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  
RESPIRATORY SYSTEM


 CONDUCTING
  PORTION
 RESPIRATORY
  PORTION
SKELETAL MUSCLES AND BONES ARE REQUIRED
    FOR RESPIRATORY SYSTEM FUNCTION




                       RIBS

                       STERNUM
                       INTERCOSTAL MUSCLES




                       DIAPHRAGM
GENERAL ORGANIZATIONAL PATTERN
    OF CONDUCTING PORTION
    OF RESPIRATORY SYSTEM
   MUCOSA
    Luminal sheet epithelium
    (typically “respiratory epithelium”)
    Lamina propria (loose FECT)
   SUBMUCOSA (mod. dense FECT)
    (not always present or merged
     with lamina propria, serous or mixed glands may
     be present in the lamina propria or submucosa)
   “MUSCULARIS” EXTERNA (may be smooth
     muscle, cartilage, or bone)
   ADVENTITIA or SEROSA (absent in nasal cavity)
CELL TYPES FOUND IN
“RESPIRATORY EPITHELIUM”
PREDOMINANT CELL TYPES
  Ciliated columnar cells – move
   mucus
  Goblet cells – secrete mucus
  Basal cells – replace damaged cells


LESS COMMON CELL TYPES
  Brush cells – sensory receptor cells
  Dense core granule cells (Small granule
   cells) – enteroendocrine cells
  Clara cells (trachea and bronchi) – protein
   secreting cells, secrete surfactant
PREDOMINANT CELL TYPES
   FOUND IN “RESPIRATORY EPITHELIUM”

Ciliated columnar cell                                Goblet cell (Mucous cell)




                                Basal cell




                   Source: Lentz. 1971. Cell Fine Structure.
“RESPIRATORY EPITHELIUM”
                                 Ciliated cells




Goblet cell/                                                                     Brush
Mucous cell                                                                      cells




                           Basal cell           Small granule cell
         Source: Weiss. 1983. Histology. Cell and Tissue Biology. 5th Edition.
(surfactant)
“RESPIRATORY” EPITHELIUM

                                             Ciliated cells



Goblet cells                                                  Cilia




                                             Small
                Basement membrane
                                             granule
                                Basal cell   cell
EPITHELIA OF REGIONS WITHIN
              NASAL CAVITIES
 VESTIBULE or
                                 OLFACTORY
  NOSTRIL                         SEGMENT
 Stratified squamous
 sheet epithelium
                                    RESPIRATORY
                                      SEGMENT
 RESPIRATORY
  SEGMENT
 ”Respiratory          NOSTRIL
 epithelium”

 OLFACTORY
  SEGMENT
 Olfactory
 epithelium
NASAL CAVITIES/ NASAL PASSAGEWAYS

                                                                                    OEp = olfactory
                                                                                    epithelium
                                                                                    OM = olfactory
                                                                                    mucosa
                                                                                    Rep = “respiratory
                                                                                    epithelium”
                                                                                    EB = bone




  Source: Plate 88, Figure 1 in Ross et al. 1995. Histology. A Text and Atlas. 3rd Edition.
CELL TYPES FOUND IN
        OLFACTORY EPITHELIUM


 Sustentacular or
  supporting cells
 Olfactory cells
 Basal cells
 Brush cells
Mucosa of the Olfactory Segment
      of the Nasal Cavity
Mucosa of the Olfactory Segment
       of the Nasal Cavity
                                                                             SC = supportive
                                                                             cells
                                                                             OC = olfactory
                                                                             neuron cell bodies
                                                                             BC = basal cells
                                                                             BG = olfactory
                                                                             glands (serous)
                                                                             N = peripheral
                                                                             nerves
                                                                             V = blood vessels
                                                                             C = capillaries




Source: Plate 88, Figure 2 in Ross et al. 1995. Histology. A Text and Atlas. 3rd Edition.
NASAL CAVITIES/NASAL PASSAGEWAYS
are separated from oral cavity by PALATE

