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Questions and Answers
What percentage of saliva is secreted by minor salivary glands?
What percentage of saliva is secreted by minor salivary glands?
Which type of secretion is NOT produced by salivary glands?
Which type of secretion is NOT produced by salivary glands?
What is the primary anatomical characteristic of minor salivary glands?
What is the primary anatomical characteristic of minor salivary glands?
Which type of salivary secretion would contain enzymes for digestion?
Which type of salivary secretion would contain enzymes for digestion?
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What is the function of salivary glands in the oral cavity?
What is the function of salivary glands in the oral cavity?
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What percentage of saliva is produced by the major salivary glands?
What percentage of saliva is produced by the major salivary glands?
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Which of the following salivary glands is NOT classified as a major gland?
Which of the following salivary glands is NOT classified as a major gland?
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Which gland is the largest among the major salivary glands?
Which gland is the largest among the major salivary glands?
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How much saliva do the major salivary glands produce daily on average?
How much saliva do the major salivary glands produce daily on average?
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What is the primary function of salivary glands?
What is the primary function of salivary glands?
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What percentage of total saliva is produced by the largest salivary glands?
What percentage of total saliva is produced by the largest salivary glands?
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What type of cells predominantly make up the secretory portions of the largest salivary glands?
What type of cells predominantly make up the secretory portions of the largest salivary glands?
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What are the serous demilunes found in the largest salivary glands?
What are the serous demilunes found in the largest salivary glands?
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Which of the following statements accurately describes the types of secretions from the largest salivary glands?
Which of the following statements accurately describes the types of secretions from the largest salivary glands?
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Which function is primarily associated with the secretory cells in salivary glands?
Which function is primarily associated with the secretory cells in salivary glands?
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Study Notes
Salivary Glands
- Salivary glands are exocrine glands located in the mouth
- Divided into major and minor glands
- Major salivary glands produce 90% of saliva
- Large, encapsulated glands
- Produce 0.75 to 1.50 L of saliva daily
- Three types of major salivary glands: parotid, submandibular, and sublingual
Types of Secretions
- Salivary glands secrete serous, seromucous, or mucous secretions
Minor Salivary Glands
- Small, non-encapsulated glands
- Secrete 10% of saliva
- Primarily mucous except for Von Ebner glands
Functions of Salivary Glands
- Protection: Lubricates and moisturizes the mouth, creating smoother speech, and forms a protective film on teeth
- Digestion: Converts starch to maltose with salivary amylase, and helps chewing and swallowing
- Antimicrobial: Lysozyme, peroxidase, and lactoferrin fight pathogens
- Tissue Repair: Accelerates blood clotting for faster tissue repair in the mouth
Medical Applications
- Dry Mouth (Xerostomia): Insufficient saliva secretion, caused by disease, infections, dehydration, or drugs
- Excessive Saliva Production (Sialorrhea): Caused by oral cavity inflammation (sialadenitits) or viral infection
Structure of Major Salivary Glands
- A stroma (capsule of connective tissue)
- Lobules separated by septa (connective tissue)
- Lobules composed of acini (secretory units) and ducts
- Secretory unit is composed of cells
- Ducts are composed of cells connected to acini
Two Major kinds of Secretory Unit Cells: Serous Cells and Mucous Cells
- Serous Cells: Pyramidal in shape with broad base & narrow apical surface; round nucleus; well-stained RER (rough endoplasmic reticulum); basophilic cytoplasm; junctional complexes; cells forming an acinus (rounded secretory unit); apical zymogen granules
- Mucous Cells: More columnar in shape; flat basal nuclei; apical granules with hydrophilic mucins (cause poor cell staining); wider lumen; organized as cylindrical tubules, rather than acini; produce mucins for lubrication & protection
