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Salivary glands
Terminologies
 Glands are basically divided into
 Endocrine glands – are glands that secrete their products
through the basal lamina and lack aduct system.
 Exocrine glands _ secrete their products through aduct.
The glands in this group can be divided into three group:-
 Merocrine glands – cells secrete their substances by exocytosis
(mucous and serous glands).
 Apocrine glands – aportion of the secreting cells body is lost
during secretion.
 Holocrine glands – the entire cell disintegrates to secrete its
substances (sebaceous gland).
 The type of secretory product of an exocrine gland may
also be one of three categories:
 Serous glands – secrete awatery , often protein rich
product.
 Mucous glands – secrete aviscous product , rich in
carbohydrates .
 Sebaceous glands – secrete alipid product.
Definition:- salivary galnds are compound , tubuloacinar, merocrine , exocrine glands the
ducts of which open in the oral cavity.
Classification of salivary glands
 According to location
 According to size
 According to the nature of secretion
According to location
 Glands of oral vestibule
1- labial glands (upper and lower)
2- buccal glands
3- parotid glands
 Gland of oral cavity proper
1- palatine glands (hard ,soft palate and uvula)
2- glands of the floor of the mouth (sublingual,submandibular,glossopalatine)
3-glands of tongue (Weber , Von Ebner , Balandin Nuhn)
According to size
 Major salivary glands
1- parotid Gs
2- submandibular Gs
3- sublingual (major) Gs
 Minor salivary glands
1-labial & buccal Gs 2-palatine Gs
3- Glossopalatine Gs 4- minor sublingual glands
5- Weber Gs 6-Von Ebner Gs
7- Balandin Nuhn Gs
According to the nature of secretion
 Pure serous Gs
1- Parotid gland (of adult)
2- Von Ebner Gs
 Pure Mucous Gs
1-palatine Gs 2- Glossopalatine Gs
3- minor sublingual glands 4- Weber Gs
 Mixed Gs
1-labial & buccal Gs 2- submandibular Gs
3- sublingual (major) Gs 4- Balandin Nuhn Gs
5- parotid (infant & old age)
Development and growth
 The individual salivary glands arise as aproliferations of oral epithelial
cells , forming afocal thickening that grows into the underlying
ectomesenchyme.
 Continued grows results in the formation of small bud connected to the
surface by acord of epithelial cells with mesenchymal cells condensed
around the bud.
 Clefts develop in the bud forming two or more new buds , continuation of
this process called branching morphogenesis.
 Signaling molecules including members of the fibroblast growth factor
family , transforming growth factor B and their receptors play amajor
role in the development of branches.
 Salivary gland branching morphogenesis.
Transmitted light microscopy of a living
submandibular salivary gland dissected
out of a mouse embryo after 12 days of
gestation (panel A ), placed into explant
culture, and photographed after being
cultured for an additional 12 hrs (B), 24
hrs (C), 48 hrs (D), and 72 hrs (E). The
gland starts as a single bud, which is
subdivided by clefts (arrowheads), which
progressively deepen. The clefts
eventually widen to define secondary
ducts (arrow) connected to the main duct.
This process of branching morphogenesis
progresses rapidly from a single bud to a
complex branched structure in 3 days,
and it continues to branch as the embryo
develops. Scale bar = 100 μm.
 The development of alumen within abranched epithelium
generally occurs in this order 1- in the distal end of the main cord
and in branch cords 2-in the proximal end of the main cord 3- in
the central portion of the main cord .
 The lumen form within the ducts befor they develop within the
terminal buds.
 Some studies suggested that lumen formation may involve
apoptosis of centrally located cells in the cell cords.
 Following development of the lumen in the terminal buds , the
epithelium consists of two layers of cells .
 The cells of the inner layer differentiate into the secretory cells of
the mature gland , mucous or serous.
 Some cells of the outer layer forms the contractile myoepithelial
cells that are present around the secretory end pieces and
intercalated ducts .
 As the epithelial components increase in size and number the
associated mesenchyme is dimenshed , although athin layer of C.T
remains surrounding each secretory end piece and duct of the adult
gland.
 Thicker partitions of connective tissue(septa) continuous with
capsule and within which run the nerves and blood vessels
supplying the gland , and divide the gland into lobes and lobules.
