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Epithelium: What to Know

Medically Reviewed by Jabeen Begum, MD on September 01, 2022

The epithelium is a type of tissue that covers many different surfaces on the inside and the outside of your body. Epithelial cells are packed tightly together and serve as a barrier between the interior and the exterior of your body. You have countless epithelial cells throughout your body that make up what is known as the epithelium.

What Is the Epithelium?

The epithelium is a layer of cells that are bound together tightly to form sheets. These continuous sheets cover different surfaces of your body that can come into contact with foreign substances.

What are epithelial cells? These cells make up the main tissues in your body. They can be found everywhere throughout your body, so the epithelial cell location will determine its function. 

Almost all the organs that are covered in epithelium have unbroken sheets of epithelial cells. These cells work together to form a protective boundary. Heat, sensations, and gases all have to cross this boundary.

Epithelial cell types. Epithelial cells come in several shapes to form different types of epithelial membranes. These types include:

  • Columnar
  • Cubical
  • Squamous (flat)
  • Irregular 
  • Ciliated (hair-like)

Epithelial tissues can be just one cell thick or organized so that they have several layers.

What Does the Epithelium Do?

Since there are several different epithelial cell types, the epithelium performs several different essential functions. 

Wherever it is, though, the epithelium's main job is to provide protection from the outside world. This could include defense against physical, chemical, or biological damage. You can think of the epithelial cells as bodyguards. They decide what gets to enter by allowing materials to permeate the surface of the epithelium. Any substance that goes into your body has to cross the epithelium at some point.

Epithelial cell function can include a combination of these things:

  • Protection
  • Secretion
  • Absorption
  • Excretion
  • Filtration
  • Diffusion
  • Sensory reception

Some epithelial cells can adapt to act as sensory receptors. Some examples are taste buds and the lining of the nose, eyes, and ears.

Where Are Epithelial Cells Located?

Epithelial tissue is composed of embryonic layers. They form from ectoderm, mesoderm, and endoderm. Since they are made up of these materials, epithelial tissues line areas of the body like body cavities, skin, and organ surfaces.

Specific epithelial cell location depends on the type. For example:

  • Simple squamous: These cells form a thin, single layer that creates a membrane. They are found in the walls of your capillaries, along the linings of the alveoli in your lungs, and in the linings of the pericardium.
  • Simple columnar: These tall cells are packed together to form a row. You’ll find them in areas with high secretion volumes, like the stomach wall, or sites of absorption, like the small intestine. They have cellular extensions that are also found in other places, like the cilia along the female reproductive tract.
  • Simple cuboidal: These are wide, single-layer tissues that are also needed for secretion and absorption. These cells can be found in the ducts of the kidneys, salivary glands, and pancreas.
  • Pseudostratified: These are columnar epithelial cells that have different heights. They have hair-like extensions called cilia. These cells are found in airways, like the nose and bronchi, as well as the uterus and fallopian tubes.
  • Keratinized: These contain keratin, a tough, waterproof protein that helps to protect the body. It’s found in the skin and the lining of the esophagus.
  • Transitional: Found in stretchy tissues, this is sometimes called the urothelium since it’s present in the bladder, urethra, and ureters.

What Conditions Affect Epithelium?

Since the epithelium is your body’s main barrier system, it’s also the site of many common conditions and diseases. Even though the epithelium is constantly fighting toxins, infections, and transformation, it typically manages to keep itself relatively healthy. In turn, this keeps you healthy. The epithelium has its own mechanisms to maintain homeostasis, meaning it’s able to detect threats assess them, and respond to them.

There isn’t a specific sign that there could be something wrong with the epithelium, so you have to know the most common conditions that are associated with it.

Cancer. Since epithelial cells have a high turnover rate, the most common condition associated with epithelial tissues is cancer. If a tumor is benign, or non-cancerous, and is found in the epithelium, it is either an adenoma or papilloma. These are usually found on the skin or along the digestive tract. If these tumors spread past a certain membrane, they become malignant and are called carcinomas.

Adenocarcinomas commonly affect your organs since they affect the glandular tissue that surrounds them. Adenocarcinomas account for:

  • Most breast cancers
  • Almost all prostate cancers
  • 95% of pancreatic cancers
  • 96% of colorectal cancers
  • 40% of non-small-cell lung cancers

The other type, papillary thyroid carcinomas, is responsible for 80% of all thyroid cancers. These tumors can sometimes spread to the neck or lymph nodes but usually respond well to treatment.

Other conditions. In addition to certain types of cancers, some other disorders or conditions that can affect the epithelial tissues include:

How Can You Check on the Health of Your Epithelial Cells?

If you’re having symptoms of any of the conditions that are known to be associated with the epithelium, talk to your doctor. Your health care professional can ask for screenings or tests that check for these conditions.

  • Epithelial cells in urine test: Part of a urinalysis, this test counts the number of epithelial cells in your urine sample. A high number can indicate a problem like a urinary tract infection (UTI), kidney disease, or another serious condition.
  • Pap smear: Often part of a routine gynecological visit, this test checks for abnormal epithelial cells in the cervix that could potentially become cancerous.

Certain biopsies: Some biopsies look at epithelial cells if your doctor suspects you might have a type of cancer or condition that’s linked with the epithelium. These cells are removed from the part of your body in question and analyzed for abnormalities.

Show Sources

SOURCES:

Arizona State University: “Epithelial Cells.”

Britannica: “epithelium.”

Cleveland Clinic: “Epithelium.”

Davidson College Biology Department: “Epithelial Cells.”

LibreTexts: “Types of Epithelial Tissue.”

MedlinePlus: “Epithelial Cells in Urine.”

National Library of Medicine: “Histology, Epithelial Cell.”

Oregon State University: “Epithelial Tissue.”

Osmosis: “Epithelial Tissue.”

Southern Illinois University Carbondale: “Epithelium Study Guide.”

The University of Queensland: “Epithelial homeostasis in health and disease.”

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