Submandibular Gland (Mixed Gland)
- Branched tubuloacinar gland
- Largest salivary glands, producing 65% of total saliva
- Secretory portions contain both serous and mucous cells
- Serous demilunes (cap of serous cells) are present on mucous cells
- Infoldings of the serous cells' membrane increase ion-transporting surface area
- Synthesize amylase (starch digestion), proline-rich proteins, and lysozyme
Sublingual Gland (Mixed Gland)
- Smallest major salivary gland
- Branched tubuloacinar gland
- Formed of serous and mainly mucous cells
- Producing only 5% of saliva
- Serous cells are in demilunes on the mucous tubules
- Products mainly mucus
- Secrete amylase and lysozyme
Myoepithelial Cells
- Found inside the basal lamina of the secretory units
- Well-developed and branched, sometimes called basket cells
- Spindle-shaped, lie parallel to the duct's length
- Their contraction accelerates product secretion
Intralobular Duct System
- Intercalated Ducts: Smallest branches, lined by small cuboidal epithelial cells with a nucleus in the center, some secretory granules, and few microvilli; Myoepithelial cells are present
- Striated Ducts: Lined by columnar cells, specialized for ion transport; pink striations in the basal half; striations are folds in the plasma membrane with mitochondria
- Excretory Duct: Increasing size and thicker connective tissue, unusual combination of epithelial types; initially (lined with pseudostratified or stratified cuboidal epithelium); more distal parts lined by stratified columnar epithelium; reflects diverse functions: cells for ion reabsorption, cells for secretion of mucin and proteins
Main Excretory Ducts of Salivary Glands
- Stensen's duct (parotid gland)
- Wharton's duct (submandibular gland)
- Bartholin's duct (sublingual gland)
Parotid Gland
- Located in each cheek near the ear
- Branched acinar gland
- Cells are purely serous with very small lumens
- Produces 20% of total saliva
- Secrete amylase for carbohydrate hydrolysis
- Proline-rich proteins have antimicrobial properties
Pancreas
- Located behind the stomach in the upper left abdomen
- Spongy, pear-shaped
- 25 cm long, 5 cm wide, 1-2 cm thick, weighing approximately 150 g
- Main parts: head, body, tail
- Main pancreatic duct (duct of Wirsung), runs the length of the pancreas and joins the bile duct
- Pancreatic islets (Islets of Langerhans): Endocrine tissue producing hormones like insulin and glucagon, regulating blood sugar and carbohydrate metabolism
- Acinar cells: exocrine, secrete digestive enzymes
Pancreatic Digestive Enzymes
- Proteases (Trypsin and chymotrypsin): Break down proteins; help keep the intestine free of parasites
- Amylase: Breaks down carbohydrates (starch) into sugars easily absorbed by the body (also found in saliva)
- Lipase: Breaks down fat molecules for easy absorption
- Enzymes produced as inactive molecules (zymogens), preventing self-digestion in the pancreas, and become active in the duodenum
Histological Structure of Pancreas
- Stroma: Contains capsule of connective tissue and septa separating pancreatic lobules
- Parenchyma: Includes pancreatic lobules, pancreatic islets (Islets of Langerhans), pancreatic acini, pancreatic ducts, and capillary network
Pancreatic Acinar Cells
- Consists of serous cells
- Small lumen
- Without myoepithelial cells
- Typical protein-secreting cells
- Nucleus in the basal third of the cell
- Well-developed RER, Golgi, and basophilic cytoplasm
- Presence of zymogen granules (contains proenzymes, inactive precursors of enzymes)
Pancreas Duct System: Intercalated Ducts
- Connected with acini
- Lined by simple squamous epithelium
- Penetrate acini lumens, forming larger centroacinar cells
- Secrete a large volume of fluid rich in bicarbonate ions, alkalizing and transporting enzymes from acini
Pancreas Duct System: Intralobular Ducts
- Resembles intercalated duct of salivary glands
- Lined with simple cuboidal epithelium
Pancreas Duct System: Interlobular Ducts
- Lined with simple columnar epithelium
- Main pancreatic duct (duct of Wirsung) branches to accessory pancreatic duct (duct of Santorini), which joins the common bile duct before opening into the duodenum at the ampulla of Vater; secretions regulated by a muscular valve (sphincter of Oddi)
Liver
- Second-largest organ in the body
- Largest gland
- Located in the abdominal cavity, beneath the diaphragm, protected by ribs
- Weighs about 1-1.5 kg (2% of adult's body weight)
- Over 500 functions
Anatomical Structure
- Large right lobe
- Smaller left lobe
- Two smaller inferior lobes: quadrate and caudate lobes
- Over 500 functions
Liver Histological Structure
- Stroma: Capsule and septa separating the liver into lobules
