BL L11 Flashcards

1
Q

Define connective tissue

A

Tissue that supports, protects, gives structure to other tissues and organs in the body.

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2
Q

Number of connective tissue

A

6

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3
Q

Name all types of connective tissue

A

Loose connective tissue
ibrous connective tissue (dense)
Adipose tissue
Cartilage
Bone
Blood

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4
Q

What is ground substance?

A

‘where they sit’

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5
Q

(taken card out)

A

(taken card out)

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6
Q

Name some fibres in connective tissue

A

Collagen

Reticular fibre

Elastin

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7
Q

Name the ground substance in connective tissue

A

Proteoglycans (glucosaminoglycans, e.g. hyaluronic acid)

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8
Q

What are ground substance

A

Ground substance + fibres

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9
Q

General - connective tissue function

A
  1. Binding and supporting (such as holding skin, gut, lungs, etc. together)
  2. Protecting (such as bone protecting vital organs) {fat acting as a ‘shock-absorber’}
  3. Insulating (fat underlying skin) {bone marrow holding warm blood}
  4. Storing fuel reserve and cells (bone marrow and fat tissue)
  5. Transporting substances (blood and interstitium) 6. Separation of tissues (fascia and tendons/cartilage)
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10
Q

What is the interstitium?

A

Space between tissues and organs of the body

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11
Q

Intro - Loose connective tissue (it’s other name, list where you find it, how specialised is it?)

A

Also known as areolar tissue (Areola = ‘little space’)

Already seen where it is found:

  • Lamina propria in mucosal membranes
  • Lots in the basal lamina
  • It fills up any SPACES between different organs, e.g. small space between liver and pancrease will fill up with areolar tissue
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12
Q

Intro - Dense connective tissue (other name, types)

A

Also known as ‘fibrous’ or collagenous tissue

• Two types

  • Irregular Fibres running in different directions
  • Regular Fibres running parallel to each other
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13
Q

More depth - Loose connective tissue structure (cell types it contains, fibres, ground substance)

A
  • Contains multiple cell types
    Fibroblast, macrophages, other white blood cells and mast cells, adipocytes
  • Contains two main fibres
    Collagen and elastin
  • Gel-like ground substance
    Proteoglycans, hyaluronic acid, etc
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14
Q

More depth - Loose connective tissue functions

A
  • Holds vessels that supply fluids
  • Permits cell migration
  • Involved in inflammation pathways
  • Acts as packaging around organs
  • Generally hold everything in place
  • Cushions and stabilises organs
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15
Q

Fibroblast (location, function and what they look like)

A

e.g. found in loose and dense connective tissue

MAKE FIBRES AND GROUND SUBSTANCES

  • Fibroblasts synthesise and secrete the fibres that lie within the ground substance (extracellular matrix)
  • They are very important in the wound healing process and are the cells primarily responsible for the formation of scar tissue
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16
Q

What are myofibroblasts?

A

Myofibroblasts are modified fibroblasts that contain actin and myosin. They are responsible for wound contraction when tissue loss has occurred (when myofibroblasts contract they pull the two edges of the wound together, this is because you’ve ‘lost tissue’ when you’ve cut yourself).

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17
Q

Macrophages (where are they found? what are they derived from? what is their role?)

A

e.g. found in aerolar tissue

Derived: Macrophages are derived from blood monocytes, they move into loose connective tissue, especially when there is local inflammation

Role: Macrophages are phagocytic and can degrade foreign organisms and cell debris Macrophages are ‘professional antigen presenting cells’ (i.e. they can present foreign material to the T and B lymphocytes of the immune system)

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18
Q

Mast cells (where are they found? What do they contain? Role? Link to allergies?)

A

Mast cells look like basophils but are not derived from them.

