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Fifth Edition
No part of this publication may be reproduced or transmitted in any form or by any means,
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Practitioners and researchers must always rely on their own experience and knowledge
in evaluating and using any information, methods, compounds or experiments described
herein. Because of rapid advances in the medical sciences, in particular, independent
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jury and/or damage to persons or property as a matter of products liability, negligence or
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contained in the material herein.
Printed in Canada.
Last digit is the print number: 9 8 7 6 5 4 3 2 1
To our daughters, Adriana and Silvia
To our grandchildren, Ryan, Trevor, Kyle and Marielle
To the beloved memory of our parents
New in the fifth edition are Primers The visual approach presented in this book emerged from many years of practicing pathol-
Each Primer transmits information ogy and teaching cell biology, histology and pathology to medical students. The conver-
about a specific topic in a concise
gence of histology, cell biology and pathology promotes unity in diversity. Diversity leads to
and visual format to transcend
concepts and stimulate further the transforming power of new knowledge. The cell biology and pathology components,
exploration. although not complete, provide the necessary foundation for further learning and integra-
tion with medical sciences. Pathology students and residents may find this book useful for
refreshing basic concepts of histology and cell biology. Histology and pathology are visually
oriented sciences, and the visual cues included in this book can facilitate interpretation op-
portunities in clinical practice.
Similar to the previous editions, the fifth edition consists of six parts, bringing together
histology, cell biology and general pathology within the context of the basic tissues and
organ systems. Chapter 3, Cell Signaling | Cell Biology | Pathology, is an uncommon section
in a histology book. It serves to unify the concept that the study of tissues and organs cannot
be separated from the increasing impact of molecular biology in the practice of medicine.
New in this edition is the use of a light green background to identify in each chapter sec-
tions presenting essential concepts of histology. A number of teachers may find this offering
Each
NewConcept Mapping
in the fifth editionprovides a
is the use useful as a starting point for further learning. The expectation is that the additional mate-
basic
offramework
a light green of background
interconnected
concepts arranged
to identify sectionsin presenting
a hierarchi- rial could stir curiosity to unfold the indispensable complement of fragmented knowledge.
cal form leading concepts
essential to integration
of and All the information is presented in a clear, concise and student-friendly manner using color
critical
histology andthinking.
cell biology, graphics and photographs that are meant to be studied. In some cases the graphics reiterate
a starting point for further learning. the succinct text; in others they add new information complementing or extending the text.
Several boxes dispersed in all chapters introduce students to clinical and pathological condi-
tions and to recent and evolving molecular and biochemical knowledge.
Most chapters include one or more Concept Mappings. Each Concept Mapping provides
Each Concept Mapping provides a a basic framework of interconnected concepts arranged in a hierarchical form, leading to
basic framework of interconnected integration and critical thinking. Concept Mapping and Essential Concepts highlight key
concepts arranged in a hierarchical
issues to review and integrate when the time of in-course and board examinations arrives.
form, leading to integration and
critical thinking. Students may find the online animation version of Concept Mappings convenient for group
interaction, transforming the passivity of learning into a dynamic and collective activity.
Activity inspired by a new mode of communication, depending not only on content but also
Students may find the online the integrative vision and shared values of the information.
animation version of Concept
Mappings convenient for group
interaction, transforming the pas- There are many people to be acknowledged and thanked. We are grateful for the
sivity of learning into a dynamic numerous suggestions, comments and encouragements from faculty and students. We thank
and collective activity. publishers who made available to faculty and students the Chinese, French, Greek, Japanese,
Portuguese, Spanish and Turkish editions. We thank the British Medical Association for
awarding the First Prize in Basic and Medical Sciences to the second edition. Our special
appreciation goes to Alexandra Mortimer, Ann Ruzycka Anderson and Daniel Fitzgerald
in London, New York and St. Louis offices for their magnificent effort in making sure that
the fifth edition met high publishing standards.
vii
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CONTENTS | HISTOLOGY AND CELL BIOLOGY | An Introduction to Pathology
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HISTOLOGY AND CELL BIOLOGY | An Introduction to Pathology | CONTENTS
xi
CONTENTS | HISTOLOGY AND CELL BIOLOGY | An Introduction to Pathology
Box 9-C | Uvea, 303 Primer 10-B | Immune system and HIV infection, 356
Three chambers of the eye, 305 Complement system, 358
Lens, 309 Primer 10-C | Complement system, 359
Box 9-D | Cataracts, 312 Inflammation, 360
Accommodation, 312 Acute inflammation, 360
Inner layer: Retina, 312 Concept Mapping | Acute inflammation, 360
Cell layers of the retina, 313 Concept Mapping | Acute and chronic inflammation
Box 9-E | Detachment of the retina, 313 compared, 362
Photoreceptor neurons: Rods and cones, 313 Resolution of acute inflammation, 363
Box 9-F | The retina, 314 Types of acute inflammation, 363
Conducting neurons: Bipolar and ganglion cells, 314 Chronic inflammation, 363
Association neurons: Horizontal and amacrine Lymphoid organs, 365
cells, 317 Lymph nodes, 365
Supporting glial cells: Müller cells, 317 Lymphadenitis and lymphomas, 368
Fovea centralis and optic disk, 317 Box 10-G | Lymph flow and dendritic cell migration, 368
Box 9-G | The synaptic ribbon, 321 Thymus, 368
The eyelids, conjunctiva and the lacrimal gland, 321 Development of the thymus, 368
Box 9-H | Retinitis pigmentosa, 322 Development of thymic epithelial cells, 369
Box 9-I | Red eye and conjunctivitis, 323 Box 10-H | Aire gene and autoimmunity, 369
Ear, 325 Structure of the thymus, 370
External ear, 326 Box 10-I | DiGeorge syndrome, 370
Middle ear, 326 Spleen, 375
Inner ear: Development of the inner ear, 327 Vascularization of the spleen, 377
General structure of the inner ear, 328 White pulp, 379
Vestibular system, 328 Red pulp, 379
Semicircular canals, 328 Sickle cell anemia, 379
Otolithic organs: Utricle and saccule, 331 Asplenia, 380
Box 9-J | Ménière’s disease, 332 Cancer immunotherapy, 380
Cochlea, 332 Tumor cells secrete exosomes carrying PDL1, 382
Organ of Corti, 334 Concept Mapping | Immune-Lymphatic System, 383
Molecular and mechanical aspects of the hearing Essential Concepts | Immune-Lymphatic System, 383
process, 334
Deafness and balance, 338 Chapter 11 | INTEGUMENTARY SYSTEM
Concept Mapping | Sensory Organs: Eye, 338 Organization and types of skin, 390
Essential Concepts | Sensory Organs: Vision and Epidermis, 390
Hearing, 339 Differentiation of keratinocytes, 391
Concept Mapping | Sensory Organs: Melanocytes, 392
Ear, 341 Melanin production by melanocytes, 394
Box 11-A | Cornified cell envelope disorders, 394
Box 11-B | Disorders of keratinization, 397
ORGAN SYSTEMS | PROTECTION OF THE BODY Box 11-C | Differentiation of melanocytes, 398
Langerhans cells (dendritic cells), 399
Chapter 10 | IMMUNE-LYMPHATIC SYSTEM Merkel cell, 400
