(f) chapter 16 - digestive system i, oral cavity and associated structures
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histologyTRANSCRIPT
(Finals) HISTOLOGY / Digestive System I
OVERVIEW OF DIGESTIVE SYSTEM
Digestive System – consists of
Alimentary canal
Associated organs
o Tongue
o Teeth
o Salivary glands
o Pancreas
o Liver
o Gallbladder
ALIMENTARY CANAL
Various segments are especially for digestion
and absorption.
Bolus
Formation of food after maceration and
moistening by the structures of oral cavity and
salivary glands.
Passes rapidly through pharynx to esophagus
keeping the pharynx clear for passage of air.
Passes slowly Gastrointestinal tract, and during
transit through the stomach and small intestine;
the organs for major alterations associated with
digestion, solubilization, and absorption.
Absorption
Occurs through the wall of the small intestine.
Undigested food - Excreted as feces.
Alimentary mucosa
Surface across which most substances enter the
body.
4 Functions
1. Secretion - secretes digestive enzymes, HCL,
mucin and antibodies.
2. Absorption - absorps metabolic substrates,
vitamins, H2O, electrolytes, recyclable materials
(bile components and cholesterol)
3. Barrier – prevention of entry of noxious
substances, antigens and pathogenic organisms.
4. Immunologic protection – Lymphatic tissues
present for body’s 1st line of immune defense.
ORAL CAVITY
Consists of:
1. Mouth
2. Tongue
3. Teeth
4. Supporting structures(periodontium)
5. Major and Minor salivary glands
6. Tonsils
Divided into 2 parts:
1. Vestibule – space between lips, check and teeth.
2. Oral cavity proper – lies behind teeth and
bounded by hard and soft palates, tongue, floor
of mouth and entrance to oropharynx.
3 Major Salivary Glands and its paired structures:
1. Parotid gland – largest, located in infratemporal
region of head.
Excretory duct: Parotid/Stensen’s duct – opens
at parotid papilla, a small elevation on mucosal
surface of the cheek opposite the 2nd upper
molar teeth.
2. Submandibular Gland – located in the
submandibular triangle of the neck.
Excretory duct: submandibular/Wharton’s duct –
opens at a small fleshy prominence (sublingual
caruncle) at each side of lingual frenulum on
floor of oral cavity.
3. Sublingual gland – lying inferior to the tongue
witnin the sublingual folds at the floor of oral
cavity.
*”1 and 2” have long excretory ducts that extend from
secretory portion of the gland to the oral cavity while
“3” has short ducts.
Minor Salivary Glands
Located at the submucosa of the oral cavity.
Empty directly into the cavity via short ducts and
are named for their locations (buccal, labial,
lingual, palatine).
TONSIL
Consists of aggregations of lymphatic nodules
clustered around the posterior opening of oral
and nasal cavities.
Lymphatic tissue is organized into Tonsillar
(Waldeyer’s) ring
(Finals) HISTOLOGY / Digestive System I
4 Types of Tonsils
1. Palatine Tonsil (tonsil) – located at either side
of entrance of oropharynx.
2. Tubal Tonsils – located in the lateral walls of
nasopharynx.
3. Pharyngeal Tonsil (adenoid) – roof of the
nasopharynx.
4. Lingual Tonsil – base of the tongue on its
superior surface.
Oral mucosa – lines oral cavity.
Consists of:
1. Masticatory mucosa - found ion gums and hard
palate.
Has keratinized and parakeratinized
stratified squamous epithelium
Keratinized epithelium lacks Stratum
lucidum.
Nuclei of parakeratinized cells are
pyknotic(highly condensed) .
Midline of hard palate, palatine raphe,
mucosa adheres firmly to underlying
bone.
2. Lining mucosa – found in the lips, cheek,
alveolar mucosal surface, floor of mouth, inferior
surface of tongue and soft palate.
Covers the striated muscles, bone and
glands.
Non-keratinized epithelium except
vermilion border of the lip (keratinized).
Has 3 layers:
o Stratum basale – single layer
of cells rest at basal lamina.
o Stratum spinosum – thick
o Stratum superficiale- most
superficial layer.
Submucosa – underlies lining mucosa except on
the inferior surface of tongue.
Has many collagen and elastic fibers.
Sebaceous glands are present and are
called Fordyce spots.
3. Specialized mucosa – associated with
sensation of taste.
Presence of papillae and taste buds for
taste.
TONGUE
- Muscular organ projecting into the oral cavity.
