CT Flashcards

1
Q

mast cells in secretory granules

A

heparinocytes- origin, size, shape, granules+stain, metachromatic (acidic radicals), two types of mast cells, F, granules

7-20um +irr shaped, developed from progenitor cells, basophilic granules (STAIN ALCIAN BLUE+ PAS+), nucleus obstructed by secretory granules (e- dense heterogeneous), metachromatic (change colour of basic dye blue to purple/red due to high acidic radicals of GAGs therefore poorly presented)
- numerous near small blood vessels (skin or mesentery called pre-perivascular mast cell; mucosal mast cell along lining of git+resp tract.
- main function- allergic reaction: IgE ginds to mast cells and releases materials of secretory granules (like basophils)

heparines- sulphated GAG act as coagulant
histamine- increase vascular permeability, and increase muscle contraction
phospholipid- precursor for conversion of leukotrines+ prostaglandins
cytokines- polypeptide direct activity of rbc+leokocytes
neutrophilic + eisinophilic chemotactic factors- aggregate + attract other leukocytes
serine protease- activate mediator of inflammation

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2
Q

types of macrophages in diff organs

A

part of mononuclear phagocytic system:
in liver- kuffer cells; langerhans in skin; microglial; osteoclasts
long living and survive for months

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3
Q

how elastic fibers maintain rubber like property ?

A

Lysine oxidises on 2 diff elastin and condenses as a desmosine ring which acts as covalent cross-link between polypeptides

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4
Q

reticular fibres function

A

reticular: type III collagen fibril rich on sugar: glycosylated SILVER IMPREGNANTION+ PAS+. argyrophilic- affinity to silver
- produced by fibroblasts in reticular lamina of basement membrane.

F: characterise the stroma of HEMATOPOETIC tissue tissue+LYMPHOID organs
supports stroma of parenchymal secretory cells + rich in microvasculature of LIVER+ ENDOCRINE GLANDS

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5
Q

CT intro

A

intro, origin, type of cells (2), F, types of CT

CT provides MATRIX SUPPORTS and PHYSICALLY CONNECTS tissues+cells together in organs
- interstitial fluid provides metabolic support for cells as meeting for diffusion of nutrients + waste

origin:mesenchyme abundance in ECM, two

types of cells:
resident- fibroblast+cystes, myofibroblasts, adipocytes, mesenchymal, reticular, and pigment cells
wandering (migrate to CT for maturation)- macrophage (histocyte), leukocytes, plasma, mast cells (heparinocyte)

main function: support, structure, defense, storage, nutrition and repair

types of CT
- PROPER
- CT w SPECIAL properties
mucous, reticular, elastic and adipose+embryonic: mesenchymal and jelly-like CT
- SUPPORTING CT
cementum,dentin, bone and cartilage

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6
Q

components of ECM

A

GAGs (long polymer of disaccharide units)-
sulphated (chondroitin, keratan, heparan, and dermatan)
uronic acid: glucuronic+ udoronic acid
hexosamine: glucosamine+ galactosamine

proteoglycans:
decorin (orient fibres y binding to collagen);
perlecan (main protein in basal lamina);
aggrecan (hydrate cartilage of ECM);
versican (cell-cell/cell-ECM); syndecan (cell=ECM linkage)

multi-adhesive glycoprotein
laminin- (anchor cell to basal lamina)
fibronectin- (binding site for collagen IV+ integrin)
tenascin- (modulate cell-ECM attachment)
osteopontin- (bins to osteoblasts)

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7
Q

CT fibers (7)

A

1) fibroblast- branched +irr basophlic cyto (rer,golgi,mito), active: nucleus large ovoid euchromatic w prominent nucleolus
inactive: smaller+spindle shaped heterochromatin=darker
- main function synthesize ECM components, secrete collagen, elastin, reticular fibres.

