CorpusHuman Anatomy

Body membranes

Tunicae

Also known as: mucous membrane, mucosa, serous membrane, serosa, synovial membrane, cutaneous membrane, mesothelium

Sheets of tissue that cover or line body surfaces and cavities: mucous membranes (open to the exterior), serous membranes (closed body cavities), synovial membranes (joint cavities) and the cutaneous membrane (skin).

Overview

Mucous membranes (mucosae) line tracts that open to the exterior — digestive, respiratory, urinary and reproductive. They consist of an epithelium (varying by site: stratified squamous in the mouth and oesophagus, simple columnar in the stomach and intestine, pseudostratified ciliated in the airways, urothelium in the bladder) over a loose connective-tissue lamina propria, and in the gut a thin muscularis mucosae. They are kept moist by mucus from goblet cells and glands, and contain abundant lymphoid tissue (MALT).

Serous membranes (serosae) line closed body cavities and cover the organs within them: the pleura (lungs), pericardium (heart) and peritoneum (abdominal and pelvic viscera). Each has a parietal layer lining the cavity wall and a visceral layer on the organ, continuous with each other, enclosing a potential space with a few millilitres of lubricating serous fluid. Histologically they are a simple squamous epithelium — mesothelium — on a thin areolar connective-tissue layer.

Synovial membranes line the cavities of synovial joints, bursae and tendon sheaths. They have no true epithelium: an intimal layer of macrophage-like (type A) and fibroblast-like (type B) synoviocytes — the latter secreting hyaluronan and lubricin into synovial fluid — over a vascular subintima. The cutaneous membrane is the skin — keratinised stratified squamous epidermis over dense irregular dermis — the only dry membrane.

Parts & subdivisions

  1. Mucous membrane
    Epithelium + lamina propria (± muscularis mucosae); lines open tracts.
  2. Mesothelium + areolar tissue; parietal and visceral layers.
  3. Synovial membrane
    Synoviocytes over loose/adipose connective tissue; no epithelium.
  4. The skin.

Function

  • Protection and barrier functions.
  • Secretion of mucus, serous fluid or synovial fluid for lubrication.
  • Absorption (mucosae) and immune defence (MALT).
  • Allow friction-free movement of organs and joints.

Clinical significance

Serositis and effusions

Inflammation causes pleurisy, pericarditis or peritonitis (sharp pain, friction rub); fluid accumulation produces pleural effusion, pericardial effusion (tamponade) or ascites. Serositis is a feature of SLE and familial Mediterranean fever.

Mesothelioma

Malignant tumour of mesothelium, strongly associated with asbestos exposure, latency of decades; most often pleural.

Synovitis

In rheumatoid arthritis the synovium proliferates into an inflammatory pannus that erodes cartilage and bone.

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