Contain:
Mast cell cytoplasm contains abundant granules:
• Histamine (increases blood vessel wall permeability)
• Heparin (an anticoagulant)
• Cytokines that attract eosinophils and neutrophils

Location:
• Found in areolar connective tissue near blood vessels
• Absent from CNS as avoid damaging effects of oedema (the histamine would allow the blood and water in leading to oedema, cerebral oedema = very dangerous)

Allergies:
Mast cells become coated with IgE (IgE molecule specifically bind to allergens). When an allergen cross-links these surface-bound IgE molecules, the contents of the granules are all rapidly released from the cell

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19
Q

What is histamine?

A

Increases blood vessel wall permeability, they cause epithelial cells to seperate creating a gap where fluid moves in (this is where you can get odema - swelling - at the site of imflammation)

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20
Q

What is heparin?

A

Anti-coagulent, this stops the blood from clotting at this particular point, this is because due to the effect of histamine there are lots of cells and blood (highly viscose) at this place

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21
Q

Adipocytes (unilocular): Discription, Function

A

Also present in areolar cells

  • Most of the adipocytes in loose connective tissue look white or yellow and so called white adipocytes
  • A single enormous lipid droplet, with the nucleus, cytoplasm and organelles all squeezed to one side of the cell
  • Function: padding and shock absorber, insulation and energy reserve
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22
Q

Adipoctyes (mulilocular): Discription, Function

A
  • Brown adipocytes
  • Multiple small lipid droplets, with the nucleus, cytoplasm and organelles all squeezed to the centre of the cell
  • Function: Provides insulation and energy reserve
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23
Q

Compare white adipose and brown adipose tissue (number of droplets, number of mitochondria, location of nucleus, which group of people are they found?)

A
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24
Q

Which fibres are in loose connective tissue?

A
  • Collagen
    Multiple types – type 1 most common and most important
  • Reticulin
    A different type of collagen fibre – most common in lymphatic system
  • Elastin
    Made of hydrophobic amino acids – most common in aorta, lungs, skin
  • Fibrillin
    Glycoprotein essential for the construction of elastin fibres – wherever elastin can be found
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25
Q

What type of macromolucle is collagen?

A

Protein

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26
Q

How many types of collagen are there?

A

4 types

27
Q
A
28
Q

Describe the different types of collagen

A

(Need to learn these)

29
Q

What makes up the extracellular matrix?

A

Extracellular matrix: A term used to describe a complex extracellular structural network that consists of ground substance and fibres (e.g. collagen)

30
Q

Role of collagen

A

(link to loose connective tissue)

Flexible and very strong (they can move in many directions)

31
Q

Role of elastin

A

Allows tissues to recoil after stretch or distension e.g. if lift skin in hand and drop it again, the elastin in the areolar tissue brings the skin back to where it was orginally

32
Q

Reticular/reticulin

A
33
Q

What do collagen fibres, elastic fibres etc look like?

A
34
Q

What functions link to loose connective tissue being LOOSE (not dense)?

A
  • Located beneath epithelial cells because it facilitates diffusion as loose connective tissue has an open matrix allowing the diffusion of material from blood vessels to the epithelial cells
  • Associated with epithelium of gland as they products of glands have been produced and need to be able to move through the loose connective tissue to the blood vessels
  • Glands, epithelial cells and blood vessels are very prone to pathogen entry, being surrounded by loose connective tissue is important for the immune response. The loose connective tissue can undergo considerable swelling because it has the facility to expand and then return to its original size (it’s elastin fibres allow it to return back to its normal shape).
35
Q

Why is loose connective tissue required in the villi?

A

Loose connective tissue in the villi allows the villi to move backwards and forwards without any damage

36
Q

More depth - Ground substance (discription of properties, what molecule is it composed of, how this GS works)

A

Ground substance is a viscous, clear substance with a slippery feel due to its high water content

Composed of:
Proteoglycans (large macromolecules consisting of a core protein to which glycosaminoglycans are covalently bound)

How to GAGs work?
Glycosaminoglycans(GAGs) are long-chained polysaccharides
• GAGs attract water to form a hydrated gel (permits rapid diffusion but also resists compression)
A unique GAG is hyaluronic acid that is bound to proteoglycans by a link protein to form giant hydrophilic macromolecules
It is present in the ground substance of cartilage

37
Q

Proteoglycan structure

A
38
Q

How can dense connective tissue be split?
What other things are in connective tissue?

