connective tissues

Page 1:

  • Overview of Connective Tissue

  • Types, components, functions, locations, disorders

  • Prof.Dr.Cengiz Bayçu

  • Dept.of Histology & Embryology

  • 2023

Page 2:

  • Embryonic Connective Tissue

    • Mesenchyme tissue

    • Mucous tissue

  • Common Connective Tissue types

    • Loose -areolar- connective tissue

    • Dense connective tissue

    • Irregular dense connective tissue

    • Regular dense connective tissue

  • Special Connective Tissue

    • Cartilage tissue

    • Bone tissue

    • Blood tissue

    • Adipose tissue

    • Lymphatic tissue

    • Hematopoietic (bone marrow) tissue

    • Adipose tissue Types

Page 3:

  • Connective tissue is widespread and diverse in the body

  • Differences in composition and amount of cells, fibers, and ground substance contribute to the diversity

  • Functions of connective tissue:

    • Repair (Fibroblast)

    • Support and packaging (fibers)

    • Transport (Blood vessels)

    • Defense (White blood cells, T-B Lymphocytes)

    • Storage (Lipid)

Page 4:

  • General Features of Connective Tissue

  • Extracellular matrix (ECM) is the major component

  • Main parts of the tissue:

    • Matrix

    • Cells

  • ECM composed of:

    • Protein fibers

    • Organic ground substance

    • Fluid

Page 5:

  • Extracellular matrix (ECM) is a three-dimensional network of extracellular macromolecules

  • Components of ECM:

    • Collagen fiber

    • Elastic fiber

    • Reticular fiber

  • Resident cells:

    • Mesenchymal cell

    • Macrophage

    • Adipocyte

    • Fibroblast

Page 6:

  • Ground substance is an amorphous gel-like substance

  • Components of ground substance:

    • Glycosaminoglycans (gAGS)

    • Proteoglycans

    • Glycoproteins

  • Ground substance supports cells, binds them together, and provides a medium for metabolic substance exchange

  • Three types of ground substance: Fluid, Semifluid, or Solid

Page 7:

  • Summary of connective tissue:

    • Highly vascular (except cartilage and tendons)

    • Has a nerve supply (except cartilage)

    • Binds together, supports, and strengthens other body tissues

    • Major transport system within the body

    • Protects and insulates internal organs (bones)

    • Main site of immune responses

    • Site of stored energy reserves (lipid-fat)

Page 8:

  • Connective Tissue Fibers:

    • Collagen fibers

    • Reticular fibers

    • Elastic fibers

Page 9:

  • Reticular fibers are composed of type III collagen secreted by reticular cells

  • Delicate reticular networks serve as the supportive stroma for various tissues and organs

  • Used to filter out worn-out blood cells and bacteria

Page 10:

  • Elastic fibers are smaller in diameter than collagen fibers and form a network

  • Composed of elastin and fibrillin proteins

  • Provide elastic properties to connective tissues

  • Found in organs subject to regular stretching or bending

Page 11:

  • Types of Connective Tissue:

    • Loose

    • Dense CT

  • Loose Connective Tissue:

    • Areolar Connective Tissue

    • Reticular Connective Tissue

    • Mucoid Tissue

  • Loose connective tissue is common, flexible, and facilitates transport of cells and materials

  • Contains fibroblasts, macrophages, plasma cells, mast cells, adipocytes, and white blood cells

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  • Dense Connective Tissue:

    • Contains more numerous, thicker, and denser fibers than loose connective tissue

    • Two types: Dense regular connective tissue, Dense irregular connective tissue

Page 13:

  • Dense Regular Connective Tissue:

    • Consists of parallel arrayed bundles of type I collagen and fibroblasts

    • Found in tendons and ligaments

Page 14:

  • Dense Regular Connective Tissue (elastic):

    • Found in the wall of the aorta

    • Contains smooth muscle cells, endothelium, tunica externa, tunica media, tunica intima

Page 15:

  • Dense Irregular Connective Tissue:

    • Densely packed collagen fibers in perpendicular bundles

    • Resists tension in many directions and provides mechanical support

    • Found in the dermis of the skin, heart valves, perichondrium, and periosteum

Page 16:

  • Mucoid Tissue:

