EPITHELIAL TISSUE
Exam Memorization Format
PART 1: DEFINITION AND KEY CHARACTERISTICS
One-line definition to write in exam:
Epithelial tissue (epithelium) is a continuous sheet of closely packed cells that covers all body surfaces, lines hollow organs and body cavities, and forms glands.
THE 6 KEY CHARACTERISTICS OF EPITHELIUM (memorize all six - examiners ask this):
| # | Characteristic | Explanation |
|---|
| 1 | Cellularity | Cells are tightly packed with minimal ECM between them |
| 2 | Polarity | Cells have a distinct apical (free), lateral, and basal surface - each with different functions |
| 3 | Rests on a basement membrane | All epithelia sit on a basement membrane that separates them from underlying CT |
| 4 | Avascular | No blood vessels - nutrients arrive by diffusion from underlying connective tissue |
| 5 | Well innervated | Contains nerve endings (sensory) but no blood vessels |
| 6 | High regenerative capacity | Rapidly replaced by mitosis of basal stem cells |
PART 2: CLASSIFICATION OF EPITHELIUM
Classification is based on TWO criteria:
Criterion 1: Number of cell layers
Criterion 2: Shape of the surface cells
CRITERION 1 - Number of Layers:
| Term | Meaning |
|---|
| Simple | ONE cell layer; ALL cells touch the basement membrane |
| Stratified | TWO or MORE cell layers; only basal cells touch the basement membrane |
| Pseudostratified | Looks stratified but is actually SIMPLE - all cells touch the BM, but nuclei are at different heights creating a false appearance of layers |
CRITERION 2 - Shape of Surface Cells:
| Term | Shape |
|---|
| Squamous | Flat; width >> height (like floor tiles) |
| Cuboidal | Equal width, height, depth (like dice) |
| Columnar | Height >> width (like columns) |
Rule: In stratified epithelia, the shape of the TOP (surface) layer determines the name - not the basal cells.
PART 3: ALL EPITHELIUM TYPES - ONE BY ONE
TYPE 1: SIMPLE SQUAMOUS EPITHELIUM
Appearance on slide: Single layer of extremely flat cells; nucleus is flattened and appears as a bump in the middle. Cells look like a fried egg from above.
Locations - MEMORIZE ALL:
- Endothelium = lining of all blood vessels and lymphatics
- Mesothelium = lining of body cavities (pleura, pericardium, peritoneum)
- Bowman's capsule (parietal layer) in the kidney
- Alveoli of lungs (Type I pneumocytes)
- Thin segment of loop of Henle in the kidney
Function: Passive diffusion, filtration, lubrication, reduces friction
Vet note: The mesothelium lining the abdominal cavity in all domestic animals is simple squamous - important when studying peritonitis.
TYPE 2: SIMPLE CUBOIDAL EPITHELIUM
Appearance on slide: Cube-shaped cells; round nucleus sits in the CENTER of the cell. Height ≈ width.
Locations:
- Kidney tubules (proximal and distal convoluted tubules)
- Thyroid follicles (when not stimulated - becomes columnar when active)
- Small collecting ducts of exocrine glands
- Surface of the ovary (germinal/surface epithelium)
- Lens epithelium of the eye
Function: Secretion and absorption
TYPE 3: SIMPLE COLUMNAR EPITHELIUM
Appearance on slide: Tall, rectangular cells; oval nucleus in the lower third (basal) of the cell. Cells are clearly taller than wide.
Two subtypes:
a) Simple Columnar NON-CILIATED:
- Most of the GI tract (stomach, small intestine, large intestine)
- Cells have microvilli on apical surface = brush border / striated border
- Goblet cells are scattered among them (mucus-secreting unicellular glands - pale, cup-shaped)
b) Simple Columnar CILIATED:
- Uterine tubes (oviducts/fallopian tubes)
- Uterus (endometrium)
- Small bronchioles
Vet note - CRITICAL EXAM POINT:
The abomasum (4th/true stomach of ruminants) is lined by simple columnar epithelium with gastric glands - just like the stomach of monogastric animals.