 The Parotid glands begin to develop at 4 to 6th week of
intrauterine life , the submandibular glands at 6 week , and
the Sublingual and Minor salivary glands at 8 to 12 weeks.
 The cells of the secretory end pieces and ducts attain
maturity during the last 2 months of gestation.
Histological structure of salivary gland
 Parenchymal elements
1- Terminal secretory portion
2- Non secretory cells
3- Duct system
 connective tissue stroma
1- Cells , nerves, blood vessels
2- Ground substances
Terminal secretory portion
 The terminal portions are concerned mainly with
the production of saliva.
 There are three types
1- serous acinus
2- Mucous acinus
3- Mixed
Serous cells
 Morphology :- pyramidal with broad base in the
basement membrane and apex towards narrow lumen.
 Each cell has arounded nucleus situated in the basal
third of the cell.
 Apical part contains eosinophilic secretory granules
(zymogen granules) that clearly seen by toluidine blue
stain.
 The lumen usually has finger like
extensions located between
adjacent cells called intercellular
canaliculi that increase the size of
luminal surface of the cells
 Large amount of RER arranged basaly
and laterally to the nucleus.
 Golgi complex 4-6 situated apical or
lateral to the nucleus .
 Numerous mitochondria situated basally
and laterally to the nucleus.
 Cytoplasmic organells include lysosomes,
free ribosomes , microtubules and
microfilaments.
Inter cellular junction between serous cells
 Tight junction
 The adhering junctions and desmosomes – hold adjacent
cell together and also help in cell signaling.
 Gap junctions - allow passage of ions and small
molecules between the cells.
 Transmission EM of serous cell of
rat parotid gland.
 N nucleus
 Lu lumen
 SG secretory granules
 Arrow head inter cellular spaces
 Ly lysosomes
 rER rough endoplasmic reticulum
Mucous cells
 The mucous cell is high cuboidal in shape and larger than the
serous cells .
 It has broader apex bordering awide lumen .
 The nuclei of mucous cell are flattened and basally located.
 Mucous cell lack intercellular canaliculi , expect for those
covered by demilunes.
 Mucous cells have more golgi apparatus (10-12) saccules because
of the greater amount of carbohydrate that is added to the secretory
protein.
 The mucous cells exhibits large , irregular , electron – lucent
mucigen granules which are readily distinguished from those of
serous cells by their pale appearance.
 The cells appear pale due to their mucinous granules of high
carbohydrate content which gets dissolved during preparation of
sections giving an empty appearance , the mucinous granules are
clearly seen by PAS stain.
 Mucous secretion differ from serous secretion in two ways :-
 1- They have little or no enzymatic activity and mainly
serves for lubrication and protection of oral tissues.
 2-The ratio of carbohydrate to protein is greater.
Secretion of zymogen and mucigen granules
Serous cell
 Secretion of zymogen
granules by exocytosis
without loss of cytoplasm.
Mucous cell
 Secretion of mucigen
granules is different from
zymogen granules.
 The membrane may
fragment and being lost with
the discharge of mucous.
 Transmission electron
micrograph (TEM) showing
several secretory granules in
the apical surface of the cell.
A granule has just secreted its
contents by exocytosis into
the lumen.
 Salivary gland. Coloured
scanning electron micrograph
(SEM) of a section through a
parotid salivary gland, showing
numerous serous secretory
granules (small, spherical),
within the serous glands.
Serous glands contain serous
acini.
 Endoplasmic reticulum (brown
stacks at right and upper left),
Mixed secretory portion
 In mixed glands the proportion of serous and mucous cell vary
from predominantly serous as in human submandibular gland , to
predominantly mucous as in human major sublingual gland .
 Separate serous and mucous units may exist , in addation to
secretory units composed of both cell types .
 In the later arrangement the mucous cells form atypical tubular
portion that’s capped at the blind end by crescents of several
serous cells known as crescent og giannuzzi or demilune of von
Ebner.
Non secretory cells
 1- Myoepithelial cells
 2- Oncocytes
Myoepithelial cells
 Myoepithelial are contractile cells
located around the terminal secretory
portions and the intercalated duct.
 They are situated between the
basement membrane and the basal
plasma membrane of the
parenchymal cells.