                                                        OLFACTORY
                                                         SEGMENT



                                                                  RESPIRATORY
                                                                    SEGMENT



              NOSTRIL




   HARD PALATE                                    SOFT PALATE

  Modified from: Figure 18.1 in Ross et al. 1995. Histology. A Text and Atlas. 3rd Edition.
SOFT PALATE
                                                  NASAL
 ORAL                                             CAVITY
CAVITY                                             side
  side

                                               “Respiratory epithelium”
                                               of Nasal Mucosa




         Source: Hammersen. 1980. Histology.
PHARYNX



                                                                                            ”Respiratory
                                                                                             epithelium”


                                                                                       Stratified squamous
                                                                                         sheet epithelium




Modified from: Figure 18.1 in Ross et al. 2003. Histology. A Text and Atlas. 4th Edition.
RESPIRATORY SYSTEM
 NASAL CAVITIES/
  NASAL PASSAGEWAYS
 PHARYNX -
  nasopharynx, oropharynx
 LARYNX
 TRACHEA
 EXTRAPULMONARY
  BRONCHI
 LUNGS
LARYNX and TRACHEA


                               bone


                              cartilage
                                                                         Food



                                                                        cartilage



                              cartilage




Surface View                                       Mid-longitudinal Section
               Source: Leeson & Leeson. 1981. Histology. 4th Edition.
EPIGLOTTIS of LARYNX
                Stratified squamous
                     epithelium
                                                             Elastic Cartilage




                             Stratified squamous
                              or pseudostratified
                             columnar epithelium
Source: Hammersen. 1980. Histology. A Color Atlas of Cytology, Histology and Microscopic Anatomy. 2nd Edition.
LARYNX
                                                                   Epiglottis



                                                            Stratified squamous
                                                            sheet epithelium

                                                                Ventricular fold/
                                                                false vocal cord

                                                                Vocal fold/
                                                                true vocal cord

                                                       Pseudostratified ciliated
                                                       columnar sheet epithelium




Source: Hammersen. 1980. Histology. A Color Atlas of Cytology, Histology and Microscopic Anatomy. 2nd Edition.
LARYNX
                                                                                 Epiglottis


     Cartilaginous plate in
     “Muscularis” Externa
                                                                             Intrinsic glands in
                                                                             Lamina propria of
      Striated skeletal                                                      Mucosa
      muscle tissue in
      “Muscularis” Externa
                                                                           Vocal ligament
                                                                        Vocalis muscle


  Cartilaginous plate in
  “Muscularis” Externa




Source: Hammersen. 1980. Histology. A Color Atlas of Cytology, Histology and Microscopic Anatomy. 2nd Edition.
RESPIRATORY SYSTEM
 NASAL CAVITIES/
  NASAL PASSAGEWAYS
 PHARYNX -
  nasopharynx, oropharynx
 LARYNX
 TRACHEA
 EXTRAPULMONARY
  BRONCHI
 LUNGS
Trachea
 Mucosa
  “Respiratory” epithelium (+/- Clara cells)
  Lamina propria of loose FECT
 Submucosa
  Loose to moderately denseFECT,
 denser than lamina propria,
 may contain compound tubuloacinar glands
 “Muscularis”externa
   Hyaline cartilages (horseshoe-shaped “rings”)
   Smooth muscle across open ends of cartilages
   Moderately dense FECT connects adjacent rings
 Adventitia
  Loose FECT
TRACHEA


Adventitia                                                       “Muscularis”
                                                                   Externa
                                luminal
                               epithelium

                            in submucosa

 Mucosa




                                                         (trachealis muscle)

             Source: Leeson & Leeson. 1981. Histology. 4th Edition.
TRACHEA
TRACHEA
LUMINAL EPITHELIUM OF TRACHEA
              (“Respiratory” Epithelium)
                                            Ciliated cells