2) myofibroblasts: have contractile proteins alpha smooth muscle actin (contract wound to bring closer together)-causes fibrosis (thickening/scarring of CT) excessive production of matrix components

3) pigment cells
neuroectodermal, dark brown granules, stratum basale, melanocytes (melanin for pigment+protect UV)

4) adipocytes: Large fat cell, store lipis, cushion+insulate, less common heat production; types: uniocular+multiocular

5) plasma cells
b-lymphocyte origin, 14-20um, antibody-producing cells
large, ovoid cells w spherical nucleus (w compact peripheral region w HETEROCHROMATTIN+ alter w light areas euchromatin=clockface)
BASOPHILIC cytoplasm (rich RER+GA)
lifespan 10 days+abundant in infected cells

6) leukocytes =wbc
defend against bact/pathogen (by increasing inflammation). diapedesis
neutrophils (phagocytotic), basophils (heparin+histamin), eosinophils (parasite +allergic reaction- lamina propria GIT) , monocyte (precursor for mononuclear phagocytes system) and lymphocyte (lamina propria of GIT+resp tract)

7) histocyte=macrophage
10-30um w eccentrically located nucleus, phagocytic activity (in lysosomes), form mononucleated phagocytic system=monocytes
F: increase in size, GA development, protein synthesis, form lysosomes, actin+microtubules
- in liver- kuffer cells; langerhans in skin; microglial; osteoclasts. long living and survive for months

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8
Q

collagen

A
  • most abundant fibre, eosinophilic glycoprotein, differ in size but avg 300nm long, 1.5nm thick.
    - formed by three alpha chains= triple helix
    - type I: accounts for 90% of collagen, in loose, dense CT+ bone
    • type II: hyaline and elastic cart
    • type III: forms reticular fibers. in loose, smooth muscle+ endoneurium (around myelin sheath)
    • type IV: basal lamina of epithelial cells
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9
Q

elastin

A

elastic: outer fibrillin+ inner elastin core. has fenestrated sheets=lamellae
- non coding AA (desmosine+ isodesmosine).
- AA (lysine, glycine +proline)
- to maintain rubber-like property: lysine oxidised on 2 diff elastin= condense as desmosine ring and covalently cross-link between polypeptide
- ALDEHYDEFUCHSIN(magenta) , ORCEIN (red-brown) AND RESORCINFUCHSIN (blue-black)

in elastic CT- densely packed bundles of elastin
elastic tissue in lig flava in vertebral column=yellow lig

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10
Q

CT proper

A

1) CT proper
loose CT- irregular fibrillar component that is loosely arranged fibres flexible but not very resistant to stress, abundant matrix w wandering cells, type I, elastin+reticular fibres , well vascularized
- function: supports epithelial tissue, provide environment for exchange of compounds, involved in immune reactions
- in lamina propria of mucosa, interstitial fluid of glands and stratum papillae dermis(papillary layer of dermis)

 dense CT- fewer cells+ground substance, poorly vascularized, type I
       -->reg- fibers oriented in one direction, fibroblasts arranged in parallel orientation to collagen fibres     - tendon, lig, aponeurosis 

     --> irr- oriented in many directions    - function: less flexible but more resistance due to dense collagen     - periosteum, perichondrium, stratum reticulare dermis (reticular layer of dermis), and sclera 

in tendons: tendinocytes
- densely, closely packed bundles of collagen separated by little ground substance
- fibrocytes have elongated nuclei that lie parallel to fibres;
- cytoplasm has portion of collagen bundles. cyto stains same as fibres:yellow lig of vertebral column=lig flavum has abundant parallel elastic fibres
- poor vascularization (repair low)
- some tendons: dense irr CT has synovial cells secrete hylauron

structure:
inner peritendinum: dense reg CT
outer epitendinum: dense irr CT

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11
Q

adipose CT

A

2) Adipose CT
white adipose tissue
- 50-150um spherical when isolated; polyhedral when closely packed
- uniocular: one large droplet of triglyceride; surrounded by rim of cytoplasm w nuclei; has mitoch, cistern in rer, golgi and polyrib
- surrounded by thin submembranous layer (collagen IV) has pinocytotic vesicles .
- found: neurovascular bundle and subcutaneous tissue around kidneys
- f: store energy, cushion of vital organs + insulation, secrete organs

brown adipose tissue
- polygonal; subdivided by partitions of CT into lobules- makes more pronounced and delineated
- multiocular: smaller w many lipid droplets; abundant in mitochondria (why brown) scattered around lipid droplet of fat cell+ in capillaries