The forestomachs (rumen, reticulum, omasum) are lined by stratified squamous epithelium with NO gastric glands - they are fermentation chambers, not digestive glands.
TYPE 4: PSEUDOSTRATIFIED COLUMNAR EPITHELIUM
Appearance on slide: Nuclei appear at MULTIPLE HEIGHTS giving the illusion of layers. But if you look carefully, the cells are all connected to the basement membrane. Not all cells reach the surface.
KEY: This is a SIMPLE epithelium pretending to be stratified.
Subtypes and locations:
| Subtype | Location |
|---|
| Pseudostratified ciliated columnar with goblet cells | Trachea, bronchi, nasal cavity = RESPIRATORY EPITHELIUM |
| Pseudostratified with stereocilia (no cilia) | Epididymis (very long stereocilia) |
| Male urethra (proximal part) |
Function of respiratory epithelium:
- Goblet cells secrete mucus which traps dust, debris, and pathogens
- Cilia beat rhythmically (12-15 beats/second) to sweep mucus toward the pharynx
- This is called the MUCOCILIARY ESCALATOR - a key innate defense mechanism
- In veterinary medicine: damage to the mucociliary escalator (by viruses like IBR, PI3 in cattle) predisposes to bacterial pneumonia
TYPE 5: STRATIFIED SQUAMOUS EPITHELIUM - THE MOST IMPORTANT TYPE
Multiple layers. Basal cells are cuboidal/columnar and actively divide. As they move upward, they flatten. Surface cells are squamous.
TWO SUBTYPES - must distinguish:
a) STRATIFIED SQUAMOUS KERATINIZED
Surface cells are dead and packed with the protein keratin. Makes the surface tough, dry, and waterproof.
Layers from base to surface (memorize in order):
- Stratum basale (germinativum) - single layer of cuboidal/columnar cells; stem cells here; mitosis occurs here; cells attached to BM by hemidesmosomes
- Stratum spinosum - several layers of polygonal cells; cells are connected by DESMOSOMES (look like spines in EM - hence "spinosum"); keratin synthesis begins
- Stratum granulosum - 3-5 layers of flattened cells; contain keratohyalin granules (dark-staining; contain filaggrin which cross-links keratin) and lamellar granules (contain lipids - discharged to create waterproof barrier)
- Stratum lucidum - only in THICK SKIN (palms, soles, hoof sole); homogeneous, pale, glassy layer; cells are dead with no nucleus
- Stratum corneum - outermost layer; dead, anucleate, keratin-filled cells called corneocytes; shed continuously (desquamation)
Locations:
- Skin (epidermis) of all animals - the main example
- Hard palate, gums (gingiva)
- Hoof wall, claw, horn - heavily keratinized in large animals
- Esophagus - in ruminants and horses (keratinized); contrast with humans where it is non-keratinized
Vet note: The degree of keratinization varies by species and body region. Working animals (horses, cattle) have thicker, more keratinized skin and hoof epithelium than companion animals.
b) STRATIFIED SQUAMOUS NON-KERATINIZED
Surface cells are living, flattened, and retain their nuclei. The surface remains moist and smooth.
Locations:
- Oral mucosa (cheeks, lips, floor of mouth) in most species
- Esophagus - in dogs, cats, humans
- Vagina
- Cornea of the eye
- Anal canal (distal part)
Critical vet exam point:
Rumen, reticulum, and omasum of ruminants = stratified squamous non-keratinized (partially keratinized in rumen)
This is one of the most commonly asked veterinary histology questions. The forestomachs have NO GLANDS. They are lined by stratified squamous epithelium because they are fermentation/mixing chambers, not secretory organs.
TYPE 6: TRANSITIONAL EPITHELIUM (UROTHELIUM)
A unique type of stratified epithelium found ONLY in the urinary tract. It is specially designed to expand and contract as the bladder fills and empties.
