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136 Cards in this Set

  • Front
  • Back

Connective tissues

bind structures together, form a framework andsupport for organs and the body as a whole, store fat, transportsubstances, protect against disease, and help repair tissuedamage.

Connective tissues

resists stress in your bones. It provides or helpsin immunity. It organizes tissues and metabolic processes.

Connective tissues

provides a matrix that supports and physicallyconnects other tissues and cells together to form the organs of thebody

Interstitial fluid of connective tissue

gives metabolic support to cells as the medium fordiffusion of nutrients and waste products.

embryonic mesenchyme

All connective tissues originate from ______, atissue developing mainly from the middle layer of the embryo, themesoderm.

mesenchyme

consists largely of viscous groundsubstance with few collagen fibers

Mesenchymal cells

are undifferentiated and have largenuclei with prominent nucleoli and fine chromatin.

Mesenchymal cells

They are often said to bespindle shaped with their scanty cytoplasm, andare extended as two or more thin cytoplasmicprocesses

Mesenchymal cells

migrate from their site oforigin in the embryo, surrounding andpenetrating developing organs

stem cells


blood, the vascularendothelium, and the muscle.

In addition to producing all types of connective tissueproper and the specialized connective tissue like boneand cartilage, the embryonic mesenchyme includes


____ for other tissues such as ____

protein fibers and ground substance

extracellular matrix of the connective tissue includes

Ground substance

a complex of anionic, hydrophilicproteoglycans, glycosaminoglycans (GAGs), and multiadhesive glycoproteins (laminin, fibronectin, and others)

Ground substance

This is a watery, rubbery, unstructured materialthat fills in the spaces between cells andprotects cells from their surroundings.

Ground substance


gags or theglycosaminoglycans.

It is flexible, made of starch and proteinmolecules mixed with water and proteoglycansfrom each sprouts lots and lots of long, starchystrands called the ___

ECM

The major constituent of connective tissue is your __

EXTRACELLULAR MATRIX

It consists of different combinations of protein fibers suchas collagen and elastic fibers and ground substance.

therapeutic repair and organ regeneration

Mesenchyme-like cells remain present in some adult connectivetissues are being investigated as possible sources of stem cells for


___

multipotent

some cells in mesenchyme are ___ (they havethe potential to differentiate to different cells)

Tooth pulp and adipose tissue

Mesenchymal-like cells remain present in some adultconnective tissues.○ Examples:

Fibroblasts

are the key cells in connective tissue proper

Fibroblasts(fibrocytes)

Extracellular fibers and ground substance

Plasma Cells

Antibodies


Eosinophilicleukocytes

Modulate allergic/vasoactive reactions anddefense against parasites

Lymphocytes

Various immune/defense functions

Neutrophilicleukocytes

Phagocytosis of bacteria

Macrophages

Phagocytosis of ECM components anddebris; antigen processing and presentationto immune cells; secretion of growth factors,cytokines, and other agents

Mast Cells andBasophilicLeukocytes

Pharmacologically active molecules (eg,histamine)

Adipocytes

Storage of neutral fats

Fibroblast


Plasma Cells


Lymphocytes


Eosinophilic Leukocytes


Neutrophilic Leukocytes


Macrophage


Mast Cells and Basophilic Leukocytes


Adipocytes

CELLS OF CONNECTIVE TISSUES

FIBROBLASTS


the most common cells in connective tissue proper

FIBROBLASTS


produce and maintain most of the tissue’s extracellularcomponents

FIBROBLASTS


synthesize and secrete collagen (the most abundantprotein of the body) and elastin

active


quiescent

Fibroblast: The __ cellFibrocyte: The __ cell

fibroblasts


spindle


eosinophilic


collagen

The __ typically have a large active nucleieosinophilic cytoplasm that tapers off in both directions along theaxis of the nucleus; it is usually referred to as __ shape● The nuclei are clearly seen, but the __cytoplasmic processes resemble the ___ bundlesthat fill the ECM and are two difficult to distinguish in anystaining

Active


Inactive


fibrocytes

fibroblasts were the both active and quiescent fibroblastsmay sometimes be distinguished as of this section of the dermis.● ___ fibroblasts have a large euchromatic nuclei andbasophilic cytoplasm● ____ fibroblasts or the ___ are smaller withheterochromatic nuclei

cell cyclingand mitotic activity

Growth Factors: influences growth and differentiation● Adults: Fibroblasts rarely undergo division● If in need of more Fibroblasts, GF stimulates ____