Goblet cells                                                 Cilia




                                            Small
               Basement membrane
                                            granule
                               Basal cell   cell
RESPIRATORY SYSTEM
 NASAL CAVITIES/
  NASAL PASSAGEWAYS
 PHARYNX -
  nasopharynx, oropharynx
 LARYNX
 TRACHEA
 EXTRAPULMONARY
  BRONCHI
 LUNGS
Bronchus (very similar to Trachea)
 Mucosa
  “Respiratory” epithelium (+/- Clara cells)
  Lamina propria of loose FECT
 Submucosa
  Loose to moderately denseFECT,
 denser than lamina propria,
 may contain compound tubuloacinar glands
 “Muscularis”externa
   Hyaline cartilages (horseshoe-shaped “rings”)
   Smooth muscle across open ends of cartilages
   Moderately dense FECT connects adjacent rings
 Adventitia
  Loose FECT
RESPIRATORY SYSTEM




PULMONARY LOBULE
        Source: Leeson & Leeson. 1981. Histology. 4th Edition.
ORGANIZATION OF LUNG

                               3-9 = intrapulmonary bronchi
                               10 = large bronchiole
                               tb = terminal bronchiole
                               rb = respiratory bronchiole
                               ad = alveolar duct
                               as = alveolar sac
                               a = alveolus
                               l = lobule
PULMONARY LOBULE
           Source: Leeson & Leeson. 1981. Histology. 4th Edition.
HISTOLOGICAL FEATURES
OF PULMONARY COMPONENTS
ORGANIZATION
  OF LUNG




 Source: Gartner & Hiatt. 1994.
 Color Atlas of Histology. 2nd Edition.
ORGANIZATION OF LUNG




                                                                       alveoli


Source: Freeman & Bracegirdle. 1976. An Advanced Atlas of Histology.
ORGANIZATION OF LUNG



                             3-9 = intrapulmonary bronchi




PULMONARY LOBULE
           Source: Leeson & Leeson. 1981. Histology. 4th Edition.
Intrapulmonary Bronchi
 Mucosa
  “Respiratory” epithelium (+/- Clara cells)
  Lamina propria of loose FECT
 “Muscularis”
  Spiral bundles of smooth muscle
 Submucosa
  Loose to occasionally moderately dense FECT,
  may contain compound tubuloacinar glands
 “Muscularis”externa
  Hyaline cartilages (horseshoe-shaped “rings”)
  Smooth muscle across open ends of cartilages
  Moderately dense FECT connects adjacent rings
 Adventitia
  Loose FECT
INTRAPULMONARY BRONCHUS
                                                             Mucosa



         Bronchiole
        branching off
         of bronchus                                                     Intrinsic glands in
                                                                         Lamina Propria

                 FECT
Cartilaginous plate in
“Muscularis” Externa




               Source: Jungueira et al. 1975. Basic Histology. 4th Edition.
An Intrapulmonary Bronchus

   Loose FECT



           Pseudostratified Columnar Epithelium




                  Hyaline Cartilage




                      Smooth Muscle
BRONCHIOLES
                                    <1 mm in diameter
                                    No cartilage in wall
                                MUCOSA
                                 Luminal sheet epithelium
                                 (ranges from pseudostratified
                                 ciliated columnar in large
                                 bronchioles to simple
                                 cuboidal with mixed ciliated
                                 and Clara cells in terminal
                                 bronchioles)
                                 Lamina propria = loose FECT
                               “MUSCULARIS” = bundles of
PULMONARY LOBULE                smooth muscle
           Source: Leeson & Leeson. 1981. Histology. 4th Edition.
TYPES OF BRONCHIOLES


                               LARGE BRONCHIOLES
                                Pseudostratified ciliated columnar
                                sheet epithelium to simple columnar
                                sheet epithelium

                               TERMINAL BRONCHIOLES
                                Mainly simple cuboidal sheet
                                epithelium

                               RESPIRATORY BRONCHIOLES
                                Simple cuboidal sheet epithelium
                                (mainly Clara cells)
10 = large bronchiole
tb = terminal bronchiole
rb = respiratory bronchiole    Source: Leeson & Leeson. 1981. Histology. 4th Edition.
CELL TYPES FOUND IN
  LUMINAL EPITHELIUM OF BRONCHIOLES
                        Ciliated cell          Clara cell             Ciliated cell



 Ciliated cells
 Basal cells
 Goblet cells
 Brush cells
 Small granule cells
 Clara cells


