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Explore the intricate structures of the respiratory system, from the nasal cavity to the lungs and alveoli, detailing histological features and development processes. Learn about disorders like RDS and the role of surfactant in lung function.
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Respirastorysystem D. L. Kiss Anna Semmelweis University Department of Anatomy, Histology and Embryology 2018.
Extrapulmonar: • Nasalcavity - nasopharynx • Larynx • Trachea • Intrapulmonar: • Bronchi: principal lobar segmental • Bronchioles: terminals respiratory • Repiratory part: alveoli
Nasalcavity Olfactoryarea: receptors Vestibulum: skin Regiorespiratorica: pseudostratifiedciliated epithelium (gobletcells)
Regiorespirtorica: Propria: seros+mucus glands vestibulum
cilia cilia Olfactoryregion Receptors: primary sensory cells: bipolar cells • contain OBP (odorant binding protein) receptors on their plasma membrane • axon-like processes - fila olfactoria – bulbus olfactorius • the number of them: 2 x 107 • life time: 30-60 days • more than 100 receptor molecules bulb-like ending supporting cell receptor basal cells basement membrane Schwann cells axon
nasopharynx tongue oropharynx softpalate laryngopharynx epiglottis
Waldeyer’slymphatic ring Pharynx: parsnasalis: • tonsillapharyngea+tonsillaetubariae(pseudostratifiedciliatedepithelium) p. oralis: • tonsillapalatina (stratified non- keratinizedepithelium) • tonsillaelinguales (stratified non- keratinizedepithelium)
Larynx epiglottis aryepiglottic fold vestibular fold vestibulum ventriculus infraglotticcavity vocal fold (vocalcord)
Trachea anteriorview posteriorview left right left Right Principalbronchi
Bronchustree Principalbronchuslobalbronchus segmentalbronchusterminalbronchus bronchiolusterminalbronchiolus bronchiolusrespiratoricussacculus: ductus alveolaris alveoli
Histologicalchangesintherespiratorysystem • cartilagedisappears: gradually • glandsaredisappearing • smoothmusclebecomescontinuous (broncioles) and thendisappears • epitheliumbecomesthin
Branches of theterminalbronchi, sacculi and alveoli Lobes : segments Segments: borders: veins artery + bronchioles (centrally)
Alveoli and alveolarsepti macrophage alveolarentrance elasticfibers type I cells type II cells macrophageintheseptum capillary
Pneumocytes: simplesquamousepithelialcells Type I cells: flat, squamouscells: gassexchange Type II cells: surfactantsecretion: decreasesthesurfacetension
Surfactant Decreasesthealveolarsurfacetension, activelyparticipate in theclearance of foreignmaterials Lowsurfacetension: increasestheflexibility of thelung makesthealveoli stabil e Absence of thesurfactant: alveolicollapse
Respiratorydistresssyndrome (RDS) – functionalsurfactantdisorder • Fetalorneonatal RDS (IRDS): more frequent in prematureinfant 1.) unmaturedbiosyntheticpathways 2.) inactivation of thesurfactant (intraalveolarcoagulation) 3.) increaseduse of surfactantcausedbychronicrespiratorymechanism 4.) injury of thebiosyntheticpathway (acidosis, decreasedpulmonaryblood flow) • Adult RDS (ARDS):acutrespiratoryinsufficiency activation of neutrophylgranulocytes and alveolarmacrophagesrelease of permeabilityincreasingsubstances (shock, trauma:. burning, infections, inhalation of toxicgases, overdosage of drogssetc)
Development of the lung • 4 weeksembryo: respiratorydiverticulum:outgrowth of theventralwall of theforegut; • in themesodermretinoidacidproduction is increasing • in theendoderm TBX4 transcriptionfactorproduction • TBX4: inducesappearance, increase and differentiation of thelung primordia • epithelium: endoderm • connectivetissue, cartilage and muscle: mesoderm
Development of thelung 1.) respiratorydiverticulum communicateswiththeforegut 2.) Tracheoesophagealridge: dorsal: esophagus ventral: trachea 3.) 2 bronchusbuds atthe 5th week: - right and leftprincipalbronchi - then: right: 3 lobarbrobnchi, left: 2 lobarbronchi - dichotomicdivision: segmentalbronchi
Bibliography • Snell RS, ClinicalAnatomy, Little, Brown & Co, Boston, 1995 • Moore KL, Dalley AF: Clinically Oriented Anatomy, Lippincott, 1999 • Sobotta: Atlas of Human Anatomy • Röhlich: Szövettan