A

• Irregular tissue - fibres not arranged in parallel bundles
• Regular tissue - fibres are arrange in parallel bundles
– Tendons
– Ligaments

  • Fascia - a thin sheath that separate muscle from other tissues
  • Aponeurosis – a thin sheath that connects muscle to muscle
39
Q

Skin - loose and IRREGULAR dense connective tissue (visualise this)

A
40
Q

Skin - the very IRREGULAR dense connective tissue in the skin means…

A

Very dense collagen in the dense connective layer means that the skin can resist forces in multiple directions to prevent tearing. The elastic fibres allow a degree of stretch and a restoration to the ornginal shaoe after the skin is bent or folded.

41
Q

Dense IRREGULAR tissue - visualise this

A

These bundles are going in all directions = irregular

(bundles - collagen fibres -> fibrils -> fibrils package into bundles)

42
Q

Visualise dense irregular connective tissue again…

A

Note - elastins are going in all direction directions, this allows for lateral movement of the dermis

43
Q

Visualise dense REGULAR connective tissue

A

Regular - all bundles lie in a parallel densely pakced formation

Fibroblast secrete collagen so have to be there too!

44
Q

Example of dense REGULAR connective tissue

A
  • Tendons
  • Ligament
  • Fascia (mixture - depends where it is - i think)
  • Aponeuroses
45
Q

Why is it useful for all collagen to be learning in the same direction (in dense REGULAR connective tissue?)

A

e.g. lie in the direction of a force exerted by a muscle

46
Q

Myotendinous junction (What is this? Briefly how do they interact?)

A
  • Skeletal muscle fibres connecting with tendon collagen bundles at myotendinous junctions provides tremendous physiological strength
  • The collagen passes from the tendon to the muscle fibres were it interacts with the collagen fibres coating the muscle fibres
  • Cross-links between these fibres results in mechanical strength
47
Q

What do tendons do?

A

Connect muscle to bone

48
Q

Tendons: (strength, how are forces transmitted, what is it made of?)

A

•Very strong: Stronger than muscle for size and as strong as bone

Forces can be transmitted along collagen bundles because they can glide over each other • Mainly made of water! • 30% collagen • 2% elastin • 68% water The collagen is: 70% Collagen I 30% Collagen III (reticulin)

49
Q

What may cause an Archilles tendon to snap?

A

If lack of water in the tendon, if leg is twisted, the Archilles tendon might snap (unlikely though!)

50
Q

What are is the role of a ligament?

A

Connects bone to bone

51
Q
A
52
Q

Ligaments (what is it made of, how is this arranged, )

A
  • Parallel collagen fibres
  • Collagen is arranged not straight, but undulated
  • Wrapped in loose connective tissue - fascicles
53
Q

How is collagen arranged in ligaments and tendons?

A

The collagen bundles are densely packed in a parallel arrangement, but undulate and are arranged in fascicles. These are separated by loose connective tissue and ground substance.

Fasicle arrangement - see diagram

54
Q

Fascia (3 types name, what it is composed of, properties)

A

This is a connective tissue and has 3 types:
• Superficial
• Deep
• Visceral or parietal
Based on anatomical position

What is it made up of?
Like ligaments and tendons, fascia is made up of fibrous connective tissue containing closely packed bundles of collagen fibres oriented in a wavy pattern parallel to the direction of pull

Properties
Fascia is consequently flexible and able to resist great unidirectional tension forces until the wavy pattern of fibres has been straightened out by the pulling force

These collagen fibres are produced by fibroblasts located within the fascia

55
Q

Aponeuroses (located, examples)

A

Pearly white fibrous tissue
• Attaches:
- Flat muscle to muscle
- Tendon to tendon
- Tendon to ligament

