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This brand new title provides a highly illustrated and unambiguous introduction to the science, structure and function of cells, their related pathology, and in particular, helps readers master the basic principles of recognizing features of histological sections.
Histology at a Glance:
Histology at a Glance is the perfect guide for medical, dentistry and biomedical science students, junior doctors, and is ideal for independent learning programmes in histology.
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Seitenzahl: 202
Veröffentlichungsjahr: 2011
CONTENTS
Preface
Acknowledgments
List of abbreviations
1: Preparation of tissues for histology
Sectioning and preparing tissue for staining
Staining
Dehydration and mounting
Other types of sectioning
Sections in electron microscopy
2: Different types of histological stain
Hematoxylin & eosin
Other types of histological stains
Immunocytochemistry
Staining in electron microscopy
3: Sectioning and appearance of sections in the light microscope
Longitudinal and transverse sections
Serial sections
Magnification
4: Light and electron microscopes
The electron microscope
Sectioning for electron microscopy
5: The cell and its components
The plasma membrane
The nucleus
Cellular organelles
Cytoskeleton
6: Cell division
Mitosis
Meiosis
7: Epithelium
Functions of epithelium
Classification of epithelium
Specializations of the epithelium
8: Skeletal muscle
Muscle structure and contraction
Activation of muscle contraction
Muscle damage and repair
9: Cardiac and smooth muscle
Cardiac muscle
Smooth muscle
10: Nerves and supporting cells in the central nervous system
Neurons
Synapses
White and gray matter
Supporting cells in the central nervous system (neuroglia)
11: Nerves and supporting cells in the peripheral nervous system
Nerve ganglia
12: Connective tissue
Types of cell in connective tissue
Extracellular matrix in connective tissue
Types of connective tissue
Basal lamina/basement membrane
13: Blood
Content and functions of blood
Red blood cells
White blood cells
Platelets
14: Hemopoiesis
Multipotent lymphoid stem cells
Multipotent myeloid stem cells
Blood disorders
15: Cartilage
Functions of cartilage
Constituents of cartilage
Two ways that cartilage grows
Types of cartilage
16: Bone
Functions of bone
Types of bone formation
Content of bone
Types of bone
Growth and nourishment of bone
17: Heart
Tunica intima/endocardium
Tunica media/myocardium
Tunica adventitia/epicardium
18: Arteries and arterioles
Elastic arteries
Muscular arteries
Atherosclerosis
19: Capillaries, veins, and venules
Small arteries/arterioles
Capillaries
Types of capillary
Veins
20: Epidermis
Functions of the skin
The epidermis
21: Dermis, hypodermis, and sweat glands
The dermis
The hypodermis
Glands
22: Hair, sebaceous glands, and nails
Hair
Nails
23: Oral tissues (the mouth)
The lip
The mouth
Teeth
The tongue
24: General features and the esophagus
Organization of layers in the gut
Nerve and blood supply to the gut
The esophagus
Cardio-esophageal junction
25: Stomach
Anatomical regions of the stomach
Body of stomach (fundus)
Pyloric region of stomach
26: Small intestine
Mucosa of the duodenum
Mucosa of the jejunum
Other layers of the jejunum
The ileum
27: Large intestine and appendix
The large i ntestine
Human appendix
28: Digestive glands
Salivary glands
The pancreas
Gall bladder
29: Liver
Structure of the I iver
Hepatocytes
30: Trachea
Conducting portion
Basic structure of the conducting portion
Nasal cavities, nasopharynx, and larynx
The trachea
31: Bronchi, bronchioles, and the respiratory portion of the lungs
Tertiary bronchi
Bronchioles
Respiratory portion
32: Renal corpuscle
The kidney
Nephrons
33: Renal tubule
Proximal convoluted tubule
Loop of Henle
Distal convoluted tubule
Collecting tubules
34: Ureter, urethra, and bladder
Ureter
Bladder
Urethra
35: Ovary and oogenesis
The ovary
Oogenesis
36: Female genital tract and mammary glands
The fallopian tube/oviduct
The uterus
The vagina
Mammary glands
37: Testis
The testis
38: Male genital tract
The epididymis
Ductus (vas) deferens
Penis
39: Accessory sex glands
Seminal vesicles
Prostate gland
40: Thyroid, parathyroid, and adrenal glands
Thyroid gland
Parathyroid glands
Adrenal glands
41: Pituitary and pineal glands, and the endocrine pancreas
The pituitary gland
The pineal gland
The endocrine pancreas
42: Thymus and lymph nodes
Primary lymphatic organ
Secondary lymphatic organs
43: Spleen, tonsils, and Peyer's patches
Spleen
Tonsils
Peyer's patches and lymphoid aggregations
44: Eye and ear
The eye
The ear
Self-test questions
Self-test answers
Index
Preface
The aim of this book is to provide a concise overview of histology, particularly for those students who have not studied histology before. The most common complaint that I hear from students studying histology for the first time is that ‘everything looks pink’, which makes it difficult to understand what they are looking at. The images used in each chapter of this book are aimed to help students to understand quickly how tissues are made up from same basic components, and how the organization and appearance of cells in each tissue varies, depending on the function of the tissue.
