells.

    arranged in groups or thick cords that

    are surrounded by sinusoids and richly

    supplied with nerves

    all are associated with endings of

    preganglionic sympathetic neurons

    polyhedral parenchymal cells

    large, darkly-staining nucleus

    basophilic ctyoplasm

    so-called because of secretory granules

    that turn brown when treated with an

    oxidizing agent, like chromate

    (chromaffin reaction)

    2.

    ganglion cells (neurons)

    neurons scattered among chromaffin

    cells

    Secretions: three kinds of cathecolamines

    o epinephrine (adrenaline)

    secreted by 90% of chromaffin cells

    o norepinephrine (noradrenaline)

    secreted by 10% of chromaffin cells

    stronger chromaffin

    reaction

    granules more electron

    dense

    o dopamine

    cells that secrete this have not

    been identified yet

    chromaffin cells also synthesize a wide-variety of:

    o bioactive amines

    o peptides.

    Islets of Langerhans

    aggregations of pale-staining cells (in H & E

    preparations) scattered throughout darker staining

    cells of exocrine pancreas

    100-200 m in diameter

    islet is surrounded by thin layer of fine reticular

    fibers; with rich supply of capillaries.

    over a million in number

    combined volume = only 2% of pancreas

    more numerous in tail than in body or head of gland.

    Cells:

    each islet

    has 2 to 3

    thousand

    cells that

    form a

    compact

    mass

    polygonal

    polarized

    toward the

    capillaries

    into which they discharge their secretions.

    cells types

    1.

    a cell (A cell)

    about 20% of islet cells

    large cell and most occupy

    peripheral areas of islet

    electron-dense secretory granules

    of uniform size

    secretes glucagon.

    2. cell (B cell)

    most numerous, 60-75% of islet

    cells

    most are in central area of islets

    smallest of the cells of islet

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    secretory granules smaller and less

    electron dense than A cell

    secretes insulin.

    3. cell (D cell)

    only about 5% of islet cell

    population

    scattered singly all over islets largest of islet cells

    secretory granules similar to A cells

    but less electron dense

    secretes somatostatin

    4.

    F cell (PP cell)

    rare

    widely scattered and sometimes

    occurs among the pancreatic acini

    secretory granules irregular in

    shape and variable electron

    density

    secretes pancreatic polypeptide.

    not distinguishable in H & E

    distinguished from each other by employing special

    staining, immunocytochemistry techniques and EM

    (by structure of secretory granules)

    each cell type secretes a different hormone.

    Hormones:

    1. glucagon

    secreted by a cell (A cell)

    2.

    insulin

    secreted by b cell (B cell)

    3.

    somatostatin

    secreted by cell (D cell)

    also produced by some cells of

    digestive tract and hypothalamus

    but, physiologic effect of

    hypothalamic somatostatin

    different

    4.

    pancreatic polypeptide

    secreted by F cell (PP cell).