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Lect 03 - Connective Tissue - General 8 Types of Surface Epithelium Structure & Function Lect # 3 Type General Connective Tissue & Muscle Feature Example 3 Simple Types Prof Kumlesh K. Dev Department of Physiology 1. Squamous Diffusion Blood vessels 2. Cuboidal Synthesis of hormones Thyroid gland 3. Columnar Digestion, absorption, lubrication Small intestine 4. Squamous (+/- Keratin) Protection Skin 5 Cuboidal 5. Saliva Salivary gland 6. Columnar Saliva Salivary duct 7. Pseudostratified columnar Airways Trachea 8. Transitional epithelium Distention Bladder 3 Stratified Types SKELETAL CARTILAGE GENERAL BONE CELLS FLUID BLOOD FIBRES LYMPH GROUND SUBSTANCE Cell Memb. Specialisations of Epithelium Type 2 Special Types Skeletal Muscle: summary Functions Basal Surface 1. Basement membrane anchors epithelial cells to underlying tissue Free surface 1. Keratin protective 2. Cilia increase surface area & particle movement 3. Microvilli increase surface area & particle movement Intercellular junctions 1. Tight junction cell-cell contacts (virtually impermeable to fluid) 2. Adherent junction cell-cell contacts 3. Gap junction permit passage of ions & molecules between cells 4. Desmosome cell-cell contacts 1 Lect 03 - Connective Tissue - General Comparing Synapses Nerve - Nerve Synapse Neuromuscular Junction ¾ nerve-nerve synapse smaller than h a NMJ with i h a narrower synaptic cleft ¾ NMJ is larger than a nervenerve synapse with i h a wider id synaptic cleft ¾ smooth postsynaptic membrane gives small surface area ¾ folds of postsynaptic membrane gives larger surface area ¾ may be excitatory or inhibitory ¾ the NMJ is always excitatory ¾ numerous transmitter substances ¾ only one transmitter – Acetylcholine ¾ potential is lower - always subthreshold ¾ potential is higher - always suprathreshold ¾ summation needed ¾ no summation needed Four Tissue Types 1. Epithelial tissue – – 2. Muscle (excitable) tissue – – – General Properties Components (cells and fibres in a matrix) ─ Cells ─ Matrix ─ Fibres ─ Classification ─ Specialised Connective Tissues ─ Cartilage ─ Bone ─ Blood Skeletal (striated) muscle Smooth muscle Cardiac muscle 3. Nervous (excitable) tissue – – Brain Spinal cord 4. Connective tissue (cells, fibres, matrix) – – – – Outline ─ ─ Lining/barrier of secretory Skin and mucous membranes Loose connective tissue Dense fibrous tissue (Capsule, Ligament, Tendon) Cartilage & Bone Blood (originate from bone marrow) Functions of Connective Tissue ─ structural framework ─ transports fluids and dissolved materials ─ stores lipids ─ protects organs ─ defends body from pathogens 2 Lect 03 - Connective Tissue - General Specialised Connective Tissue Lect 4 SKELETAL Lect 3 GENERAL Lect 5 Connective Tissue Components FLUID ‘cells and fibres in a matrix’ CARTILAGE BONE CELLS Mesenchymal cells Fibroblasts Adipocytes (fat cells) Immune cells - Macrophages - Mast cells - Plasma cells - Lymphocyte - Monocyte BLOOD FIBRES CELLS LYMPH Mesenchymal cells Collagen Fibroblasts Elastin Adipocytes (fat cells) Immune cells - Macrophages/Monocyte - Mast cells - B cells/Plasma cells - Lymphocyte GROUND SUBSTANCE Collagen Elastin Inter-relationship of Connective Tissue Cells ─ one ancestor (mesenchymal stem cell) ─ diversity of form/function ─ interchange possible FIBRES 7 Cells of Connective Tissue Type Function 1. Mesenchymal stem cells (MSCs) differentiate into other cells 2. Fibroblasts synthesis extracellular matrix; wound healing 3. Adipocytes (fat cells) store and metabolise fat 4. Macrophages (Histiocytes) phagocytic, innate immune cell 5. Mast Cells histamine reactions; innate immune cell 6. B cells/Plasma Cells make antibodies; adaptive immune cell 7. T Cells major immune cell; adaptive immune cell 3 Lect 03 - Connective Tissue - General 1. Mesenchymal stem cells (MSCs) Mesenchymal cells Fibroblasts Adipocytes (fat cells) Immune