Acknowledgments
The author would like to thank Tim Lee, Paul Drake, Adele Knibbs, and Steve Paxton at the University of Leeds, for their advice and help in generating some of the images. She would also like to thank her family (James, Helena, Alasdair, and Gabriel) for their support, while putting the book together.
List of abbreviations
ACEangiotensin-converting enzymeACTHadrenocorticotropic hormoneADHantidiuretic hormoneAMLacute myeloid leukemiaA-Vatrio-ventricularCCKcholecystokininCDcluster of differentiation markersCLLchronic lymphocytic leukemiaCNScentral nervous systemDCTdistal convoluted tubuleECMextracellular matrixEELexternal elastic layer (of tunica media)ERendoplasmic reticulumERSexternal root sheath (of hair follicle)FAEfollicle - associated epithelial (cells)FSHfollicle - stimulating hormoneGAGglycosaminoglycanGALTgut - associated lymphoid tissueH&Ehematoxylin & eosinIELinner elastic layer (of tunica intima)IRSinternal root sheath (of hair follicle)LHluteinizing hormoneMALTmucosa - associated lymphoid tissueNMJneuromuscular junctionPALSperiarteriolar lymphoid sheathPASperiodic acid-Schiff (reaction)PCTproximal convoluted tubulePNSperipheral nervous systemPTHparathyroid hormoneRPEretinal pigment epitheliumS-Asino - atrialSRsarcoplasmic reticulumT3tri - iodothyronineT4thyroxineTSHthyroid - stimulating hormoneZFzona fasciculataZGzona glomerulosaZRzona reticularis1
Preparation of tissues for histology
Histology is the study of tissues and their appearance.
Histos is Greek for ‘web or tissue’, and logia is Greek for ‘branch of learning’.
Anatomists first used the word ‘tissue’ to describe the different textures of parts of the body, as they were being dissected.
Today, histology and pathology (the study of diseased tissues) are routinely used in hospitals and research laboratories to study the organization of tissues and the cells within them.
Sectioning and preparing tissue for staining
To study the structures of cells and their organization within tissues, tissues have to be fixed and ‘sectioned’ (or cut), stained with dyes, and then observed with the light microscope. This is carried out in the following stages (see Fig. 1).
Fixation
A chemical solution containing a fixative at pH 7.0 is added to the tissue (Fig. 1a). The most commonly used fixative is formaldehyde at a concentration of 4%. (Commonly, dilutions are made from a stock of Formalin, i.e., 37% or 40% formaldehyde.) Formaldehyde binds to and cross-links some proteins, and denatures others, but does not interact well with lipids. The overall effect is to harden the tissue and inactivate enzymes, preventing the tissue from degrading.
Dehydration
In order for sections to be cut, the tissue has to be embedded in wax. However, wax is not soluble in water. Therefore, the water in the tissue has to be removed and eventually replaced with a medium in which wax is soluble. This is achieved by, first, sequentially replacing the water with alcohol, placing the tissue in a series of solutions that contain increasing concentrations of alcohol, ending at 100% (Fig. 1b). This process is carried out gradually in order to minimize tissue damage. The tissue must then be ‘cleared’ before it can be embedded in wax.