• Examples

  • Head - galea
  • Abdomen - external oblique
  • Foot - plantar
  • Hand - palmar
56
Q

Summary of irregular and regular DENSE connective tissue (what does it contain, direction of stress, examples)

A
57
Q

Collagen fibril production (describe this and what vitamin C deficiency means)

A
  • Vitamin C is required for the intracellular production of procollagen
    (where it hydroxylates proline and lysine. This helps form procollagen that is packaged, released and modified into collagen outside of the cell)
  • Fibroblasts secrete procollagen that is converted to collagen molecules outside the cell.
  • The collagen molecules are then aggregated to form the final collagen fibrils
  • In some tissues, fibrils group together to form collagen fibres

WHAT HAPPENS IF LACK OF VITAMIN C?

  • Without vitamin C, collagen formation is disrupted, causing a wide variety of problems throughout the body
  • Vitamin C deficiency leads to scurvy, a condition that includes poor wound healing and impaired bone formation (as strong collagen fibres make strong bones)
58
Q

Which specific step in collagen synthesis requires vitamin C?

A

Hydroxylation of Pro and Lys

59
Q

Scurvy (what is this caused by, what happens, symptoms)

A

The majority of the collagen don’t aggregate, they remain as fibrils. Therefore, the firbrils havent come together so are less strong. (collagen structure not made properly)

Symptoms:
• Gum disease
• Bruising of the skin
• Bleeding
• Poor wound healing

60
Q

Marfan’s syndrome (cause, characteristics)

A

Cause:
Autosomal dominant disorder in which expression of the fibrillin 1 gene is affected such that elastic tissue is abnormal as they don’t make the elastic fibres in the way they should.

Characteristics:

  • Sufferers are abnormally tall, exhibit arachnodactyly, have frequent joint dislocation and can be at risk of catastrophic aortic rupture (90% mortality rate - aortic aneurysm).
  • Aortic rupture becuase they havent got enough elastin in their aorta.
  • Very long limbs but normal length torso
  • Frequent joint dislocation (as their limbs have to work very hard to get back into the normal position as this uses elastin fibres)
  • Arachnodactyly, this is where their fingers and toes are ‘spider-like’ as they are very long
61
Q

Name the layers in an artery and what are in each layer

A
  • Tunica intima (endothelial cells)
  • Tunica media (ELASTIN LAMELLAE - issue with Marfan’s syndrome. How it should work - Blood enters the artery, the artery expands, elastin allows it to recoil after it has expanded)
  • Tunica externa/adventita (Collagen layer - collagen stops the vessel getting too big. The vessel hetting too big would mean that it would burst).

NB: Elastin fibres are also around alveoli sacs.

62
Q

Elastin fibres

A
  • Elastin fibres have two main components elastin and fibrillin
  • Elastin is the primary component of elastic fibres, but itself enfolds and is surrounded by microfibrils called fibrillin
  • Elastin rely on fibrillin to work. Pulling elastic fibres cause them to straighten out (see diagram), form cross-links. These cross-links hold the elastin fibres in this position until the force is removed, when it will then spring back.
  • Desmosine and isodesmosine are involved in the cross-linking. If enzymes destroy these cross-links, it will drestroy the rebound capacity of this fibre
  • If desmosine and isodesmosine are found in the urine = elastin fibres are breaking down (they shouldn’t be!)
63
Q

Visualise what elastin fibre looks like…

A
64
Q

Oesteogenesis imperfecta (another name, what is it caused by?, symptoms)

A

“Brittle bone disease”
Encompasses a number of different genetic aetiologies (most are autosomal dominant)

• Mild to severe disease

CAUSED BY:
• Due to mutated collagen, fibres that do not ‘knit together’ or insufficient are produced or both

RESULTS IN…
• Weakened bones (fractures are common)
• Short stature (depends on type)
• Presence of blue sclera
• Hearing loss
• Hypermobility (loose joints) and flat or arched feet • Poor teeth development