Block 1: Connective Tissue Flashcards

1
Q

What is the structure and function of connective tissue?

A

structure: composed of cells, fibers, and extracellular matrix (ground substance + protein structures)
function: provides a matrix that supports and physically connects other tissues and cells together to form the organs of the body

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2
Q

List the cells of connective tissue

A

Resident: fibroblasts, adipocytes
Wandering: macrophages, mast cells, plasma cells
Transient: leukocytes

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3
Q
Describe fibroblasts 
origin, terminal location 
f(x)
significance 
what do they secrete
A

origin: mesenchymal cells
terminal location: connective tissue
f(x): produce and maintain most of the tissue’s extracellular components, including extracellular fibers and ground substance
significance: most common cell in connective tissue proper
secrete: collagen, elastin, GAGs, proteoglycans, and multiadhesive glycoproteins (the last 3 make up ground substance)

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4
Q
Describe macrophages 
f(x)
abundant @
key component of 
morphology
A

f(x): cells with highly developed phagocytic ability, specializing in the turnover of protein removal & apoptic cells, tissue debris, or other particulate material
abundant @: sites of inflammation
key components of: antigen presenting required for lymphocyte activation and also play a role in the cell’s innate immune response
morphology: irregular nucleus; irregular surface with pleats/protrusions; well developed golgi and many lysosomes. an active cell will have numerous phagosomes for storage of digested materials.

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5
Q
Describe mast cells 
s(x): 
appearance upon staining/morphology
f(x)
ex of f(x)
A

s(x): oval/irregularly shaped cells filled w/ basophilic secretory granules that obscure the central nucleus; high affinity receptor for IgE
appearance: display metachromasia (change the color of some basic dyes from blue to purple or red)
f(x): release of bioactive substances important in the local inflammatory response, innate immunity, and tissue repair; function in allergic hypersensitivity reaction
ex: heparin and histamine

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6
Q

Plasma Cells
f(x)
appearance
origin

A

f(x): antibody producing cells

appearance: basophilic cytoplasm rich in RER; “clock face” nucleus; prominent nucleolus b/c requires a lot of ribosomes
origin: lymphoid tissue, specifically B lymphocytes

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7
Q

What’s the difference between resident and wandering cells

A

Resident cells are derived from mesenchymal cells and differentiate within connective tissue. Wandering cells are made from hematopoietic stem cells in bone marrow and then transported to the connective tissue.

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8
Q

How to differentiate b/w active vs. non active fibroblasts

A

active fibroblasts have more abundant and branched cytoplasm, more RER, well developed golgi apparatus, euchromatic nucleus and prominent nucleolus. quiescent fibroblasts are smaller, spindle shaped, less RER, heterochromatic nucleus

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9
Q

Adipocytes

f(x)

A

f(x): storage of lipids as neutral fats; tissues with a large population serve to cushion and insulate the skin and other organs

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10
Q

Describe the allergic hypersensitivity reaction

A

asthma: release of histamines leads to dyspnea

hay fever: histamine increases vascular permeation, leading to edema

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11
Q

What are the 2 types of mast cells?

A

CT MC’s: migrate and locate around blood vessels and nerve endings of CT’s; T cell independent
Mucosa MC’s: associate with T cells, predominantly in lamina propria of intestine and lung mucosa; T cell dependent

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12
Q

Lymphocytes

f(x)
types
morphology

A

f(x): involved in infection, tissue inflammation, and immunity

types: B cell and T cell
morphology: nucleus occupies most of cell, thin rim of cytoplasm

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13
Q

Neutrophils

f(x)
types
s(x)/ morphology

A

f(x); involved with acute infection; phagocytosis of bacteria
s(x): contains digestive enzymes and defensins; segmented nucleus and cytoplasmic granules

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14
Q

Eosinophils

f(x)
s(x)

A

f(x): modulate in allergic rxns, defend against parasitic infections, inactivate histamine & heparin (modulate allergic rxns)
s(x): bilobed nucleus with eosinophilic cytoplasmic granules

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15
Q

Fibers
what are they?
types?

A

what: elongated structures formed from proteins that polymerize after secretion from fibroblasts
types: collagen, reticular, elastic

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16
Q

Collagen Fibers
what are they?
types
s(x)

A

what: family of proteins w/ ability to form extracellular fibers, sheets, and networks
types: type I, II, III, IV, VII
s(x): triple helix organization

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17
Q

Describe type I collagen

A

type I: bone, tendon, dentin, and skin as banded fibers, providing tensile strength

forms collagen fibers

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18
Q

Describe type II collagen

A

hyaline and elastic cartilages

form fibrils thinner than type I collagen

19
Q

Describe type III collagen

A

reticular lamina, as a component of reticular fibers.