Clearing
Next, the section is placed in an organic solvent such as xylene or toluene, which replaces the alcohol. Wax is not soluble in alcohol. The clearing agents are so-called, because the tissue often looks completely clear when it is immersed in clearing agent. Finally, the tissue is impregnated with hot wax (Fig. 1b), which is soluble in this type of organic solvent.
Embedding
The tissue is placed in warm paraffin wax in a mould (Fig. 1c). On subsequent cooling, the wax hardens, and tissue slices can now be cut.
Sectioning
Sections (slices) about 10 to 20 microns (µm) thick are cut using a microtome (Fig. 1d).
Mounting
The wax sections are laid onto a glass microscope slide (Fig. 1e).
Staining
To see detail, the components of the tissue have to be stained. However, the stains that are used are all aqueous. Therefore, the wax has to be dissolved and replaced with water (rehydration), for the stains to be able to penetrate the tissue section. The sections are therefore placed in decreasing concentrations of alcohol, ending up at 0% alcohol (water).
A number of different stains can be used but the most common is hematoxylin & eosin (see Chapter 2).
Dehydration and mounting
The stained specimen is once again dehydrated, before placing it into mounting medium dissolved in xylene. Finally, a coverslip is placed on top of the sample to protect it, and the slide can be viewed on the microscope.
Other types of sectioning
Frozen sections
The tissue is rapidly frozen, fixed, and slices cut using a cryostat, before staining.
Semi-thin sections
The tissue is embedded in epoxy or acrylic resin, which has different properties to wax, and allows thinner sections (less than 2 µm) to be cut.
Sections in electron microscopy
See Chapter 4.
2
Different types of histological stain
Cells are colorless and transparent, and it would be difficult to see much detail when observing them using a microscope. Therefore, stains have to be used to make the cells visible.
H&E (hematoxylin & eosin) is the most commonly used stain, but many additional stains are also used, a few of which are described here.
Hematoxylin & eosin
Hematoxylin is derived from the logwood tree (Haematoxylum campechianum), and can only be used as a dye in its oxidized form (hematein). It is a basic dye that binds to acidic structures in cells and stains them a purplish blue. These include:
DNA in the nucleus, in heterochromatin and the nucleolus;RNA in the cytoplasm in ribosomes and rough endoplasmic reticulum;some extracellular materials (e.g., carbohydrates in cartilage).Eosin is a negatively charged acidic dye. It binds to basic structures in cells and stains them red or pink. These include:
most proteins in the cytoplasm;some extracellular fibers.Cells in tissue stained with H&E (Fig. 2a) are therefore pink, with a purple nucleus.
Other types of histological stains
Connective tissue stains
Masson’s trichrome method (Fig. 2b) uses three different dyes (hematoxylin, acid fuchsin, and methyl blue), resulting in three colors in the stained section.
Nuclei are stained blue.Cytoplasm, red blood cells (erythrocytes), and keratin are stained bright red.Collagen in the basement membrane, connective tissue, and cartilage are stained green.A related stain also used to stain connective tissue is Van Gieson.
Giemsa stain
This type of stain is used for bone marrow and blood smears (Fig. 2 c).
Red blood cells are stained pink (they do not have nuclei).White blood cells: cytoplasm is stained pale blue and the nuclei are stained dark blue/purple.Silver staining (for neurons)
Standard histological stains do not work well on neurons, mainly because their plasma membranes are rich in lipid. Moreover, nuclei are not detected, unless the sections include part of the central nervous system, where the majority of the nuclei are located. However, silver staining (Fig. 2d) does work well. Silver staining stains the nerves and nerve terminals (terminal boutons) black. An alternative method is Golgi-Cox (mercuric chloride, potassium chromate, and dichromate).
Cresyl violet
This stain is used to stain Nissl substance (rough endoplasmic reticulum; ER) in the cell bodies of neurons (Fig. 2e).
Staining carbohydrates and mucins
In the periodic acid-Schiff (PAS) reaction, periodic acid oxidizes carbohydrates and carbohydrate-rich molecules such as glycosaminoglycans, and the Schiff reagent stains the resultant oxidized molecules a deep reddish purple color. In the picture shown here (Fig. 2f), PAS has been combined with the dye, Alcian blue, which stains some mucins (glycosylated proteins) a deep blue color.
