I. Major functions of respiratory system: A. Gas exchange: The respiratory system is responsible for taking in oxygen and eliminating waste gases like carbon dioxide. But it also: Moistens air (glandular secretions) to prevent dessication of tissues Warms air Filters air B. Body temperature control in some species (horse: 20% of heat generated during exercise is exchanged across the lung surface) 1. Phonation (production of sound). D. Metabolic Functions. 1) Inactivates bradykinin, serotonin, prostaglandins, norepinephrine 2) Angiotensin converting enzyme (Angiotensinase) converts angiotensin I to angiotensin II (blood pressure regulation). II. Functional adaptations of respiratory tract: A. Site of gas exchange must have thin walls (alveoli of lungs are very thin). B. Moistening of air requires glands; usually simple tubuloalveolar (tubuloacinar) serous or seromucous glands. C. Air is warmed by blood (erectile tissue); many vessels with thick walls, extensive terminal vascular bed found along the conducting portion of the respiratory tract. D. Filtering of air is accomplished by hair and cilia (particles deposited/removed) 2. Phonation is possible due to the presence of vocal apparatus. III. Major subdivisions of mammalian respiratory tract (see Fig 1 on the next page): A. Conducting portion: (~150 ml vol in humans) 1) Involved in moving air. 2) Part of tract from nasal cavity through terminal (tertiary) bronchiole in lung 3) Specific portions are responsible for olfaction and phonation. General organization of conducting portion: 1) Lumen 2) Epithelium on a thick basal lamina (lines lumen) 3) Lamina propria - rich vascular connective tissue (ct) - glands in places 4) perichondrium (dense ct) 5) cartilage (provides support and maintains an open airway) Respiratory System Why Study the Respiratory System? Respiratory system diseases in the domestic animals are common and may affect the nose, throat, trachea, or lungs. They are sometimes combined with diseases of the heart, as in heartworm infection. Causes of these disorders include infections, parasites, cancer, trauma, and toxins. I. Major Functions of the Respiratory System D. Metabolic Functions 1. Inactivation of bradykinin (vasodilation), serotonin,PGE2, NE 2. ACE in lungs converts angiotensin I to angiotensin II; Angiotensin (vasoconstrictor). A. Gas exchange and condition the air: Moisten, warm & filter air B. Body temperature control (lower body temp - horse 20% heat loss via lung surface during exercise) C. Phonation (vocalization); olfaction II. Functional adaptations Gas exchange - thin walls Moistening of air - tubuloacinar glands Warming air - extensive vascular bed Filtering air - hair and cilia Larynx for phonation Components of the Respiratory System III. Major Subdivisions of Resp. Tract (3): A. Conducting Portion: nares to terminal bronchiole in lung B. Respiratory Portion- Gas Exchange C. Transitional Portion=Resp. Bronchioles (conducts & exchanges: carnivores & monkeys Conducting Respiratory Portion Nasopharynx Transitional C o n d u c t i n g Transitional IV. Respiratory Epithelium (3 main types): 1. Pseudostratified Ciliated Columnar 2.Simple Cuboidal 3. Simple Squamous Found through most of the Conducting portion V. Functional morphology of conducting region Nasal cavity Vestibule-rostral nasal cavity-stratified squamous Respiratory-PSC Olfactory 1. Basal cells 2. Olfactory Cells 3. Supporting Cells Paranasal sinuses Vomeronasal organ Nasopharynx Larynx Trachea Bronchi A. NASAL CAVITY 1. Vestibule: - rostral- stratified squamous epithelium - site of transition from integument to mucous membrane of nasal cavity. - resembles the skin - melanocytes - hairs - sweat glands - sebaceous glands A. NASAL CAVITY 2. Respiratory portion Most of nasal cavity Area of conchae (turbinates) - Epithelium: pseudostratified ciliated columnar epithelium with goblet cells Also specialized cells like brush cells (sensory), nonciliated cells with SER, basal cells Lamina Propria: Connective tissue containing - Mixed, mainly serous, glands to moisten & Erectile tissue to warm the air Thin Shelf of Bone (cartilage)- forms core of Conchae Inhaled particles removed in nasal passages 2. Respiratory Portion