cells - Macrophage/Monocyte - Mast M cells ll - B cells/Plasma cells - Lymphocyte ─ originate in mesoderm germ layer in embryo ─ unattached to each other, allowing them to migrate ─ are multipotent ─ can differentiate into all other cells in connective tissue ─ synthesise extracellular matrix i.e. secrete components (GAGs, collagen, elastin, ground substance) ─ transform into myofibroblasts to provide contraction of wound 3. Adipocytes (fat cells) ─ insulate (slow heat loss) ─ can differentiate into other cells Mesenchymal cells Fibroblasts Adipocytes (fat cells) Immune cells - Macrophage/Monocyte - Mast M cells ll - B cells/Plasma cells - Lymphocyte ─ role in wound healing i.e. secrete collagenous matrix (scar tissue) ─ potential for cell replacement therapy ─ store & metabolise fat (lipid) ─ most abundant cell in connective tissue ─ structural framework of many tissues ─ obtained from bone marrow ─ develop from fibroblasts 2. Fibroblasts 4. Macrophages/Monocytes (Histiocytes) Mesenchymal cells Fibroblasts Adipocytes (fat cells) Immune cells - Macrophage/Monocyte - Mast M cells ll - B cells/Plasma cells - Lymphocyte ─ support and protect organs ─ contain large lipid droplets (TAG) ─ these lipid droplets push cytoplasm to edge of cell ─ clustered in adipose tissue or single cells in areolar tissue ─ mature adipocytes cannot divide white adipose Macrophages (innate immune system) ─ about 21 microns in diameter ─ activated macrophages fuse: multinucleate giant cells ─ phagocytic ─ scavenge foreign materials (bacteria, debris…) RBC ─ have lysosomes for degradation bacteria ─ last months, digest 100’s bacteria before they die ─ present pathogen antigens at their cell surface to T cells (elicit an adaptive immune response) ─ fixed macrophages found at strategic points Role in disease ─ role in atherosclerotic deposits ─ destroy influenza infected throat cells ─ HIV virus replication occurs in macrophages ─ they release growth factors (tumor cell proliferation) ─ the plague pathogen was resistant to phagocytosis ─ leprosy & tuberculosis resistant to lysosomal degradation ─ Disorders: Granuloma; Macrophage Activation Syndrome; Multicentric reticulohistiocytosis Mesenchymal cells Fibroblasts Adipocytes (fat cells) Immune cells - Macrophage/Monocyte - Mast M cells ll - B cells/Plasma cells - Lymphocyte Fixed Macrophages 1. Dust/Alveolar type (lungs) 2. Histiocytes (connective tissue) 3. Kupffer cells (liver) 4. Microglial cells (nervous) 5. Osteoclasts (bone) 6. Sinusoidal lining cells (spleen) 4 Lect 03 - Connective Tissue - General 5. Mast Cells 6. B cells/Plasma Cells Mast cells (innate immune system) ─ similar to basophils ─ 2 types: connective tissue & mucosal mast cells ─ present in skin, skin mucosa of lungs lungs, gut gut, mouth mouth, nose ─ express Fc receptor, binds IgE (made by B-cells), which bind allergens ─ stimulates release of histamine and heparin ─ histamine dilates venules, activates endothelium, and increases blood vessel permeability ─ causes edema (swelling), warmth, redness, attracts Fc receptor inflammatory cells, activates nerves (itching & pain) expressed on Role in disease ─ Asthma, eczema, itch, rhinitis allergies ─ Antihistamines block histamine receptors on nerves ─ Also have inhibitors of histamine release Anaphylaxis - allergens (nuts, stings) cause body-wide degranulation, vasodilation and shock mast cells Mesenchymal cells Fibroblasts Adipocytes (fat cells) Immune cells - Macrophage/Monocyte - Mast M cells ll - B cells/Plasma cells - Lymphocyte Pathogen enters tissue IgE production by B-cells B cells Mesenchymal cells Fibroblasts Adipocytes (fat cells) Immune cells - Macrophage/Monocyte - Mast M cells ll - B cells/Plasma cells - Lymphocyte B-cells (adaptive immune system) Activation of B-cells ─ 1. B cells produce ‘immunoglobulin-receptors’ that are inserted on surface membrane ─ 2. antigens bind to receptors & induce B-cell