Components of the immune–lymphatic system, 344 Dermis, 400
Types of immunity, 345 Box 11-D | Leprosy, 400
Box 10-A | Toll-like receptors, 345 Wound healing, 401
Properties of adaptive or acquired immunity, 346 Concept Mapping | Wound healing, 401
Development and maturation of B cells in bone Psoriasis, 402
marrow, 346 Tumors of the epidermis, 404
Major histocompatibility complex (MHC) and the human– Box 11-E | Tumors of the epidermis, 404
equivalent leukocyte antigens (HLA), 347 Epithelial antimicrobial proteins, 405
Box 10-B | CD antigens, 347 Skin: Blood and lymphatic supply, 405
T-cell receptor, 348 Sensory receptors of the skin, 406
LCK and CD4 and CD8 coreceptors, 348 Box 11-F | Vascular disorders of the skin, 407
Box 10-C | The immune synapse, 348 Hypodermis (superficial fascia), 409
Thymocyte maturation in the thymus: Positive and negative Development of the hair follicle, 409
selection, 348 Structure of the hair follicle, 409
Primer 10-A | Structure of the T cell receptor and class I Lgr5+ stem cell pathways, 410
and II major histocompatibility complex (MHC), 349 Glands of the skin. Sebaceous glands, 412
Box 10-D | Immunoglobulins, 351 Sweat glands, 414
CD4+ T-cell subsets: TH1, TH2, TH17 and TFH cells, 351 Cystic fibrosis, 415
How do CD4+ helper T cells help?, 352 Fingernails, 415
Box 10-E | Multiple myeloma, 352 Concept Mapping | Integumentary System, 417
How do CD8+ cytolytic T cells kill?, 353 Essential Concepts | Integumentary System, 417
Natural killer cells, 353
Acquired immunodeficiency syndrome (AIDS), 354
Box 10-F | HIV reproductive cycle, 355
Hypersensitivity reactions, 355
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HISTOLOGY AND CELL BIOLOGY | An Introduction to Pathology | CONTENTS
xiii
CONTENTS | HISTOLOGY AND CELL BIOLOGY | An Introduction to Pathology
xiv
HISTOLOGY AND CELL BIOLOGY | An Introduction to Pathology | CONTENTS
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CONTENTS | HISTOLOGY AND CELL BIOLOGY | An Introduction to Pathology
Concept Mapping | Folliculogenesis and Active transport of ions and glucose, 770
Menstrual Cycle, 749 Fetal alcohol syndrome, 770
Essential concepts | Folliculogenesis and Infectious agents, 770
Menstrual Cycle, 749 Placenta and fetal tissues and the maternal
immune system, 770
Chapter 23 | FERTILIZATION, PLACENTATION AND LACTATION Abnormal placentation, 771
Fertilization, 756 Box 23-F | Ectopic pregnancy, 771
Sperm capacitation, 756 Box 23-G | Hydramnios, 771
Acrosome reaction and sperm-egg fusion, 756 Gestational trophoblastic diseases, 772
Box 23-A | Tetraspanins, 757 Box 23-H | Placenta previa, 772
Box 23-B | Oocyte activation, 757 Lactation, 773
Conditions leading to fertilization, 759 The mammary glands, 773
Box 23-C | Fertilization in vitro, 759 Morphogenesis of the mammary glands, 774
Implantation of the blastocyst, 760 Mammary gland development, 774
Box 23-D | Timetable of implantation, 760 Mammary glands during puberty and pregnancy, 776
Differentiation of the trophoblast, 760 Histology of the mammary glands, 776
Immunoprotective decidua during implantation, 761 Suckling during lactation, 776
Primary, secondary and tertiary villi, 762 Mammary cell lineages and the branched epithelial
Box 23-E | Trophoblast cells, 763 ductal tree, 778
Structure of the placenta, 763 Primer 23-A | Distinct cell lineages form the branched
Decidua basalis and chorion, 764 epithelial ductal tree of the mammary glands, 779
Placental blood circulation, 764 Box 23-I | Lactation, 780
Structure of the chorionic villus, 767 Benign breast diseases and breast cancer, 781
Functions of the placenta, 769 Concept Mapping | Fertilization, Placentation and
Exchange of gases, 769 Lactation, 783
Transfer of maternal immunoglobulins, 769 Essential Concepts | Fertilization, Placentation
Rh (D antigen) isoimmunization, 769 and Lactation, 783
The fetoplacental unit, 769
The luteal-placental shift, 769 INDEX, 787
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HISTOLOGY AND CELL BIOLOGY
An Introduction to Pathology
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BASIC TISSUES | CELL BIOLOGY 1 | EPITHELIUM |
CELL BIOLOGY
Epithelia separate the internal environment from
the external environment by forming sheets of po-
larized cells held together by specialized junctional
complexes and cell adhesion molecules. Epithe-
lial cells participate in embryo morphogenesis and
organ development in response to intrinsic and
extrinsic signaling by tailoring cell proliferation, dif-
ferentiation and cell death. We address the structural
characteristics of epithelial cells within a biochemi-
cal and molecular framework as an introduction to
the transition from a normal to a pathologic status.
1
1 | EPITHELIUM | CELL BIOLOGY
2
1 | EPITHELIUM | CELL BIOLOGY
Epithelia
Cuboidal
Squamous Columnar cell
cell
cell (taller than it Pseudostratified
(about equal Urothelium
(flattened) is wide) epithelium
dimensions)
One layer More than one layer
From the functional perspective, sealing junc- Multiple motile cilia (1-6)
tions segregate the plasma membrane of an epithe- Multiple motile cilia function to coordinate fluid
lial cell into an apical domain and a basolateral or cargo flow on the surface of an epithelium.
domain. They are cell projections originating from basal
This segregation is supported by the asymmetric bodies anchored by rootlets to the apical portion
distribution of transporting molecules, ensuring of the cytoplasm.
polarized secretory and absorptive functions of A basal body contains nine triplet microtubules
an epithelium. For example, the apical domain in a helicoid array without a central microtubular
has structures important for the protection of the component. By contrast, a cilium consists of an
epithelial surface (such as cilia in the respiratory axoneme formed by a central pair of microtubules
tract) or for the absorption of substances (such as surrounded by nine concentrically arranged micro-
microvilli in the intestinal epithelium). In con- tubular pairs. This assembly is known as the 9 + 2
trast, the basolateral domain facilitates directional microtubular doublet arrangement. The axoneme
or vectorial transport functions prevented from is also a component of the sperm tail, or flagellum.
trespassing the sealing junctions. The trachea and the oviduct are lined by ciliated
epithelial cells. In these epithelia, ciliary activity is
Apical domain important for the local defense of the respiratory
The apical domain of some epithelial cells can system and for the transport of the fertilized egg to
display three types of differentiation: the uterine cavity.
1. Cilia. Ciliary motility is characterized by wide asym-
2. Microvilli. metric bending motions. In contrast, flagellar
3. Stereocilia. motility is defined by a symmetric sine-wave
bending pattern.
Cilia (1-5)
There are two types of cilia (singular, cilium): Single or primary non-motile cilium (Primer 1-A)
multiple motile cilia and a single or a primary Some cells have a single or primary non-motile
non-motile cilium. cilium. The importance of a single cilium emerges
Ciliogenesis, the assembly process of both types from rare recessive human disorders known as
of cilia, is initiated by the basal body, a structure ciliopathies, caused by structural or functional
originated from a basal body precursor located in abnormalities of cilia.
the centrosome. The significant aspects of a primary cilium are:
Basal bodies migrate to the apical plasma mem- 1. It functions as a sensor, providing the cell with
brane and extend into the extracellular space. information about the surrounding environment.
3
1 | EPITHELIUM | CELL BIOLOGY
Simple squamous
epithelium Red blood cell
The inner lining of all blood vessels consists of a single layer of squamous endothelial cells. The thinness of the simple squamous epithelial
cells reflects their primary function in rapid exchange of substances between blood and tissue. A similar epithelium (called mesothelium)
covers the peritoneum, pleura and pericardium.