                        Source: Ross et al. 1995. Histology. A Text and Atlas. 3rd Edition.
BRONCHIOLE




Source: Burkitt et al. 1993. Wheater’s Functional Histology. A Text and Colour Atlas.
Alveoli are where
 the action is (at
least in terms of
 gas exchange)
ORGANIZATION OF LUNG




                                                                       alveoli


Source: Freeman & Bracegirdle. 1976. An Advanced Atlas of Histology.
ALVEOLI or AIR SPACES



AS = alveolar sac
A = alveolus
ALVEOLI (AIR SPACES)

                          Occur in the walls of
                           Respiratory bronchioles
                           Alveolar ducts
                           Alveolar sacs

                     CONSIST OF:
                      Alveolar Epithelium
                      Thin region of
                       highly vascularized FECT
ad = alveolar duct
as = alveolar sac
a = alveolus         Source: Leeson & Leeson. 1981. Histology. 4th Edition.
CELL TYPES FOUND IN
     ALVEOLAR EPITHELIUM

Type I Pneumocytes [gas exchange]
Type II Pneumocytes [secrete
 surfactant (mix of proteins and lipids)]
Brush Cells [sensory receptors]
Pulmonary Macrophages
 [phagocytosis]
CELL TYPES FOUND IN
          ALVEOLAR EPITHELIUM
               (as observed at TEM level)

 Type I Pneumocyte                              Type II Pneumocyte
(and adjacent capillary)




                 Source: Lentz. 1971. Cell Fine Structure.
Alveolar Wall Structure – Type I Cells
Lung Injected to Show Capillaries
      Capillaries (red structures)




                                 Alveoli
ALVEOLI ARE SITES           AIR
OF GAS EXCHANGE
                    BLOOD
                                  BLOOD


                    RBC
Alveolar Wall
 Structure –
  Type II or
Great Alveolar
    Cells
CELL TYPES
        FOUND IN
        ALVEOLI
  (as observed at the LM level)


In addition to Type I and Type
II alveolar cells
(pneumocytes), macrophages
are frequently observed
migrating along the alveolar
surface. Macrophages are
frequently detached from the
surface during processing.
Criteria for Classifying Intrapulmonary Structures
Structure        Lining Epithelium   Other Features


Bronchi          pseudostratified    hyaline cartilage in wall
                 columnar            usually + smooth muscle
Bronchioles      pseudostratified    no hyaline cartilage in wall
                 columnar to         smooth muscle present
                 simple cuboidal,
                 no squamous
Respiratory      >50% cuboidal or    little or no smooth muscle,
Bronchioles      columnar, <50%      usually some loose FECT
                 squamous (but
                 squamous present)
Alveolar Ducts   <50% cuboidal,      no smooth muscle, loose
Alveolar Sacs    >50% squamous       FECT sparse or absent
ALVEOLI & BRONCHIOLES


           TB = terminal bronchiole
           RB = respiratory bronchiole
           AD = alveolar duct
           AS = alveolar sac