differentiation into plasma and memory cells ─ 3. memory cells are long lived and allow quick attack against same antigen (explains vaccination principle) – (ie adaptive) Plasma cells produce antibodies ─ plasma cells produce antibodies specific for antigens ─ plasma cells not usually found in blood but in tissues – lymph nodes, spleen, intestine, etc. Function of antibodies Histamine release Arthritis, multiple sclerosis - autoimmune diseases ─ block entry of viruses by binding viral surface ─ coat antigen on pathogens and facilitate phagocytosis by macrophages PLASMA CELL IN BONE MARROW with large granular nucleus Specialised Connective Tissue 7. T cells (Lymphocytes) - 6-9µm diameter, makes up 20-50% of WBCs Lect 4 Four types of T-cells - Helper T cells (Th) – secrete interleukins to activate B cell, cytotoxic T cell & macrophage - Cytotoxic T cells (Tc) – kill virus infected cells & some cancer cells - Suppressor T cells (Ts) – suppress response to self antigens - Memory T cells – long lived activated T cells that remain for subsequent activation (i.e. adaptive) CARTILAGE T-cell moving toward a chemical gradient Activation of T-cells • Antigen presenting cells (APC) • infected macrophage • B-cell • dendritic cell • tumor cell • digested foreign material is presented at the cell surface attached MHC (major histocompatibility complex) ‘immune synapse’ • T cell expressing T-cell receptor (TCR) binds antigen-MHC complex to become activated SKELETAL (cells talk via receptors) Lect 3 GENERAL BONE CELLS Mesenchymal cells Fibroblasts Adipocytes (fat cells) Immune cells - Macrophages - Mast cells - Plasma cells - Lymphocyte - Monocyte Lect 5 FLUID BLOOD FIBRES LYMPH GROUND SUBSTANCE Collagen Elastin 5 Lect 03 - Connective Tissue - General Fibres and Matrix Collagen ─ makes long straight fibres ─ flexible and strong ─ 3 types yp ((chemically y similar)) ─ Collagen ─ Elastic ─ Reticular ─ most common fibre in connective tissue ─ found in skin, tendons, ligaments, bone and organs Fibroblasts ─ All synthesised by fibroblasts ─ also synthesise matrix (glycoproteins and water content variable) synthesise collagen g p proteins aggregate EM of type I collagen tropo-collagen assemble collagen microfibrils fibres form collagen bundles Elastin and Fibrillin Nine Connective Fibre Related Diseases Type Function Collagen tumors 1. Fibosarcoma ─ formed by fibroblasts proliferating fibroblast tumor Systematic disorders ─ branched and wavy 2. Systemic lupus Erythematosus (SLE) autoimmunity against connective tissue ─ can stretch and recoil Inherited disorders ─ found in skin, lungs and 3. Ehlers–Danlos syndrome 4. Osteogenesis Imperfecta 5 M 5. Marfan f syndrome d 6. William’s syndrome 7. Cutis laxa blood vessels mutation in gene coding collagen mutation in collagen synthesis mutation t ti in i gene coding di fib fibrillin illi deletion of gene coding elastin mutation in gene coding elastin Dysfunctional collagen synthesis 9. Keloid Hypertrophy collagen hypergrowth on scars elastin 6 Lect 03 - Connective Tissue - General Fibrosarcoma (tumor) SLE (Lupus) auto-immune CT disease ─ immune system self-attacks connective cells in heart, joints, skin, lungs, blood vessels, liver, kidneys, and nervous system ─ excess deposition of martix components (i.e. collagen) by proliferating fibroblasts ─ more likely in women than in men and in non-Europeans ─ overgrowth of tissues ─ good survival rate 95% (5yr), 90% (10yr) and 78% (20yr) ─ starts between ages of 15 – 50 ─ malignant tumors and some diseases (pulmonary fibrosis, liver cirrhosis, cardiovascular fibrosis) can lead to organ failure and death Fibroblast surrounded by collagen matrix. Inherited disorders (collagen) EHLERS-DANLOS SYNDROME OSTEOGENESIS IMPERFECTA ─ mutation gene coding collagen ─ mutation in collagen synthesis ─ hypermobility of joints ─ affects skeleton ears & eyes 95% 90% 81% 90% 74% 71% 50% 45% 30% 27% 17% 15% 12% Achy