Locations: Renal pelvis → ureter → urinary bladder → proximal urethra
Appearance:
| State | Appearance |
|---|
| Relaxed (empty bladder) | 5-7 cell layers thick; surface cells are large, dome-shaped, may be binucleate - called "umbrella cells" or "facet cells" |
| Distended (full bladder) | Cells flatten out; appears only 2-3 layers thick; umbrella cells become wide and flat |
Umbrella cells have a highly specialized apical membrane:
- Contains rigid protein plaques called uroplakins
- These form an impermeable barrier that prevents urine (which is toxic, hypertonic, and acidic) from leaking back into the tissue
- The apical membrane has asymmetric unit membrane (AUM) - thicker than a normal cell membrane
QUICK COMPARISON TABLE - ALL EPITHELIUM TYPES
| Type | Layers | Location (key) | Function |
|---|
| Simple squamous | 1 (flat) | Blood vessels, body cavities, alveoli | Diffusion, filtration |
| Simple cuboidal | 1 (cube) | Kidney tubules, thyroid follicles | Secretion, absorption |
| Simple columnar | 1 (tall) | GI tract, oviducts | Absorption, secretion |
| Pseudostratified | 1 (looks like many) | Trachea, epididymis | Mucociliary defense |
| Stratified squamous keratinized | Many (dead surface) | Skin, hoof, horn | Protection, waterproofing |
| Stratified squamous non-keratinized | Many (living surface) | Mouth, esophagus (dogs/cats), vagina, rumen/reticulum/omasum | Protection, flexibility |
| Transitional | Many (stretchy) | Bladder, ureter | Distension, urine barrier |
PART 4: BASEMENT MEMBRANE
All epithelia rest on a basement membrane (BM). This is NOT a cell - it is a specialized extracellular structure.
Two layers:
| Layer | Produced by | Main Components |
|---|
| Basal lamina (inner layer, next to epithelium) | Epithelial cells | Type IV collagen (meshwork, not fibrils), laminin, fibronectin, perlecan (heparan sulfate proteoglycan) |
| Reticular lamina (outer layer, next to CT) | Fibroblasts in CT | Type III collagen (reticular fibers) |
How it stains:
- PAS = magenta/purple (detects glycoproteins)
- Silver impregnation = black (detects reticular fibers)
- NOT visible on routine H&E unless thickened by disease
Functions of the basement membrane:
- Mechanical support and anchorage of epithelium
- Molecular filter between epithelium and CT
- Regulates cell differentiation, proliferation, and polarity
- Guides cell migration during wound healing
- Tumor invasion barrier - carcinoma cells must break through the BM to become invasive (this is the definition of invasive carcinoma vs carcinoma in situ)
PART 5: CELL JUNCTIONS - THE JUNCTIONAL COMPLEX
Because epithelium must function as a barrier, cells are held together by specialized junctions. From the APEX downward, the junctions are arranged in a specific order.
Memory trick for order from apex to base:
"The Angry Dog Growls Hoarsely"
Tight → Adherens → Desmosome → Gap → Hemidesmosome
JUNCTION 1: TIGHT JUNCTION (Zonula Occludens)
Location: Very top (apex) of the lateral membrane; forms a complete belt around the cell
Proteins: Claudins and Occludins - transmembrane proteins that zip adjacent cells together like a zipper
Functions:
- Seals the intercellular space - prevents molecules from passing BETWEEN cells (paracellular route)
- Maintains cell polarity - prevents apical membrane proteins from migrating to the basal membrane (fence function)
Example: Intestinal tight junctions control what passes from gut lumen to blood; blood-brain barrier tight junctions are among the tightest in the body.
