Tubuloacinar gland

Submandibular gland · H&E

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Submandibular gland, H&E, overview: lobules, striated ducts, interlobular duct
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Overview Overview: glandular lobules with numerous eosinophilic striated ducts, separated by loose septa; within the septa a wide interlobular duct and blood vessels. Micrograph: © AnatomyProf

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This is a mixed gland: a seromucous gland. This means that you find more serous than mucous glandular units, which can be seen here from the end pieces. A demilune and an excretory duct are also visible. The ducts are divided into intercalated ducts and striated ducts (larger lumen).

The submandibular gland is a compound (branched) tubuloacinar gland: serous acini and mucous tubules drain into a branched duct system of intercalated ducts, striated ducts and interlobular excretory ducts. Connective tissue septa divide the organ into lobules. Its well-developed, eosinophilic striated ducts make it a textbook specimen.

How to recognise it

  • Mixed gland: mainly serous acini with pale mucous tubules in between
  • Serous demilunes on mucous end pieces
  • Numerous eosinophilic striated ducts with a round lumen
  • Lobulation by connective tissue septa
  • Interlobular excretory ducts within the septa

Structure

Serous end pieces (acini) are round with a very narrow lumen; their pyramidal cells have a round, basal nucleus and basophilic cytoplasm with apical granules. Mucous end pieces are tubular with a wide lumen; their cells look pale and foamy, with the nucleus flattened against the base. Serous cells sitting like a cap on a mucous tubule form the serous demilune (demilune of von Ebner/Giannuzzi). Myoepithelial cells embrace the end pieces. The duct system begins with short intercalated ducts (flat to cuboidal epithelium), followed by long striated ducts with tall columnar, strongly eosinophilic epithelium and basal striations, and drains into interlobular ducts within the septa.

Function

The submandibular gland produces most of the saliva at rest. Serous cells form a watery, enzyme-rich secretion (including α-amylase and lysozyme), mucous cells a viscous, mucin-containing mucus. The end pieces produce a primary saliva isotonic with plasma. The striated ducts reabsorb Na⁺ and Cl⁻ and secrete K⁺ and HCO₃⁻; the basal striations correspond to infoldings of the plasma membrane with numerous mitochondria that power this active transport. As a result, the saliva becomes hypotonic. Myoepithelial cells squeeze the secretion out of the end pieces.

Microscopy tips

In the overview you can see lobules separated by pale connective tissue septa. Then look for the mixture: small, dark serous acini predominate, with pale mucous tubules in between. The striated ducts stand out within the lobules as pink, ring-shaped cross-sections with a round lumen – they are particularly numerous in the submandibular gland. At high magnification look for the crescent-shaped cap of dark serous cells on mucous tubules. Differential diagnosis: the parotid is purely serous, the sublingual gland mainly mucous with few striated ducts; the pancreas has no striated ducts but has islets of Langerhans.

Clinical relevance

The long, ascending excretory duct (submandibular duct) and the more viscous, calcium-rich saliva explain why salivary stones (sialolithiasis) form most often in the submandibular gland. A painful swelling during meals is typical. In Sjögren's syndrome, lymphocytic inflammation destroys the end pieces and causes a dry mouth. Salivary gland tumours such as pleomorphic adenoma can also occur here. When the gland is removed surgically, the closely related marginal mandibular branch of the facial nerve is at risk.

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