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Respiratory System Anatomy

  • 2. RESPIRATORY SYSTEM  CONDUCTING PORTION  RESPIRATORY PORTION
  • 3. SKELETAL MUSCLES AND BONES ARE REQUIRED FOR RESPIRATORY SYSTEM FUNCTION RIBS STERNUM INTERCOSTAL MUSCLES DIAPHRAGM
  • 4. GENERAL ORGANIZATIONAL PATTERN OF CONDUCTING PORTION OF RESPIRATORY SYSTEM  MUCOSA Luminal sheet epithelium (typically “respiratory epithelium”) Lamina propria (loose FECT)  SUBMUCOSA (mod. dense FECT) (not always present or merged with lamina propria, serous or mixed glands may be present in the lamina propria or submucosa)  “MUSCULARIS” EXTERNA (may be smooth muscle, cartilage, or bone)  ADVENTITIA or SEROSA (absent in nasal cavity)
  • 5. CELL TYPES FOUND IN “RESPIRATORY EPITHELIUM” PREDOMINANT CELL TYPES  Ciliated columnar cells – move mucus  Goblet cells – secrete mucus  Basal cells – replace damaged cells LESS COMMON CELL TYPES  Brush cells – sensory receptor cells  Dense core granule cells (Small granule cells) – enteroendocrine cells  Clara cells (trachea and bronchi) – protein secreting cells, secrete surfactant
  • 6. PREDOMINANT CELL TYPES FOUND IN “RESPIRATORY EPITHELIUM” Ciliated columnar cell Goblet cell (Mucous cell) Basal cell Source: Lentz. 1971. Cell Fine Structure.
  • 7. “RESPIRATORY EPITHELIUM” Ciliated cells Goblet cell/ Brush Mucous cell cells Basal cell Small granule cell Source: Weiss. 1983. Histology. Cell and Tissue Biology. 5th Edition.
  • 9. “RESPIRATORY” EPITHELIUM Ciliated cells Goblet cells Cilia Small Basement membrane granule Basal cell cell
  • 10. EPITHELIA OF REGIONS WITHIN NASAL CAVITIES  VESTIBULE or OLFACTORY NOSTRIL SEGMENT Stratified squamous sheet epithelium RESPIRATORY SEGMENT  RESPIRATORY SEGMENT ”Respiratory NOSTRIL epithelium”  OLFACTORY SEGMENT Olfactory epithelium
  • 11. NASAL CAVITIES/ NASAL PASSAGEWAYS OEp = olfactory epithelium OM = olfactory mucosa Rep = “respiratory epithelium” EB = bone Source: Plate 88, Figure 1 in Ross et al. 1995. Histology. A Text and Atlas. 3rd Edition.
  • 12. CELL TYPES FOUND IN OLFACTORY EPITHELIUM  Sustentacular or supporting cells  Olfactory cells  Basal cells  Brush cells
  • 13. Mucosa of the Olfactory Segment of the Nasal Cavity
  • 14. Mucosa of the Olfactory Segment of the Nasal Cavity SC = supportive cells OC = olfactory neuron cell bodies BC = basal cells BG = olfactory glands (serous) N = peripheral nerves V = blood vessels C = capillaries Source: Plate 88, Figure 2 in Ross et al. 1995. Histology. A Text and Atlas. 3rd Edition.
  • 15. NASAL CAVITIES/NASAL PASSAGEWAYS are separated from oral cavity by PALATE OLFACTORY SEGMENT RESPIRATORY SEGMENT NOSTRIL HARD PALATE SOFT PALATE Modified from: Figure 18.1 in Ross et al. 1995. Histology. A Text and Atlas. 3rd Edition.
  • 16. SOFT PALATE NASAL ORAL CAVITY CAVITY side side “Respiratory epithelium” of Nasal Mucosa Source: Hammersen. 1980. Histology.
  • 17. PHARYNX ”Respiratory epithelium” Stratified squamous sheet epithelium Modified from: Figure 18.1 in Ross et al. 2003. Histology. A Text and Atlas. 4th Edition.
  • 18. RESPIRATORY SYSTEM  NASAL CAVITIES/ NASAL PASSAGEWAYS  PHARYNX - nasopharynx, oropharynx  LARYNX  TRACHEA  EXTRAPULMONARY BRONCHI  LUNGS
  • 19. LARYNX and TRACHEA bone cartilage Food cartilage cartilage Surface View Mid-longitudinal Section Source: Leeson & Leeson. 1981. Histology. 4th Edition.
