Anatomy and Function of the Adrenal Glands

The adrenal glands are composed of two distinct parts: the outer cortex and the inner medulla. The adrenal cortex is responsible for producing the body’s steroid hormones and is divided into three layers. The outermost layer, the zona glomerulosa, produces mineralocorticoids such as aldosterone. The middle layer, the zona fasciculata, produces glucocorticoids like cortisol. The innermost layer, the zona reticularis, produces androgens such as DHEA and androstenedione.

On the other hand, the adrenal medulla is made up of enterochromaffin cells, which are neural crest derivatives that secrete catecholamines. The adrenal gland is covered by a fibrous capsule that contains fibroblasts. The adrenal gland plays a crucial role in regulating various bodily functions, including blood pressure, metabolism, and stress response.

Cells in the Central Nervous System

Ependymal cells are responsible for the production of cerebrospinal fluid (CSF) in the choroid plexus, which is a highly vascular tissue found in all CNS ventricles. These cells are specialised for secretion and have apical microvilli. Enterochromaffin cells, on the other hand, are catecholamine-secreting cells found in the adrenal medulla. Mesangial cells are supporting cells of the glomerulus, while mesothelial cells form a monolayer that comprises the pleura, peritoneum, and pericardium. Lastly, microglial cells are phagocytic glial cells of the CNS. Each of these cells plays a unique role in the central nervous system and contributes to its overall function.

Types of Skin Receptors

Pacinian corpuscles, free nerve endings, Meissner’s corpuscles, and Merkel cells are all types of skin receptors that play a role in sensory perception. Pacinian corpuscles are located deep in the dermis and are responsible for detecting pressure and vibration. They are made up of concentric rings of Schwann cells surrounding a nerve ending, giving them a distinctive onion-like appearance. Free nerve endings, on the other hand, are primary sensory afferents that are found throughout the dermal tissue and act as pain and temperature receptors.

Meissner’s corpuscles are touch receptors that are primarily located on the hands and feet. They are formed of spirally arranged cells in a fibrous coating, allowing them to detect light touch and changes in texture. Finally, Merkel cells are single cells that are found in the epidermis and function as slowly adapting touch receptors. They are similar in appearance to melanocytes but lack cytoplasmic processes.

In summary, these different types of skin receptors work together to provide us with a complex sensory experience, allowing us to perceive pressure, vibration, pain, temperature, and touch.

Endocrine Glands and Cells in the Body

The thyroid gland is composed of follicles that contain colloid and are lined by follicular cells. These cells produce thyroid hormones, T4 and T3. The parafollicular cells, also known as C-cells, are located between the thyroid follicles and produce calcitonin. Calcitonin is produced in hypercalcaemia and inhibits osteoclast resorption of bone, which promotes hypocalcaemia. Tumours of the parafollicular cells can cause hypocalcaemia and have raised levels of calcitonin.

The parathyroid gland produces parathyroid hormone, which activates osteoclasts and promotes hypercalcaemia. This hormone works in conjunction with vitamin D. The islets of Langerhans contain alpha-cells, beta-cells, and delta-cells. These cells produce glucagon, insulin, and somatostatin, respectively. Lastly, there are multiple endocrine cells in the duodenal mucosa that secrete hormones with various gastrointestinal and metabolic functions. These cells include S-cells, L-cells, and I-cells.

The Role of Melanocytes in Skin Pigmentation

Melanocytes are a type of epithelial cell found in the basal layer of the epidermis. Despite their location, they have long cytoplasmic processes that extend into the spaces between keratinocytes. These cells are responsible for producing melanin, which is derived from tyrosine. The melanin is then transported along the cytoplasmic processes and into the keratinocytes in the basal and prickle cell layers. Interestingly, it is the rate of melanin production that determines skin tone, rather than the number of melanocytes present.

The epidermis is composed of four layers, with the stratum corneum being the most superficial and the stratum basale being the deepest. The stratum corneum is also known as the keratin layer, while the stratum granulosum is referred to as the granular layer. The prickle cell layer is known as the stratum spinosum, and the basal layer is the stratum basale. the role of melanocytes in skin pigmentation is important for the mechanisms behind skin color and how it can vary among individuals.

