Since the last century, histological studies on human tracheal glands have been carried out not infrequently, but nevertheless the cytological details and their changes accompanying the secretory function still remain in perfect obscurity. The author obtained in operations healthy tracheal mucosae from 25 cases, and performed histological and cytological observations on the tracheal glands. The samples were fixed in LEVI's and CHAMPY's fluids, ZENKER-formol, 10% formol and formol-alcohol, embedded in paraffin, and serially sectioned 3-4μ thick. For staining, hematoxylin (HANSEN)-eosin, HEIDENHAIN's iron-hematoxylin, azan, periodic acid-SCHIFF (PAS) reaction and BAUER's reaction were employed. The GOLGI apparatus was visualized by KOLATCHEV's osmic acid method, and sometimes further stained with KULL's method. The results are summarized as follows:
1. The human tracheal gland is mainly found in submucosa, and extends in different ways in the cartilaginous region, intercartilaginous region and paries membranaceus, In the cartilaginous region, it spreads parallel to the surface, and in the intercartilaginous region and paries membranaceus, it spreads in most cases into the deep layers perpendicular or oblique to the surface. In this way, the shape and the location of the gland is dependent on the presence of the tracheal cartilage.
2. The gland opens in the bottom of the tubular or funnel-shaped crypt of the tracheal mucosa, lined by the same pseudostratified columnar ciliated epithelium like the surface of the mucosa. The crypts sometimes show at the bottom simple branching.
3. All the tracheal glands are provided excretory ducts with wide lumina, lined by a simple columnar epithelium consisting of a single layer of high columnar epithelial cells and a layer of basal cells in its base. Sometimes the excretory duct shows a simple branching. The striated portions, as found in the ducts of the large salivary glands, are not visible.
4. Secretory portion directly continuous with the excretory duct is a large mucous glandular tubule which ramifys several times into small mucous branches. In the mucous tubule and its branches open many tubular and alveolar albuminous (serous) secretory portions (terminal portions), which consist of albuminous glandular cells and also ramify. The human tracheal glands are therefore neither pure mucous nor pure serous (or albuminous) glands, but are always mixed glands, and from morphological standpoint they should be called simple and sometimes compound branched tubuloalveolar glands.
5. Concerning the distribution of both mucous and albuminous cells in the branched glandular tree there exists a definite rule: the former being situated near the excretory duct occupying the proximal portion, and the latter being distributed in the more distal part making the terminal portions of the tree. The branched mucous tubule consequently not only secretes mucous secretion but also serves as a part of the excretory duct. Numerous demilunes, consisting of albuminous cells, are found in the wall of the branched mucous tubule.
6. The tracheal gland has many demilunes of variable shapes and sizes, and in some occasions several demilunes are grouped at the end of the mucous tubule. Larger demilunes of alveolar form protrude often from the mucous tubule wall into the interstitial connective tissue, including deep lumina. These findings suggest the transition of demilunes into albuminous tubules or acini. Demilunes are considered to be poorly developed albuminous tubule or acini and present the same cytological changes in secretory function.
7. Between the basal surface of the glandular cells (mucous and albuminous) and the membrana propria of the glandular tubules, there are many myoepithelial cells, which are of smooth muscle fiber type and arranged in parallel with the long axis of the glandular tubule.
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