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THE RESPIRATORY SYSTEM
VENTILATING PORTION:
- diaphragm, intercostal muscles,
elastic tissue in lungs
- means by which air is moved in
and out of lungs continuously
CONDUCTING PORTION:
- nose, pharynx, larynx, trachea,
bronchi, bronchioles, terminal
bronchioles
- warm/cool, humidify, filter &
conduct incoming air to
respiratory passageways
- lined with respiratory epithelium
RESPIRATORY PORTION:
-respiratory bronchioles, alveolar
ducts, alveolar sacs, alveoli
-site of exchange of O2 and CO2
between blood and alveoli
3 DIVISIONS OF RESPIRATORY SYSTEM
Nasal cavity
Nasopharynx
Oropharynx
Larynx
Trachea
Br
B
RB
AD
A
Lung
Diaphragm
NASAL CAVITY & PARANASAL AIR SINUSES
- Respiratory area is lined with pseudostratified
ciliated columnar epithelium with goblet cells
and is highly vascularized
- Olfactory area (roof of nasal cavity and superior concha) is lined with olfactory
epithelium – specialized bipolar (sensory) neurons with sustentacular
(supporting) cells and basal cells (stem cells)
SAGITTAL VIEW CORONAL VIEW
O
R
CELLS OF RESPIRATORY EPITHELIUM
•Ciliated cells – most abundant, tall with basal nuclei, lots of
mitochondria to provide ATP for ciliary beating of mucus
and its’ trapped particulate matter.
•Goblet cells - ~30% of cells, have narrow basal stem
containing nucleus and most organelles and apical theca
containing mucinogen which becomes hydrated to form
mucus.
•Basal cells – ~30% of cells, lie on basal lamina, do not reach
apical surface. Undifferentiated stem cells that will give rise
to other cell types.
•Brush cells - ~3% of cells, narrow columnar cells with tall
microvilli. Thought to have sensory receptors on basal
surfaces and act as sensory receptors.
•DNES cells -~3% of cells – have numerous small granules in
their basal cytoplasm whose contents act on other cells of the
respiratory epithelium
Ciliated cells
Basal body beneath cilia
Goblet
cell
Brush
cell
RESPIRATORY EPITHELIUM
Microvilli
Basal cell
Small granule cell (DNES, Enteroendocrine)
RESPIRATORY EPITHELIUM
Plasma cells
Basement membrane
Basal cell
Lymphocyte
Cilia with
basal bodies
Ciliated cell
Goblet cell
OLFACTORY EPITHELIUM
•Olfactory cells – bipolar neurones, apical dendrite ends in olfactory vesicle
from which non-motile cilia with receptors for odiferous substances arise. When
a threshold level of receptors are occupied an action potential is generated and
transmitted to the olfactory bulb via axon which passes through cribiform plate
to synapse in olfactory bulb.
•Sustentacular cells – tall columnar cells with microvilli. Provide physical
support, nourishment and electrical insulation for olfactory cells.
•Basal cells – stem cells to replace olfactory and sustentacular cells.
•Bowman’s glands – provide serous fluid to refresh olfactory cilia.
Basal cell
Olfactory cell
Sustentacular cell
Bowman’s gland
Dendrite
Olfactory vesicle
Olfactory cilia
Olfactory epithelium, 68a (H&E)
OLFACTORY EPITHELIUM
Olfactory cell
Sustentacular cell
Basal cell
THE PHARYNX
The NASOPHARYNX
serves only as an air
passageway. It is lined with
pseudostratified ciliated
columnar epithelium
The OROPHARYNX and
LARYNGOPHARYNX
serve as passageways for
both air and food. They are
lined with stratified
squamous epithelium (for
protection).
The muscular wall of the entire pharynx consists of skeletal muscle
THE LARYNX
Vestibular
fold
Vocal
fold
Cricoid
cartilage
All cartilages hyaline except
epiglottis (elastic).
Vocal ligaments are elastic
ligaments.
Laryngeal
ventricle
Larynx, 69b (H&E)
THE LARYNX
Skeletal
(arytenoid)
muscles
Stratified squamous non-keratinized
epithelium of vocal fold
Pseudostratified ciliated columnar
epithelium of vestibular fold and ventricle
Vocal
ligament
Mixed
glands
CONDUCTING & RESPIRATORY
PORTIONS OF THE RESPIRATORY TREE
THE
TRACHEA
•Mucosa lined with respiratory epithelium which continuously
propels mucus and debris towards the larynx
•Seromucous glands in submucosa help produce mucus ‘sheets’
•16-20 C-shaped rings of hyaline cartilage prevent the trachea
from collapsing. Closed posteriorly by trachealis (smooth) muscle
- allows oesophagus to expand anteriorly when swallowing.