    • Principal component of the fetal umbilical cord (Wharton's jelly)

    • Gelatinous with sparse collagen fibers and scattered fibroblasts

  • Examples of connective tissue:

    • Blood tissue

    • Bone and Cartilage

    • Bone Marrow

Page 17:

  • Cells in Connective Tissue:

    • Fibroblasts

    • Adipose (fat) cells

    • Tissue Macrophages

    • Mast cells

    • Lymphocytes & Plasma Cells

    • Leukocytes

  • Fixed cells (permanent residents) derived from hematopoietic stem cells

  • Free cells (transient cells)

Page 18:

  • Connective Tissue Cells named according to their function:

    • -blast: produce matrix

    • -cyte: maintain matrix; mature cells

    • -clast: destroy matrix

  • Examples of connective tissue cells:

    • Fibroblast, Fibrocyte, Fibroclast

    • Osteoblast, Osteocyte, Osteoclast

    • Chondroblast, Chondrocyte, Chondroclast

Page 19:

  • Connective Tissue Cells

    • Fibroblasts

      • Most common cells in connective tissue proper

      • Produce and maintain extracellular components

      • Large flat cells with branching processes

    • Macrophages

      • Develop from white blood cells (monocytes)

      • Surround and engulf material by phagocytosis

    • Mast Cells

      • Originate from bone marrow

      • Release bioactive substances important in inflammatory response, immunity, and tissue repair

      • Produce histamine, heparin, and chemotactic factors

    • Adipocytes

      • Store triglycerides

    • Plasma cells

      • Lymphocyte-derived, antibody-producing cells

      • Play a role in immune response

    • Leukocytes

      • White blood cells located in connective tissue

      • Derived from circulating blood cells

      • Enter connective tissue during inflammation

Page 20:

  • Fibroblasts

    • Most common cells in connective tissue proper

    • Synthesize extracellular matrix, collagen, elastin fibers, and growth factors

    • Play a major role in wound healing and fiber formation

    • Secrete collagenase enzymes

Page 21:

  • Macrophages

    • Highly developed phagocytic ability

    • Specialize in turnover of protein fibers and removal of debris

    • Abundant at sites of inflammation

    • Derived from bone marrow precursor cells called monocytes

    • Important in repair and inflammation after tissue damage

Page 22:

  • T-Lymphocytes

    • Responsible for cellular immunity

    • Distinguished by the presence of a T-cell receptor on the cell surface

    • Two main types: helper T-cells and killer T-cells

    • Helper T-cells stimulate B-cells to produce antibodies

    • Killer T-cells directly attack and kill invading pathogens and infected/cancerous cells

Page 23:

  • B-Lymphocytes

    • Responsible for humoral immunity

    • Produce and secrete antibodies

    • Stimulated B-lymphocytes transform into plasma cells

    • Humoral immunity mediated by macromolecules in extracellular fluids

Page 24:

  • Plasma Cells

    • Derived from B-lymphocytes

    • Responsible for specific antibody production

    • Nucleus is generally spherical but eccentrically placed

    • Antibody molecules bind to target antigens and neutralize or destroy them

Page 25:

  • Mast Cells

    • Release bioactive substances important in inflammatory response, immunity, and tissue repair

    • Secretions include heparin, histamine, serine proteases, chemotactic factors, and cytokines

    • Found in skin, peritoneal cavity, and mucosa of digestive and respiratory tracts

Page 26:

  • Adipocytes

    • Fat cells found in connective tissue of many organs

    • Specialized for storage of lipid or production of heat

    • Adipose connective tissue cushions and insulates organs

Page 27:

  • B-Lymphocytes

    • Antibody production

  • Mast Cells

    • Secretion and dilation

  • Cell types and their function in allergy

    • Allergen taken up by antigen-presenting cells (APC) and presented to T-cells

    • T-cells activate B-cells to release antibodies (IgE)

    • IgE binds to mast cell receptors

    • Second exposure to allergen causes release of IgE, histamine, etc. from mast cells

    • Results in edema, itching, sneezing

Page 28:

  • Biochemistry of Mast Cell Secretion

    • Mast cell secretion triggered by reexposure to antigens/allergens

    • IgE antibodies bind to mast cell surface receptors

    • Cross-linking of IgE receptors activates adenylate cyclase and leads to exocytosis of granules

Page 29:

  • Semisolid Cartilage

    • Dense network of collagen and elastic fibers embedded in chondroitin sulfate

    • Can withstand more stress than dense and loose connective tissue

    • Collagen fibers make the tissue strong, chondroitin sulfate makes it resilient

Page 30:

  • Cartilage types:

    • Hyaline cartilage:

      • Description: Amorphous but firm matrix with collagen fibers forming an imperceptible network; chondroblasts produce the matrix and mature into chondrocytes in lacunae.