  • f: heat production+ thermogenin in mitochondrial membrane (produce heat by non shivering using uncoupling proteins+ bc has many mitoch protects against oxidation stress- neutralise reactive oxygen species )

beige adipose tissue
- similar to brown morphologically; in insulated cells dissipated in white adipose tissue

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12
Q

embryonic CT

A

3) embryonic CT STAIN: H&E
mesenchymal: small stellate/spindle shaped cell, interconnected by gap j, forms 3D network. ECM has sparse collagen+reticular fibres
- developed in lymphatic+ circulatory tissue+ musculoskeletal (bone, cartilage)

Mucous: found in umbilical cord: Warton’s Jelly- dispersed fibrocyte-like cellular portion between ECM. also in tooth pulp. High abundance of ground substance (fibroblasts, collagen+reticular fibres,HA and glycoproteins)

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13
Q

cartilage intro

A

cartilage is supporting CT, mesenchymal in origin. Made from dense CT; avascular (low metabolic activity+low regeneration) and aneural and nutrition supplied by diffusion from perichondrium (double layer dense irr CT (type I collagen fibrils) inner layer: contains chondroprogenitor cells and outer layer is fibrous layer)=EOSINOPHILIC

matrix: sparse fibrillar component
sulfated GAGs (keratan+chondroitin+ hylauronic acid), proteoglycans
multiadhesive glycoproteins: chondronectin binds to GAGs, integrin and collagen to help w adherence of chondrocytes to ECM
basophilic: STAIN ALCIAN BLUE, NUCLEAR RED H&E

cells:
- chondroblasts (help w development of cartilage, is in perichondrium and proliferate due to somatotrophin released (GH)

  • chondrocyte (help w maturation +maintain structure by secreting metalloproteinase to degrade cartilage )
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14
Q

each type of cartilage

A

hyaline cartilage: type II collagen fibers. most common, and it’s the skeletal model for endochondrial oss.
territorial: basophilic (less fibrils-collagen)
inter-territorial: eosinophilic (more fibrils)

  • chondrocytes on surface more elongated and deeper are oval; form isogenic lineages (cluster)
  • resp system +nose+larynx , coastal cartilage, growth plate (epiphysial plate for growth of long bones); articular surface of bone don’t have perichondrium has synovium (secrete synovial fluid for nutrition- no perichondrium)

elastic cartilage: type II collagen. Similar to hyaline but has branching elastic fibres (elastin+fibrillin)= fibrillar component more abundant. more flexible. Has perichondrium
- chondrocyte= alone/isogenic groups
ALDEHYDOFUCHSIN, RESORCINBUCHSIN (black) ORCEIN
- auricle, eustachian tube, epiglottis, and small cartilage of larynx

fibrocartilage: mix of hyaline+dense reg CT= type I+II , not visible perichonderium. less vascularized bc has dense bundles of type I collagen fibers that alternate w cartilage matrix. EOSINOPHILIC (low GAGs)
- chondrocyte= alone/linear groups
interstitial growth= diff from preexisting chondroblast
apposition is from new chondroblast
damage= perichondrium produce scar of dense CT to form new cartilage (low repair bc bad vascularization)

  • f: provide tensile strength+ bear weight+ resist compression
  • in intervertebral disc+ menisci at knee+ pubic symphysis
    AZAN/MASON TRICHROME
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15
Q

bone

A

bone specialised CT, main constituent of skeletal tissue, protects vital organs, acts as reservoir for Ca+PO4 ions, lever for body mov= mechanical+metabolic functions