JUNCTION 2: ADHERENS JUNCTION (Zonula Adherens)
Location: Just BELOW the tight junction; also forms a belt around the cell
Proteins:
- Extracellular: E-cadherin (calcium-dependent)
- Intracellular: linked to actin filaments via catenins (alpha, beta, gamma catenin)
Functions:
- Strong cell-to-cell adhesion
- Structural integrity of epithelial sheet
- Cell signaling (beta-catenin links to Wnt signaling pathway - important in development and cancer)
JUNCTION 3: DESMOSOME (Macula Adherens)
Location: Spot-like, disc-shaped; scattered along lateral membranes BELOW adherens junctions; NOT a belt - individual "spot welds"
Proteins:
- Extracellular: Desmogleins and Desmocollins (cadherins)
- Intracellular: linked to intermediate filaments (cytokeratins) via desmoplakin and plakophilin
Functions:
- Strongest mechanical attachment between cells
- Distributes mechanical forces through the intermediate filament network across the entire epithelium
Clinical relevance:
Pemphigus vulgaris = autoimmune disease where antibodies attack desmogleins → desmosomes break down → cells separate (acantholysis) → fluid-filled blisters (bullae) form in skin and mucous membranes. Important in veterinary dermatology (dogs, horses).
JUNCTION 4: GAP JUNCTION (Nexus / Communicating Junction)
Location: Scattered along lateral membranes at any level; NOT a structural junction - it is a communicating junction
Structure:
- Six connexin proteins assemble into a ring = connexon (hemichannel)
- Two connexons (one from each adjacent cell) align and dock = a complete gap junction channel
- Channel pore diameter = ~1.5 nm; allows passage of molecules < 1,000 Daltons
What passes through: Ions (Ca²⁺, Na⁺), small metabolites (glucose, amino acids), second messengers (cAMP, IP₃)
Functions:
- Direct cell-to-cell communication
- Electrical coupling between cells (cardiac muscle - allows action potentials to spread)
- Metabolic coupling (sharing of nutrients between cells)
Important in: Cardiac muscle (syncytial contraction), smooth muscle (coordinated peristalsis), hepatocytes, lens cells of eye
JUNCTION 5: HEMIDESMOSOME
Location: BASAL surface of epithelial cells (not lateral - this attaches cell to BM, not to another cell)
Structure: Looks like HALF a desmosome
Proteins:
- Transmembrane: Integrins (α6β4)
- Intracellular: linked to intermediate filaments (cytokeratins)
- Extracellular: binds to laminin in the basal lamina
Function: Anchors the epithelium to the basement membrane
Clinical relevance:
Bullous pemphigoid = autoimmune disease where antibodies attack hemidesmosome proteins (BP180, BP230) → epithelium detaches from BM → large tense blisters (bullae). Seen in dogs.
JUNCTION SUMMARY TABLE
| Junction | Location | Key Proteins | Connects to | Function |
|---|
| Tight (Zonula Occludens) | Apex, belt | Claudin, Occludin | Cell ↔ Cell | Seal, polarity |
| Adherens (Zonula Adherens) | Below tight, belt | E-cadherin → catenins → actin | Cell ↔ Cell | Adhesion |
| Desmosome (Macula Adherens) | Lateral, spots | Desmogleins → desmoplakin → cytokeratin | Cell ↔ Cell | Mechanical strength |
| Gap (Nexus) | Lateral, scattered | Connexins → connexon | Cell ↔ Cell | Communication |
| Hemidesmosome | Basal surface | Integrins → cytokeratin | Cell ↔ Basement membrane | Anchoring |
PART 6: APICAL SURFACE SPECIALIZATIONS
The FREE (top) surface of epithelial cells has three possible modifications:
1. MICROVILLI
Structure:
- Finger-like projections of the apical plasma membrane
- Core of actin filaments cross-linked by villin and fimbrin
- Length: 1-3 μm | Diameter: 0.1 μm
- When densely and regularly packed → BRUSH BORDER (intestine) or STRIATED BORDER
Where found:
- Small intestine enterocytes - brush border (increases surface area 20-40x)
- Proximal convoluted tubule (PCT) of kidney - very prominent brush border (distinguishes PCT from DCT on slides)
- Hepatocytes (along bile canaliculi)
- Gallbladder epithelium
Function: Massively increase absorptive surface area
On a slide: The brush border appears as a fuzzy, dark pink line along the apical surface of cells.