•10cm long,
2.5cm diam.
flexible tube,
divides at
carina (T4)
into right and
left primary
bronchi
Trachea, 70a (H&E)
THE TRACHEA
Cartilage
Seromucous glands
Trachealis muscle
Respiratory
epithelium
Thyroid
Hyaline
cartilage
Trachea, 70a (H&E)
Respiratory epithelium Mixed seromucous glands
Mucus acinusSerous demilune
BRONCHI
•Primary bronchi run obliquely in the mediastinum, enter lung
where they subdivide into secondary and tertiary bronchi
•Mucosa and submucosa similar to trachea. Inc. smooth muscle &
elastic fibers in lamina propria. Mixed glands in submucosa.
•Plates of hyaline cartilage encircle bronchus and prevent collapse.
Lung, 72a (H&E) – bronchi and bronchioles
Bronchi
LUNG
WALL OF A BRONCHUS
Hyaline
cartilage
Respiratory epithelium
Lumen
Blood vessels and glands
Alveoli (surrounded
by fine elastic fibers)
Bronchus (cartilage &
smooth muscle in wall)
Bronchiole ( no
cartilage, just smooth
muscle in wall)
Terminal bronchiole
Respiratory bronchiole
(alveoli off walls)
Alveolar duct
Alveolar
capillary
network
CELLS LINING BRONCHIOLES
Ciliated
cell
Basal
cell
Clara
cell
Clara (bronchiolar) cells – columnar cells with domed
apices and short blunt microvilli. Apical cytoplasm filled
with secretory granules containing surfactant-like
material that reduces surface tension and faciliates
patency of bronchioles. Cells also degrade inhaled toxins.
BRONCHIOLE
As tubes become smaller, resp. epithelium
becomes lower with fewer goblet and
ciliated cells. Terminal bronchioles are
lined with simple cuboidal epithelium.
Proportion of smooth muscle increases
allowing for constriction (para.) and
dilation (symp.) of airways.
Lumen
Smooth
muscle
Clara
cells
BRONCHIOLAR EPITHELIUM
ClaraCil
Brush
Clara
SEM TEM
Cil
Cil
Terminal
bronchiole
Alveolar duct
Alveoli
Respiratory
bronchioles
RESPIRATORY BRONCHIOLES
Respiratory bronchioles – first structures in respiratory zone,
alveoli arise from their walls, terminate in alveolar ducts
Alveolar ducts – linear arrangements of alveoli, lined with
type I cells, isolated regions of smooth muscle cells in lamina
propria between adjacent alveoli, lead to alveolar sacs
Type
I
Type
II
Resp. bronchiole
Alveolar duct
Smooth muscle
Atrium or
alveolar sac
RESPIRATORY REGION OF THE LUNG
ALVEOLI
Type II cells
Capillary
Dust cell (macrophage)
Type I cell
Capillary
Alveolus
(airspace)
~ 250 million alveoli in lungs provide 140m2
of surface area for
gaseous exchange
Interalveolar septumSurfactant
CELLS OF ALVEOLAR WALLS
•Type I cells (squamous alveolar cells) - highly attenuated, cover
97% of surface area of alveolus, organelles grouped around
nucleus so most cytoplasm virtually free of organelles. Joined to
other type I and type II cells by tight junctions to prevent leakage
of fluid into air space. Basement membrane fuses with that of
endothelial cell to minimise thickness of respiratory membrane.
•Type II cells (septal cells) – account for 60% of alveolar cells but
only 3% of surface area. Cytoplasm filled with lamellar bodies
which contain surfactant that lowers alveolar surface tension.
They divide to form new Type II and type I cells.
•Alveolar macrophages (dust cells) – derived from monocytes,
found in alveolar septa, migrate between type I cells to enter
lumen of alveolus, phagocytose dust and bacteria and migrate to
bronchioles where ciliary action carries them to the pharynx to be
swallowed. Over 2 million dust cells are cleared per hr.