Basal lamina
Lumen
Lumen Lumen
Simple cuboidal
epithelium
The inner lining of kidney tubules and thyroid follicles consists of a single layer of cuboidal cells. Cuboidal cells are highly polarized and
participate in absorption, secretion (thyroid gland) and active ion transport (kidneys). Similar to the endothelium, a basal lamina attaches the
cell to the subjacent connective tissue.
Brush border
Goblet cell Basal lamina
Lumen
Lamina propria
The small intestine is lined by columnar epithelial cells with the nucleus in the medial portion of the cell. The apical domain contains finger-like
projections called microvilli forming a brush border. Microvilli participate in the absorption of proteins, sugar and lipids, which are released at
the basolateral domain into the blood circulation for transport to the liver. Goblet cells, present among the columnar epithelial cells, have a
dilated, goblet-like apical cytoplasm containing a light-stained mucus. Mucus, released into the lumen, coats and protects the epithelial cell
surface. The lamina propria consists of loose connective tissue located beneath the epithelium and the supporting basal lamina.
4
1 | EPITHELIUM | CELL BIOLOGY
Mitotic basal
cell
Basement
membrane
Basement membrane
This epithelium consists of basal cells specialized for mitotic division. Stratified cells covering the basal layer are differentiating cells. Cells of
the outer layer are highly differentiated: they increase their keratin content to protect the tissue from the mechanical action of ingested food.
The outermost cells retain their nuclei. This epithelium is also known as non-keratinizing.
Basal cell
Basement
membrane
Melanocyte
Basement membrane
This highly keratinized epithelium also consists of basal cells specialized for mitotic division. Melanocytes are present in the basal layer.
Stratified cells above the basal layer are differentiating keratinocytes. Keratinocytes of the outer layer contain abundant keratin to prevent water
loss and penetration of chemical and physical insults. The outermost cells lack nuclei. This epithelium is also known as keratinizing.
5
1 | EPITHELIUM | CELL BIOLOGY
Basal cell
The epididymal epithelium contains two major cell types: (1) columnar cells (called principal cells) with stereocilia and highly developed Golgi
apparatus and (2) basal cells attached to the basal lamina. Basal and principal cells are associated with the basal lamina. Only principal cells reach
the lumen. Sperm can be visualized in the lumen. “Stereocilia” is an early misnomer as they lack microtubules. An appropriate name is stereovilli.
The epithelium lining the urinary passages (also called urothelium), consists of three cell types: (1) dome-shaped superficial cells (often
binucleated); (2) pyriform-shaped intermediate cells and (3) polyhedral-shaped basal cells, all of them extending cytoplasmic processes
anchored to the basal lamina. In humans, the urothelium is a pseudostratified epithelium. A characteristic of the urothelium is its transitional
configuration in response to distention and contraction tensional forces caused by urine. Plaques of aggregated proteins (uroplakins) are found
on the apical plasma membrane of the dome-shaped superficial cells.
6
1 | EPITHELIUM | CELL BIOLOGY
1-5 | Cell polarity Cell adhesion molecules and cell junctions (1-8)
A sheet of epithelial cells results from the tight
Differentiations of the apical domain (cilia, attachment of similar cells to each other and to
Lumen microvilli and stereocilia/stereovilli) the basal lamina, a component of the extracellular
matrix. Cell adhesion molecules enable interepi-
Apical domain thelial cell contact and this contact is stabilized by
specialized cell junctions. A consequence of this
Microvilli Lumen arrangement is the apical and basolateral domain
Tight junction
polarity of an epithelial sheet.
There are two major groups of cell adhesion
molecules:
1. Ca2+-dependent molecules, including cadher-
ins and selectins.
Basolateral
2. Ca2+-independent molecules, including the
domain
immunoglobulin-like cell adhesion molecules
superfamily and integrins.
Basement membrane Many cells can use different cell adhesion
Nucleus molecules to mediate cell-cell attachment. Integrins
are mainly involved in cell–extracellular matrix in-
2. It participates in the early stages of embryonic teractions. Cadherins and integrins establish a link
patterning, leading to organogenesis. between the internal cytoskeleton of a cell and the
3. Many components of the Hedgehog signaling exterior of another cell (cadherins) or the extracel-
pathway, essential at least in early development, are lular matrix (integrins).
present in a single cilium.
4. The position of the single cilium, called ki- Ca2+-dependent molecules
nocilium, of the hair cell of the organ of Corti in Cadherins (1-8)
the inner ear determines the correct polarity of the Cadherins are a family of Ca2+-dependent mol-
adjacent actin-containing stereocilia, essential for ecules with a major role in cell adhesion and
maintaining body balance and for hearing. morphogenesis.
A loss of E-cadherins is associated with the acqui-
Microvilli (1-7) sition of invasive behavior by tumor cells (metasta-
Microvilli (singular, microvillus) are finger-like sis), as we discuss in Chapter 4, Connective Tissue
cell projections of the apical epithelial cell surface and Chapter 17, Digestive Glands.
containing a core of cross-linked microfilaments There are more than 80 different cadherins,
(a polymer of G-actin monomers). including desmogleins and desmocollins. Classical
At the cytoplasmic end of the microvillus, cadherins were originally named for the tissue in
bundles of actin and other proteins extend into the which they were particularly expressed–for example,
terminal web, a filamentous network of cytoskeletal epithelial cadherin (E-cadherin) in epithelial cells;
proteins running parallel to the apical domain of neural cadherin (N-cadherin) in the nervous sys-
the epithelial cell. tem; vascular endothelial cadherin (V-cadherin) in
The intestinal epithelium and portions of the endothelia; and placenta cadherin (P-cadherin).
nephron in the kidney are lined by epithelial cells E-cadherin is found along the lateral cell surfaces
with microvilli forming a brush border. In general, and is responsible for the maintenance of most
a brush border indicates the absorptive function epithelial layers. The removal of calcium or the use
of the cell. of a blocking antibody to E-cadherin in epithelial
cell cultures breaks down cell-cell attachment and
Stereocilia (stereovilli) (1-7) the formation of stabilizing junctions is disrupted.
Stereocilia (singular, stereocilium) are long and E-cadherin molecules form cis-homophilic di-
branching finger-like projections of the apical mers (“like-to-like”), which bind to dimers of the
epithelial cell surface. Similar to microvilli, ste- same or different class of cadherins in the opposite
reocilia contain a core of cross-linked actin with cell membrane (trans-homophilic or heterophilic
other proteins. [“like-to-unlike”] interaction). These forms of bind-
Stereocilia (or stereovilli) do not have axonemes. ing require the presence of calcium and result in a
Stereocilia/stereovilli are typical of the epithelial lin- specialized zipper-like cell-cell adhesion pattern.
ing of the epididymis and contribute to the process The cytoplasmic domain of cadherins is linked
of sperm maturation occurring in this organ. to actin through intermediate proteins known
7
1 | EPITHELIUM | CELL BIOLOGY
1-6 | Cilia and ciliogenesis 3. Catenins control the adhesive state of the
Cilium: a core of microtubule doublets Cilium
extracellular domain of cadherins.
in a 9 + 2 concentric arrangement The association of actin to the cadherin-catenin
surrounded by plasma membrane complex is essential for cell morphogenesis, changes
in cell shape and the establishment of cell polarity.
Basal body anchored 0.25 +m Members of the cadherin family also are present
to the cytoplasm by
between cytoplasmic plaques of the zonula and the
striated rootlets Basal body
macula adherens. `-catenin plays a significant role
Multiplication of the in colorectal carcinogenesis (see Chapter 16, Lower
basal body precursor 0.2 +m Digestive Segment).