 It is stellate in shape and has small flattened body with elongated
nucleus and numerous long branching processes that embrace the
secretory and duct cells.
 The plasma membrane of myoepithelial cells joins the basal
membrane of parenchymal cells by desmosomes.
 In ordinary H&E stain only their nuclei are visible.
 Immunofluorescent studies indicate presence of actin and myosin.
Scanning electron microscope
Myoepithelial cells on the surface
of, and embracing, a human
parotid acinus.
Function of Myoepithelial cell:-
 1- Myoepithelial cells have contractile function as it
help to expel saliva from the terminal portion and
intercalated duct.
 2-It may provide support for the parenchymal cells
during active secretion.
 3- Contraction of the myoepithelial cells of the
intercalated ducts may shorten and widen the duct ,
helping to maintain their patency.
 Recent studies showed that myoepithelial cells are involved
in signaling the secretory cells and protecting the salivary
gland tissue.
 The myoepithelial cells also produce anumber of protein
that has tumor suppressor activity such as proteinase
inhibitors and angiogenic factors which act as barriers
against invasive epithelial neoplasm.
Oncocytes
 This is aspecial large eosinophilic cell with small ,
centrally pyknotic nucleus and loaded with
mitochondria.
 It tends to be found in the ducts particularly in parotid
and submandibular glands.
 This cell may represent an age change it may form
tumor called oncocytoma.
Duct system
 Inter calated ducts (intralobular)
 Striated ducts (intralobular)
 Excretory ducts (interlobular)
Intercalated duct
 The primary saliva produced by the secretory end pieces
passes first through the intercalated duct ducts .
 The ducts are lined by asimple cuboidal epithelium.
 The intercalated duct cells have centrally placed nuclei which
appear prominent with scanty cytoplasm contain some RER and a
small golgi complex.
 The apical cell surface has afew short microvilli projecting into
the lumen , the lateral surfaces are joined by apical junctional
complexes , scattered desmosomes and gap junctions .
Function of intercalated duct:-
 They convey the secretion from the terminal secretory units to the
striated ducts.
 Lactoferrin (aprotein having an antibacterial function) has been
localized in the cells of the intercalated ducts.
 They are capable of reabsorbing protein from the lumen (modifaction).
 They may represent areserve of UMC providing adegree of
regenerative capability in the event of injury of the gland.
Striated ducts
 The striated ducts are lined by simple high columnar cells .
 The cells of the striated ducts have alarge amount of eosinophilic
cytoplasm and alarge , spherical , centrally positioned nucleus .
 Ultra-structurally Basal cytoplasm of striated duct cells show deep
infolding of the plasma membrane and many large mitochondria are
packed between the infolding , this large surface area supplied with
high level of energy is involved in active transport.
 Adjacent cells are joined by well developed tight junctions and
junctional complex and lack of gap junction.
Functions of the striated duct
 Convey secretion from inter calated duct to excretory duct.
 They actively reabsorb sodium and chloride ions and secrete
potassium and bicarbonate in the primary secretion thus the
secretion is changed from an isotonic or hypertonic to
hypotonic secretion with low sodium and chloride and high
potassium and bicarbonate.
 Amylase enzyme is added from the serum to the saliva by
the cells of striated duct.
Excretory duct(Interlobular)
 The excretory ducts are located in the connective tissue septa between
the lobules of the gland.
 The basal striation of striated duct become less prominent as the
excretory duct increase in size.
 Near the striated duct the excretory duct are lined by
apseudostriatified epithelium of tall columnar cells.
 In larger excretory duct the epithelial lining may contain goblet cell.
Function of excretory duct
 They convey the salivary secretion toward the oral cavity.
 They have the ability to reabsorb sodium and secrete
potassium and bicarbonate.
Main duct
 As the excretory duct approach the oral cavity ,
epithelium changes to non keratinized stratified
squamous epithelium merging with that of the oral
cavity at the ductal orifice.
Connective tissue
 The C.T elements of the salivary glands forms the capsule which
serrounds the parenchymal elements of major salivary glands.
 It forms septa that divide the gland into lobes and lobules.
 The cells : fibroblast , plasma cells , mast cells, macrophage and fat
cells.
 Collagen , reticulr fibers and ground substances(glycoprotein and
proteoglycans).