ALVEOLI & INTERALVEOLAR SEPTUM
Alveolar pores connect adjacent alveoli – allow for equalization
of pressure and alternate routes for blocked passages
Type II cell Type I cell
Endothelial cell
Capillary
Dust cell
Alveolar poresAlveoli
Respiratory
membrane
THE BLOOD-AIR BARRIER
•Surfactant
•Type I cell
•Basement membrane
•Endothelial cell
Barrier is extremely
thin
(15 times thinner than a
piece of paper) to
facilitate gaseous
exchange
Red
blood
cell
Endothelium
Type I cell
Fused
basal
laminae
Alveolus
Interface
between
capillary
and
alveolus
ALVEOLI & INTERALVEOLAR SEPTUM
Netter 201
Bronchial artery
CIRCULATION
WITHIN THE
LUNGS
Pulmonary artery
(next to air passages)
Pulmonary veins
(in septum)

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Respiration

  • 2. VENTILATING PORTION: - diaphragm, intercostal muscles, elastic tissue in lungs - means by which air is moved in and out of lungs continuously CONDUCTING PORTION: - nose, pharynx, larynx, trachea, bronchi, bronchioles, terminal bronchioles - warm/cool, humidify, filter & conduct incoming air to respiratory passageways - lined with respiratory epithelium RESPIRATORY PORTION: -respiratory bronchioles, alveolar ducts, alveolar sacs, alveoli -site of exchange of O2 and CO2 between blood and alveoli 3 DIVISIONS OF RESPIRATORY SYSTEM Nasal cavity Nasopharynx Oropharynx Larynx Trachea Br B RB AD A Lung Diaphragm
  • 3. NASAL CAVITY & PARANASAL AIR SINUSES - Respiratory area is lined with pseudostratified ciliated columnar epithelium with goblet cells and is highly vascularized - Olfactory area (roof of nasal cavity and superior concha) is lined with olfactory epithelium – specialized bipolar (sensory) neurons with sustentacular (supporting) cells and basal cells (stem cells) SAGITTAL VIEW CORONAL VIEW O R
  • 4. CELLS OF RESPIRATORY EPITHELIUM •Ciliated cells – most abundant, tall with basal nuclei, lots of mitochondria to provide ATP for ciliary beating of mucus and its’ trapped particulate matter. •Goblet cells - ~30% of cells, have narrow basal stem containing nucleus and most organelles and apical theca containing mucinogen which becomes hydrated to form mucus. •Basal cells – ~30% of cells, lie on basal lamina, do not reach apical surface. Undifferentiated stem cells that will give rise to other cell types. •Brush cells - ~3% of cells, narrow columnar cells with tall microvilli. Thought to have sensory receptors on basal surfaces and act as sensory receptors. •DNES cells -~3% of cells – have numerous small granules in their basal cytoplasm whose contents act on other cells of the respiratory epithelium
  • 5. Ciliated cells Basal body beneath cilia Goblet cell Brush cell RESPIRATORY EPITHELIUM Microvilli Basal cell Small granule cell (DNES, Enteroendocrine)
  • 6. RESPIRATORY EPITHELIUM Plasma cells Basement membrane Basal cell Lymphocyte Cilia with basal bodies Ciliated cell Goblet cell
  • 7. OLFACTORY EPITHELIUM •Olfactory cells – bipolar neurones, apical dendrite ends in olfactory vesicle from which non-motile cilia with receptors for odiferous substances arise. When a threshold level of receptors are occupied an action potential is generated and transmitted to the olfactory bulb via axon which passes through cribiform plate to synapse in olfactory bulb. •Sustentacular cells – tall columnar cells with microvilli. Provide physical support, nourishment and electrical insulation for olfactory cells. •Basal cells – stem cells to replace olfactory and sustentacular cells. •Bowman’s glands – provide serous fluid to refresh olfactory cilia. Basal cell Olfactory cell Sustentacular cell Bowman’s gland Dendrite Olfactory vesicle Olfactory cilia
  • 8. Olfactory epithelium, 68a (H&E) OLFACTORY EPITHELIUM Olfactory cell Sustentacular cell Basal cell
  • 9. THE PHARYNX The NASOPHARYNX serves only as an air passageway. It is lined with pseudostratified ciliated columnar epithelium The OROPHARYNX and LARYNGOPHARYNX serve as passageways for both air and food. They are lined with stratified squamous epithelium (for protection). The muscular wall of the entire pharynx consists of skeletal muscle
  • 10. THE LARYNX Vestibular fold Vocal fold Cricoid cartilage All cartilages hyaline except epiglottis (elastic). Vocal ligaments are elastic ligaments. Laryngeal ventricle
  • 11. Larynx, 69b (H&E) THE LARYNX Skeletal (arytenoid) muscles Stratified squamous non-keratinized epithelium of vocal fold Pseudostratified ciliated columnar epithelium of vestibular fold and ventricle Vocal ligament Mixed glands
  • 12. CONDUCTING & RESPIRATORY PORTIONS OF THE RESPIRATORY TREE
  • 13. THE TRACHEA •Mucosa lined with respiratory epithelium which continuously propels mucus and debris towards the larynx •Seromucous glands in submucosa help produce mucus ‘sheets’ •16-20 C-shaped rings of hyaline cartilage prevent the trachea from collapsing. Closed posteriorly by trachealis (smooth) muscle - allows oesophagus to expand anteriorly when swallowing. •10cm long, 2.5cm diam. flexible tube, divides at carina (T4) into right and left primary bronchi
  • 14. Trachea, 70a (H&E) THE TRACHEA Cartilage Seromucous glands Trachealis muscle Respiratory epithelium Thyroid
  • 15. Hyaline cartilage Trachea, 70a (H&E) Respiratory epithelium Mixed seromucous glands Mucus acinusSerous demilune
  • 16. BRONCHI •Primary bronchi run obliquely in the mediastinum, enter lung where they subdivide into secondary and tertiary bronchi •Mucosa and submucosa similar to trachea. Inc. smooth muscle & elastic fibers in lamina propria. Mixed glands in submucosa. •Plates of hyaline cartilage encircle bronchus and prevent collapse.