Basal body precursor Selectins (C-type lectins) (1-8; Primer 1-B)
Centrosome Selectins, similar to cadherins, are Ca2+-dependent
(centriolar pair surrounded Striated rootlets cell adhesion molecules. In contrast to cadherins,
by a microtubular-organizing selectins bind to carbohydrates and belong to the
Basal lamina center) family of C-type lectins (Latin lectum, to select).
Components of a cilium Each C-type selectin (for calcium requiring) has
Cilia develop from basal bodies located in the apical domain of the cytoplasm.
a carbohydrate-recognition domain (CRD) of 120
Basal body precursors derive from the centrosome, multiply, mature and dock to amino acids with binding affinity to a specific oli-
the apical plasma membrane of the cell. gosaccharide attached to a protein (glycoprotein) or
A basal body, consisting of nine peripheral microtubule triplets (93 [triplets] + a lipid (glycolipid). The molecular configuration of
0) in a helicoidal arrangement, extends into the extracellular space as an the CRD is controlled by calcium. Calcium acts as
axoneme, a microtubular structure surrounded by the plasma membrane. a linker between the CRD and the hydroxyl groups
Rootlets anchor the basal body to the cytoplasm. Central microtubules are not of the sugar target.
present in basal bodies and centrioles. There are three major classes of cell surface C-
The cilium consists of a concentric array of nine microtubule doublets type lectins:
surrounding a central pair of microtubules (92 [doublets] + 2).
1. P-selectin, found in activated platelets and
activated endothelial cells lining blood vessels.
2. E-selectin, found on activated endothelial cells.
Plasma 3. L-selectin, found in leukocytes.
membrane C-type lectins are transmembrane receptors
(CLRs) involved in antimicrobial immunity and
Cilium
autoimmunity but can also be found as soluble
molecules (growth factors, antimicrobial proteins
and components of the extracellular matrix).
Cilium 92 + 2 CLRs can activate signaling pathways resulting
in the activation or inhibition of cellular functions.
For example, a signalling pathway can induce
Basal body primarily nuclear factor-gB (NF-gB)-dependent
proinflammatory responses. Some others can pro-
mote and suppress antitumour immune responses,
Rootlet
such as in natural killer (NK) cells, where C-type
lectins facilitate the recognition of cancer cells and
prevent the attack of healthy cells by inducing the
cytotoxic activities of NK cells. Yet, metastasis of
Oviduct Basal body 93 + 0
cancer cells is increased by expression of C-type
collectively as the catenin (Latin catena, chain) lectins, such as L-selectin, which facilitates cancer
complex. The complex includes catenins _, ` and cell adherence to the endothelium.
a and actin-binding proteins _-actinin, vinculin Selectins participate in the movement of leuko-
and formin-1, among others). cytes (Greek leukos, white, kytos, cell) circulating
The catenin complex has at least three distinct in blood (neutrophils, monocytes, B and T cells)
roles in the function of cadherins: toward tissues by extravasation.
1. The protein _-catenin mediates a direct link Extravasation is the essence of homing, a mecha-
to filamentous actin. nism that enables leukocytes to escape from blood
2. Catenins interact with regulatory molecules circulation and reach the sites of inflammation.
of the actin cytoskeleton. Homing also permits thymus-derived T cells to
8
1 | EPITHELIUM | CELL BIOLOGY
YY
YY
Among these are components of the BBSome, which are Distal appendage
named after their association with Bardet-Biedl syndrome
(BBS). BBSome proteins, bound to ciliary proteins,
facilitate their crossing through the distal appendage. Basal body
Proteins of the Hedgehog signaling pathway participate in
intraciliary and intraflagellar transport.
Subdistal appendage
All motile and non-motile cilia extend from a basal body that Protein components of the BBSome (for
consists of a microtubule triplet and distal and subdistal Bardet-Biedl Syndrome) bind to retrograde IFT
appendages. Distal appendages (also known as transition and cargoes to facilitate their lateral transport
fibers) and Y-shaped structures anchor and connect the basal through the porous barrier of the distal appendage.
body to the base of the ciliary membrane.
6
Primary cilium and Hedgehog signaling Gli Gli A
Hedgehog (Hh) signaling requires primary cilia for
4 Sufu
activation. The trafficking of Hh pathway proteins along
primary cilia is a key factor in epithelial cell differentiation. Tip of cilium
1 In the absence of Hh secretory protein , Ptc ( for 7
patched; the receptor of Hh), the transmembrane protein Gli
Gli
Smo ( for Smoothened) is blocked from entering the A
cilium. Smo is stored in vesicles near the basal body. 5 IFT proteins
2 Upon Hh binding, Ptc is internalized and Smo, free from
Dynein-2 motor
blocking, moves to the plasma membrane 3 and activates Ptc
the Hh pathway by antagonizing the function of Sufu Gli Primary cilium
(suppressor of fused) 4 .
Hh Gli
5 The motor kinesin KIF7 transports Gli (for glioma) 3 A
transcription factors to the tip of the cilium. If Smo is not
available to inactivate Sufu (because of the absence of Hh), Basal body
Gli is degraded or processed to become a repressor. If the 2
suppressive function of Sufu is antagonized, Gli Gli is
processed to an activator form ( Gli A GliA) 6 . 1 KIF7 To the nucleus
7 Activated GliA is then transported out of the cilium into
the nucleus (by dynein motor and IFT proteins ) to
activate epithelial differentiation genes. Smo Vesicle
home in peripheral lymph nodes. get additional help from members of the superfam-
P-selectin is stored in cytoplasmic vesicles in en- ily of immunoglobulin-like cell adhesion molecules
dothelial cells. When endothelial cells are activated and integrins to stabilize leukocyte attachment,
by inflammatory signaling, P-selectin appears on leading to extravasation.
the cell surface.
On their surface, leukocytes contain sialyl Lewis- Ca2+-independent molecules
Superfamily of immunoglobulin-like cell adhesion
x antigen, a specific oligosaccharide ligand for
molecules (Ig-CAMs) (1-9)
P-selectin. P-selectin binding to the antigen slows
In contrast to cadherins and selectins, members of
down streaming leukocytes in blood and they begin
the Ig-CAMs superfamily are Ca2+-independent
to roll along the endothelial cell surfaces. P-selectins
cell adhesion molecules and are encoded by a single
9
1 | EPITHELIUM | CELL BIOLOGY
Basal lamina
Oviduct | Microvilli and cilia (cross section)
Glycocalyx
Microvilli Actin
Microtubule
Cilia
Small intestine | Microvilli (longitudinal section)
Stereocilium (stereovillus)
Sperm tail
Stereocilia/stereovilli
contain a core of actin
microfilaments No glycocalyx
Branching
stereocilium/stereovillus
Endocytotic vesicles
Basal lamina
Epididymis
Microvilli and stereocilia (stereovilli) have the same substructure: domain of the cytoplasm of the intestinal cell. Although microvilli have
A core of actin microfilaments and actin-associated proteins. comparable length, stereocilia/stereovilli are longer and branch and the
In the intestinal epithelium, actin extends into the terminal web, a apical domain of the cell contains endocytotic vesicles. The bridges
network of cytoskeletal proteins in a collar-like arrangement at the apical connecting adjacent stereocilia (blue arrows) are indicators of their branching.
gene. Members of the Ig superfamily are generated is associated with components of the cytoskeleton,
by the alternative messenger RNA (mRNA) splic- such as actin, ankyrins and spectrin.
ing and have differences in glycosylation. In addition to their cell adhesion properties, Ig-
A conserved feature shared by all members of CAMs mediate adhesion-independent signaling by
the Ig superfamily is an extracellular segment interacting with growth factor receptors, transcrip-
with one or more folded loops characteristic of tion cofactors and other signaling proteins.
immunoglobulins. Ig-CAMs are dysfunctional in a broad range of
Similar to cadherins, cell–cell adhesion takes diseases such as cancer, vasculopathies, epithelial
place by homophilic interactions between Ig- and neurological disorders.
