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Block Connective Tissue

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    Connective TissueDr. Jan Tambayong, PHK

    Histologi FK-UPH

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    Connective Tissue

    Connective tissue is formed by 3 classes

    of components:

    1. cells

    2. fibers

    3. ground substance

    The major constituent of connective tissue

    is the extracellular matrix.

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    Cells of the connective tissue

    Fibroblasts

    Synthesize fibers and ground substance

    The most common cell in connective tissue

    Two stages of activity: active & quiescent Active fibroblast: abundant and irregularly branched

    cytoplasm. Its nucleus is ovoid, large, and pale-

    staining, with fine chromatin and a prominent

    nucleolus. Quiescent fibroblast (Fibrocyte) is smaller, tends to be

    spindle-shaped, a smaller, darker, elongated nucleus.

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    Fibroblast dan fibrocyte

    Fibroblast

    Branched cytoplasm

    Large, oval nucleus,

    with fine chromatin

    Fibrocyte

    Spindle-shaped

    Smaller, darker,

    elongated nucleus

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    Connective cell lineage

    Simplified representation of theconnective tissue cell lineagederived from the multipotentialembryonic mesenchyme cell.

    Dotted arrows indicate thatintermediate cell types existbetween the examplesillustrated. Note that the cellsare not drawn in proportion toactual sizes, eg, adipocyte,

    megakaryocyte, and osteoclastcells are significantly largerthan the other cells illustrated

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    Macrophages and Mononuclear Phagocyte

    System

    Phagocytic ability

    Morphologic feature: correspond to their

    state of functional activity and to the tissue

    they inhabit.

    Oval, kidney-shaped, or indented nucleus,

    with coarser chromatin granules than that

    of fibroblasts

    Cytoplasm: vacuolated or granulated

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    Macrophages and Mononuclear Phagocyte

    System

    Macrophages derive from bone marrowprecursor cells that divide, producing monocytesthat circulate in the blood. Monocytes can crossthe walls of venules and capillaries to penetratethe connective tissue, where they mature andbecome macrophages.

    Macrophages, which are distributed throughoutthe body, are present in most organs andconstitute the mononuclear phagocyte system(Kupffer cells, microglial cells, Langerhans cells,osteoclasts).

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    Mast cells

    Oval to round connective tissue cells

    Cytoplasm is filled with basophilic secretorygranules.

    Small, spherical nucleus is centrally situated,frequently obscured by the cytoplasmicgranules.These granules contain pre-formedmediators such as histamine and proteoglycans.

    Function: storage of chemical mediators of theinflammatory response.

    Mats cell granules are metachromatic

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    Mast Cell

    Section of rat tongue.

    Several mast cells in

    the connective tissuesurround muscle cells

    and blood vessels. PT

    stain. Medium

    magnification.

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    Plasma Cells

    Plasma cell

    Large ovoid cell, with

    basophilic cytoplasm

    The nucleus is spherical,

    eccentrically placed

    Coarse heterochromatin,

    alternating with lighter

    areas (resembles the face

    of a clock)

    Average life: 10-20 days

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    Adipose Cells

    Photomicrograph of unilocularadipose tissue of a youngmammal. Arrows show nucleiof adipocytes (fat cells)compressed against the cell

    membrane. Note that, althoughmost cells are unilocular, thereare several cells (asterisks)with small lipid droplets in theircytoplasm, an indication thattheir differentiation is not yet

    complete. Pararosanilinetoluidine blue (PT) stain.Medium magnification.

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    Connective Tissue Fibers

    The 3 main types of fibers are:

    Collagen

    Reticular

    Elastic

    The predominant fiber type is responsible

    for conferring specific properties on the

    tissue.

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    Collagen

    Representing 30% of the bodys dry weight Fibrillar

    Birefringent

    640 (64 nm) periodicity

    Specific stain: Mallory : purple blue

    Masson : green

    van Gieson : red

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    Collagen

    Consist of tropocollagen molecules Length : 280 nm

    Width : 1.5 nm

    Triple helixconsists of 3 polypeptide chain (= chain) makeup of 3 amino acids

    1. other than (2) and (3)

    2. proline

    3. always glycineDifferences in the chemical structure of thesepolypeptide chains are responsible for the varioustypes of collagen