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salivary gland.pptx

  • 2. Terminologies  Glands are basically divided into  Endocrine glands – are glands that secrete their products through the basal lamina and lack aduct system.  Exocrine glands _ secrete their products through aduct. The glands in this group can be divided into three group:-
  • 3.  Merocrine glands – cells secrete their substances by exocytosis (mucous and serous glands).  Apocrine glands – aportion of the secreting cells body is lost during secretion.  Holocrine glands – the entire cell disintegrates to secrete its substances (sebaceous gland).
  • 4.
  • 5.  The type of secretory product of an exocrine gland may also be one of three categories:  Serous glands – secrete awatery , often protein rich product.  Mucous glands – secrete aviscous product , rich in carbohydrates .  Sebaceous glands – secrete alipid product.
  • 6. Definition:- salivary galnds are compound , tubuloacinar, merocrine , exocrine glands the ducts of which open in the oral cavity.
  • 7. Classification of salivary glands  According to location  According to size  According to the nature of secretion
  • 8. According to location  Glands of oral vestibule 1- labial glands (upper and lower) 2- buccal glands 3- parotid glands  Gland of oral cavity proper 1- palatine glands (hard ,soft palate and uvula) 2- glands of the floor of the mouth (sublingual,submandibular,glossopalatine) 3-glands of tongue (Weber , Von Ebner , Balandin Nuhn)
  • 9. According to size  Major salivary glands 1- parotid Gs 2- submandibular Gs 3- sublingual (major) Gs  Minor salivary glands 1-labial & buccal Gs 2-palatine Gs 3- Glossopalatine Gs 4- minor sublingual glands 5- Weber Gs 6-Von Ebner Gs 7- Balandin Nuhn Gs
  • 10. According to the nature of secretion  Pure serous Gs 1- Parotid gland (of adult) 2- Von Ebner Gs  Pure Mucous Gs 1-palatine Gs 2- Glossopalatine Gs 3- minor sublingual glands 4- Weber Gs  Mixed Gs 1-labial & buccal Gs 2- submandibular Gs 3- sublingual (major) Gs 4- Balandin Nuhn Gs 5- parotid (infant & old age)
  • 11. Development and growth  The individual salivary glands arise as aproliferations of oral epithelial cells , forming afocal thickening that grows into the underlying ectomesenchyme.  Continued grows results in the formation of small bud connected to the surface by acord of epithelial cells with mesenchymal cells condensed around the bud.  Clefts develop in the bud forming two or more new buds , continuation of this process called branching morphogenesis.  Signaling molecules including members of the fibroblast growth factor family , transforming growth factor B and their receptors play amajor role in the development of branches.
  • 12.  Salivary gland branching morphogenesis. Transmitted light microscopy of a living submandibular salivary gland dissected out of a mouse embryo after 12 days of gestation (panel A ), placed into explant culture, and photographed after being cultured for an additional 12 hrs (B), 24 hrs (C), 48 hrs (D), and 72 hrs (E). The gland starts as a single bud, which is subdivided by clefts (arrowheads), which progressively deepen. The clefts eventually widen to define secondary ducts (arrow) connected to the main duct. This process of branching morphogenesis progresses rapidly from a single bud to a complex branched structure in 3 days, and it continues to branch as the embryo develops. Scale bar = 100 μm.
  • 13.  The development of alumen within abranched epithelium generally occurs in this order 1- in the distal end of the main cord and in branch cords 2-in the proximal end of the main cord 3- in the central portion of the main cord .  The lumen form within the ducts befor they develop within the terminal buds.  Some studies suggested that lumen formation may involve apoptosis of centrally located cells in the cell cords.
  • 14.  Following development of the lumen in the terminal buds , the epithelium consists of two layers of cells .  The cells of the inner layer differentiate into the secretory cells of the mature gland , mucous or serous.  Some cells of the outer layer forms the contractile myoepithelial cells that are present around the secretory end pieces and intercalated ducts .  As the epithelial components increase in size and number the associated mesenchyme is dimenshed , although athin layer of C.T remains surrounding each secretory end piece and duct of the adult gland.
  • 15.  Thicker partitions of connective tissue(septa) continuous with capsule and within which run the nerves and blood vessels supplying the gland , and divide the gland into lobes and lobules.