CAMs, although for Ig-CAMs the binding is Ca2+- Of particular interest is CD4, a member of the
independent. The cytoplasmic tail of the Ig-CAMs Ig-CAM superfamily and the receptor for the
10
1 | EPITHELIUM | CELL BIOLOGY
1-8 | Ca2+-dependent cell adhesion molecules on endothelial cell surfaces. ICAM-1 is expressed
when an inflammation is in progress to facilitate
Cadherin
the transendothelial migration of leukocytes (see
Chapter 6, Blood and Hematopoiesis).
Domains in the extracellular portion cis-
Ca2+
of cadherin bind to calcium Members of the ADAM family (for an extracel-
homophilic
dimer
lular disintegrin and metalloprotease) are sheddases
Ca2+ Cadherin cis-homophilic dimers of that can cleave and release the soluble ectodomain
opposite cell membranes establish of various Ig-CAMs. The released, or shedded,
Ca2+
trans-homophilic interaction
protein fragments are involved in biological activi-
Ca2+ ties such the activation of growth factor receptors.
Plasma membrane
trans-homophilic Integrins (1-9; Primers 1-B and 1-C)
a Cytoplasm interaction Integrins differ from cadherins, selectins and
` members of the Ig superfamily in that integrins are
_ heterodimers formed by two associated _ and `
subunits encoded by different genes (see 1-9). There
Vinculin are about 22 integrin heterodimers consisting of 17
Actin-binding
Actin Formin-1 forms of _ subunits and 8 forms of ` subunits.
_-Actinin proteins
Almost every cell expresses one or several integ-
`-catenin binds to the intracellular domain of cadherin. The `-catenin/cadherin rins. Similar to cadherins, the cytoplasmic domain
complex recruits _-catenin, an adaptor protein that binds directly to actin. of ` integrin subunit is linked to actin filaments
a-catenin (also called plakoglobin) is a regulator of cadherin function. through connecting proteins (see 1-9).
The extracellular domain of ` integrin subunit
binds to the tripeptide RGD (Arg-Gly-Asp) se-
Selectin (C-type lectins) quence present in laminin and fibronectin, two
Transmembrane receptor Soluble molecules major components of the basement membrane, a
specific type of extracellular matrix. Laminin and
Carbohydrate- fibronectin interact with various collagen types (in-
recognition cluding type IV collagen), heparan sulfate proteo-
domain (CRD) Tetranectin
Ca2+ Ca2+
glycan perlecan and entactin (also called nidogen).
The integrin–extracellular matrix relationship
Calcium acts as a linker Eosinophil is critical for cell migration to precise sites during
between CRD and major basic embryogenesis and can be regulated when cell
hydroxyl groups of the protein (MBP) motility is required. In addition to their role in
sugar target
cell-matrix interactions, integrins also mediate
cell-cell interaction.
Plasma membrane Tetranectin, present in
serum, increases
Integrins, containing `2 subunits, are expressed
Cytoplasmic tail plasminogen activation, on the surface of leukocytes and mediate cell-cell
can bind fibrin and binding in preparation for extravasation. An exam-
C-type lectins have a carbohydrate-recognition heparin and participates ple is _1`2integrin on non-adherent leukocytes that
domain (CRD) with conserved residues that confer in wound healing. bind to ligands on endothelial cell surfaces following
binding specificity for a particular sugar: EPN motif MBP is involved in activation by extracellular stimulation, resulting in
(Glu–Pro–Asn) for mannose-type carbohydrates antiparasitic defense and leukocyte extravasation during the recruitment of
and QPD motif (Gln–Pro–Asp) for galactose-type immune hypersensitivity leukocytes to extravascular spaces (see Primer 1-B).
carbohydrates. reactions.
Integrins are bidirectional signaling receptors.
Integrins can be activated by proteins binding to
human immunodeficiency virus type 1 (HIV-1) their extracellular and intracellular domains. When
in a subclass of lymphocytes known as T cells or integrins bind to extracellular matrix molecules,
helper cells. a protein complex binds to the cytoskeleton and
We discuss the significance of several members several signaling pathways are activated.
of the Ig superfamily in Chapter 10, Immune- Genetic mutations of integrins or integrin regula-
Lymphatic System. tors have been associated with Glanzmann’s throm-
Other members of the Ig-CAM superfamily boasthenia (mutations in `3 integrin subunit),
play important roles in the homing process during leukocyte adhesion deficiency (type I, caused by
inflammation. Examples include intercellular adhe- mutations in `2 integrin subunit; type II, resulting
sion molecules 1 and 2 (ICAM-1 and ICAM-2) from the absence of fucosyl-containing ligands for
11
1 | EPITHELIUM | CELL BIOLOGY
Rolling
Endothelium
Extravascular
space
1 Leukocytes
(neutrophils) in circulation Endothelium
resist shear forces to slow
down along the vascular
endothelium. Selectin phase Integrin phase
12
1 | EPITHELIUM | CELL BIOLOGY
3. Hemidesmosome.
4. Gap or communicating junction.
Most leukocytes circulate in blood without interacting with other blood cells or
endothelial cells lining the blood vessels. However, a subset of lymphocytes Tight junctions (1-10)
participates in a continuous recirculation process through lymphoid tissues. This Tight junctions (also called occluding junctions)
homing process involves many diverse adhesion molecules that help lymphocytes
have three major functions:
to “home” to various lymphoid compartments of the body.
The lymphocyte–endothelial cell interaction requires two types of cell adhesion
1. They determine epithelial cell polarity by
proteins: selectins and integrins. separating the apical domain from the basolateral
Neutrophils use a similar mechanism to escape from blood vessels, primarily domain and preventing the free diffusion of lipids
postcapillary venules, into inflammatory sites. and proteins between them.
A series of events enable circulating leukocytes to identify the vascular 2. They prevent the free passage of substances
endothelium in an inflammatory site and to interact with the blood vessel wall across an epithelial cell layer, creating gates that
through a series of steps known as: control the paracellular diffusion of ions and solutes.
(1) Leukocyte capturing. 3. Apart from serving as permeability barriers,
(2) Leukocyte rolling.
tight junctions are connected to signaling networks
(3) Leukocyte arrest.
(4) Leukocyte crawling to sites of exit.
that regulate proliferation and cell differentiation
(5) Leukocyte transmigration through the barriers of endothelial cells, the and transmit information to and from the cyto-
supporting basement membrane, and pericytes or smooth muscle cells of the skeleton, the nucleus and different cell adhesion
vascular wall. complexes.
The expression of endothelial selectins, E-selectin and P-selectin, are induced Cell membranes of two adjacent cells come
by chemoattractants produced by the endothelial cells or released by together at regular intervals to seal the apical inter-
inflammatory cells and appear on the surface of endothelial cells in inflamed cellular space. These areas of close contact continue
tissues. The up-regulation of selectins on the surface of endothelial cells around the entire surface of the cell like a belt,
represents an essential molecular step for the capture of leukocytes from the
forming anastomosing strips of the transmembrane
rapidly flowing blood.