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    Collagen Types

    Collagen type I

    Location

    skin (loose connective tissue)

    tendon

    bone, dentin

    Function

    Resistance to tension

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    Collagen Types

    Collagen type II

    Location

    Cartilage

    Vitreous body

    Function

    Resistance to pressure

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    Collagen Types

    Collagen type III

    Location

    Skin

    Muscle

    Blood vessels

    Function

    Structural maintenance in expansible

    organs

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    Collagen Types

    Collagen type IV

    Location

    All basement membranes

    Function

    Support of delicate structures

    Filtration

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    Collagen Types

    Collagen type V Location and function

    Fetal tissues

    Skin Bone

    Placenta

    Most interstitial tissues

    Function: Participates in type I collagenfunction

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    Elastic Fiber

    Elastic

    Homogenous

    Can branch Resistant to boiling, acid and alkali

    extractions

    Specific stains: Orcein brown

    Resorcin fuchsinpurple blue

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    Reticular Fibers

    Are extremely thin, collagen III fibers Not birefringent

    64 nm periodicity

    Form extensive network in certain organs,

    particular abundant in smooth muscle,endoneurium, and the framework ofhematopoietic organs, and constitute a networkaround the cells of parenchymal organs.

    Specific stain Silver Impregnation (eg Bielschowsky method) PAS (periodic acid Schiff)

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    Ground Substance

    The intercellular ground substance is a highlyhydrated, complex mixture ofglycosaminoglycans, proteoglycans, andmultiadhesive glycoproteins.

    Glycosaminoglicans (originally called acidmucopolysaccharides) are linearpolysaccharides formed by repeatingdisaccharide units, usually a uronic acid and ahexosamine.

    The proteoglycans are composed of a coreprotein with 4 main glycosaminoglycans,

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    Types of Connective Tissue

    Connective tissue proper Loose connective tissue (areolar)

    Dense connective tissue

    Regular Irregular

    Collagen

    Elastic

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    Connective Tissue with special

    properties

    Adipose tissue

    common (univacuolar/unilocular/yellow)

    brown (multilocular)

    Elastic tissue

    Hematopoietic tissue (lymphatic and

    myeloid) Mucous tissue

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    Supporting Connective Tissue

    Supporting connective tissue:

    Cartilage

    Hyaline

    Elastic

    Fibrocartilago

    Bone

    Compact bone Cancellous bone

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    Connective Tissue Proper

    Loose connective tissue

    Fills spaces between muscle cells, supportsepithelial tissue, and forms a layer that

    sheathes the lymphatic and blood vessels. The most numerous cells are fibroblasts and

    macrophages

    Dense connective tissue

    Is adapted to offer resistance and protection.

    Fewer cells and predominance of collagenfibers. Dense regular and dense irregular.

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    Common Adipose Tissue

    Color: white to yellow

    One large lipid droplet(unilocular/univacuolar)

    Lipid removed, eachcell appears as a thinring of cytoplasmsurrounding the

    vacuole, called signetring cell

    Eccentric and flattenednuclei

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    Common Adipose Tissue

    Storage of energy (triglycerides)

    Thermal insulation

    Shock absorbers (soles and palms)

    Shape the body (subcutaneous fat)

    Found throughout the human body, except

    the eyelids, the penis, the scrotum, auricle Developed from lipoblast (mesenchym)

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    Multilocular Adipose Tissue

    Smaller cell

    Multiple lipid droplets

    and numerous

    mitochondria (coloredcytochromes)

    Limited distribution

    Nucleus at the center Function: heat

    production

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    Supporting Tissue

    Cartilage

    Avascular, no lymphatics or nerves

    Nourished by diffusion of nutrients from

    capillaries in perichondrium or by synovialfluid from joint cavities.

    Perichondrium: dense connective tissue. Joint

    cartilage is devoid of perichondrium (nutrientsfrom synovial fluid).

    Growth: interstitial + appositional

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    Hyalin Cartilage

    Chondroblasts at theperiphery

    Chondrocytes in lacunae

    Homogenous matrix

    Territorium: matrixsurrounding chondrocytes

    is metachromatic due to

    glycosaminoglycans

    Nest/isogenous cells A perichondrium present

    Location

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    Elastic Cartilage

    Location: auricle,

    eustachian tube,

    epiglottis, walls of

    external auditory canal,the cuneiform cartilage of

    the larynx

    Matrix appear dirty

    (elastic fibers)

    A perichondrium present

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    Fibrocartilago

    Always between dense connective tissueand hyaline cartilage.

    The border areas is not clear-cut.

    Chondrocytes usually in rows or singlyseparated by coarse collagen type I fibers

    Location: intervertebral disks and

    symphysis pubis

    No perichondrium

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    Photomicrograph of Fibrocartilago

    Note the rows of

    chondrocytes

    separated by collagen

    fibers. Fibrocartilago is

    frequently found in

    the insertion of

    tendons on theepiphyseal hyaline

    cartilage.