2. STEREOCILIA (Stereovilli)
DO NOT be confused by the name - these are NOT cilia. They are very long microvilli.
Structure:
- Unusually long, irregular microvilli
- Core of actin (NOT microtubules - this is key difference from true cilia)
- Non-motile
Where found:
- Epididymis - longest stereocilia in the body; function in resorption of fluid and sperm maturation
- Inner ear - sensory hair cells of the cochlea and vestibular apparatus; function as mechanosensors (convert sound vibrations or head movement into electrical signals)
Function: Absorption (epididymis); mechanosensation (ear)
3. CILIA
Structure:
- Motile hair-like extensions; much longer and thicker than microvilli
- Core = AXONEME: 9 doublets of microtubules + 2 central single microtubules = 9+2 arrangement
- Axoneme arises from a basal body (modified centriole) at the cell surface
- Movement powered by dynein ATPase - dynein arms on outer doublets generate sliding force → bending motion
- Each ciliated cell may have hundreds of cilia beating in a coordinated wave
Where found:
- Pseudostratified respiratory epithelium (trachea, bronchi, nasal cavity)
- Oviducts/uterine tubes - sweep ovum toward uterus
- Efferent ductules of testis
- Ependymal cells lining brain ventricles (circulate CSF)
Function: Movement of material along epithelial surfaces (mucus, ova, CSF)
Mucociliary escalator: Cilia in the respiratory tract beat in a coordinated fashion to continuously move the mucus blanket (containing trapped debris and pathogens) from the lower airways upward toward the pharynx, where it is swallowed. This is the primary innate mechanical defense of the respiratory tract.
PRIMARY (NON-MOTILE) CILIA:
- Arrangement: 9+0 (no central pair, no dynein arms)
- One per cell (monocilium)
- Found on almost EVERY cell in the body
- Function as sensory antennae - chemosensors, mechanosensors, osmosensors
- Example: Primary cilia on kidney tubule cells detect urine flow; dysfunction = polycystic kidney disease (PKD)
COMPARISON: MICROVILLI vs STEREOCILIA vs CILIA
| Feature | Microvilli | Stereocilia | Cilia |
|---|
| Core structure | Actin filaments | Actin filaments | Microtubules (9+2) |
| Length | Short (1-3 μm) | Long (up to 120 μm in ear) | Medium (5-10 μm) |
| Motile? | No | No | Yes (motile cilia) |
| Number per cell | Hundreds | Clusters | Hundreds |
| Key location | Small intestine, PCT of kidney | Epididymis, inner ear | Trachea, oviducts |
PART 7: GLANDS
Glands develop from surface epithelium by proliferating into underlying connective tissue.
Two major categories: EXOCRINE vs ENDOCRINE
EXOCRINE GLANDS
Have a duct - deliver secretions ONTO an epithelial surface (skin, gut lumen, etc.)