      • Function: Supports and reinforces, serves as a resilient cushion, resists compressive stress.

      • Location: Forms most of the embryonic skeleton, covers the ends of long bones in joint cavities, forms costal cartilages of the ribs, cartilages of the nose, trachea, and larynx.

    • Elastic cartilage:

      • Description: Similar to hyaline cartilage, but with more elastic fibers in the matrix.

      • Function: Maintains the shape of a structure while allowing great flexibility.

      • Location: Supports the external ear (pinna), epiglottis.

    • Fibrocartilage:

      • Description: Matrix similar to hyaline cartilage but less firm, with thick collagen fibers.

      • Function: Tensile strength allows it to absorb compressive shock.

      • Location: Intervertebral discs, pubic symphysis, discs of knee joint.

Page 31:

  • Compact bone:

    • Components: Osteons, osteonic canals, blood vessels, periosteum.

  • Spongy bone:

    • Components: Trabeculae, canaliculi, lacunae (space), osteocytes.

  • Yellow marrow, red marrow, blood vessels, nerves, endosteum, periosteum.

Page 32:

  • Gingival abscess: Inflammation with fibrous capsulation by connective tissue.

  • Skin abscess: Inflammation.

  • Inflammation: Complex biological response of body tissues to harmful stimuli, involving immune cells, blood vessels, and molecular mediators.

  • Leukocytes: Wandering cells in connective tissue, derived from circulating blood cells, increase greatly during inflammation.

Page 33:

  • Steps in tissue injury repair:

    • Hemostasis: Formation of a scab, red blood cells, platelets, clot.

    • Inflammation: Macrophages, neutrophils, granulation tissue.

    • Proliferation: Fibroblasts, collagen fibers, myofibroblasts.

    • Remodeling.

Page 34:

  • Regenerative capacity of connective tissue observed in organs damaged by ischemia, inflammation, or traumatic injury.

  • Dense irregular scar tissue fills spaces left after injuries in tissues with poor or no cell division.

  • Healing of surgical incisions and wounds depends on activity and growth of fibroblasts.

Page 35:

  • Connective tissue disorders:

    • Causes: Genetics (heritable disorders), non-hereditary autoimmune causes (exposure to toxic chemicals, ultraviolet light, inadequate nutrition, infections).

    • Ehlers Danlos Syndrome: Genetic disease with faulty assembly of collagens, hyperextensible skin, hypermobile joints, weakness in blood vessels.

Page 36:

  • Marfan Syndrome:

    • Description: Variable, autosomal dominant disorder of connective tissue affecting the cardiovascular system, eyes, and skeleton.

    • Features: Reduced elasticity in skin and lungs, skeletal defects, cardiovascular complications (aneurysm, valve prolapse).

    • Symptoms: Tall stature, long limbs, blurred vision, weakened aortic walls.

Page 37:

  • Cardiovascular complications of Marfan Syndrome:

    • Cardiomyopathy: Enlarged and weakened heart muscle, may progress to heart failure.

    • Aneurysm at aortic root: Bulging or dilation in the wall of the blood vessel, at risk of rupturing and causing fatal bleeding.

Page 38:

  • Treatment of aneurysm:

    • Medical treatment and/or surgery to lower blood pressure and reduce tension.

    • Endovascular grafting as a minimally invasive method to treat aortic aneurysm.

Page 39:

  • Cerebral aneurysm: Weakening in the vascular layers of the brain, risk factors include high blood pressure, smoking, stress, and excess weight.

  • Diagnosis of a brain aneurysm: Computed tomography (CT) and MRI, subarachnoid hemorrhage on CT, aneurysm on MRI angiography.

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  • References provided.

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  • Thank you for attention.