Myofibroblasts:


Fibroblasts involved in wound healing○

Myofibroblasts:


They have a well-developed contractilefunction and are○ Smooth muscle + fibroblast

irregular scar

Spaces left after injuries, especially in tissues whose cells dividepoorly or not at all (eg, cardiac muscle), are filled by connectivetissue, forming dense ____ tissue

wound contraction

Myofibroblast activity is important for the phase of tissue repaircalled

ADIPOCYTES


“fat cells”● found in the connective tissue of many organs.●

ADIPOCYTES


specialized for cytoplasmic storage of lipid as neutral fats● production of heat

Adipose Connective Tissue

● serves to cushion and insulate the skin and other organs.

MACROPHAGES; MONONUCLEAR PHAGOCYTESYSTEM

Phagocytosis● especially abundant at sites of inflammation

MACROPHAGES; MONONUCLEAR PHAGOCYTESYSTEM

secrete growth factors important for tissue repair

MACROPHAGES; MONONUCLEAR PHAGOCYTESYSTEM

function in the uptake, processing, and presentation ofantigens for lymphocyte activation

MACROPHAGES; MONONUCLEAR PHAGOCYTESYSTEM


pinocytotic and phagocytic

Irregular surface with pleats, protrusions, andindentations, features related to their active _____activities.● They generally have well-developed Golgi complexesand many lysosomes

Histiocytes

● macrophage in the connective tissues

Monocytes

precursor cells of macrophages

Monocytes


early embryonic


mononuclear phagocyte system

formed in the yolk sac during ____development circulate and become resident indeveloping organs throughout the body, comprising agroup of related cells called the ___

Monocyte

Blood


Precursor of themacrophages

Macrophage

Connective tissue,lymphoid organs,lungs, bonemarrow, pleural andperitoneal cavities



Production of cytokines,chemotactiv factors andseveral molecules thatparticipate ininflammation (defense),antigen processing, andpresentation

Kupffer cell

Liver (perisinusoidal)



Same as macrophages

Microglial cell

Central nervoussystemSame as macrophages

Langerhans cells

Epidermis of skin



Antigen processing andpresentation

Dendritic cell

Lymph nodes,spleen



Antigen processing andpresentation

Osteoclast (fromfusion of severalmacrophages

Bone



Localized digestion ofbone matrix

Multinucleargiant cell(Several fusedmacrophages)

In connective tissueunder variouspathologicalconditions



Segregation anddigestion of foreignbodies

Monocytes


Macrophage


Kupffer cells


Microglial cells


Langerhans cells


Dendritic cells


Osteoclasts


Multinuclear giant cell

cells of themononuclear phagocyte system

multinuclear giant cells

When adequately stimulated, macrophages may increase in sizeand fuse to form ___, usually found only inpathologic conditions.


MAST CELLS

oval or irregularly shaped cells of connective tissue,between 7 and 20 μm in diameter, filled with basophilicsecretory granules that often obscure the central nucleus●

MAST CELLS

localized release of many bioactive substancesimportant in the local inflammatory response, innateimmunity, and tissue repair

MAST CELLS


Perivascular mast cell


Mucosal mast cell

Numerous in the ff locations:○ near small blood vessels in skin and mesenteries(__)○ tissue that lines digestive and respiratory tracts(___)

Mast Cells

Granules are poorly preserved by fixatives● Displays metachromasia● Difficult to identify in routinely prepared slides

Immediate Hypersensitivity Reactions

Allergic reaction caused by the release of certainchemical mediators stored in mast cells

Immediate Hypersensitivity Reactions

Occur within a few minutes after the appearance of anantigen in an individual previously sensitized to thatantigen

Heparin

a sulfated GAG that acts locally as an anticoagulant

Histamine

promotes increased vascular permeability and smoothmuscle contraction

Serine Proteases

activate various mediators of inflammation

Chemotactic Factors

attracts Eosinophil and Neutrophil leukocytes

Cytokines

polypeptides directing activities of leukocytes and othercells of the immune system