- Parenchyma: Hepatic lobules, composed of hepatocytes (liver cells), reticular fiber network, surrounds & supports liver cells and sinusoidal endothelial cells
Liver: Hepatic Lobules
- Basic functional unit of the liver
- Polyhedral, hexagonal shape
- Composed of hepatocytes (liver cells) arranged as plates radially around the central vein
- Liver sinusoids (leaky capillaries) between hepatic plates
Portal Triads at each Corner of the Lobules
- Branch of portal vein
- Branch of hepatic artery
- Branch of bile duct
Hepatocytes
- Large polygonal epithelial cells
- Able to regenerate (5 months)
- Arranged as plates radially around the central vein
- Binucleated
- 50% are polyploid
- Eosinophilic cytoplasm due to numerous mitochondria
- Basophilic due to rich RER for protein synthesis
- Rich in SER for bile salts, detoxification, and clearance substances before excretion
- Microvilli in perisinusoidal space
- Contain up to 50 Golgi complexes for protein, glycoprotein, and lipoprotein secretion into plasma
Hepatic Sinusoids
- Spaces between hepatic plates lined with fenestrated endothelial cells
- Perisinusoidal space (Space of Disse): Between hepatocytes and sinusoidal endothelial cells where nutrient-rich blood from portal vein (low O2) and oxygen-rich blood from hepatic artery mixes, allowing fluid and plasma components to be absorbed by hepatocytes
Functions of the Liver
- Bile production: Exocrine function, bile helps fat digestion
- Protein synthesis: Synthesizes albumin, fibrinogen, cholesterol, phospholipids, and other proteins
- Detoxification: Neutralizes toxic substances
- Storage of vitamins and minerals
- Phagocytosis of dead red blood cells (Kupffer cells)
- Iron and glucose storage
- Lipid metabolism and Gluconeogenesis: Converted lipids and amino acids into glucose
Cells Associated with Sinusoids
-
Endothelial Cells: Line sinusoids, are fenestrated for protein and plasma component transport
-
Kupffer Cells: Stellate macrophages, phagocytic cells that clean the blood; break down aged erythrocytes into globin and heme; removing bacteria; antigen-presenting cells
-
Stellate Cells (Ito Cells): Lipocytes, responsible for storing vitamin A; mesenchymal cells producing extracellular matrix components of liver cells and producing cytokines regulating Kupffer cell activity
Bilirubin Metabolism in the Liver
- Bilirubin is a byproduct of heme breakdown
- In the liver, bilirubin is transformed into a water-soluble form by enzymes, allowing for its excretion in the bile
Liver Regeneration
- Compensatory hyperplasia: Increased cell numbers in healthy hepatocytes through mitosis to maintain the original tissue mass
- Stem cells: Oval cells in the epithelium of Hering's ducts differentiate into hepatocytes or cholangiocytes, contributing to new cell formation
Jaundice
- Yellowing of the skin and whites of eyes due to excess bilirubin in the blood
- Can result from gallstones, liver infections, or anemia; undeveloped SER in newborns (neonatal hyperbilirubinemia); Tx involves exposing to blue light therapy to transform bilirubin into a water-soluble form.
Cholelithiasis (Gallstones)
- Presence of gallstones in the gallbladder or bile ducts (cholesterol or bilirubin concentration)
- Causes: Genetics, body weight, decreased motility in the gallbladder, diet; removal of the gallbladder due to obstruction or chronic inflammation will cause a direct flow of bile from liver to duodenum with minimal digestion problems.
Bile Duct System
- Bile canaliculi: Formed on apical surfaces of hepatocytes, creating canals between neighboring hepatocytes, and are the primary site of bile secretion, with junctional complexes connecting hepatocytes, and containing microvilli
- Bile Canals of Herring: Receive bile canaliculi from numerous hepatocytes and continue into the larger bile ducts
- Bile Ducts (Ductules): Lined by columnar epithelium. In the portal spaces; form right and left hepatic ducts that exit the liver
Gallbladder
- Hollow, saclike organ on the lower liver surface
- Stores 30-50ml of bile
- Lined with simple columnar epithelium with no goblet cells
- Contains lamina propria rich with elastic fibers and blood vessels (no muscularis mucosa, no submucosa)
- Muscle layer (muscularis externa): Thin, bundles of circular muscles; connective tissue layer (adventitia, serosa)
- Functions: Stores and concentrates bile by absorbing water, released into duodenum when necessary by active sodium-transporting action. Causes contraction to move the stored bile into duodenum due to cholecystokinin (CCK)
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Description
Test your knowledge on the anatomy and function of salivary glands. This quiz covers the characteristics, types of secretions, and the percentage of saliva produced by minor and major salivary glands. Ideal for students studying human anatomy or oral biology.