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Endocrine System

The Endocrine System…


• This system is comprised of a variety of ductless glands.
• Some exist as discrete organs, while others are associated with
exocrine glands and/or found within complex organs.
• All endocrine glands secrete their products (hormones) into
the connective tissue surrounding the secretory elements; from
there, those products enter the blood or lymph, in which they
travel to their target organs.
• While protein and steroid hormones differ in mechanism,
the effects of both are mediated by specific receptors in their
target cells.
Hormones …
– are “messenger molecules”
– Circulate in the blood
– Act on distant target cells
– Target cells show receptors to respond to the hormones
– The effects are dependent on the programmed response of
the target cells
– Hormones are just molecular triggers

• Basic categories of hormones…

– Amino acid based: modified amino acids (or amines),


peptides (short chains of amino acids), and proteins (long
chains of amino acids)

– Steroids: lipid molecules derived from cholesterol

3
Endocrine Organs
• Cells forming endocrine
organs
– Pituitary gland
– Thyroid gland
– Parathyroid glands
– Adrenal: 2 glands Cortex
Medulla
-Pineal gland
• Endocrine cells in other
organs
– Pancreas
– Thymus
– Gonads
– Hypothalamus

4
Pituitary gland…
1.Hypophysis (Pituitary Gland)
• The hypophysis consists of glandular (Adenohypophysis) &
nervous portions (Neurohypophysis)

At low power, identify:


• Adenohypophysis:
 Pars anterior (pars distalis; anterior pituitary)
 Pars intermedia( remnant of rathke pouch rudimentary in human
beings)
 Pars tuberalis
• Neurohypophysis:
 Pars nervosa ( posterior pituitary) consist of median eminence
and infundibulum.
Hypophysis cerebri…
Anterior Pituitary (Pars Distalis / Pars Anterior)
• Cells can be divided into two classes on the
basis of their staining characteristics:
• Chromophils ("color-loving"), and
chromophobes ("color-fearing").
• Chromophils are further classified as
acidophils and basophils.

• Each cell type produces only one type of


hormone.
• Parenchyma consists of secretory epithelial
cells arranged in anastomosing cords and
clusters.
• Abundant sinusoidal capillaries with
fenestration
Anterior pituitary…
Chromophil :
 Acidophils ;
 strongly-staining, acidophilic
cytoplasm due to granules.
 cells are larger,most abundant
than chromophobes.
 well developed cell outline

 Basophils-
 Cells are variable in sixe and
shape with basophilic
cytoplasm.
 secretory granules
responsible for the staining
characteristics of these cells
are.
Anterior pituitary…
Chromophobe :

 Clear, faintly-staining, sparse


cytoplasm.
 Do not have granules
 Indistinct cell outline
 Represent chromophil
without granules or stem
cells
 Sinusoidal Capillaries in
Anterior Pituitary
 Chromophil granules are
dense cored vesicles
Pars Intermedia…
• Intermediate portion of
pituitary
• Part of the adenohypophysis
• Non-neural
• Composed of a thin layer of
epithelial cells, which enclose
colloid-filled spaces

• Identify colloid vesicles, and


the surrounding low columnar
cells
Pars Nervosa…
• Is a downgrowth from the
hypothalamus
• Exhibits characteristics of nervous
tissue
• Axon terminals within this area
originate from cells in the
hypothalamus; those in the
supraoptic nucleus produce ADH
(vasopressin), while those in the
paraventricular nuclei produce
oxytocin
• Cell bodies of these neurons are
located in the hypothalamus
• The pars nervosa contains no
neuronal cell bodies
Pars Nervosa…
• Pituicytes :
 Glial cells, variable in cell size
and shape.
 barely visible having orange
stained cytoplasm.
• Herring bodies:
 large unmyelinated axon
terminals, containing large
numbers of neurosecretory
granules.
 Rich capillary network present in
pars nervosa
Thyroid gland…
Thyroid Gland-General Structure
• It stores the inactive form of
hormone extracellularly in
follicles .
• General Structure. Identify …
 connective tissue capsule .
 connective tissue septa that
divide the bilobed gland into
lobules .
Follicles - of various sizes,
 filled with pink-stained colloid
and lined by cuboidal epithelial
cells. These are the
 functional units of the thyroid
gland.
 follicle size varies inversely
with secretory activity.

Interfollicular regions –
 the presence of connective
tissue, sinusoidal capillaries
into which hormone is released)
 parafollicular cells
Thyroid Follicles
• Follicular epithelium:
 vary from high cuboidal to low
cuboidal ; reflects the level of
follicle secretory activity.
 follicle cells (principal cells)
have large, centrally- or
basally-located nuclei,
 cells active in protein secretion.
 Storage and release of thyroid
hormones involves the protein
thyroglobulin .
Parafollicular Cells
 Found scattered singly or in
small groups present in
periphery of the follicles ,
 cells are responsible for
production of calcitonin, a
peptide hormone that is
synthesized and secreted
independently of thyroid
hormone.
 Also called C, clear, or light
cells.
Parafollicular Cell…

 can be distinguished from


follicular cells because
they are large oval have
eccentrically-placed
nuclei and extensive, but
lightly-stained cytoplasm.

 They are placed in


periphery of follicles
Thyroid gland…
Parathyroid Glands…
General Structure :
 Thin C.T. capsule that
surrounds each gland and
gives rise to internal septa.

 glands are actually embedded


in the capsule of the thyroid
gland.
Parathyroid Glands-Parenchyma
 present as a mass of crowded
single cells, not arranged as
follicles. It consist of 2 type of
cells:

Chief cells (principal cells):


 Numerous ,small cells with
prominent nuclei, and the
pale,scant cytoplasmic
staining.
Parathyroid Glands…

Oxyphil cells:
 single or clumps of larger
cells with acidophilic
(oxyphilic), cytoplasm
with dark staining nucleus.
 Number inrease with age.
 Oxyphil cells are not
always present in a section
of parathyroid gland.
Adrenal gland…
Adrenal Glands…
Like the pituitary, they are composed
of two distinctly different components,
one of mesothelial origin and one of
neural origin .

General Structure
• outer cortex , and the inner medulla .
These zones are readily observed even
in a fresh, unstained section.
• 3 histological zones of the cortex.
• tough connective tissue capsule and
radial trabeculae that extend into the
cortex.
• Prominent central vein in the medulla.
Adrenal Cortex…

• The cortex is divided into three layers:


capsule
– Zona glomerulosa reticularis
– Zona fasciculata
– Zona reticularis

medulla
Adrenal Cortex: Zona Glomerulosa

Identify…
• outermost cortical layer , and
note the presence of columnar
epithelial cells arranged in
long cords that appear as ovoid
clumps when cut in cross-
section.
• cytoplasm is pink and relatively
scant contain lipid droplets.
• capillary sinusoids are abundant.
Adrenal Cortex: Zona Fasciculata…

• Note that this is the broadest,


lightest-staining of the three
cortical zones, with epithelial
cells that have large,
abundant, poorly-stained
cytoplasm.
• Cells are arranged in vertical
columns of radial plates
• Identify capillary sinusoids
between cords of secretory
cells.
Adrenal Cortex: Zona Reticularis…

• Note that the epithelial cells of


this innermost, prominently
stained zone are arranged in
irregular, anastomosing cords
and clumps with wide capillary
sinuses intervening.
• Note that the secretory cells are
small, with relatively darkly
stained cytoplasm that may
contain yellow pigment.
Adrenal Medulla: Chromaffin Cells
• Derived from neural crest, cells
of the medulla are functionally
equivalent to postganglionic
sympathetic neurons.
• Chromaffin cells. The
secretory cells of the medulla
contain catecholamines
(norepinephrine and
epinephrine) in cytoplasmic
granules that are oxidized to a
brown color by potassium
bichromate (the chromaffin
reaction).
Adrenal Medulla: Chromaffin Cells

Note that chromaffin cell


cytoplasm is quite
basophilic, compared to
the acidophilia of the
adjacent zona reticularis.

Note that the cells are


arranged into tight
clumps, with wide
capillaries and venous
channels intervening .
Adrenal Medulla: Blood Supply

• The medullary capillary


network receives blood from a
capsular plexus both indirectly,
via cortical capillary sinusoids,
and directly, via small arteries
passing through the cortex from
the capsule.
• Identify the extensive network
of dilated capillaries in the
medulla.
Pineal Gland-General Structure

• The pineal gland is an evagination of the


diencephalon of the brain, and contains highly
modified neurons called pinealocytes.
General structure
• Under low power, identify trabeculae that
arise from pia mater. Trabeculae divide the
pineal parenchyma into indistinct lobules.
Pineal Gland-Parenchyma

• The parenchyma contains two cell types,


pinealocytes and neuroglia.
• The pinealocytes are modified neurons.
• You will not need to distinguish these two cell
types.
Pineal Gland-Pineal Sand

• Basophilic, extracellular
concretions . They are often
calcified, which makes the
pineal gland an excellent
radiological marker,
particularly of the midline.
Epiphysis (Pineal Gland)
• The pineal is innervated by
unmyelinated axons of
postganglionic sympathetic
neurons. This is an unusual
example of a central nervous
system structure that receives
sympathetic innervation.
• Presence of a rich vascular
supply characteristic of all
endocrine glands.
Endocrine Pancreas: Islets of Langerhans
• The pancreas is a mixed exocrine
and endocrine gland.
General Structure
• Note that islet cells are found as
clumps of small secretory cells
with relatively lightly-stained
cytoplasm present in connective
tissue .
• Compare their appearance to that of
the prolific protein-secreting cells
of exocrine pancreatic acini .
• Identify the rich network of
capillaries that characterize all
endocrine organs.
Islet of Langerhans…

• Consist of 3 types of cells


 Alpha cells (30%)
Stains pinks present
more on peripheral region
 Beta cells (70%)
Stains blue
More in the centre
 Delta cells
Least in no.
Clinical Histology
1.Goiter (Multinodular)

• common cause of overactivity


of the thyroid gland
(hyperthyroidism).
• Increased TSH production
results in the formation of
characteristic large nodules .
• Rx- surgical removal of part
of the thyroid, or by injection
of radioactive iodine
2.Graves Disease (hyperthyroid)
– Follicles are very small (little
colloid)
– Colloid appears to have open
spaces along its edge
scalloped edges (common to
hyperthyroidism
3. Hashimoto's Thyroiditis:
• Autoimmune condition in
which the immune system
attacks the thyroid, causing
a reduction in the number
and size of follicles.
• Rx replacement/ admin. of
thyroid hormone.
4.Adrenal Atrophy:
– Hypoplasia (decrease in cells) usually in the cortex but
also gaps in the medulla
– Proliferation of parenchymal cells
5.Adrenal Pheochromocytoma:
– Benign condition where Medulla is enlarged and
represents the majority of the adrenal gland
– Large, bizarre looking nuclei (large and dark-staining)
– Large vascular spaces
5.Hyperparathyroidism (bone):
– Within the bone spicules, you can see osteoclasts
degrading the bone (more osteoclasts than usual)
– osteoclasts are multinucleate
6.Parathyroid Oxyphil Adenoma:
– Identify healthy parathyroid for its darkly staining
chief cells, pink oxyphil cells, and fat throughout
– Tumor is made entirely of oxyphil cells
– Monoclonal proliferation= tumor composed of 1 type
of cell )
7.Pituitary Acidophilic Adenoma:
– Tumors tend to be in the anterior pituitary; monoclonal
proliferations of 1 of the 3 common anterior pituitary
cells
– In this case, it is an acidophilic adenoma so the
cytoplasms are predominantly pink-staining
– Acidophils make hormones that serve non-endocrine
glands (ex. Mammary gland)
8.Type II Diabetes (pancreas):
– Enlarged islets of Langerhans
– Hyaline deposits in the islets (pinker than usual)

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