Phospholipid precursor

converted to prostaglandins, leukotrienes, and otherimportant lipid mediators of the inflammatory response

Heparin


Histamine


Serine Proteases


Chemotactic Factors


Cytokines


Phospholipid precursor

Molecules released from mast cells’ secretorygranules

antigens and allergens


300,000


cross-linked

mast cell secretion of those granules is triggered by re-exposure tocertain ___● molecules of the immunoglobulin E antibody or the IgEantibody produced in an initial response to an allergen,such as a pollen or a bee venom, are bound to surfacereceptors for IgE of which ___ are present per mastcell● Second exposure: the IgE molecules bind this antigenand the few IgE receptors very rapidly become


___.

PLASMA CELLS


10-20

lymphocyte-derived, antibody-producing cells


average life span is only __ days

LEUKOCYTES


From circulating blood cells, they leave blood bymigrating between the endothelial cells of venules toenter connective tissue● Most leukocytes function in connective tissue only for afew hours or days and then undergo apoptosis

Neutrophils, lymphocytes, monocytes, eosinophils and basophils


LEUKOCYTES example


Inflammation


chemical mediators

begins with the local release of ____● These substances act on local blood vessels, mast cells,macrophages, and other cells to induce eventscharacteristic of inflammation

Pain


chemical mediators


sensory

___ is due mainly to the action of the ___ onlocal ___ nerve endings. All these activities help protect andrepair the inflamed tissue

1) Collagen2) Reticular3) Elastic

FIBERS


FIBERS


fibrous components of connective tissue are elongatedstructures formed from proteins that polymerize aftersecretion from fibroblasts

Collagen ● Reticular ● Elastic fibers

Three Main Types of Fibers

COLLAGEN


most abundant protein in the human body – almost 30%of the dry weight.

COLLAGEN


It is the key element of all connective tissues, as well asthe different epithelial basement membranes and theexternal laminae of your muscle and nerve fibers.

COLLAGEN


form various extracellular fibers, sheets, and networks, allof which extremely strong and resistant to normalshearing and tearing forces

I,II, III



IV



VII

Fibrillar collagens: ● Network or sheet-forming collagens: ● Linking/anchoring collagens:

Collagen type I


collagen fibers

, the most abundant and widely distributedcollagen, forms large, eosinophilic bundles usually called __


.

Collagen type I

Fibrils assemble to form large, extremely strong collagenfibers that may be further bundled by linking collagensand proteoglycans

Collagen Type 2

(present in cartilage) Occurs as fibrils but does not formfibers or bundles.● Sheet-forming coll

Collagen Type 2

Sheet-forming collagen type IV subunits assemble as alatticelike network in epithelial basal laminae.

Collagen


slow

turnover and renewal in normal connective tissue isgenerally a very __but ongoing process.

stable


high

In some organs, such as tendons and ligaments, thecollagen is very ____, whereas in others, as in theperiodontal ligament surrounding teeth, the collagenturnover rate is __.

Ehlers-Danlos typeIV

Faulty transcriptionor translation ofcollagen type III



Aortic and/orintestinal rupture

Ehlers-Danlos typeVI

Faulty lysinehydroxylation



Increased skinelasticity, rupture ofeyeball

Ehlers-Danlos typeVII

Decreaseprocollagenpeptidase activity



Increase articularmobility, frequentluxation

Scurvy

Lack of vitamin C,a requiredcofactor for prolylhydroxylase



Ulceration of gums,hemorrhages

Osteogenesisimperfecta

Change of 1nucleotide ingenes for collagentype I



Spontaneousfractures, cardiacinsufficiency

keloid

A _ is a local swelling caused by abnormally large amountsof collagen that form in scars of the skin.

RETICULAR FIBERS

Found in delicate connective tissue of many organs,notably in the immune system● consist mainly of collagen type III, which forms anextensive network (reticulum) of thin fibers for the supportof many different cells

RETICULAR FIBERS

Periodic acid-Schiff (PAS) positive

RETICULAR FIBERS

contain up to 10% carbohydrate as opposed to 1% inmost other collagen fibers.

