Basal lamina

The basal lamina is a layer of extracellular matrix secreted by the epithelial cells, on which the epithelium sits. It is often incorrectly referred to as the basement membrane, though it does constitute a portion of the basement membrane. The basal lamina is visible only with the electron microscope, where it appears as an electron-dense layer that is 20–100 nm thick (with some exceptions that are thicker, such as basal lamina in lung alveoli and renal glomeruli).

Structure
The layers of the basal lamina ("BL") and those of the basement membrane ("BM") are described below:

Anchoring fibrils composed of type VII collagen extend from the basal lamina into the underlying reticular lamina and loop around collagen bundles. Although found beneath all basal laminae, they are especially numerous in stratified squamous cells of the skin.

These layers should not be confused with the lamina propria, which is found outside the basal lamina.

Basement membrane
The basement membrane is visible under light microscopy. Electron microscopy shows that the basement membrane consists of three layers: the lamina lucida (electron-lucent), lamina densa (electron-dense), and lamina fibro-reticularis (electron-lucent).

The lamina densa was formerly called the “basal lamina”. The terms “basal lamina” and “basement membrane” were often used interchangeably, until it was realised that all three layers seen with the electron microscope constituted the single layer seen with the light microscope. This has led to considerable terminological confusion; if used, the term “basal lamina” should be confined to its meaning as lamina densa.

Some theorize that the lamina lucida is an artifact created when preparing the tissue, and that the lamina lucida is therefore equal to the lamina densa in vivo.

The term "basal lamina" is usually used with electron microscopy, while the term "basement membrane" is usually used with light microscopy.

Examples of basement membranes include:
 * Basilar membrane
 * Bruch's membrane
 * Descemet's membrane
 * Glomerular basement membrane

The glomerular basement membrane is a special case, consisting of a fusion of the podocyte and endothelial basal laminas, and lacking a lamina reticularis. Thus, it consists of an especially thick lamina densa, sandwiched on its inside and outside by layers of lamina lucida / rara (one from each cell type). These two enveloping layers are often referred to as lamina rara externa and lamina rara interna.

Function
The basal lamina is made and maintained by the cells that sit on it. It acts as a point of attachment for cells. However, it can also have other function such as a permeability barrier in the glomerulus (urine production). Some of the matrix molecules (of the basal lamina) mediate synaptic adhesion in neuromuscular synapses.

Alport syndrome is a genetic disorder resulting from mutations in the COL4A3/4/5 genes. These genes are important in collagen IV synthesis and basement membrane formation. In individuals with this syndrome the basement membrane in structures such as the glomerulus, ears, and eyes does not function properly, causing symptoms such as blood in the urine, loss of hearing, and vision problems.