CorpusHuman Anatomy

Cytoplasmic inclusions

Inclusiones cytoplasmicae

Also known as: inclusions, glycogen granules, lipid droplet, lipofuscin, haemosiderin, paraplasm

Stored or accumulated materials in the cytoplasm — glycogen, lipid droplets, pigments and crystals — that are not metabolically active organelles.

The Eukaryotic Cell

Overview

Inclusions are cytoplasmic accumulations of metabolic products or stored substances, usually not bounded by a lipid bilayer. Glycogen forms 20–30 nm β-particles (assembled into larger α-rosettes in hepatocytes), abundant in liver and muscle; it stains magenta with PAS and is removed by diastase. Lipid droplets store triacylglycerols and cholesteryl esters inside a phospholipid monolayer coated with perilipins; they are dissolved by routine paraffin processing, leaving empty vacuoles, but can be stained with Oil Red O or Sudan dyes on frozen sections.

Pigments include lipofuscin — a yellow-brown "wear-and-tear" pigment of oxidised lipid and protein in residual bodies, accumulating with age in neurons, cardiac myocytes and hepatocytes; melanin in melanocytes, keratinocytes, retinal pigment epithelium and (as neuromelanin) the substantia nigra; and haemosiderin, golden-brown aggregates of ferritin-derived iron in macrophages, stained blue by Perls' Prussian blue. Crystals occur in a few cells, e.g. the Reinke crystals of Leydig cells.

Parts & subdivisions

  1. Glycogen
    Glucose storage polymer; PAS-positive, diastase-sensitive.
  2. Lipid droplets
    Neutral-lipid stores bounded by a phospholipid monolayer; the bulk of white adipocytes.
  3. Lipofuscin
    Indigestible residues in residual bodies; marker of cellular ageing.
  4. Pigment synthesised in melanosomes of melanocytes.
  5. Haemosiderin
    Iron storage aggregate; Prussian-blue positive.

Function

  • Energy storage (glycogen, triglyceride).
  • Pigmentation and photoprotection (melanin).
  • Iron storage (ferritin/haemosiderin).

Clinical significance

Hepatic steatosis

Accumulation of lipid droplets in hepatocytes from alcohol, obesity/insulin resistance (metabolic dysfunction-associated steatotic liver disease) or toxins; may progress to steatohepatitis and cirrhosis.

Haemochromatosis and haemosiderosis

Systemic iron overload deposits haemosiderin in liver, pancreas, heart, joints and skin ("bronze diabetes").

Brown atrophy

Atrophic organs of elderly people (heart, liver) appear brown because of accumulated lipofuscin.

Compiled from standard anatomy and physiology references — see the Cells & Tissues sources. For education only; not medical advice.