Club cells

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zeevee

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In the respratory epithelium are club cells the same as Clara cells ?

What does it mean that they serve as "reserve" cells ?

Isnt regeneration a task for type II pneumocytes ?

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Yes - Club cells and Clara cells are the same thing. I believe Club cells can also act as stem cells and help regenerate the epithelium. They also play a role in detoxification
 
Clara cells are macrophages that eliminate particles less than 2 um in size (World Q). They also ask what is used it to eliminate particles in most terminal part of the bronchiole, the answer is cilia (World Q), because cilia line the entire portion of the lung, all the way to the most terminal portion.

I got these two mixed up earlier on a thread on SDN with another poster, it's organized in my head now.
 
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Type I cells a def not macrophages they are squamous cells that are super thin and line the alveoli and make up the blood air barrier if you will...


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Also club cells and Clara cells are the same thing (Clara cell is old term). They are not macrophages they are ciliated cells that secrete surfactant and are regenerative. They do detox stuff with p450 but ya not macrophages. The macrophages are called alveolar macrophages or dust cells and ya they do their macrophage duties.


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They are not macrophages they are ciliated cells that secrete surfactant and are regenerative
Looked it up again, Notes say "dust particles: less than 2 micrometers: ingested by macrophages (clara cells)". So they are ingested by macrophages I guess?

Type I cells a def not macrophages they are squamous cells that are super thin and line the alveoli and make up the blood air barrier if you will...
Notes say "pneumocytes: type 1: makes up 95% of macrophages (World Q: elastases are derived from this); aid with alveolar oxygen exchange, and phagocyte activity"
So they are macrophages..and have some other functions. I've gotten a practice question on this correct, so I am going to stick to this.
 
@worldbeater Can you summarize again what you are trying to say about Club cells ?

and cilia are till the end of respiratory bronchiole .Hope thats what you are saying .

Also club cells and Clara cells are the same thing (Clara cell is old term). They are not macrophages they are ciliated cells that secrete surfactant and are regenerative. They do detox stuff with p450 but ya not macrophages. The macrophages are called alveolar macrophages or dust cells and ya they do their macrophage duties.


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Thats what I know so far too .
type II pneumocytes are also regenerative and I thought they replaced lose type I and type II pneumocytes .
What do Club cells regenerate ?
 
So I just looked this up in a few of my texts (robins, big picture histology, etc). Found the following. Goblet cells are replaced in the later bronchiole by clara/club cells (non-ciliated bronchiolar secretory cells), tall dome-shaped cells containing secretary granules, which are unique to bronchioles. They secrete stuff that is protective of the bronchiolar epithelium and reduce the viscosity of surface mucus, degrade airborne toxins, and divid to regenerate ciliated and nonciliated cell of the bronchiolar epithelium. These continue down to the respiratory bronchioles. In the alveoli there are the following cells: 1. type I pneumocytes: these are super thin flattened cells. they present 10% of the cells in the lung but they cover about 97% of the surface. they are connected by tight junctions. They are squamous cells. 2. Type II pneumocytes- large cuboidal cells that secret surfactant. they have the multilamellar bodies. they cover 3-5% of the alveolar surface. they also divide and regenerate the type I pneumocytes. 3. alveolar macrophages: not part of the epithelium per se. they are derived of course from monocytes in the blood and are the most numerous cell in the lung. they are known as dust cells, because they trap inhaled particulates. they eventually migrate or are washed to bronchioles where they adhere to mucus and are carried to the mouth for disposal. There are multiple recent articles confirming that in fact "club cells" are the same as "clara cells." Name was changed as mentioned earlier because Clara was a Nazi and thus the name was changed to club cells. Hopefully that helps. As a clinical correlate in the flu the club cells have tryptase which can cleave the hemagluttinin of influenza A and activate allowing it to cause sx's and such.
 
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Clara cells are NOT ciliated, and their main functions are secreting surfactant components, detox and acting as reserve cells. They have absolutely nothing to do with clearance of debris. That is the job of alveolar macrophages, but only act as the very end of respiratory bronchioles.

I think it's easy to confuse "terminal bronchioles" as the very end of the airway because of the word terminal. But this area is still lined by cilia, which is the main mechanism of particle clearance.
 
Ya thanks for pointing that out, I think I said in my first post that they are ciliated but that's wrong as you pointed out (I was probably being sloppy and thinking cilia when I meant the microvilli). Good point with the terminal bronchioles, terminal are named as such because they are the terminal segment of the conductive airways and afterwards give rise to the respiratory airways, good point.


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Let's check the reading source:
@worldbeater Can you summarize again what you are trying to say about Club cells ?
Club cells = Clara cells = "dust cells". They are specialized macrophages that clear dust particles less than 2 micrometers in size, via phagocytosis (World Q)

They have absolutely nothing to do with clearance of debris
Sorry, I don't agree. What I wrote above is what is in my reading source and what I understand, and there is a World Q that says Clara cells use phagocytosis, so it's definitely clearing something.

and cilia are till the end of respiratory bronchiole .Hope thats what you are saying .
Correct. There is a World question that confirms this, the answer is "last to disappear".

type II pneumocytes are also regenerative and I thought they replaced lose type I and type II pneumocytes .
Correct. Type II function is produce surfactant and become Type I whenever necessary in alveoli. They compose 5% of all pneumocytes (Type I composes 95%). Type 2 can regenerate the alveolar lining following injury (World Q) and (-spoiler-NBME Q), the histology is epithelial cells that are cuboidal in shape.
 
Not related to this thread, but tryptase has the same function as histamine (World Q). Tricky question, just wanted to throw that out there.
@worldbeater what was the question regarding tryptase? I'm curious cause histamine is a signaling molecule and tryptase is of course a proteinase so I'm wondering what the underlying mech is/what is the overlapping function?


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what was the question regarding tryptase? I'm curious cause histamine is a signaling molecule and tryptase is of course a proteinase so I'm wondering what the underlying mech is/what is the overlapping function?
Let's look it up..it's ID # 2068. So this was an anaphylaxis reaction to cefazolin (1st generation cephalosporin), BP was 64/38, diastolic dropping severely, so we have an issue with volume, which can kill the patient. It was a type I hypersensitivity reaction.they were asking what will be found as a marker. I guess histamine (due to mast cell degranulation) and then looked down at the answers, it wasn't there. Guessed out of the choices, got it wrong. Answer was trypatase, which apparently is a marker for mast cell degranulation. 24% of people got it right, so difficult question.
 
Ah ya ok that makes sense, tryptase is also in mast cells as well as club cells. The other name for tryptase is something about being a mast cell marker (can't remember what it is exactly). Thanks for checking on they and sharing!


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