Mucosa

What is mucosa?

Mucosa is another name for mucous membrane. Mucosa lines the insides of organs and cavities throughout your body that are exposed to particles from the outside. The mucous membrane lubricates and protects these organs and cavities from abrasive particles and bodily fluids, as well as invasive pathogens. You have more than 200 times more mucosa than skin, making it your body’s largest protective barrier. It’s also involved in absorption, especially in the gastrointestinal tract, where it plays a role in digestion.

What is mucosa composed of?

Mucosa has three layers:

Epithelium

The epithelial layer is the surface layer of the mucosa. Epithelial cells secrete a thick, gel-like mucus that protects your body from irritants and gives the mucosa its name. These cells arrange themselves in different ways to suit different parts of your body. There may be one or several layers of cells, and they may be stacked in columns or laid like bricks. They also have a high cell turnover rate, replacing themselves often while clearing out invasive particles. Some have tiny hairs called cilia, which help remove foreign substances.

Lamina propria

The epithelium attaches to a loose connective tissue called the lamina propria. This is the middle layer of the mucosa. The lamina propria is composed of structural protein molecules, nerves and veins. It carries blood supply to the epithelium while holding the cells in place and binding them to the smooth muscle below. Its nerves respond to muscle fluctuations by squeezing and stretching to change the shape of the epithelium as needed. It also hosts a variety of immune cells that seek out and destroy pathogens.

Muscularis mucosae

The deepest layer of the mucosa is the muscularis mucosae, a layer of smooth muscle. It varies in thickness throughout the digestive tract and is most active in your stomach. The muscularis mucosae appears to provide a perpetual motor function that keeps the mucosa in flux. This may help the mucosa to stretch and contract along with the various organs of the digestive system as they do their jobs. It may also help the mucosa perform its cleansing functions by keeping the hair-like cilia on the surface in motion.

What is the function of mucosa in the body?

The mucosa functions primarily as part of your body’s immune system. It provides a barrier against foreign particles, captures them in its sticky mucus and clears them out. Immune cells and natural antibiotics in the mucus defend against pathogens, while the lubrication defends against injury. In your stomach and bladder, the mucosa protects from the abrasive effects of your body’s own stomach acid and urine. In your uterus, the mucosa (called the endometrium) thickens to protect new eggs and sheds to clear out unfertilized eggs.

In some places, the mucosa also absorbs. For example, it helps break down odors in your nose and nutrients in your digestive system.

Where is mucosa found in the body?

Mucous membranes are found throughout your body, in your digestive system, respiratory system and reproductive systems, as well as your sensory organs.

Body cavities with mucous membranes include your:

• Nostrils.
• Mouth.
• Throat.
• Ears.
• Genitals.
• Anus.

Hollow organs with mucosa include your:

• Esophagus.
• Lungs.
• Stomach.
• Intestines.
• Bladder.
• Uterus.

What conditions or disorders affect the mucosa?

The mucosa is designed to defend against abrasion and infection, but sometimes things can breach its defenses. Viruses, fungi and bacteria can cause mucosal disease in your mouth and genitals, and sometimes your gastrointestinal tract.

Infectious mucosal diseases include:

• Oral and genital herpes.
• Oral thrush and genital yeast infections.
• Genital and oral lichen planus.
• Oral bullous pemphigoid.
• Oral pemphigus.
• Mouth sores.
• Mononucleosis.
• Oropharyngeal HPV infection.
• Hand, foot and mouth disease.
• H. pylori infection.

When something breaches your mucosa, it produces an immune response. This is what happens when your respiratory system produces extra mucus to fight a cold or an allergen. It’s also what’s happening when your organs become inflamed. Inflammation is a healthy response to infection and injury, but it can produce uncomfortable symptoms.

Inflammatory conditions of the mucosa include:

• Gastritis.
• Cystitis.
• Cervicitis.
• Cholecystitis.
• Esophagitis.
• Bronchitis.
• Sinusitis.
• Gastroenteritis.
• Proctitis.
• Zollinger-Ellison syndrome.
• Peptic ulcer disease.
• Asthma.
• Leukoplakia.

Sometimes autoimmune diseases produce an inappropriate immune response in the mucosa. They cause your body to attack healthy cells as pathogens, leading to chronic inflammation. Examples affecting the mucosa include:

• Celiac disease.
• Inflammatory bowel diseases.
• Behcet’s disease.
• Autoimmune pancreatitis.
• Autoimmune hepatitis.

If inflammation continues for a long time, it may begin to cause fibrosis, a kind of scarring of the tissue. This is also called tissue remodeling. Remodeling of the mucosa is associated with several progressive conditions, including:

• Barrett’s esophagus.
• Eosinophilic Esophagitis.
• Intestinal metaplasia.
• Ménétrier’s disease.
• Crohn’s disease.
• Sarcoidosis.

Sometimes the mucosa produces abnormal tissue growths as a result of inflammation and tissue remodeling, malignancy or other factors. Abnormal tissue growths, called polyps, are usually benign, but sometimes they're precancerous.

Polyps in the mucosa include:

• Stomach polyps.
• Uterine polyps.
• Colorectal polyps.
• Gallbladder polyps.
• Nasal polyps.
• Cervical polyps.

Other diseases can cause the mucosa to malfunction in some way.

Diseases that cause your mucosa to malfunction include:

• Endometriosis: a disease that causes the uterine mucosa to grow outside of your uterus.
• Cystic fibrosis: a disease that causes your respiratory mucosa to thicken and clog airways.
• Sjogren’s syndrome: an autoimmune disease that attacks the mucus-secreting glands in your mucosa, leading to dryness.
• Rectal prolapse: a disease in which the mucous lining of the rectum slips out of your anus.

How can I protect my mucous membranes?

When everything is functioning as it should, your mucous membranes protect you, providing a first line of defense against infection and abrasion. But chronic, persistent inflammation can begin to break down this protective barrier and overspend the immune cells in your mucosa, leaving your immune system weaker. To protect your mucosa, take care of chronic inflammatory conditions if you can.

A note from Cleveland Clinic

Mucous membranes exist all over your body, lining your body’s canals as well as many of its internal organs. The mucosa is designed to protect these organs and canals from external and internal irritants. It does this with its physical defense barrier and lubricating mucus, and also with inflammatory cells that attack pathogens and help heal injured tissue. Inflammation is an important part of your mucosa’s immune response, but chronic inflammation can wear it down and cause abnormal tissue growth. If you have symptoms of chronic inflammation, consult your healthcare provider about how you can reduce it.