RETICULAR FIBERS

occur in the reticular lamina of basement membranesand typically also surround adipocytes, smooth muscleand nerve fibers, and small blood vessels

Argyrophilic


Came from the Greek word Argyros (silver)

black


impregnation

Reticular fibers are seldom visible in hematoxylin andeosin (H&E) preparations but are characteristicallystained __ after __ with silver salts

ELASTIC FIBERS

thinner than the type I collagen fibers and form sparsenetworks interspersed with collagen bundles in manyorgans, particularly those subject to regular stretching orbending

darker

Fibers may be difficult to discern in H&E stain tissue but elastin has adistinct __ staining appearance with other stainingprocedures.

Elastic Lamellae

Fenestrated sheets of elastin found in the wall of largeblood vessels, especially arteries.

Fibrillin


Glycoprotein essential for the formation of elastic fibers● Secreted by fibroblasts

Microfibrils


act as scaffolding upon which elastin is then deposited

Elastin


accumulates around the microfibrils, eventually makingup most of the elastic fiber, and is responsible for therubberlike property

Desmosine

● Amino acid found uniquely in elastin

Elastase


Pancreatic enzyme capable of elastin hydrolysis

Marfan syndrome

Mutations in the fibrillin genes result in ____, adisease characterized by a lack of resistance in tissues rich inelastic fibers.

interstitial fluid

Water in the ground substance of connective tissue isreferred to as ___ and has an ion compositionsimilar to that of blood plasma.

Ground substance

filling the space between cells and fibers in connectivetissue.

one third

It is estimated that __ of the body’s plasmaproteins are normally found in the interstitial fluid ofconnective tissue

Ground Substance



Glycosaminoglycans (GAGs)○ Proteoglycans○ Multi-adhesive Glycoproteins

a highly hydrated (with much bound water), transparent,complex mixture of three major kinds of macromolecules:

Ground Substance

allows diffusion of small molecules and, because it isviscous, acts as both a lubricant and a barrier to thepenetration of invaders

GLYCOSAMINOGLYCANS (GAGs)


hexosamine


uronic

(also called mucopolysaccharides) are long polymers ofrepeating disaccharide units, usually a ___ and


___ acid

glucosamine


galactosamine


glucuronate


iduronate

GLYCOSAMINOGLYCANS (GAGs)


The hexosamine can be ___ or ____,and the uronic acid can be ___ or ___


Hyaluronan


Hyaluronate or hyaluronic acid● Largest and most ubiquitous GAG

Hyaluronan


Forms a viscous, pericellular network that binds aconsiderable amount of water, giving it an important rolein allowing molecular diffusion through connective tissueand in lubricating various organs and joints.


Dermatan Sulfate● Chondroitin Sulfates● Keratan Sulfate● Heparan Sulfate

FOUR MAJOR GAGs

PROTEOGLYCANS


consist of a core protein to which are covalentlyattached various numbers and combinations of thesulfated GAGs

PROTEOGLYCANS


Synthesized on the RER● distinguished by their diversity, which is generated in partby enzymatic differences in the Golgi complexes

Perlecan


key proteoglycan in all basal laminae

Aggrecan


One of the best-studied proteoglycans● very large, having a core protein heavily bound withchondroitin and keratan sulfate chains

Hurler, Hunter,Sanfilippo, and Morquio

The lack of specific hydrolases in the lysosomes has been foundto be the cause of several disorders, including the __ syndromes

MULTIADHESIVE GLYCOPROTEINS

all have multiple binding sites for cell surface integrinsand for other matrix macromolecules●

MULTIADHESIVE GLYCOPROTEINS

large molecules with branched oligosaccharide chainsand allow adhesion of cells to their substrate

Laminin


with binding sites for integrins, type IV collagen, andspecific proteoglycans, providing adhesion for epithelialand other cells

Fibronectin

synthesized largely by fibroblasts● provides specific binding sites for integrins and isimportant both for cell adhesion and cellular migrationthrough the ECM

Edema


blood

__ is the excessive accumulation of interstitial fluid inconnective tissue. This water comes from the __ , passingthrough the capillary walls that become more permeable duringinflammation and normally produces at least slight swelling


Hydrostatic Pressure

caused by the pumping action of the heart, which forceswater out across the capillary wall

Osmotic Pressure

produced by plasma proteins such as albumin, whichdraws water back into the capillaries

greater

Hydrostatic pressure is ____ than the colloid (?) osmoticpressure.