e) Nasal conchae: - bony shelves of tissue extending from the lateral walls of the nasal cavity - increase surface area for conditioning inspired air. Ethmoidal Labyrinth Ventral conchae (Olfactory Epithelium) Dorsal Conchae 2. Concave surface: - unexposed (less exposed) - respiratory epithelium - more cilia - less extensive glandular development. e. Conchae: 1. Convex Surface -PSC with cilia (i.e, respiratory epithelium) - exposed to air and subject to drying (many serous glands) - richly vascular (conditioning of air) -Olfactory: Ethmoturbinates - olfactory mucosa on one side and -Respiratory epithelium on the other side (core of bone-center) Nerves 3. Olfactory Portion A. Nasal Cavity - caudal nasal cavity - thick PSC epith. (appears to have many layers but all cells reach the basal lamina) - few goblet cells - bipolar neurons - unmyelinated axons (3) Olfactory Surface: epithelium Handout:Figure 2 V. Functional Morphology of Conducting Portion B. Paranasal Sinuses - spaces in maxillary, frontal, ethmoid and sphenoid bones that are continuous with nasal cavity - thin respiratory epithelium (PSC with cilia) - continuous with nasal cavity - few nasal glands and goblet cells; adhered to bone - no erectile tissue Frontal Sinus Mouse Snout Embryo: Vomeronasal Organ C. Vomeronasal organ - more important to some species. - opens into duct that connects oral and nasal cavities. - permits sampling of volatilized substances (pheromones). Diseases of the Nasal Cavity: Chronic diseases of the Nasal Cavity are typically due to inflammation or neoplasm. Rhinitis is the term applied to an infection or inflammation of the nose. If the sinuses are also involved, it is called sinusitis. There are many bacteria, fungi, and viruses capable of infecting the noses of dogs & cats. These infections behave very similarly to common colds in people. Distemper virus can affect many systems of the body. The most common signs related to the respiratory system are nasal discharge and coughing V. Functional Morphology of the Conducting Portion D. Nasopharynx: - located dorsal to the soft palate. - connects nasal cavity with the oropharynx. - pseudostratified columnar epithelium (some stratified squamous caudodorsally) - pharyngeal tonsil: organized lymphoid tissue located above the soft palate and it has PSC epithelium Nasopharynx E. Larynx: - First solely respiratory structure. - Cartilage framework -striated musculature -May contain taste buds -Intrinsic: respiration and - phonation - lined by PSC (stratified squamous lines epiglottis vestibule and vocal fold) - Functions: 1) air conduit 2) phonation - branched tubuloalveolar glands (gl)- mucoid or mixed (lubrication). Nonkeratinized stratified squamous Respiratory Lumen 2 Lumen Image 1 Image 2 Vocal Fold-Larnyx Tunica Muscularis Ventricle Lumen Larynx Conducting Portion: Trachea to Terminal Bronchioles F. Trachea: Provides passage from larynx to bronchi Layers: 1) Tunica mucosa- submucosa - ciliated PSC with goblet cells - lamina propria (ct) - elastic fibers (mm) - submucosa of ct. and tubuloalvelar glands (mucous or mixed). 2) Tunica muscularis - C-shaped cartilage rings - smooth tracheal muscle which can narrow lumen to increase air velocity (cough) 3) Tunica adventitia - loose vascular ct. Lamina propria Tunica Muscularis Tunica Mucosa/submucosa Tunica Adventitia Lumen Dog Trachea: Low Magnification Trachea Trachea, High Mag Scanning Electron Micrograph of the Trachea Clinical Note: A disorder known as Tracheal Collapse is commonly seen in toy and miniature breeds, especially the Yorkshire terrier, pomeranian, and toy poodle. It is characterized by a narrowing of the inner diameter of the trachea, that fluctuates with the stage of the respiratory cycle. Affected dogs typically have a harsh, dry "honking" cough that is paroxysmal in nature and gradually becomes worse over time. Either the cervical, or both cervical and thoracic trachea may be involved. If both, then inspiratory radiographs usually show collapse of the cervical and dilation of the thoracic segments, and essentially the reverse on expiration. Fluoroscopy may be necessary to confirm the diagnosis, as sometimes collapse is only evident during forced expiration