  • 16.  The Parotid glands begin to develop at 4 to 6th week of intrauterine life , the submandibular glands at 6 week , and the Sublingual and Minor salivary glands at 8 to 12 weeks.  The cells of the secretory end pieces and ducts attain maturity during the last 2 months of gestation.
  • 17. Histological structure of salivary gland  Parenchymal elements 1- Terminal secretory portion 2- Non secretory cells 3- Duct system  connective tissue stroma 1- Cells , nerves, blood vessels 2- Ground substances
  • 18.
  • 19. Terminal secretory portion  The terminal portions are concerned mainly with the production of saliva.  There are three types 1- serous acinus 2- Mucous acinus 3- Mixed
  • 20. Serous cells  Morphology :- pyramidal with broad base in the basement membrane and apex towards narrow lumen.  Each cell has arounded nucleus situated in the basal third of the cell.  Apical part contains eosinophilic secretory granules (zymogen granules) that clearly seen by toluidine blue stain.
  • 21.
  • 22.  The lumen usually has finger like extensions located between adjacent cells called intercellular canaliculi that increase the size of luminal surface of the cells
  • 23.  Large amount of RER arranged basaly and laterally to the nucleus.  Golgi complex 4-6 situated apical or lateral to the nucleus .  Numerous mitochondria situated basally and laterally to the nucleus.  Cytoplasmic organells include lysosomes, free ribosomes , microtubules and microfilaments.
  • 24. Inter cellular junction between serous cells  Tight junction  The adhering junctions and desmosomes – hold adjacent cell together and also help in cell signaling.  Gap junctions - allow passage of ions and small molecules between the cells.
  • 25.
  • 26.  Transmission EM of serous cell of rat parotid gland.  N nucleus  Lu lumen  SG secretory granules  Arrow head inter cellular spaces  Ly lysosomes  rER rough endoplasmic reticulum
  • 27. Mucous cells  The mucous cell is high cuboidal in shape and larger than the serous cells .  It has broader apex bordering awide lumen .  The nuclei of mucous cell are flattened and basally located.  Mucous cell lack intercellular canaliculi , expect for those covered by demilunes.
  • 28.  Mucous cells have more golgi apparatus (10-12) saccules because of the greater amount of carbohydrate that is added to the secretory protein.  The mucous cells exhibits large , irregular , electron – lucent mucigen granules which are readily distinguished from those of serous cells by their pale appearance.  The cells appear pale due to their mucinous granules of high carbohydrate content which gets dissolved during preparation of sections giving an empty appearance , the mucinous granules are clearly seen by PAS stain.
  • 29.
  • 30.
  • 31.  Mucous secretion differ from serous secretion in two ways :-  1- They have little or no enzymatic activity and mainly serves for lubrication and protection of oral tissues.  2-The ratio of carbohydrate to protein is greater.
  • 32. Secretion of zymogen and mucigen granules Serous cell  Secretion of zymogen granules by exocytosis without loss of cytoplasm. Mucous cell  Secretion of mucigen granules is different from zymogen granules.  The membrane may fragment and being lost with the discharge of mucous.
  • 33.  Transmission electron micrograph (TEM) showing several secretory granules in the apical surface of the cell. A granule has just secreted its contents by exocytosis into the lumen.
  • 34.  Salivary gland. Coloured scanning electron micrograph (SEM) of a section through a parotid salivary gland, showing numerous serous secretory granules (small, spherical), within the serous glands. Serous glands contain serous acini.  Endoplasmic reticulum (brown stacks at right and upper left),
  • 35. Mixed secretory portion  In mixed glands the proportion of serous and mucous cell vary from predominantly serous as in human submandibular gland , to predominantly mucous as in human major sublingual gland .  Separate serous and mucous units may exist , in addation to secretory units composed of both cell types .  In the later arrangement the mucous cells form atypical tubular portion that’s capped at the blind end by crescents of several serous cells known as crescent og giannuzzi or demilune of von Ebner.
  • 36.
  • 37.
  • 38. Non secretory cells  1- Myoepithelial cells  2- Oncocytes
  • 39. Myoepithelial cells  Myoepithelial are contractile cells located around the terminal secretory portions and the intercalated duct.  They are situated between the basement membrane and the basal plasma membrane of the parenchymal cells.