Classification by SHAPE of secretory unit:
| Shape | Type | Example |
|---|
| Tube-shaped | Tubular | Intestinal crypts (Lieberkühn), sweat glands |
| Round/flask-shaped | Acinar (alveolar) | Sebaceous glands, pancreatic acini |
| Both | Tubuloalveolar | Mammary gland, submandibular gland, prostate |
Classification by DUCT BRANCHING:
| Ducts | Type | Example |
|---|
| Unbranched | Simple | Intestinal glands, sweat glands |
| Branched | Compound | Parotid, pancreas, mammary gland |
Classification by SECRETION PRODUCT:
SEROUS GLANDS:
- Secrete watery, protein-rich (enzymatic) fluid
- Cells: pyramidal, round basal nucleus, eosinophilic cytoplasm, zymogen granules at apex
- Lumen is small and clearly visible
- Examples: Parotid salivary gland, pancreatic acini (exocrine portion)
MUCOUS GLANDS:
- Secrete thick, viscous mucus (glycoproteins)
- Cells: columnar, flat basal nucleus pushed to base, pale/empty-looking cytoplasm (mucin washes out in routine processing), large distended lumen
- Examples: Sublingual salivary gland, goblet cells in intestine and trachea
MIXED GLANDS:
- Contain BOTH serous and mucous cells
- Mucous cells form the acinus; serous cells cap the end = SEROUS DEMILUNES (look like half-moons of dark-staining cells at the edge of a mucous acinus)
- Examples: Submandibular (submaxillary) salivary gland, submucosal glands of the trachea
Classification by SECRETORY MECHANISM - CRITICAL FOR EXAM:
| Type | Mechanism | Cell Loss? | Key Example |
|---|
| Merocrine (Eccrine) | Secretory products released by exocytosis | NONE - cell intact | Pancreatic acini, parotid gland, eccrine sweat glands |
| Apocrine | Apical portion of cytoplasm pinched off with secretion | Some cytoplasm lost | Mammary gland (lipid secretion), apocrine sweat glands of domestic animals |
| Holocrine | Entire cell disintegrates to release secretion | ENTIRE CELL DIES | Sebaceous glands (oil glands) |
Vet note: In dogs, cats, and horses, the main sweat glands are APOCRINE (located deep in hair follicles) - unlike humans who rely primarily on eccrine glands. This is why animals cool down differently than humans.
ENDOCRINE GLANDS
NO ducts. Secretions (hormones) released directly into bloodstream or lymphatics.
| Gland | Hormone | Target |
|---|
| Thyroid | T3, T4 (thyroxine) | Metabolic rate |
| Adrenal cortex | Cortisol, aldosterone | Stress response, salt balance |
| Islets of Langerhans (pancreas) | Insulin, glucagon | Blood glucose |
| Anterior pituitary | GH, TSH, FSH, LH, ACTH | Multiple organs |
QUICK RECALL SUMMARY - Write This in 5 Minutes
Epithelium = avascular, polarized, sits on BM, high regeneration.
Classification: Simple (1 layer) / Stratified (2+ layers) / Pseudostratified (looks stratified, is simple) + Squamous / Cuboidal / Columnar
Key locations:
- Simple squamous → blood vessels, body cavities, alveoli
- Simple cuboidal → kidney tubules, thyroid
- Simple columnar → GI tract (with goblet cells + brush border)
- Pseudostratified ciliated → trachea, bronchi (respiratory epithelium)
- Stratified squamous keratinized → skin, hoof, horn
- Stratified squamous non-keratinized → esophagus (dogs/cats), mouth, vagina, rumen/reticulum/omasum
- Transitional → bladder, ureter
Basement membrane: Basal lamina (Type IV collagen, made by epithelial cells) + Reticular lamina (Type III collagen, made by fibroblasts). PAS = magenta.
Cell junctions (apex → base):
Tight (claudin/occludin → seal) → Adherens (E-cadherin → actin) → Desmosome (desmogleins → cytokeratin → strongest) → Gap (connexins → communication) → Hemidesmosome (integrin → BM anchoring)
Apical modifications:
- Microvilli (actin, short) → intestine, PCT kidney (brush border)
- Stereocilia (actin, long, non-motile) → epididymis, inner ear
- Cilia (9+2 microtubules, motile) → trachea, oviducts
Gland secretion types:
- Merocrine = exocytosis (most glands)
- Apocrine = apical cytoplasm pinched off (mammary, sweat in animals)
- Holocrine = cell disintegrates (sebaceous glands)
Solid on this? Say the word and we move to Topic 3: Connective Tissue - same format, exam-ready. 💪