of coughing. Most cases can be treated successfully medically, with the use of bronchodilators, nebulizers or vaporizers, and occasional use of corticosteroids or sedatives. G. Bronchi: Note - If its got cartilage, its a bronchus not a bronchiole! Divided into: Primary (outside lung), secondary and tertiary (inside lung): Primary-structurally similar to trachea 1.PSC epithelium; decreased goblet cells distally 2. Lamina propria-thin layer of conn tiss with many leukocytes; Lymphoid nodules present (especially at the branching sites) 3. Muscularis mucosa is distinct, separates lamina propria/submuc; this muscle contracts in asthma and reduces lumen of bronchus 4. Tunica Submucosa: loose CT with elastic fibers and glands. Highly elastic for expansion and recoilation of lung during respiration 5. Cartilage Plates: Cartilage plates diminish in size distally (toward bronchioles) Bronchial fluid--mucin, serum proteins, lactoferrin, immunoglobulins-IgA, glycoproteins Primary bronchi:- extra pulmonary -structure as in trachea -except all layers are thinner ( plates of cartilage) Secondary bronchi: - intrapulmonary more distal: - ciliate PSC becomes ciliated simple columnar - decrease in #- goblet cells - cartilage begins to be replaced by smooth muscle lamina propria- thin layer of conn. tiss. with lymphoid elements - smooth muscle layer- contracts to narrow lumen (asthma). Structure of a secondary bronchus Smooth muscle Cartilage Epithelium Lamina propria Submucosa T. Mucosa Lumen Clinical Note: Canine infectious tracheobronchitis (kennel cough) is one of the most prevalent infectious diseases in dogs. Fortunately, the majority of cases are not serious resolving on their own in 1 to 2 weeks. The main cause of kennel cough is the airborne bacteria, Bordetella bronchiseptica, but it can also be caused by a number of viruses. Clinical cases of Kennel Cough are usually caused by several infectious agents working together to damage and irritate the lining of the dog's trachea and upper bronchi. The damage to the tracheal lining is fairly superficial, but exposes nerve endings that become irritated simply by the passage of air over the damaged tracheal lining. Once the organisms are eliminated the tracheal lining will heal rapidly Respiratory system LAB Introduction Concave Convex Convex (outer) surface of the turbinate: Pseudostratified columnar epithelium, goblet cells, serous/mixed glands, vascular bed-erectile tissue for heat exchange Epithelium Cartilage Vessels Concave (inner) surface of the turbinate: PSC epithelium with goblet cells, relatively thin epithelium, mixed glands- primarily serous, large blood vessels, scattered lymphocytes in the lamina propria, decreased # of nerve bundles Epithelium Glands Outer Conchae/Horse Nasal Cavity Olfactory epithelium: olfactory receptor neurons, sustentacular cells, basal cells, seromucous glands, nerve bundles Olfactory Epithelium Nerve bundle Larynx: connects pharynx and trachea. Image 1 Image 2 Mucous Glands Larynx components--Epiglottis: - leaf-like valve (prevents material from entering the larynx). - core - elastic cartilage - stratified squamous epithelium - taste buds may be present on oral side (carnivores, swine & ruminants) Elastic Cartilage Stratified Squamous Ep. Trachea Muscle Attaches to Outside of Cartilage In Carnivores Pseudostratified Columnar Goblet cells Lamina Propria Tracheal wall:PS columnar epithelium + Goblet Cells LP: elastic fibers Submucosa: Glands Connective tissue PSC Submucosa Branching pattern Secondary bronchus of cat Bronchial wall: PS columnar epithelium Elastic fiber GC Simple columnar LP: seromucus glands seen less as the bronchi become smaller Smooth Muscle submucosa Lumen Muscularis Mucosae Lamina propria Clara cell Bronchiole: simple columnar epithelium, less # GC, more clara cells. As bronchioles become smaller, columnar epithelium becomes cuboidal epithelium. LP; elastic fibers (lymphocytes present) Muscularis Mucosa Terminal bronchi; simple cuboidal epithelium, large # of clara cells present, no GC. LP: No glands present Terminal respiratory pathway:Alveoli open into respiratory bronchiole (RB). Alveoli (A) open into alveolar duct (AD), AS-space around a group of alveoli