Dysplasia and its Association with Malignancy

Dysplasia refers to the cellular changes that occur during the development of malignancy. The degree of dysplasia in a cell is directly proportional to its likelihood of being found in an invasive cancer. Cells with higher-grade dysplasia have more genetic abnormalities than those with low-grade dysplasia.

Progressive dysplasia is characterized by variations in the appearance of cells and their nuclei, which is not typical in most tissues where cells appear similar. The nuclei of dysplastic cells are larger, and there is an increase in the number of nucleoli. The Ki67 index is a marker of proliferation, and a higher Ki67 index indicates a higher rate of cell turnover.

In most tissues, mitoses are rare, but malignant tissues made up of dysplastic cells show visible mitoses. dysplasia and its association with malignancy is crucial in the early detection and treatment of cancer.

Different Forms of Inflammation

There are various types of inflammation, each with its own distinct characteristics. Chronic inflammation, such as autoimmune hepatitis, is primarily characterized by lymphocytes, with some macrophages and neutrophils. This type of inflammation causes tissue damage, which is evident in apoptotic epithelial cells.

Acute inflammation, on the other hand, involves mainly neutrophils and macrophages, with fewer lymphocytes. It also causes more tissue oedema and hyperaemia than chronic inflammation.

Allergic inflammation, like asthma, is characterized by an eosinophilic infiltrate, along with excess mast cells and basophils in chronic cases.

Granulomatous inflammation requires the presence of granulomas, which are formed from an inner core of macrophages, surrounded by lymphocytes (T-cells), and finally sealed off by fibroblasts.

Malignant tissue can also cause inflammation with oedema, which can have a mixture of inflammatory cells infiltrating. Overall, the different forms of inflammation is crucial in diagnosing and treating various diseases.

The Structure of the Glomerulus

The glomerulus is composed of glomerular capillaries that are lined by a basement membrane and podocyte processes. Podocytes are connected to the epithelial cells of Bowman’s capsule, which are then connected to the cells of the proximal convoluted tubule. Supporting cells called mesangial cells are located between the capillary endothelial cells and podocytes. These cells produce the extracellular matrix that supports the structure of the glomerulus and remove dead cells through phagocytosis. Additionally, mesangial cells may play a role in regulating glomerular blood flow. Overall, the glomerulus is a complex structure that plays a crucial role in the filtration of blood in the kidneys.

Cilia, Flagella, and Microvilli: Cellular Projections with Unique Functions

Cilia, flagella, and microvilli are cellular projections that serve different functions in various cells. Cilia are hair-like structures made up of microtubules and dynein proteins. They can be either immotile or motile, with immotile cilia used for sensory transduction and attachment to underlying tissues, while motile cilia beat rhythmically to move fluid over the surface of cells or confer motility to cells. Cilia are found in the respiratory tract and Fallopian tube epithelium.

Flagella, on the other hand, are longer projections that are classified as a type of cilium. Spermatozoa have a long flagellum that has a similar internal structure to a cilium but is much longer and is used for motility.

Microvilli are folds of the cell membrane that increase the surface area for absorption. They are found in cells such as ileal enterocytes, which are responsible for nutrient absorption in the small intestine.

In summary, cilia, flagella, and microvilli are cellular projections that serve unique functions in different cells. While cilia can be either immotile or motile, flagella are longer and used for motility, and microvilli increase surface area for absorption.

Carcinoma in Situ: A Non-Invasive Tumor

A carcinoma in situ is a type of tumor that appears malignant under microscopic examination but has not yet invaded through the basement membrane. This membrane is a crucial feature that defines malignancy, and without it, the tumor cannot metastasize. Therefore, local resection is often curative. The cells that make up a carcinoma in situ typically exhibit high-grade dysplasia, which means they have all the characteristics of malignancy.

It’s important to note that benign growths do not invade through the basement membrane, and low-grade dysplasia alone is not enough to define a carcinoma in situ. Additionally, an inherited mutation in an oncogene or tumor suppressor gene can increase the risk of developing malignancy, but it does not necessarily result in a carcinoma in situ.

Overall, a carcinoma in situ is a non-invasive tumor that has the potential to become malignant if it invades through the basement membrane. However, with proper treatment, it can often be cured before it becomes a more serious issue.