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    Bones

    Main constituent of adult skeleton

    Supports fleshy structures, protects vital organs

    (thorax, cranium), harbors the bone marrow.

    Reservoir of calcium, phosphate, and other ions Bone matrix with 3 cell types: osteoblasts

    (synthesize organic components), osteocytes (in

    lacunae), and osteoclasts (resorption and

    remodeling of bone tissues).

    A periosteum present

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    Bone

    Long bone diaphysis

    Showing haversiansystems, outer and innercircumferential lamellae.

    The protruding haversiansystem on the left showsthe orientation of collagenfibers in each lamella. Atthe right is a haversian

    system showing lamellae,a central blood capillaryand many osteocytes withtheir processes.

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    Osteoblasts

    Synthesize organic components of bone matrix.

    Newly formed bone matrix: osteoid (not yetcalcified)

    Located at the surfaces of bone tissue Once surrounded by newly formed matrix, these

    cells are now called osteocytes, located inlacunae and connected to one another via

    canaliculi, each housing cytoplasmic processesof osteocytes.

    Growth: appositional

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    Part of a haversian system

    Note the numerouscanaliculi that permitcommunicationbetween lacunae and

    the haversian canal.In adjacent lamellae,the collagen fibers areoriented in different

    directions, whichprovide the bone withgreat strength.

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    Osteocytes

    Osteocytes derived from osteoblasts, lie in

    lacunae situated between lamellae.

    One osteocyte is found in each lacuna.

    The thin, cylindrical matrix canaliculi house

    cytoplasmic processes of osteocytes.

    Actively involved in the maintenance of the

    bony matrix.

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    Osteoclasts

    Multinuclear cells (5-50 nuclei in 1 cell)

    Lie within enzymatically etched depressionin the matrix known as Howships lacuna

    Secretes collagenase and other enzymesand pumps protons into a subcellularpocket, promoting digestion of collagen

    and dissolving calcium salt crystals. Its activity is controlled by cytokines andhormones.

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    Bone Matrix

    Inorganic matter represents 50% of the dryweight of bone matrix.

    Storage of calcium and phosphor

    Organic matter: type I collagen and ground

    substance. After bone decalcification, its shape is preserved

    but become as flexible as tendon

    Removal of the organic part of the matrix, mainly

    collagen, also leaves the bone with its originalshape; however, it becomes fragile, breakingand crumbling easily when handled.

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    Types of Bone

    Compact and cancellous (spongy) bone

    Epiphysis consists of spongy bone

    covered by a thin layer of compact bone

    Diaphysis is almost totally compact bone

    Flat bones have two layers of compact

    bone called plates, separated by a layer of

    spongy bone called diplo.

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    Histogenesis

    Bone can be formed in 2 ways:

    Intramembranous ossification

    Endochondral ossification

    Newly formed bone (osteoid) is primary boneand soon replaced by the definitive lamellar,

    secondary bone.

    The combination of bone synthesis and removal

    (remodeling) occurs not only in growing bones

    but also throughout adult life.

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    Remodeling

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    Intramembranous Ossification

    Also called desmal ossification

    Is so called, because it takes place withincondensations of mesenchymal tissue.

    Forming of flat bones The starting point for ossification is called a

    primary ossification center.

    It begins with the differentiation of osteoblasts,

    forming bone matrix which calcifies, formingislands of developing bone. Several islands fuseto form spongy bone.

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    Endochondral Ossification

    Takes place within a piece of hyaline

    cartilage whose shape resembles a small

    version (model) of the bone to be formed.

    Principally responsible for the formation of

    short and long bones.

    Endochondral ossification of a long bone

    consists of the following sequence ofevents.

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    Growing at the epiphyseal plate

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    Epiphyseal Plate

    Resting zone : no morphologic changes

    Proliferative zone: chondrocytes divide rapidly

    and form columns of stacked cells parallel to the

    long axis of bone Hypertrophic zone: large chondrocytes whose

    cytoplasm has accumulated glycogen.

    Calcification zone: calcification, death of

    chondrocytes,

    Ossification zone: bone tissue appears

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    Fracture Repair

    Bone fracturehemorrhage + clotting

    Fibroblasts + blood capillaries enters blood

    clotgranulation tissuefibrous dense

    connective tissuecartilage formation

    endochondral ossificationcallus

    formation (bone trabeculae reunite both

    ends of fractured bone). Spongy bone replaced by lamellar bone

    B R i

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    Bone Repair


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