- Lingual muscles (muscles of tongue) are
o Extrinsic - one attachment outside the
tongue
o Intrinsic – without external attachment
Divisions of dorsal surface of tongue
1. Anterior 2/3
2. Posterior 1/3 via V-shaped; sulcus terminalis
Foramen cecum – the apex of V
Lingual papillae - covers the dorsal surface of the tongue.
4 types of papillae
1. Filiform papillae – smalles and most numerous
Covered by keratinized stratified
squamous epithelium
Doesn’t contain taste buds.
2. Fungiform papillae – mushroom- shaped
Taste buds in stratified squamous
epithelium.
3. Circumvallate papillae – large, dome-shaped
8 – 12 papillae
Ducts of Lingual salivary (von Ebner’s)
glands empty its serous secretion in the
moats.
4. Foliate papillae – has parallel low ridges
separated by deep mucosal clefts.
Taste Buds
Appear as oval, pale-staining bodies extend
through epithelium.
Taste pores- small opening at apex of taste buds.
3 Cell types in taste buds:
1. Neuroepithelial cells – most numerous
Elongated cells extend from basal
lamina to the taste pore.
Supported by tight junctions
Turnover time is 10 days.
At its base, it forms synapses with the
following afferent sensory neurons:
o Facial (cranial nerve VII)
o Glossopharyngeal( CN IX)
o Vagus ( Cranial Nerve X)
2. Supporting Cells – less numerous
Do not synapse, just help.
Turnover time = 10 days
(Finals) HISTOLOGY / Digestive System I
3. Basal Cells - small cells at basal portion.
Stem cell for 2 other types.
Taste
- Chemical sensation in which various tastants
(taste-stimulating substances) in food or
beverages interact with taste receptors.
Reacts with 5 basic stimuli: Sweet, Salty, Bitter, Sour,
Umami
Bitter, Sweet, Umami receptors – activates G protein-
coupled taste receptors belong to T1R and T2R
chemosensory receptor families.
1. Bitter taste – taste buds of circumvallate papillae
- Detected by 30 diff types of T2R chemosensory
receptors. Each is coupled to its own G-protein.
- G-protein stimulates phopholipase C, increasing
the production of Inositol 1,4,5-triphosphate.
- IP3 activates taste-specific Na+ channels causing
influx of Na+ ions for depolarization.
- Depolarization causes voltage-gated Ca2+
channels to open causing influx of Ca2+ which
generate nerve impulse
2. Sweet taste - tip of tongue
- Has 2 protein subunits, T1R2 and T1R3.
3. Umami taste–taste buds of circumvallate
papillae
- Linked to certain amino acids ( L-glutamate and
aspartate) and common to asparagus, tomatoes,
cheese and meat.
- 2 protein subunits, T1R3 and T1R1.
Sour and Salty – Sodium ions and hydrogen protons act
directly on ion channels.
1. Sour taste – more posterolateral to the tip
- Generated by H+ protons formed by hydrolysis of
acidic compounds.
- H+ blocks K+ channels responsible for
depolarization.
- H+ enters cells through amiloride-senstive Na+
channels and PKD1L3 and PKDL1L1.
- Entry of H+ activates voltage-sensitive Ca2+
channels.
2. Salty taste – posterolateral to the tip
- Stimulated by table salt (NaCl) is derived from
the taste of sodium ions.
- Na+ enters amiloride-sensitive Na+ channels and
activates voltage-sensitive Ca2+ channels.
Nerve supply of tongue is provided by cranial nerves and
autonomic nervous system.
1. General sensation
- anterior 2/3 of tongue is carried in manidbular
division of the trigeminal nerve (cranial nerve V)
- posterior 1/3 (sulcus terminalis) is carried by
glossopharyngeal nerve (Cranial nerve IX) and
Vagus nerve (Cranial Nerve X).
2. Taste sensation
- Carried by chorda tympani, branch of facial nerve
(Cranial Nerve VII), glossopharyngeal nerve (CN
IX) and Vagus nerve (CN X).
3. Motor innervations
- Musculature of tongue supplied by hypoglossal
nerve (Cranial nerve XII).
4. Vascular and glandular innervations by the
sympathetic and parasympathetic nerves.
TEETH
- Major component of oral cavity and are essential
for the start of digestive process.
- Children hace 10 deciduous (primary, milk) teeth
in each jaw, on each side:
o Medial(central) incisors
First tooth to erupt at mandible
at approx 6 months old.
o Lateral incisor
Erupts at approx 8 months old.
o Caninte tooth
Erupts at approx 15 months old
o 2 Molar teeth
First – 10 to 19 months old
Second – 20 to 31 months old
*Deciduous teeth are gradually replaced by 16 permanent
(secondary) teeth that usually begins at about the age of 6
until 12 or 13.