20
Q

Describe type IV collagen

A

basal lamina, does not form bundles. single molecules of type IV collagen bind to one of the type IV collagen binding sites of laminin

21
Q

Describe type VII collagen

A

anchoring collagen

22
Q

What are the cell types that make collagen?

A

fibroblasts
reticular cells
osteoblasts, chondroblasts, and odontoblasts also synthesize collagen

23
Q

Describe reticular fibers.

A

consist mainly of type III collagen, characteristically stained black after silver staining.

serve as supportive stroma for parenchymal secretory cells

24
Q

Elastic Fibers
s(x)
location
f(x)

A

s(x): composed of fibrillin (which forms a microfibril network) embedded in a larger mass of cross linked elastin
location: located in organs that are subject to regular stretching/bending
f(x): allow organs to be stretched/distended while returning to their original shape; add resiliency to CT

25
Q

Marfan Syndrome

A

the result of a defect in the gene encoding for fibrillin 1, a component of tropoelastin; usually leads to aortic dissection and mitral valve prolapse

26
Q

Wound healing collagen

A

type III is the first to be synthesized, then its replaced by type I

27
Q

Describe the intracellular process of collagen synthesis

A
  1. mRNA formation for alpha chain
  2. procollagen alpha chain synthesis
  3. vitamin C dependent hydroxylation in the ER
  4. glycosylation
  5. procollagen triple helix formation
  6. transport to golgi
  7. secretory vesicle packaging
  8. transport to cell surface
28
Q

What’s the extracellular process of collagen synthesis?

A
  1. procollagen peptidase cleaves the non-helical terminal peptides, transforming procollagen into collagen molecules that aggregate into collagen fibrills
  2. fibrillar structure is reinforced by covalent cross linkage b/w collagen molecules
29
Q

Describe the hydroxylations step of collagen synthesis

A

hydroxylation of proline and lysine residues occurs in the RER and requires ascorbic acid (vitamin C) as a cofactor

because of this, wound healing is characteristic of scurvy

30
Q

Ehler’s Danlos Syndrome

A

major deficits in the synthesis/structure of collagen, resulting in hyperelasticity of the skin and hypermobility of the joints

collagen defects extend to BV’s, internal organs resulting in tissue rupture or detachment

31
Q

What are the components of ground substance? What is the function of ground susbtance?

A

GAGs (glycosaminoglycans)
proteoglycans
glycoproteins (laminin, fibronectin)

f(x): viscocity allows it to act as a lubricant and a barrier to the penetration of invaders

32
Q

Describe GAG’s. (s(x), f(x), ex’s)

A

s(x): large, unbranched, repeating polysaccharide chains
f(x): space filling, cushioning, lubrication
ex: hyaluronic acid, chondroitin sulfate

33
Q

Describe proteoglycans. (s(x))

A

protein cores covalently attached to sulfated glycosaminoglycans

34
Q

Describe adhesive glycoproteins (s(x), ex)

A

s(x): globular protein with short, branched carbohydrates that allow adhesion of cells to their substrate

ex: fibronectin, laminin

35
Q

How do GAGs, proteoglycans, and adhesive gycoproteins all interact?

A

GAG’s are polysaccharides w/ repeating units. Proteoglycans organize GAG’s into aggregates on a protein core. Glycoproteins bind the matrix GAG’s and proteoglycans to the cell membrane via integrins

36
Q

What secretes heparin? What is heparin?

A

heparin: a sulfonated GAG that acts locally as an anticoagulant; secreted by mast cells

37
Q

What secretes histamine? What is histamine?

A

histamine is secreted by mast cells; it functions in promoting increased vascular permeability and smooth muscle contraction

38
Q

Fibronectin

what is it?
what secretes it?

A

fibronectin is secreted by mast cells. fibronectin receptors are integrins

39
Q

Describe loose CT

A

more ground substance and cells than fibers; flexible, well vascularized

40
Q

Describe dense irregular CT

A

abundant, irregular fiber array; few cells provides strength/resistance to tearing

41
Q

Describe dense regular Ct

A

abundant in parallel bundles, few cells found in tendon

42
Q

What cell types make collagen?

A

Reticular Cells

Ostebolasts, osteoclast,

43
Q

List the types of Ehler’s Danhlos’ Syndrome

A
Type IV (vascular type): faulty type III collagen, leads to aortic/intestinal rupture 
Type VI: faulty lysine hydroxylation, leading to increased skin elasticity 
Type VII: decrease in procollagen peptidase, leading to joint subluxation