  • 40.  It is stellate in shape and has small flattened body with elongated nucleus and numerous long branching processes that embrace the secretory and duct cells.  The plasma membrane of myoepithelial cells joins the basal membrane of parenchymal cells by desmosomes.  In ordinary H&E stain only their nuclei are visible.  Immunofluorescent studies indicate presence of actin and myosin.
  • 41.
  • 42. Scanning electron microscope Myoepithelial cells on the surface of, and embracing, a human parotid acinus.
  • 43. Function of Myoepithelial cell:-  1- Myoepithelial cells have contractile function as it help to expel saliva from the terminal portion and intercalated duct.  2-It may provide support for the parenchymal cells during active secretion.  3- Contraction of the myoepithelial cells of the intercalated ducts may shorten and widen the duct , helping to maintain their patency.
  • 44.  Recent studies showed that myoepithelial cells are involved in signaling the secretory cells and protecting the salivary gland tissue.  The myoepithelial cells also produce anumber of protein that has tumor suppressor activity such as proteinase inhibitors and angiogenic factors which act as barriers against invasive epithelial neoplasm.
  • 45. Oncocytes  This is aspecial large eosinophilic cell with small , centrally pyknotic nucleus and loaded with mitochondria.  It tends to be found in the ducts particularly in parotid and submandibular glands.  This cell may represent an age change it may form tumor called oncocytoma.
  • 47.  Inter calated ducts (intralobular)  Striated ducts (intralobular)  Excretory ducts (interlobular)
  • 48. Intercalated duct  The primary saliva produced by the secretory end pieces passes first through the intercalated duct ducts .  The ducts are lined by asimple cuboidal epithelium.
  • 49.  The intercalated duct cells have centrally placed nuclei which appear prominent with scanty cytoplasm contain some RER and a small golgi complex.  The apical cell surface has afew short microvilli projecting into the lumen , the lateral surfaces are joined by apical junctional complexes , scattered desmosomes and gap junctions .
  • 50. Function of intercalated duct:-  They convey the secretion from the terminal secretory units to the striated ducts.  Lactoferrin (aprotein having an antibacterial function) has been localized in the cells of the intercalated ducts.  They are capable of reabsorbing protein from the lumen (modifaction).  They may represent areserve of UMC providing adegree of regenerative capability in the event of injury of the gland.
  • 51. Striated ducts  The striated ducts are lined by simple high columnar cells .  The cells of the striated ducts have alarge amount of eosinophilic cytoplasm and alarge , spherical , centrally positioned nucleus .  Ultra-structurally Basal cytoplasm of striated duct cells show deep infolding of the plasma membrane and many large mitochondria are packed between the infolding , this large surface area supplied with high level of energy is involved in active transport.  Adjacent cells are joined by well developed tight junctions and junctional complex and lack of gap junction.
  • 52.
  • 53.
  • 54. Functions of the striated duct  Convey secretion from inter calated duct to excretory duct.  They actively reabsorb sodium and chloride ions and secrete potassium and bicarbonate in the primary secretion thus the secretion is changed from an isotonic or hypertonic to hypotonic secretion with low sodium and chloride and high potassium and bicarbonate.  Amylase enzyme is added from the serum to the saliva by the cells of striated duct.
  • 55. Excretory duct(Interlobular)  The excretory ducts are located in the connective tissue septa between the lobules of the gland.  The basal striation of striated duct become less prominent as the excretory duct increase in size.  Near the striated duct the excretory duct are lined by apseudostriatified epithelium of tall columnar cells.  In larger excretory duct the epithelial lining may contain goblet cell.
  • 56.
  • 57. Function of excretory duct  They convey the salivary secretion toward the oral cavity.  They have the ability to reabsorb sodium and secrete potassium and bicarbonate.
  • 58. Main duct  As the excretory duct approach the oral cavity , epithelium changes to non keratinized stratified squamous epithelium merging with that of the oral cavity at the ductal orifice.
  • 59. Connective tissue  The C.T elements of the salivary glands forms the capsule which serrounds the parenchymal elements of major salivary glands.  It forms septa that divide the gland into lobes and lobules.  The cells : fibroblast , plasma cells , mast cells, macrophage and fat cells.  Collagen , reticulr fibers and ground substances(glycoprotein and proteoglycans).