Consists of the following:
o Medial (central) incisor – erupts at age of 7-8
o Lateral incisor – age of 8 – 9
o Canine tooth – age of 10 – 12
o 2 Premolar teeth – between ages of 10 -12
o Three Molar teeth
First – age of 6
Second - early teens
Third (wisdom teeth) – late teens or
early twenties.
(Finals) HISTOLOGY / Digestive System I
*Incisors, canines, and premolars have 1 root each except
for the first premolar which has 2 roots.
*Molars have either 2 roots (lower jaw) or 3 roots (upper
jaw) and sometimes 4 roots.
Layers of Teeth
1. Enamel
- Hardest, thin, translucent layer of acellular
mineralized tissue that covers crown of tooth.
- Consists of 96 – 98% Calcium hydroxyapatite.
2. Dentin
- Most abundant dental tissue
- Lies deep to enamel in the crown and cementum
of root.
3. Cementum
- Thin, pale-yellowish layer layer of bone like
calcified tissue covering the dentin of the root of
the teeth.
- Softer and more permeable than dentin and
easily removed by abrasion.
SALIVARY GLANDS
- Major salivary glands are paired glands with
ducts.
Major glands:
1. Parotid gland
- Located subcutaneously, below and in front of
the ear between ramus of mandible and styloid
process of temporal bone.
2. Submandibular gland
- Located under the floor of the mouth.
3. Sublingual gland
- Located in the floor of the mouth anterior to the
submundibular gland.
Minor glands – located at submucosa of the different parts
of oral cavity.
Consists of - lingual, labial, buccal, molar and palatine
glands.
*cords become ducts, bulbous ends become secretory
acini.
Secretory Gland Acini – organized into lobules.
Major Salivary glands – surrounded by a capsule of
dense connective tissue from which septa divides the
secretory portions of gland into lobes and lobules.
Minor Salivary glands – don’t have capsule.
Salivon – basic secretory unit of salivary glands.
Consists of:
1. Acinus - blind sac composed of secretory cells.
2. Intercalated duct
3. Excretory duct
Cells of Acini:
1. Serous cells (protein secreting)
- Pyramidal shape, wide basal surface facing basal
lamina and small apical surface at lumen.
- Have many RER, free ribosome, golgi apparatus
and spherical secretory granules called Zymogen
granules.
2. Mucous cells (mucin secreting)
- Undergo cyclic activity
- Mucus is synthesized and stored in mucinogen
granules.
- After discharge of granules, cell is difficult to
distinguish from serous cells.
3. Both
Myoepithelial cells are contractile cells that embrace basal
aspect of acinar secretory cells.
3 type of Acini:
1. Serous acini – only serous cells and spherical
2. Mucous acini – only mucin and are tubular
3. Mixed – contains both; mucuous acini with a cap
of serous cells.
Serous demilunes
- serous caps
- Artifacts of the traditional fixation method
SALIVARY DUCTS
3 sequential segments:
1. Intercalated duct – leads from the acinus.
- Located between striated and excretory duct
- Lined by low cuboidal epithelial cells
In serous – secreting glands and mixed glands
Secrete HCO3- - into acinar product
Absorb Cl- - from acinar product
2. Striated duct – striations present.
- Located in the parenchyma of the glands
(intralobular ducts)
- Lined by simple cuboidal epithelium
(Finals) HISTOLOGY / Digestive System I
Reabsorption of Na+ from primary
secretion.
Secretion of K+ and HCO3- into the
secretion.
More Na+ are reabsorbed than K+ secreted = hypotonic
3. Excretory duct - larger ducts empty to oral
cavity.
- Constitutes the principal ducts of each of the
major glands.
- Simple cuboidal epithelium
Saliva
- Contains chiefly H2O, CHON, glycoproteins and
electrolytes.
o K concentration = 7x than blood
o Na concentration = 1/10 that of blood
o Bicarbonate = 3x than blood
- Includes combined secretions of all major and
minor salivary glands.
- 1,200 mL of saliva/ day is produced every day.
- Source of calcium and phosphate ions
- Proteins in saliva cover the teeth with protective
coat called acquired pellicle.
Functions of Saliva:
1. Moistening oral mucosa
2. Moistening dry foods to aid swallowing
3. Providing a medium for dissolved and suspended
food materials that chemically stimulate taste
buds
4. Buffering the contents of the oral cavity
5. Digesting carbohydrates with digestive enzyme
alpha-amylase
6. Controlling bacterial flora of the oral cavity by the
lysozyme for staphylococci.
Saliva performs Immunologic functions
-production of Immunoglobulin A (IgA)
*Alpha amylase and Lysozyme – principal enzymes of
saliva.