The leukocyte capturing event is transient. Then, the captured leukocytes,
proteins occludin and claudin. Occludin and clau-
propelled by the blood flow, start rolling on the endothelial cell surface and remain din belong to the family of tetraspanins with four
stationary or arrested. transmembrane domains, two outer loops and two
At this point, leukocytes start to contribute to their crawling and transmigration short cytoplasmic tails.
process by the activation of leukocyte integrins `1 and `2. Integrins bind to Occludin interacts with four major zonula occlu-
members of the immunoglobulin superfamily, such as intercellular adhesion din (ZO) proteins: ZO-1, ZO-2, ZO-3 and afadin.
molecule-1 (ICAM-1) and vascular cell adhesion molecule-1 (VCAM-1), whose Claudin (Latin claudere, to close), a family of
expression is induced on endothelial cells by pro-inflammatory cytokines. 16 proteins forming linear fibrils in the tight junc-
Cytokines represent the guidance cues that mediate the activation of leukocyte
tions, confers barrier properties on the paracellular
integrins, the initial indication of imminent cellular migration. If integrins are not
activated, the arrested leukocyte would be rapidly dislocated from the endothelial
pathway.
attachment site by shear forces of the blood flow. A mutation in the gene encoding claudin 16 is
The strong leukocyte integrin–endothelial cell intercellular adhesion enables the the cause of a rare human renal magnesium wasting
attachment and spreading of the leukocytes on the endothelial cell surface, syndrome characterized by hypomagnesemia and
followed by crawling and transmigration across the endothelial barrier at seizures (see Box 1-B).
transiently opened endothelial cell tight junctions or through the endothelial cell Two members of the Ig superfamily, nectins
cytoplasm. A number of endothelial cell adhesion molecules and receptors and junctional adhesion molecules (JAMs), are
participate in the transmigration process. present in tight junctions. Both form homodimers
Transendothelial migration, also called diapedesis, takes about 2-3 minutes. In
(cis-homodimers) and trans-homodimers across the
about 15-20 minutes, leukocytes permeate the endothelial basement membrane,
pericytes and smooth muscle cells of the vascular wall.
intercellular space.
Nectins are connected to actin filaments through
is regulated by continuous intercellular contacts or the protein afadin. The targeted deletion of the
cell junctions. afadin gene in mice results in embryonic lethality. A
Cell junctions are symmetrical structures formed mutation in the nectin-1 gene is responsible for cleft
between two adjacent epithelial cells. An exception lip/palate and ectodermal dysplasia (CLEPD1) of
is the hemodesmosome, an asymmetrical structure skin, hairs, nails and teeth in humans. Nectin-2–
anchoring the basal domain of an epithelial cell to deficient male mice are infertile.
the basal lamina. Freeze fracture electron microscopy, a technique
There are four major classes of cell junctions: that enables the visualization of the hydrophobic
1. Tight junction. interior of a cell membrane, reveals tight junctions as
2. Adherens junctions, including zonula adher- a meshwork of anastomosing sealing strands formed
ens (belt desmosome) and macula adherens (spot by rows of transmembrane particles regarded as
desmosome). representing the diffusion barriers.
13
1 | EPITHELIUM | CELL BIOLOGY
Integrin
Integrins differ from the other cell adhesion proteins: Actin Cytoplasm
(1) They consist of two subunits.
(2) They have a dual function: they bind to the _-actinin
extracellular matrix and the internal cytoskeleton. Vinculin
IPP complex
The _ subunit of an integrin has two chains linked
by a disulfide linkage and a globular head with
Talin
binding sites for divalent cations. Kindlin Paxillin
Focal adhesion
The ` subunit has two significant characteristics:
kinase
(1) The extracellular chain contains repeating
cysteine-rich regions. (2) The intracellular portion Plasma membrane
interacts with actin filaments through connecting
proteins: talin and focal adhesion kinase, the first Extracellular space
Only the `subunit binds S
proteins to be recruited. S
to the cytoskeleton
In its active conformation, talin binds the `-integrin Disulfide bridge
cytoplasmic domain. Kindlin, an integrin Cysteine-rich domains
_ subunit
coactivator, binds to the `-integrin cytoplasmic
domain and increases talin-induced integrin Divalent cation
activation. The IPP complex (consisting of ` subunit binding sites
intergrin-linked kinase, PINCH [for Particularly RGD
Interesting New Cysteine-Histidine-rich protein] and (arginine-glycine-
parvin) recruits _-actinin and paxillin to the cell aspartic acid) RGD
adhesion site.
In its active conformation state, `-integrin connects S S
S S
actin to the extracellular matrix proteins fibronectin
and laminin, through their RGD-binding sites. Fibronectin Laminin
Adhering junctions (1-11 and 1-12) epidermis are small, spot-like and provide strong
Adherens (Latin adhaereo, sticking to) junctions adhesion.
include zonula adherens junctions and macula Zonula adherens junctions are associated with
adherens junctions, both found below the tight or actin microfilaments. This association is mediated
occluding junctions, usually near the apical surface by the catenin complex: _-catenin, `-catenin
of an epithelium (see 1-11). and a-catenin (also called plakoglobin). `-catenin
Similar to the tight junctions, zonula adherens and a-catenin bind to the cytoplasmic domains of
junctions form a circumferential belt (belt des- desmocollins and desmogleins, two families of des-
mosome) around the apical domain of epithelial mosomal cadherins. _-catenin, bound to `-catenin,
cells. In contrast, macula adherens junctions in the is an adapter protein responsible for connecting the
14
1 | EPITHELIUM | CELL BIOLOGY
RG
Shedding glycoprotein gpIIb/IIIa,
D
preventing platelet aggregation.
Metalloprotease Disintegrin
Ectodomain shedding
Ectodomain Soluble ectodomain
shedding Ectodomain shedding allows membrane-
The metalloprotease degradesr anchored growth factors or cytokines to
e
components of the extracellular participate in paracrine signaling (at a
matrix during cell migration.
n It also distance from the site of cleavage) or to
participates in the cleavagee of a enter the bloodstream. Shedding also can
membrane protein at the plasma generate a soluble decoy receptor that
membrane level, which results
s in could sequester a ligand.
the release of its soluble
ectodomain. This process is Plasma membrane
known as ectodomain shedding.
Transmembrane protein
The reversal of integrin-mediated cell binding to the extracellular protein cleaved adjacent to the plasma membrane. ADAMs are
matrix can be disrupted by proteins called ADAM (for A Disintegrin members of the family of sheddases.
And Metalloprotease). ADAMs have pivotal roles in fertilization, Ectodomain shedding targets for cleavage the proinflammatory
angiogenesis, neurogenesis, heart development, cancer and cytokine tumor necrosis factor ligand (TNFL) and all ligands of the
Alzheimer’s disease. epidermal growth factor receptor.
A typical ADAM protein contains an extracellular domain and an A released soluble ectodomain of a cytokine or growth factor can
intracellular domain. The extracellular domain consists of several function at a distance from the site of cleavage (paracrine signaling).
portions including a disintegrin domain and a metalloprotease domain. Ectodomain shedding of a receptor can inactivate the receptor by
(1) A disintegrin domain binds to integrins and competitively functioning as a decoy sequestering soluble ligands away from the
prevents integrin-mediated binding of cells to laminin, fibronectin and plasma membrane-bound unoccupied receptor.
other extracellular matrix proteins. A defect in TNF receptor 1 (TNFR1) shedding, determined by a
(2) A metalloprotease domain degrades matrix components and mutation in the receptor cleavage site, causes a periodic febrile
enables cell migration. condition because of continuous availability of TNFR1 for TNFL
A significant function of ADAMs is protein ectodomain shedding, binding. Consequently, recurring fever occurs by increased
consisting of the proteolytic release of the ectodomain of a membrane inflammatory responses.
intracellular domain of cadherins to actin filaments. desmogleins are associated with plakoglobin. Plako-
Macula adherens junctions, also called spot globin is an adapter protein that interacts with the
desmosomes, are punctate-like junctions associated N-terminus globular domain of desmoplakin; the
with keratin intermediate filaments (also known as opposite C-terminus globular domain is connected
tonofilaments) extending like ropes from one spot to intermediate filaments (keratin, vimentin or
to another on the lateral cell surfaces of epithelial desmin).
cells (see 1-12). Spot desmosomes provide strength, Plakoglobin, desmoplakin and plakophilin are
rigidity and also flexibility to an epithelial cell layer. components of the cytoplasmic plaques.