Goblet cells, which are rich in carbohydrates and mucin, are stained reddish purple.
Mucin-rich glands towards the bottom of the image shown here are stained a deep blue.
Stains for lipids
Lipid stains include Oil Red O, Sudan black , and Nile blue, and stain myelin sheaths of neurons brownish black (not shown here).
Immunocytochemistry
This technique is becoming much more widely used in histology, as it can detect specific proteins in a section. In this technique, an antibody is used that recognizes a specific antigen on the protein of interest (Fig. 2g). Usually, after incubating the section with the first antibody (primary antibody), a second antibody (secondary antibody) is added, which recognizes the primary antibody (indirect technique). The secondary antibody is commonly labeled using horseradish peroxidase, which turns brown when reacted with a chromogen substrate. This type of staining can be viewed on a normal brightfield microscope. A ‘counterstain’ is used to enable visualization of the overall organization of the cells in the tissue.
Alternatively, the secondary antibody is labeled with a fluorescent dye, in which case the sections have to be viewed using an epifluorescence (or confocal) microscope (see Chapter 4).
Fixing, dehydration, and wax embedding can destroy or mask antigens, which means the antibodies may not work. If this is the case, a number of different ‘antigen retrieval’ methods can be used, which unmask the antigens. These approaches commonly use pressure cookers or microwave ovens. Alternatively, cryosections can be used.
Staining in electron microscopy
See Chapter 4.
5
The cell and its components
The plasma membrane
The plasma membrane (Fig. 5a) is the boundary between the cell and its exterior environment.
It consists of a lipid bilayer, seen by electron microscopy as two parallel electron-dense (dark) lines with a narrow gap between them.
The plasma membrane is only 8-10 nm thick, and cannot be seen by light microscopy without special dyes.
The nucleus
The nucleus (Fig. 5b), about 10 μm in diameter, is enclosed by a nuclear envelope, which forms a barrier between it and the cytoplasm. The nuclear envelope consists of both an outer and an inner nuclear membrane (lipid bilayer). Nuclear pores within the nuclear envelope control which proteins and RNA can pass between the nucleus and the cytoplasm.
Light patches of staining, known as euchromatin, contain DNA that is being actively transcribed. Darker staining patches of heterochromatin contain DNA that is not being actively transcribed. The nucleolus is where ribosomal RNA is processed and assembled into ribosome subunits.
The nucleus and the nucleoli can be seen in sections by light microscopy (Fig. 5c). The appearance of nuclei varies between cells and cell types, and depends on the activity of the cells.
Cellular organelles
Endoplasmic reticulum
The endoplasmic reticulum (ER; Fig. 5d) is a single internal membrane system that extends throughout the cytoplasm, and makes up about 10% of the total cell volume. Its membrane is continuous with the outer nuclear membrane. The ER synthesizes lipids and proteins, generating the membranes of most of the organelles in the cell, and it stores Ca2+. Some proteins are internalized into its lumen and sent to the Golgi to be modified.
Rough ER (Fig. 5d) is organized into parallel layers of flattened sacs and covered with ribosomes. Its lumen is 20-30 nm wide. The cytoplasm of cells rich in rough ER stains a darker pink, or blue/ purple with H&E due to the high amounts of RNA in the many ribosomes, which are acidic, and therefore stain blue/purple with hematoxylin. Rough ER synthesizes secretory proteins and lysosomal enzymes.
Smooth ER (Fig. 5d) is not covered with ribosomes. It is branched and has a wider lumen than rough ER (30-60 nm).
Golgi apparatus
The Golgi apparatus (Fig. 5e) is found close to the nucleus. It glycosylates proteins received from the ER and packages them for transport to the plasma membrane. It also retrieves and recycles proteins.
It consists of 3 to 7 flattened discs of membranes, called cisternae.
The receiving face of the Golgi is called the ‘cis’ (receiving, forming, or entry) face.
Proteins exit via the trans (maturing or exit) face.
Vesicles
Cells contain a large number of vesicles (Fig. 5e).
Secretory vesicles: These travel from the Golgi to the plasma membrane.Endocytic vesicles: