Digestive System Histology Lecture Series
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Appendiceal GCC and LAMN Navigating the Alphabet Soup in the Appendix
2018 Park City AP Update Appendiceal GCC and LAMN Navigating the Alphabet Soup in the Appendix Sanjay Kakar, MD University of California, San Francisco Appendiceal tumors Low grade appendiceal mucinous neoplasm • Peritoneal spread, chemotherapy • But not called ‘adenocarcinoma’ Goblet cell carcinoid • Not a neuroendocrine tumor • Staged and treated like adenocarcinoma • But called ‘carcinoid’ Outline • Appendiceal LAMN • Peritoneal involvement by mucinous neoplasms • Goblet cell carcinoid -Terminology -Grading and staging -Important elements for reporting LAMN WHO 2010: Low grade carcinoma • Low grade • ‘Pushing invasion’ LAMN vs. adenoma LAMN Appendiceal adenoma Low grade cytologic atypia Low grade cytologic atypia At minimum, muscularis Muscularis mucosa is mucosa is obliterated intact Can extend through the Confined to lumen wall Appendiceal adenoma: intact muscularis mucosa LAMN: Pushing invasion, obliteration of m mucosa LAMN vs adenocarcinoma LAMN Mucinous adenocarcinoma Low grade High grade Pushing invasion Destructive invasion -No desmoplasia or -Complex growth pattern destructive invasion -Angulated infiltrative glands or single cells -Desmoplasia -Tumor cells floating in mucin WHO 2010 Davison, Mod Pathol 2014 Carr, AJSP 2016 Complex growth pattern Complex growth pattern Angulated infiltrative glands, desmoplasia Tumor cells in extracellular mucin Few floating cells common in LAMN Few floating cells common in LAMN Implications of diagnosis LAMN Mucinous adenocarcinoma LN metastasis Rare Common Hematogenous Rare Can occur spread -
Te2, Part Iii
TERMINOLOGIA EMBRYOLOGICA Second Edition International Embryological Terminology FIPAT The Federative International Programme for Anatomical Terminology A programme of the International Federation of Associations of Anatomists (IFAA) TE2, PART III Contents Caput V: Organogenesis Chapter 5: Organogenesis (continued) Systema respiratorium Respiratory system Systema urinarium Urinary system Systemata genitalia Genital systems Coeloma Coelom Glandulae endocrinae Endocrine glands Systema cardiovasculare Cardiovascular system Systema lymphoideum Lymphoid system Bibliographic Reference Citation: FIPAT. Terminologia Embryologica. 2nd ed. FIPAT.library.dal.ca. Federative International Programme for Anatomical Terminology, February 2017 Published pending approval by the General Assembly at the next Congress of IFAA (2019) Creative Commons License: The publication of Terminologia Embryologica is under a Creative Commons Attribution-NoDerivatives 4.0 International (CC BY-ND 4.0) license The individual terms in this terminology are within the public domain. Statements about terms being part of this international standard terminology should use the above bibliographic reference to cite this terminology. The unaltered PDF files of this terminology may be freely copied and distributed by users. IFAA member societies are authorized to publish translations of this terminology. Authors of other works that might be considered derivative should write to the Chair of FIPAT for permission to publish a derivative work. Caput V: ORGANOGENESIS Chapter 5: ORGANOGENESIS -
A Comparative Study of the Ultrastructure of Microvilli in the Epithelium of Small and Large Intestine of Mice
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by PubMed Central A COMPARATIVE STUDY OF THE ULTRASTRUCTURE OF MICROVILLI IN THE EPITHELIUM OF SMALL AND LARGE INTESTINE OF MICE T. M. MUKHERJEE and A. WYNN WILLIAMS From the Electron Microscope Laboratory, the Departlnent of Pathology, the University of Otago Medical School, Dunedin, New Zealand ABSTRACT A comparative analysis of the fine structure of the microvilli on jejunal and colonic epi- thelial cells of the mouse intestine has been made. The microvilli in these two locations demonstrate a remarkably similar fine structure with respect to the thickness of the plasma membrane, the extent of the filament-free zone, and the characteristics of the microfila- ments situated within the microvillous core. Some of the core microfilaments appear to continue across the plasma membrane limiting the tip of the microvillus. The main differ- ence between the microvilli of small intestine and colon is in the extent and organization of the surface coat. In the small intestine, in addition to the commonly observed thin surface "fuzz," occasional areas of the jejunal villus show a more conspicuous surface coat covering the tips of the microvilli. Evidence has been put forward which indicates that the surface coat is an integral part of the epithelial cells. In contrast to the jejunal epithelium, the colonic epithelium is endowed with a thicker surface coat. Variations in the organization of the surface coat at different levels of the colonic crypts have also been noted. The func- tional significance of these variations in the surface coat is discussed. -
Gastrointestinal Stem Cells in Health and Disease: from Flies to Humans Hongjie Li1,2 and Heinrich Jasper1,*
© 2016. Published by The Company of Biologists Ltd | Disease Models & Mechanisms (2016) 9, 487-499 doi:10.1242/dmm.024232 REVIEW SUBJECT COLLECTION: TRANSLATIONAL IMPACT OF DROSOPHILA Gastrointestinal stem cells in health and disease: from flies to humans Hongjie Li1,2 and Heinrich Jasper1,* ABSTRACT is Barrett’s metaplasia (see Box 1), in which the esophageal The gastrointestinal tract of complex metazoans is highly squamous epithelium acquires properties that are reminiscent of the compartmentalized. It is lined by a series of specialized epithelia gastric or intestinal columnar epithelium. This transformation has that are regenerated by specific populations of stem cells. To maintain been associated with acid reflux disease and is believed to be a cause tissue homeostasis, the proliferative activity of stem and/or progenitor of esophageal adenocarcinomas (Falk, 2002; Hvid-Jensen et al., cells has to be carefully controlled and coordinated with regionally 2011). Dysplasia (see Box 1), another type of epithelial lesion that distinct programs of differentiation. Metaplasias and dysplasias, commonly affects the human GI tract, is characterized by aberrant precancerous lesions that commonly occur in the human cell proliferation and differentiation. Dysplastic changes are often gastrointestinal tract, are often associated with the aberrant found at later stages during epithelial carcinogenesis than are proliferation and differentiation of stem and/or progenitor cells. The metaplasias, and eventually lead to invasive carcinoma (see Box 1) increasingly sophisticated characterization of stem cells in the (Correa and Houghton, 2007; Ullman et al., 2009). Much remains to gastrointestinal tract of mammals and of the fruit fly Drosophila has be learnt about intestinal metaplasias and dysplasias, not least provided important new insights into these processes and into the because of their clinical significance, such as the exact cellular mechanisms that drive epithelial dysfunction. -
1488.Full.Pdf
Downloaded from genesdev.cshlp.org on September 26, 2021 - Published by Cold Spring Harbor Laboratory Press Neurogenin 3 is essential for the proper specification of gastric enteroendocrine cells and the maintenance of gastric epithelial cell identity Catherine S. Lee,1 Nathalie Perreault,1 John E. Brestelli, and Klaus H. Kaestner2 Department of Genetics, University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA The notch signaling pathway is essential for the endocrine cell fate in various tissues including the enteroendocrine system of the gastrointestinal tract. Enteroendocrine cells are one of the four major cell types found in the gastric epithelium of the glandular stomach. To understand the molecular basis of enteroendocrine cell development, we have used gene targeting in mouse embryonic stem cells to derive an EGFP-marked null allele of the bHLH transcription factor, neurogenin 3 (ngn3). In ngn3−/− mice, glucagon secreting A-cells, somatostatin secreting D-cells, and gastrin secreting G-cells are absent from the epithelium of the glandular stomach, whereas the number of serotonin-expressing enterochromaffin (EC) cells is decreased dramatically. In addition, ngn3−/− mice display intestinal metaplasia of the gastric epithelium. Thus, ngn3 is required for the differentiation of enteroendocrine cells in the stomach and the maintenance of gastric epithelial cell identity. [Key Words: Basic-helix-loop-helix (bHLH) protein; neurogenin 3 (ngn3); notch signaling; metaplasia; enteroendocrine cells; iFABP; Muc 2] Received February 15, 2002; revised version accepted May 2, 2002. The mouse stomach is divided into two domains, the tors including the neurogenin genes (Sommer et al. 1996; proximal third, which is known as the forestomach and Artavanis-Tsakonas et al. -
Organization of the Gastrointestinal Tract
Organization of the gastrointestinal tract Development of the Foregut, Midgut, and Hindgut Development of the alimentary canal It constitutes during the 4th week from 3 separate embryonic anlages (organs): - The stomodeum (primitive mouth) – develops on the cephalic end of the embryo, is limited by 5 frominences (frontonasal, 2 maxillary, 2 mandibular) ectoderm oropharyngeal membrane. - The primitive gut arises by incorporation of the dorsal part of the yolk sac into embryo during cephalocaudal and lateral folding of the embryo gut is connected to the yolk sac by means of the vitelline (omphalomesenteric) duct endoderm cloacal membrane - The proctodeum (anal pit) - develops on the caudal end of the embryo between future bases of lower limbs - ectoderm - while the ectoderm of the stomodeum and proctodeum as well as the endoderm of the gut differentiate into the epithelium of the alimentary canal, - The muscular and fibrous elements + visceral peritoneum derive from the splanchnic mesenchyma that surrounds the lining of the primitive gut. Development of associated glands: - (salivary glands, liver and pancreas) develop from the endoderm (ectoderm) that gives rise to specific cells (hepatocytes, exo- and endocrine cells of the pancreas (the parenchyma) DERIVATIVES OF THE PRIMITIVE GUT The foregut: . the pharynx and branchiogenic organs . the lower respiratory tract . the esophagus . the stomach . the duodenum proximal to the opening of the bile duct . the liver and pancreas + the biliary apparatus The midgut: . the small intestines, including the part of the duodenum distal to the opening of the bile duct . the caecum and appendix . the ascending colon . the transverse colon The hindgut: . the descending colon . the sigmoid colon . -
The Oesophagus Lined with Gastric Mucous Membrane by P
Thorax: first published as 10.1136/thx.8.2.87 on 1 June 1953. Downloaded from Thorax (1953), 8, 87. THE OESOPHAGUS LINED WITH GASTRIC MUCOUS MEMBRANE BY P. R. ALLISON AND A. S. JOHNSTONE Leeds (RECEIVED FOR PUBLICATION FEBRUARY 26, 1953) Peptic oesophagitis and peptic ulceration of the likely to find its way into the museum. The result squamous epithelium of the oesophagus are second- has been that pathologists have been describing ary to regurgitation of digestive juices, are most one thing and clinicians another, and they have commonly found in those patients where the com- had the same name. The clarification of this point petence ofthecardia has been lost through herniation has been so important, and the description of a of the stomach into the mediastinum, and have gastric ulcer in the oesophagus so confusing, that been aptly named by Barrett (1950) " reflux oeso- it would seem to be justifiable to refer to the latter phagitis." In the past there has been some dis- as Barrett's ulcer. The use of the eponym does not cussion about gastric heterotopia as a cause of imply agreement with Barrett's description of an peptic ulcer of the oesophagus, but this point was oesophagus lined with gastric mucous membrane as very largely settled when the term reflux oesophagitis " stomach." Such a usage merely replaces one was coined. It describes accurately in two words confusion by another. All would agree that the the pathology and aetiology of a condition which muscular tube extending from the pharynx down- is a common cause of digestive disorder. -
Study of Mucin Turnover in the Small Intestine by in Vivo Labeling Hannah Schneider, Thaher Pelaseyed, Frida Svensson & Malin E
www.nature.com/scientificreports OPEN Study of mucin turnover in the small intestine by in vivo labeling Hannah Schneider, Thaher Pelaseyed, Frida Svensson & Malin E. V. Johansson Mucins are highly glycosylated proteins which protect the epithelium. In the small intestine, the goblet Received: 23 January 2018 cell-secreted Muc2 mucin constitutes the main component of the loose mucus layer that traps luminal Accepted: 26 March 2018 material. The transmembrane mucin Muc17 forms part of the carbohydrate-rich glycocalyx covering Published: xx xx xxxx intestinal epithelial cells. Our study aimed at investigating the turnover of these mucins in the small intestine by using in vivo labeling of O-glycans with N-azidoacetylgalactosamine. Mice were injected intraperitoneally and sacrifced every hour up to 12 hours and at 24 hours. Samples were fxed with preservation of the mucus layer and stained for Muc2 and Muc17. Turnover of Muc2 was slower in goblet cells of the crypts compared to goblet cells along the villi. Muc17 showed stable expression over time at the plasma membrane on villi tips, in crypts and at crypt openings. In conclusion, we have identifed diferent subtypes of goblet cells based on their rate of mucin biosynthesis and secretion. In order to protect the intestinal epithelium from chemical and bacterial hazards, fast and frequent renewal of the secreted mucus layer in the villi area is combined with massive secretion of stored Muc2 from goblet cells in the upper crypt. Te small intestinal epithelium is constantly aiming to balance efective nutritional uptake with minimal damage due to exposure to ingested, secreted and resident agents. -
Vocabulario De Morfoloxía, Anatomía E Citoloxía Veterinaria
Vocabulario de Morfoloxía, anatomía e citoloxía veterinaria (galego-español-inglés) Servizo de Normalización Lingüística Universidade de Santiago de Compostela COLECCIÓN VOCABULARIOS TEMÁTICOS N.º 4 SERVIZO DE NORMALIZACIÓN LINGÜÍSTICA Vocabulario de Morfoloxía, anatomía e citoloxía veterinaria (galego-español-inglés) 2008 UNIVERSIDADE DE SANTIAGO DE COMPOSTELA VOCABULARIO de morfoloxía, anatomía e citoloxía veterinaria : (galego-español- inglés) / coordinador Xusto A. Rodríguez Río, Servizo de Normalización Lingüística ; autores Matilde Lombardero Fernández ... [et al.]. – Santiago de Compostela : Universidade de Santiago de Compostela, Servizo de Publicacións e Intercambio Científico, 2008. – 369 p. ; 21 cm. – (Vocabularios temáticos ; 4). - D.L. C 2458-2008. – ISBN 978-84-9887-018-3 1.Medicina �������������������������������������������������������������������������veterinaria-Diccionarios�������������������������������������������������. 2.Galego (Lingua)-Glosarios, vocabularios, etc. políglotas. I.Lombardero Fernández, Matilde. II.Rodríguez Rio, Xusto A. coord. III. Universidade de Santiago de Compostela. Servizo de Normalización Lingüística, coord. IV.Universidade de Santiago de Compostela. Servizo de Publicacións e Intercambio Científico, ed. V.Serie. 591.4(038)=699=60=20 Coordinador Xusto A. Rodríguez Río (Área de Terminoloxía. Servizo de Normalización Lingüística. Universidade de Santiago de Compostela) Autoras/res Matilde Lombardero Fernández (doutora en Veterinaria e profesora do Departamento de Anatomía e Produción Animal. -
Vestibule Lingual Frenulum Tongue Hyoid Bone Trachea (A) Soft Palate
Mouth (oral cavity) Parotid gland Tongue Sublingual gland Salivary Submandibular glands gland Esophagus Pharynx Stomach Pancreas (Spleen) Liver Gallbladder Transverse colon Duodenum Descending colon Small Jejunum Ascending colon intestine Ileum Large Cecum intestine Sigmoid colon Rectum Appendix Anus Anal canal © 2018 Pearson Education, Inc. 1 Nasopharynx Hard palate Soft palate Oral cavity Uvula Lips (labia) Palatine tonsil Vestibule Lingual tonsil Oropharynx Lingual frenulum Epiglottis Tongue Laryngopharynx Hyoid bone Esophagus Trachea (a) © 2018 Pearson Education, Inc. 2 Upper lip Gingivae Hard palate (gums) Soft palate Uvula Palatine tonsil Oropharynx Tongue (b) © 2018 Pearson Education, Inc. 3 Nasopharynx Hard palate Soft palate Oral cavity Uvula Lips (labia) Palatine tonsil Vestibule Lingual tonsil Oropharynx Lingual frenulum Epiglottis Tongue Laryngopharynx Hyoid bone Esophagus Trachea (a) © 2018 Pearson Education, Inc. 4 Visceral peritoneum Intrinsic nerve plexuses • Myenteric nerve plexus • Submucosal nerve plexus Submucosal glands Mucosa • Surface epithelium • Lamina propria • Muscle layer Submucosa Muscularis externa • Longitudinal muscle layer • Circular muscle layer Serosa (visceral peritoneum) Nerve Gland in Lumen Artery mucosa Mesentery Vein Duct oF gland Lymphoid tissue outside alimentary canal © 2018 Pearson Education, Inc. 5 Diaphragm Falciform ligament Lesser Liver omentum Spleen Pancreas Gallbladder Stomach Duodenum Visceral peritoneum Transverse colon Greater omentum Mesenteries Parietal peritoneum Small intestine Peritoneal cavity Uterus Large intestine Cecum Rectum Anus Urinary bladder (a) (b) © 2018 Pearson Education, Inc. 6 Cardia Fundus Esophagus Muscularis Serosa externa • Longitudinal layer • Circular layer • Oblique layer Body Lesser Rugae curvature of Pylorus mucosa Greater curvature Duodenum Pyloric Pyloric sphincter antrum (a) (valve) © 2018 Pearson Education, Inc. 7 Fundus Body Rugae of mucosa Pyloric Pyloric (b) sphincter antrum © 2018 Pearson Education, Inc. -
Transcytosis of Listeria Monocytogenes Across The
Transcytosis of Listeria monocytogenes across the intestinal barrier upon specific targeting of goblet cell accessible E-cadherin Georgios Nikitas, Chantal Deschamps, Olivier Disson, Théodora Niault, Pascale Cossart, Marc Lecuit To cite this version: Georgios Nikitas, Chantal Deschamps, Olivier Disson, Théodora Niault, Pascale Cossart, et al.. Tran- scytosis of Listeria monocytogenes across the intestinal barrier upon specific targeting of goblet cell accessible E-cadherin. Journal of Experimental Medicine, Rockefeller University Press, 2011, 208 (11), pp.2263-2277. 10.1084/jem.20110560. pasteur-02040395 HAL Id: pasteur-02040395 https://hal-pasteur.archives-ouvertes.fr/pasteur-02040395 Submitted on 20 Feb 2019 HAL is a multi-disciplinary open access L’archive ouverte pluridisciplinaire HAL, est archive for the deposit and dissemination of sci- destinée au dépôt et à la diffusion de documents entific research documents, whether they are pub- scientifiques de niveau recherche, publiés ou non, lished or not. The documents may come from émanant des établissements d’enseignement et de teaching and research institutions in France or recherche français ou étrangers, des laboratoires abroad, or from public or private research centers. publics ou privés. Distributed under a Creative Commons Attribution - NonCommercial - NoDerivatives| 4.0 International License Published Online: 3 October, 2011 | Supp Info: http://doi.org/10.1084/jem.20110560 Downloaded from jem.rupress.org on February 19, 2019 Article Transcytosis of Listeria monocytogenes across -
Goblet Cell LRRC26 Regulates BK Channel Activation and Protects Against Colitis in Mice
Goblet cell LRRC26 regulates BK channel activation and protects against colitis in mice Vivian Gonzalez-Pereza,1, Pedro L. Martinez-Espinosaa, Monica Sala-Rabanala, Nikhil Bharadwaja, Xiao-Ming Xiaa, Albert C. Chena,b, David Alvaradoc, Jenny K. Gustafssonc,d,e, Hongzhen Hua, Matthew A. Ciorbab, and Christopher J. Linglea aDepartment of Anesthesiology, Washington University School of Medicine in St. Louis, St. Louis, MO 63110; bMcKelvey School of Engineering, Washington University in St. Louis, St. Louis, MO 63130; cDepartment of Internal Medicine, Division of Gastroenterology, Washington University School of Medicine in St. Louis, St. Louis, MO 63110; dDepartment of Medical Chemistry and Cell Biology, University of Gothenburg, 405 30 Gothenburg, Sweden; and eDepartment of Physiology, University of Gothenburg, 405 30 Gothenburg, Sweden Edited by Richard W. Aldrich, The University of Texas at Austin, Austin, TX, and approved December 21, 2020 (received for review September 16, 2020) Goblet cells (GCs) are specialized cells of the intestinal epithelium Despite this progress, ionic transport in GCs and its implications contributing critically to mucosal homeostasis. One of the func- in GC physiology is a topic that remains poorly understood. tions of GCs is to produce and secrete MUC2, the mucin that forms Here, we address the role of the Ca2+- and voltage-activated K+ the scaffold of the intestinal mucus layer coating the epithelium channel (BK channel) in GCs. and separates the luminal pathogens and commensal microbiota GCs play two primary roles: One related to the maintenance from the host tissues. Although a variety of ion channels and of the mucosal barrier (reviewed in refs.