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Kharkov National Medical University LECTURE for dentistry students Department of Histology, cytology and embryology Immune system = hemopoietic Functions:  Production of immune cells (and rbc)  Immune defense Organs  Central: red bone marrow, thymus  peripheral: lymph nodes, tonsils, spleen Secondary organs LYMPHOID SYSTEM I Tonsils of Waldeyer’s Ring Primary lymphoid organs - Marrow M & Thymus T R M A T cvl Lymph nodes - Solitary nodules Peyer’s patch - - - - - U o V Appendix - cervical, axillary, inguinal, mesenteric, etc Spleen Lymphocyte circulation via blood vessels and lymphatics Red Bone Marrow  Functions: 1. formation of all blood cells, except T-lymphocytes 2. contains CFU – blood stem cell Structure: -- basic – reticular tissue, -- sinuses (wide capillaries), -- cords of hemopoietic cells Thymus     Functions: 1. production of T-lymphocytes independent /they become antigendependent in the peripheral organs/ 2. production of hormones (thymopoietin, thymosins)  to promote development and action of T lymphocytes Thymus  Capsule gives off trabeculae, divide parenchyma into lobules with cortex and medulla  Reticular epithelial cells – basis of lobules    secrete hormones Very large in fetus; after age 14 begins aging involution in elderly mostly fatty and fibrous tissue Histology of Thymus THYMUS young Cortex - dark Connective tissue Lobules Medulla light Hassall’s thymic corpuscle round, red, flattened epithelial cells. Their amount increases with age Packed lymphocytes (thymocytes) Lymph Node  Functions: production of B-lymphocytes, filtration of lymph flows through sinuses  STRUCTURE: Cortex contains lymphatic nodules with stroma (reticular CT) and lymphocytes  Paracortical zone contains T-lympocytes   Medulla consists of medullary cords of plasmocytes – lymphocytes, producing antigens  Basic are reticular cells = macrophages phagocytize foreign matter  lymphocytes  lymphatic centers respond to antigens nodules contain germinal for B cells activation Lymph Node Fig. 21.12 a and b Sinuses for lymph flow Lymph Node Tonsils  Functions: 1. production of Blymphocytes, 2. immune defense Tonsils  Location – folds of mucous membrane of the oral and pharyngeal cavities  Multiple groups of large lymphatic nodules  Palatine tonsils  Pharyngeal tonsil  Lingual tonsils Tonsil   Covered by stratified epithelium Pathogens get into tonsillar crypts and encounter lymphocytes Spleen  Parenchyma contains:    red pulp: sinuses filled with erythrocytes white pulp = lymphatic nodules: lymphocytes, macrophages; surrounds small branches of splenic artery Functions     B-lymphocytes production blood storage RBC distruction immune reactions: filters blood, detects antigens Spleen Lymph Nodules in the GIT - PROTECTION Endocrine System is the second regulating system  Produces blood hormones to the  Regulates growth, metabolism Classification  CENTRAL organs : hypothalamus, hypophysis, epiphysis  PERIFERAL : thyroid, parathyroid, adrenal glands. In some organs the endocrine tissue constitutes part of them :  the pancreas,  the ovaries and the testes. Individual endocrine cells are found in a variety of organs, e.g. the GIT and the kidneys. Hypothalamus  Part of the CNS  Contains Nuclei of neurosecretory cells  anterior(1)  intermediate(2),  posterior(3) H.-1  Supraoptic nucleus produces vasopressin (antidiuretic hormone – ADH) increases reabsorbtion of water in kidney.  Paraventricular nucleus produces oxytocin - contraction of muscle of the uterus during parturition H.-2  Releasing factors - liberins (stimulate) and statins (inhibit) for tropic hormones of the adenohypophysis 3 2 1 Hypothala Hypophysi H.-3  contains nerve cells, innervating endocrine glands (Hypophysis) Pituitary Gland  The pituitary gland is attached to the brain by the infundibulum 1  locates under the hypothalamus Pituitary Gland 2 Parts:   i neurohypophysis adenohypophysis (d.- pars distalis, i. - pars intermedia). d n a Pars distalis acidophil cells  basophil cells.  Acidophils cells  1. somatotrophs (produce growth hormone (GH or somatotropin)  2. mammotrophs secrete prolactin (LH). Basophil cells  1. Thyrotrophs produce thyroid stimulating hormone (TSH or thyrotropin). Basophil cells    2. Gonadotrophs produce follicle stimulating hormone (FSH) regulates ovogenesis, spermatogenesis luteinizing hormone (LH) stimulates production of testosterone by Leydig cells in males, formation of corpus luteum in females. Basophil cells  3. Corticotrophs secrete adrenocorticotropic hormone (ACTH) Pars intermedia produces melanocytostimulating hormone and  lipotropic hormone  Neurohypophysis  Cells are pituicytes  Hering’s bodies – ends of axons, contain hormones of hypothalamus Development   Neurohypophysis develops from the floor of third brain ventricle. Adenohypophysis develops from an ectodermal diverticulum - Rathke’s pouch, that grows upwards from the roof of the stomatodaeum. Epiphysis or PINEAL BODY Epiphysis or PINEAL BODY contains two basic types of the cells:  1 – pinealocytes;  2 – interstitial cells (glial cells) Epiphysis or PINEAL BODY controls all cyclic processes in human organism Hormones of the thyroid gland  thyroxin, or tetraiodothyronin, T4,  triidothyronin – T3,  calcitonin  T4 and T3 regulate carbohydrate, lipid and protein metabolism  calcitonin lowers blood calcium level consists of follicles,  lined by cuboidal epithelium  The follicle cavity is filled with colloid =  thyroglobulin – complex of hormones  Between follicles there are parafollicular cells  (or C-cells), produce calcitonin TSH of hypophysis stimulates T3,T4 production! PARATHYROID GLAND  chief or principal cells and  oxyphil cells.  Its Parathormone (PTH) increases the blood calcium level by stimulating bone resorption  is not under control of hypophysis ADRENAL (suprarenal) GLANDS consist of : an outer cortex and an inner medulla   Cortexepithelial cords: zona glomerulosa zona fasciculata  zona reticularis   Medulla Hormones:    zona glomerulosa -mineralocorticoids – Na,Ca homeostasis and water balance zona fasciculata glucocorticoids – carbohydrat metabolism zona reticularis - sex hormones  zona fasciculata and zona reticularis are under control of ACTH of hypophysis Medulla  Consists of sympathetic neurons – chromaffin cells  produse:  adrenaline and  noradrenaline  -- stress hormones