joints (arthralgia) Fever over 38ºC Prolonged or extreme fatigue Arthritis (swollen joints) Skin Rashes Anaemia Kidney Involvement Chest Pain on deep breathing (pleurisy) Sun or light sensitivity (photosensitivity) Hair loss Raynaud's phenomenon (fingers blue) Seizures Mouth or nose ulcers. Marfan Syndrome (fibrillin) ─ mutation in gene coding fibrillin ─ affects eyesight, lungs, heart and skeleton ─ ‘brittle bone disease’ 7 Lect 03 - Connective Tissue - General Mutations in elastin WILLIAM’S SYNDROME Synthesis abnormalities (collagen) KELOID HYPERTROPHY CUTIS LAXA ─ rare neurodevelopmental disorder ─ mutation in elastic fibers ─ distinctive, cheerful manner & ease comprising the dermis with strangers ─ skin hangs loosely in folds ─ deletion ~26 genes on chromosome 7 ─ deletion elastin associated with connective-tissue issues ─ overgrowth of collagen at site of healed skin injury Specialised Connective Tissue Lect 4 SKELETAL CARTILAGE Lect 3 GENERAL BONE CELLS Mesenchymal cells Fibroblasts Adipocytes (fat cells) Immune cells - Macrophages - Mast cells - Plasma cells - Lymphocyte - Monocyte Lect 5 FLUID BLOOD FIBRES Collagen Elastin LYMPH GROUND SUBSTANCE Ground Substance ─ ─ ─ ─ gel-like extracellular matrix adds strength and stiffness fills spaces between cells and fibers delays spread of infection Ground Substance Contains: 1. Water (and salts) 2. Glycosaminoglycans (GAGs) ─ polysaccharides, made of sugars ─ many types: chondroitin sulphate; hyaluran… 3. Proteoglycan molecules ─ heavily glycosylated ‘glycoprotein’ ─ consist of core protein with covalently bound GAGs ─ form aggregates to make up ground substance ─ proteoglycans contain carboxyl and sulphate groups that bind water giving gelatinous property to matrix 8 Lect 03 - Connective Tissue - General Classification of Connective Tissues ─ Function: to withstand longitudinal stress ─ Location: between muscle and bone ─ Structure: bundles of collagen fibres fibres. ─ Proportion of fibres ─ Low — Loose (dermis, white fat, brown fat) ─ High — Dense (also many fibroblasts and collagen) ─ Arrangement g of fibres ─ Regular (parallel fibers): Tendons and Ligaments ─ Ligaments: collagenous bands that stabilise joints ─ Tendons: provide connections between muscles & bones ─ Irregular (random meshwork of fibres): Capsule Loose Connective Tissue: Dermis Dermis (Areolar Tissue) ─ Loosely irregular organised cells and fibres ─ Separates skin from deeper structures (‘Areolar’, clear) Functions ─ Protects body organs ─ Holds organs in place ─ Water, salt, nutrition reservoir ─ Extensive blood supply ─ Nutrition ─ Differentiation e.g. Epidermal Loose Connective Tissue: Fat White Adipose (energy store) ─ One droplet of fat (unilocular) ─ Distribution: general, general esp esp. subcutaneous, e.g. buttocks, breasts, abdomen ─ Role: Insulation, shock absorption Brown Adipose (body heat) ─ Manyy droplets p – multilocular ─ Distribution: pericardial, peri-renal, interscapular ─ Role: in hibernators, stores energy in fat Skin — lamina propria Learning Outcomes – (Lesson 7) To be able to: 1. 2 2. 3. 4. 5. state the general functions of CT state the names and properties of the principal CT fibres and cells outline the role of the matrix in conferring properties of CT explain the morphological classification of CT relate structure to function of the different types of CT 6. 7. 8. 9. 10. 11. 12. 13. explain the inter-relatedness of all CT cells. describe morphological/functional classification of types of connective tissue list components of CT (cell types, fibres, matrix) and their functions outline the role of the matrix in conferring differing properties of CT recognise the inter-relatedness of all CT cells (incl. Blood) define types and appearance of adipose tissue in sections (BAT, WAT) define 3 types of cartilage and mechanisms of cartilage growth explain effect of vitamin C deficiency and lupus in terms of CT lesions. 9