  • 20. EPIGLOTTIS of LARYNX Stratified squamous epithelium Elastic Cartilage Stratified squamous or pseudostratified columnar epithelium Source: Hammersen. 1980. Histology. A Color Atlas of Cytology, Histology and Microscopic Anatomy. 2nd Edition.
  • 21. LARYNX Epiglottis Stratified squamous sheet epithelium Ventricular fold/ false vocal cord Vocal fold/ true vocal cord Pseudostratified ciliated columnar sheet epithelium Source: Hammersen. 1980. Histology. A Color Atlas of Cytology, Histology and Microscopic Anatomy. 2nd Edition.
  • 22. LARYNX Epiglottis Cartilaginous plate in “Muscularis” Externa Intrinsic glands in Lamina propria of Striated skeletal Mucosa muscle tissue in “Muscularis” Externa Vocal ligament Vocalis muscle Cartilaginous plate in “Muscularis” Externa Source: Hammersen. 1980. Histology. A Color Atlas of Cytology, Histology and Microscopic Anatomy. 2nd Edition.
  • 23.
  • 24. RESPIRATORY SYSTEM  NASAL CAVITIES/ NASAL PASSAGEWAYS  PHARYNX - nasopharynx, oropharynx  LARYNX  TRACHEA  EXTRAPULMONARY BRONCHI  LUNGS
  • 25. Trachea  Mucosa “Respiratory” epithelium (+/- Clara cells) Lamina propria of loose FECT  Submucosa Loose to moderately denseFECT, denser than lamina propria, may contain compound tubuloacinar glands  “Muscularis”externa Hyaline cartilages (horseshoe-shaped “rings”) Smooth muscle across open ends of cartilages Moderately dense FECT connects adjacent rings  Adventitia Loose FECT
  • 26. TRACHEA Adventitia “Muscularis” Externa luminal epithelium in submucosa Mucosa (trachealis muscle) Source: Leeson & Leeson. 1981. Histology. 4th Edition.
  • 27.
  • 30. LUMINAL EPITHELIUM OF TRACHEA (“Respiratory” Epithelium) Ciliated cells Goblet cells Cilia Small Basement membrane granule Basal cell cell
  • 31. RESPIRATORY SYSTEM  NASAL CAVITIES/ NASAL PASSAGEWAYS  PHARYNX - nasopharynx, oropharynx  LARYNX  TRACHEA  EXTRAPULMONARY BRONCHI  LUNGS
  • 32. Bronchus (very similar to Trachea)  Mucosa “Respiratory” epithelium (+/- Clara cells) Lamina propria of loose FECT  Submucosa Loose to moderately denseFECT, denser than lamina propria, may contain compound tubuloacinar glands  “Muscularis”externa Hyaline cartilages (horseshoe-shaped “rings”) Smooth muscle across open ends of cartilages Moderately dense FECT connects adjacent rings  Adventitia Loose FECT
  • 33.
  • 34. RESPIRATORY SYSTEM PULMONARY LOBULE Source: Leeson & Leeson. 1981. Histology. 4th Edition.
  • 35. ORGANIZATION OF LUNG 3-9 = intrapulmonary bronchi 10 = large bronchiole tb = terminal bronchiole rb = respiratory bronchiole ad = alveolar duct as = alveolar sac a = alveolus l = lobule PULMONARY LOBULE Source: Leeson & Leeson. 1981. Histology. 4th Edition.
  • 37. ORGANIZATION OF LUNG Source: Gartner & Hiatt. 1994. Color Atlas of Histology. 2nd Edition.
  • 38. ORGANIZATION OF LUNG alveoli Source: Freeman & Bracegirdle. 1976. An Advanced Atlas of Histology.
  • 39. ORGANIZATION OF LUNG 3-9 = intrapulmonary bronchi PULMONARY LOBULE Source: Leeson & Leeson. 1981. Histology. 4th Edition.
  • 40. Intrapulmonary Bronchi  Mucosa “Respiratory” epithelium (+/- Clara cells) Lamina propria of loose FECT  “Muscularis” Spiral bundles of smooth muscle  Submucosa Loose to occasionally moderately dense FECT, may contain compound tubuloacinar glands  “Muscularis”externa Hyaline cartilages (horseshoe-shaped “rings”) Smooth muscle across open ends of cartilages Moderately dense FECT connects adjacent rings  Adventitia Loose FECT
  • 41. INTRAPULMONARY BRONCHUS Mucosa Bronchiole branching off of bronchus Intrinsic glands in Lamina Propria FECT Cartilaginous plate in “Muscularis” Externa Source: Jungueira et al. 1975. Basic Histology. 4th Edition.