Desmoglein 1 and desmoglein 3 are found in Note that actin microfilaments are members of
the macula adherens junctions of the epidermis. the zonula adherens, whereas intermediate filaments
The intracellular domains of desmocollins and are components of the macula adherens.
15
1 | EPITHELIUM | CELL BIOLOGY
Tight junctions
Tight junctions are circumferential belts at junctions seal, like kissing points, the between adjacent epithelial cells
the apical domain of epithelial cells and space between epithelial cells and regulate (paracellular pathway). Molecules across
linking adjacent endothelial cells. Tight the passage of water and flux of ions the cell follow a transcellular pathway.
In contrast to occluding junctions, adjacent cell squamous epithelium of the epidermis, the C-termi-
membranes linked by zonula and macula adherens nus of desmoplakin interacts with the intermediate
junctions are separated by a relatively wide inter- filaments and that desmoglein 1 and desmoglein 3
cellular space. This space is occupied by the gly- maintain the cohesiveness of the epithelium.
cosylated extracellular portion of desmogleins and Autoantibodies to desmoglein-1 cause a blis-
desmocollins, anchored to cytoplasmic plaques. tering disease, called pemphigus foliaceus, by
As we have already seen, the interlocking of simi- disrupting cell-cell adhesion of the upper layers of
lar cadherins connects two adjacent cells by Ca2+- the epidermis. Autoantibodies to desmoglein-3 pro-
dependent homophilic or heterophilic interaction. duce also a blistering disease, called pemphigus vul-
It is important to emphasize that, in the stratified garis, localized in the basal layers of the epidermis.
16
1 | EPITHELIUM | CELL BIOLOGY
Lumen
Actin filaments
Tight junction
Zonula adherens
Plaque
Afadin Afadin-nectin
Actin filament complex
anchored to afadin Nectin
and _-catenin
Adapter protein
_-catenin, bound to
Catenin complex
a-catenin, connects F-actin
to cadherins
Cadherins
Plaque: Desmoplakin, (desmocollins and Plasma
plakoglobin and plakophilin desmogleins) membrane
Desmoglein 1 predominates
Pemphigus foliaceus is an autoantibody-mediated blistering disease
above the stratum spinosum
in which antibodies against desmoglein 1 cause a loss of adhesion
Desmoglein 3 predominates in of keratinocytes in the superficial layers of the epidermis
the strata basale and spinosum
Layers of the epidermis
Anti-desmoglein 1
Stratum corneum immunoglobulin
Stratum granulosum Blister
Stratum spinosum
Stratum basale
17
1 | EPITHELIUM | CELL BIOLOGY
Plasma membrane
Outer dense plaque
Macula adherens
Dense
middle line
Intermediate filament
anchored to the C-terminus
of desmoplakin
Cadherins
Plaque: Desmoplakin, Plasma
(desmocollins and
plakoglobin and plakophilin desmogleins) membrane
18
1 | EPITHELIUM | CELL BIOLOGY
Hemidesmosome
Plate
Plate
Plasma
membrane Plaque
Plaque
The intercellular channel is an axial Clusters of intercellular Large patch of uniformly dense and closely packed
channel that allows the direct channels are known as particles corresponding to connexons seen on the PF
passage of small signaling gap junctions because (protoplasmic face) fracture face of a gap junction
molecules between adjacent cells of the narrow
Freeze-fracture electron micrograph from Robert RL, Kessel RG, Tung H-N: Freeze
to coordinate cell responses. extracellular gap that
Fracture Images of Cells And Tissues. New York, Oxford University Press, 1991.
separates the apposed
plasma membranes.
cAMP
Plasma
Ca2+ membrane 1
Ca2+
Connexon
cAMP
Plasma
Gap (2–4 nm) Connexin membrane 2
Six connexin monomers assemble to form a hexameric connexon, a Closely spaced pits on the EF (extracellular face) fracture
cylinder with a central open channel. Connexons in the plasma membrane face complementary to the particles on the PF fracture
of one cell align with connexons of an adjacent cell, forming a hydrophilic face. The EF and PF are artificially produced by splitting
intercellular channel connecting the cytoplasm of the apposed cells. the membrane bilayer along its hydrophobic core.
Gap junctions or communicating junctions (1-13) a clustering tendency and can form patches about
Gap junctions are symmetrical communicating 0.3 mm in diameter.
junctions formed by integral membrane proteins Gap junctions facilitate the movement of mol-
called connexins. ecules 1.2 nm in diameter between cells (for ex-
Six connexin monomers associate to form a con- ample, Ca2+ and cyclic adenosine monophosphate,
nexon, a hollow cylindrical structure that spans the cAMP). The connexon axial channels close when
plasma membrane. the concentration of Ca2+ is high.
The end-to-end alignment of connexons in Gap junctions enable the chemical and electrical
adjacent cells provides a direct channel of com- “coupling” between adjacent cells. For example,
munication (1.5 to 2 nm in diameter) between the cardiac muscle cells are connected by gap junctions
cytoplasm of two adjacent cells. Connexons have for the transmission of electrical signals.
19
1 | EPITHELIUM | CELL BIOLOGY
Nucleus
Basolateral
domain
Hemidesmosome
Basal domain
Basal lamina
Reticular lamina
The basement membrane, an extracellular component in direct contact with the basal
domain of epithelial cells, is visible under the light microscope after staining with the
periodic acid–Schiff (PAS) reagent technique.
At the electron microscopic level, the basement membrane is defined by two
layers or laminae:
(1) A basal lamina, which contains laminin, fibronectin, type IV collagen, heparan
sulfate proteoglycans and nidogen (also called entactin).
(2) A reticular lamina, which contains type III collagen (reticular fibers)
The components of these two laminae are glycoproteins. They are PAS positive.
Basement membrane: Electron microscopy can resolve each lamina as a separate entity
Epithelial cell
20
1 | EPITHELIUM | CELL BIOLOGY
21
1 | EPITHELIUM | CELL BIOLOGY
Primer 1-D | Cell adhesion molecules, cell junctions and basement membrane
Fibronectin
Hemidesmosome
Hemidesmosomes consist of Collagens
an inner plate, the anchoring Type IV collagen
Laminin
site of the intermediate Laminin consists of
filament keratin and an outer Nidogen
(entactin) three polypeptide
plaque, attached to the basal Proteoglycan chains (_, ` and a) with
lamina by two major Proteoglycans (mainly binding sites for type IV
components: anchoring heparan sulfate perlecan) collagen, proteoglycan
filaments (laminin 5) and interact directly with perlecan, integrin and
integrin _6`4. fibronectin and laminin. nidogen.
22
1 | EPITHELIUM | CELL BIOLOGY
23
1 | EPITHELIUM | CELL BIOLOGY
1-16 | Intestinal microvilli (brush border) We have already seen that the intracellular por-
tion of the cell adhesion molecules cadherins and
Small intestine epithelium: Microvilli
integrin `1 interacts with F-actin through adapter
proteins. As discussed in Chapter 6, Blood and
Hematopoiesis, actin, together with spectrin, forms
a filamentous network on the inner face of the red
blood cell membrane that is essential for main-
taining the shape and integrity of red blood cells.
Spectrin is a tetramer consisting of two distinct
polypeptide chains (_ and `).