  • 17. Lung, 72a (H&E) – bronchi and bronchioles Bronchi LUNG
  • 18. WALL OF A BRONCHUS Hyaline cartilage Respiratory epithelium Lumen Blood vessels and glands
  • 19. Alveoli (surrounded by fine elastic fibers) Bronchus (cartilage & smooth muscle in wall) Bronchiole ( no cartilage, just smooth muscle in wall) Terminal bronchiole Respiratory bronchiole (alveoli off walls) Alveolar duct Alveolar capillary network
  • 20. CELLS LINING BRONCHIOLES Ciliated cell Basal cell Clara cell Clara (bronchiolar) cells – columnar cells with domed apices and short blunt microvilli. Apical cytoplasm filled with secretory granules containing surfactant-like material that reduces surface tension and faciliates patency of bronchioles. Cells also degrade inhaled toxins.
  • 21. BRONCHIOLE As tubes become smaller, resp. epithelium becomes lower with fewer goblet and ciliated cells. Terminal bronchioles are lined with simple cuboidal epithelium. Proportion of smooth muscle increases allowing for constriction (para.) and dilation (symp.) of airways. Lumen Smooth muscle Clara cells
  • 23. Terminal bronchiole Alveolar duct Alveoli Respiratory bronchioles RESPIRATORY BRONCHIOLES Respiratory bronchioles – first structures in respiratory zone, alveoli arise from their walls, terminate in alveolar ducts Alveolar ducts – linear arrangements of alveoli, lined with type I cells, isolated regions of smooth muscle cells in lamina propria between adjacent alveoli, lead to alveolar sacs
  • 24. Type I Type II Resp. bronchiole Alveolar duct Smooth muscle Atrium or alveolar sac RESPIRATORY REGION OF THE LUNG
  • 25. ALVEOLI Type II cells Capillary Dust cell (macrophage) Type I cell Capillary Alveolus (airspace) ~ 250 million alveoli in lungs provide 140m2 of surface area for gaseous exchange Interalveolar septumSurfactant
  • 26. CELLS OF ALVEOLAR WALLS •Type I cells (squamous alveolar cells) - highly attenuated, cover 97% of surface area of alveolus, organelles grouped around nucleus so most cytoplasm virtually free of organelles. Joined to other type I and type II cells by tight junctions to prevent leakage of fluid into air space. Basement membrane fuses with that of endothelial cell to minimise thickness of respiratory membrane. •Type II cells (septal cells) – account for 60% of alveolar cells but only 3% of surface area. Cytoplasm filled with lamellar bodies which contain surfactant that lowers alveolar surface tension. They divide to form new Type II and type I cells. •Alveolar macrophages (dust cells) – derived from monocytes, found in alveolar septa, migrate between type I cells to enter lumen of alveolus, phagocytose dust and bacteria and migrate to bronchioles where ciliary action carries them to the pharynx to be swallowed. Over 2 million dust cells are cleared per hr.
  • 27. ALVEOLI & INTERALVEOLAR SEPTUM Alveolar pores connect adjacent alveoli – allow for equalization of pressure and alternate routes for blocked passages Type II cell Type I cell Endothelial cell Capillary Dust cell Alveolar poresAlveoli Respiratory membrane
  • 28. THE BLOOD-AIR BARRIER •Surfactant •Type I cell •Basement membrane •Endothelial cell Barrier is extremely thin (15 times thinner than a piece of paper) to facilitate gaseous exchange Red blood cell Endothelium Type I cell Fused basal laminae Alveolus
  • 31. Netter 201 Bronchial artery CIRCULATION WITHIN THE LUNGS Pulmonary artery (next to air passages) Pulmonary veins (in septum)