  • 42. An Intrapulmonary Bronchus Loose FECT Pseudostratified Columnar Epithelium Hyaline Cartilage Smooth Muscle
  • 43. BRONCHIOLES <1 mm in diameter No cartilage in wall  MUCOSA Luminal sheet epithelium (ranges from pseudostratified ciliated columnar in large bronchioles to simple cuboidal with mixed ciliated and Clara cells in terminal bronchioles) Lamina propria = loose FECT “MUSCULARIS” = bundles of PULMONARY LOBULE smooth muscle Source: Leeson & Leeson. 1981. Histology. 4th Edition.
  • 44. TYPES OF BRONCHIOLES  LARGE BRONCHIOLES Pseudostratified ciliated columnar sheet epithelium to simple columnar sheet epithelium  TERMINAL BRONCHIOLES Mainly simple cuboidal sheet epithelium  RESPIRATORY BRONCHIOLES Simple cuboidal sheet epithelium (mainly Clara cells) 10 = large bronchiole tb = terminal bronchiole rb = respiratory bronchiole Source: Leeson & Leeson. 1981. Histology. 4th Edition.
  • 45. CELL TYPES FOUND IN LUMINAL EPITHELIUM OF BRONCHIOLES Ciliated cell Clara cell Ciliated cell  Ciliated cells  Basal cells  Goblet cells  Brush cells  Small granule cells  Clara cells Source: Ross et al. 1995. Histology. A Text and Atlas. 3rd Edition.
  • 46. BRONCHIOLE Source: Burkitt et al. 1993. Wheater’s Functional Histology. A Text and Colour Atlas.
  • 47. Alveoli are where the action is (at least in terms of gas exchange)
  • 48. ORGANIZATION OF LUNG alveoli Source: Freeman & Bracegirdle. 1976. An Advanced Atlas of Histology.
  • 49. ALVEOLI or AIR SPACES AS = alveolar sac A = alveolus
  • 50. ALVEOLI (AIR SPACES) Occur in the walls of  Respiratory bronchioles  Alveolar ducts  Alveolar sacs CONSIST OF:  Alveolar Epithelium  Thin region of highly vascularized FECT ad = alveolar duct as = alveolar sac a = alveolus Source: Leeson & Leeson. 1981. Histology. 4th Edition.
  • 51. CELL TYPES FOUND IN ALVEOLAR EPITHELIUM Type I Pneumocytes [gas exchange] Type II Pneumocytes [secrete surfactant (mix of proteins and lipids)] Brush Cells [sensory receptors] Pulmonary Macrophages [phagocytosis]
  • 52. CELL TYPES FOUND IN ALVEOLAR EPITHELIUM (as observed at TEM level) Type I Pneumocyte Type II Pneumocyte (and adjacent capillary) Source: Lentz. 1971. Cell Fine Structure.
  • 53. Alveolar Wall Structure – Type I Cells
  • 54. Lung Injected to Show Capillaries Capillaries (red structures) Alveoli
  • 55. ALVEOLI ARE SITES AIR OF GAS EXCHANGE BLOOD BLOOD RBC
  • 56. Alveolar Wall Structure – Type II or Great Alveolar Cells
  • 57. CELL TYPES FOUND IN ALVEOLI (as observed at the LM level) In addition to Type I and Type II alveolar cells (pneumocytes), macrophages are frequently observed migrating along the alveolar surface. Macrophages are frequently detached from the surface during processing.
  • 58. Criteria for Classifying Intrapulmonary Structures Structure Lining Epithelium Other Features Bronchi pseudostratified hyaline cartilage in wall columnar usually + smooth muscle Bronchioles pseudostratified no hyaline cartilage in wall columnar to smooth muscle present simple cuboidal, no squamous Respiratory >50% cuboidal or little or no smooth muscle, Bronchioles columnar, <50% usually some loose FECT squamous (but squamous present) Alveolar Ducts <50% cuboidal, no smooth muscle, loose Alveolar Sacs >50% squamous FECT sparse or absent
  • 59. ALVEOLI & BRONCHIOLES TB = terminal bronchiole RB = respiratory bronchiole AD = alveolar duct AS = alveolar sac