Actin filaments are polar. Growth of actin fila-
ments may occur at both ends; however, one end
(the “barbed end” or plus end) grows faster than the
other end (the “pointed end” or minus end). The
names correspond to the asymmetric arrowhead
appearance when myosin binds at an angle along
Brush border, formed by a closely Goblet cell the length of actin filaments.
packed layer of microvilli, at the apical Density Actin monomers have a binding site for adenos-
domain of the intestinal columnar corresponding to ine triphosphate (ATP), which is hydrolyzed to
epithelial cells. The brush border is the terminal web adenosine diphosphate (ADP) as polymerization
also seen in cuboidal epithelial cells of
proceeds. Actin polymerization is ATP-dependent.
the proximal convoluted tubule
(nephron). The kinetics of actin polymerization involves
Formin, a protein of the cap and
interacting with the fast-growing
a mechanism known as treadmilling: G-actin
Intestinal Formin barbed ends of F-actin, promotes the monomers assembled at one end of the filament
microvillus cap elongation of unbranched F-actin. concurrently disassemble at the other end.
Four types of actin-binding proteins control
Glycocalyx treadmilling by binding to actin monomers, sever-
ing F-actin, capping F-actin ends, nucleating and
cross-linking F-actin, stabilizing F-actin or moving
F-actin along F-actin:
Membrane- F-actin 1. `-Thymosin sequesters pools of G-actin
linking cross-linking monomers within cells, thus inhibiting their addi-
proteins proteins tion on the barbed end of F-actin.
Myosin I 2. Profilins, bound to G-actin, suppress nucle-
Villin
Calmodulin ation of G-actin. The main pool of actin avail-
Fimbrin
able for polymerization is represented by G-actin
bound to profilin. Profilin can favor the assembly
of monomeric G-actin into F-actin by facilitating
the exchange of bound ADP for ATP. Only ATP-
actin monomers can be assembled into filaments.
3. Cofilin, also known as actin depolymer-
izing factor (ADF), triggers depolymerization of
Actin filament Terminal Spectrin isoform Intermediate filaments ADP-bound actin at the pointed end. The F-actin
rootlets web connecting fibrils (keratins) severing property of cofilin/ADF triggers the rapid
disassembly of F-actin networks, a process that
replenishes the pool of G-actin for subsequent
In the core of the intestinal microvilli, the as- network assembly.
sembly of G-actin monomers into filaments and the 4. Gelsolin has a dual role; it is a capping protein
organization of these filaments into thick bundles that prevents the loss and addition of actin mono-
are controlled by various types of actin-binding mers and it is a severing protein. In the presence of
or actin-related proteins. A bundle of parallel Ca2+, gelsolin fragments F-actin and remains bound
non-branching actin filaments, forming the core to the barbed end, forming a cap that prevents
of the microvillus, is held together by actin-linking further filament growth.
proteins, villin and fimbrin. Side arms of myosin-I F-actin can branch or grow in length. F-actin
and the Ca2+-binding protein calmodulin anchor branching is initiated from the side of pre-existing
the bundle to the plasma membrane. F-actin by Arp2/3 (for actin-related protein 2/3),
24
1 | EPITHELIUM | CELL BIOLOGY
Profilin
Barbed end
Polymerizing end of Old filament
a growing actin
filament Barbed end
An ATP G-actin nucleation cap
is formed to promote further
addition of G-actin. New filament
F-actin inhibitors
Cytochalasins bind to the Phalloidin binds to F-actin Latrunculins disrupt F-actin by
fast-growing end (barbed end), preventing depolymerization. binding to G-actin and inducing directly
preventing further addition of G-actin. Fluorescent-labeled phalloidin is used to F-actin depolymerization. Latrunculins
A cytochalasin cap is formed. stain F-actin in cells. Phalloidin is an derive from the Red Sea sponge
Cytochalasins are alkaloids produced alkaloid produced by the mushroom Latrunculla magnifica.
by fungi. Amanita phalloides.
25
Another random document with
no related content on Scribd:
Settlements were closed, and orders were sent to all Ningpo
men—and they form 50 per cent. of the population—to go out on
strike.
I shall look to the Yamên and see that these demands are fully
satisfied and with the least possible delay."
{98}
{99}
CHINA: A. D. 1899.
Anti-missionary outbreaks, increasing piracy, and other
signs of growing disorder in the country.
The ideas and the state of feeling out of which this attack on
the missionaries and their converts grew are revealed in the
following translation of a placard that was posted in Kienning
in June:
"We of this region have hitherto led a worthy life. All the
four castes (scholars, agriculturists, artizans, traders) have
kept the laws and done their duty. Of late foreigners have
suddenly come among us in a disorderly march and preaching
heretical doctrines. They have had from us indulgent
treatment, but they have repaid us by endangering our lives.
This year, in town and country, people have been hewn in two,
men and women in numbers have fallen upon evil days.
{100}
Everywhere the perpetrators have been seized, and everyone of
them has confessed that it was by the missionary chapels they
were ordered to go forth and slay men and women; to cut out
their brains and marrow to make into medicine. The officials
deliberately refrained from interfering. They garbled the
evidence and screened the malefactors. The whole country side
is filled with wrath; the officials then posted Proclamations,
and arrested spreaders of false reports. The hewing down of
men is hateful; but they issued no Proclamations forbidding
that. Now fortunately the people is of one mind in its wrath.
They have destroyed two chapels. The Ou-ning ruffian has
issued another Proclamation, holding this to be the work of
local rowdies. He little knows that our indignation is
righteous, and that it is a unanimous expression of feeling.
If the officials authorize the police to effect unjust
arrests, the people will unite in a body, in every street
business will be stopped, and the Wu-li missionary chapel will
be destroyed, while the officials themselves will be turned
out of the city, and the converts will be slain and
overthrown. When cutting grass destroy the roots at the same
time. Do not let dead ashes spring again into flame."
{101}
2. Great Britain, on her part, engages not to seek for her own
account, or on behalf of British subjects or of others, any
railway concessions to the north of the Great Wall of China,
and not to obstruct, directly or indirectly, applications for
railway concessions in that region supported by the Russian
Government. The two contracting parties, having nowise in view
to infringe in any way the sovereign rights of China or of
existing treaties, will not fail to communicate to the Chinese
Government the present arrangement, which, by averting all
cause of complication between them, is of a nature to
consolidate peace in the far East, and to serve the primordial
interests of China herself."
{102}
Spectator (London),
August 19, 1899.
"At the time when the Government of the United States was
informed by that of Germany that it had leased from His
Majesty the Emperor of China the port of Kiao-chao and the
adjacent territory in the province of Shantung, assurances
were given to the ambassador of the United States at Berlin by
the Imperial German minister for foreign affairs that the
rights and privileges insured by treaties with China to
citizens of the United States would not thereby suffer or be
in anywise impaired within the area over which Germany had
thus obtained control. More recently, however, the British
Government recognized by a formal agreement with Germany the
exclusive right of the latter country to enjoy in said leased
area and the contiguous 'sphere of influence or interest'
certain privileges, more especially those relating to
railroads and mining enterprises: but, as the exact nature and
extent of the rights thus recognized have not been clearly
defined, it is possible that serious conflicts of interest may
at any time arise, not only between British and German
subjects within said area, but that the interests of our
citizens may also be jeopardized thereby. Earnestly desirous
to remove any cause of irritation and to insure at the same
time to the commerce of all nations in China the undoubted
benefits which should accrue from a formal recognition by the
various powers claiming 'spheres of interest,' that they shall
enjoy perfect equality of treatment for their commerce and
navigation within such 'spheres,' the Government of the United
States would be pleased to see His German Majesty's Government
give formal assurances and lend its cooperation in securing
like assurances from the other interested powers that each
within its respective sphere of whatever influence—