Layers: dense CT, blood vessels, collagen fibres and fibroblasts
periosteum
inner cellular. Osteoprogenitor cells. responsible for appositional bone growth+repair
outer - fibrous layer, dense irr CT+perforating sharpy’s fibres (bundles of periosteum collagen fibres w purpose to bind periosteum to bone by penetrating matrix)

endosteum- lines marrow cavity, and surface of trabeculae of compact bone. same as periosteum but thinner

cells
1) osteoblasts: mesenchymal active form cuboidal/columnar cells with high basophilic cyto; inactive-flattened and less basophilic. Majority inactive form on surface between endosteum+periosteum.
- secrete osteoid-layer of matrix components between osteoblast+preexisting bone surface and now in contact w preexisting bone matrix: euchromatin, nuclei, abundant GER +GA
- osteoid essential for apposition growth completed by deposition of calcium salts into newly formed matrix.
comm w gap j. stimulated by parathyroid hormone (bone remodeling)

osteocyte- flat almond-shaped, diff array of genes than blast; less GER, smaller GA and more condensed nucleus. enclosed within lacunae, w blood supply that runs through canaliculi (250-300nm). Organized in isogenic groups/lines. Also comm gap j. produce sclerostin+cytokines= bone remod
- help w Ca hemostasis+ sensors detect mechanical stress

osteoclasts: not mesenchymal in origin, hematopoietic (comes from projenitor cells in bone marrow). Large motile cells 50-100um, multinucleated, lie within reabsorption cavities. Active ones are at surface against matrix, has irregular projection= ruffled border surrounded by AF;
- formation: two polypeptide osteoblasts secrete: MCSF macrophage colony stimulating factor + rankl receptor-activated of nuclear factor kb ligands

bone remodelling: osteoclasts secrete lysosomal enzymes (collagensa+cathepsin k) cause protein pumps to secrete H, increase acidity. Dissolved crystals+digest matrix. Endocytosis occurs, infoldings of PM going to ECM.

  • osteopetrosis condition: overly dense w abnormal growth, very brittle fracture easily. No ruffled border so reabsorption is low
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16
Q

intramembranous ossification

A

intramembranous
- 8th week makes: mandible, maxilla, skull, clavicle, growth of short bone, thickening of long bones(appositional), parts of occipital+temporal, frontal+ parietal

  • MESENCHYMAL BLASTEMA = first ossification centre: cells differentiate (mesenchyme-progenitor cells-osteoblast) around network of developing capillaries. From surface osteoblast face away from capillaries to secrete OSTEOID (bc polarized)
  • osteocyte form BONE SPICULES (thin sheet like layer of bone tissue that grow+fuse- important for structure, support+ increase SA of bone)
  • calcification of matrix = trabecular network of WOVEN bone
  • osteocyte enclosed within LACUNAE and still continued matrix secreted= more layers form COMPACT bone enclosed around CANCELLOUS bone (w marrow+large blood vessels) + FUSION of neighbouring oss centres occur
  • in cranial flat bones bone formation> bone reabsorption= two layers internal layer (diploe maintain its spongy nature) +external (fontanelle)- happens when no ossification of CT forming PERIOSTEUM+ENDOSTEUM
17
Q

endochondral + epiphysial cartilage zones

A

endochondral
- hyaline as model forms around diaphysis w bone collar (osteoblast from perichondrium)- to impede diffusion of nutrients to promote degeneration
- chondrocyte produce alkaline phosphatase cause swelling/hypertrophy (lacunae enlarge +compress matrix into narrow trabeculae=calcifies)
- due to degeneration of bone collar chondrocytes undergo apoptosis creating porous structure made of calcified cartilage remnants covered by osteoblast layer
- osteogenic buds (complex structure have capillaries, mesenchymal, osteoprogenitor) forms where bone will be developed
- blood vessels pierce through bone collar and bring osteoprogenitor cells to porous central region. Osteoblasts adhere to remnants and make woven bone
- calcified cartilage (more basophilic) than new bone (more eosinophilic)
process= primary oss centre in diaphysis

secondary oss centre at epiphysis
- during expansion+remodelling of 1+2 oss centre produces more cavities filled of bone marrow + trabecullar of cancellous bone
- two parts remain: articular (within joints, persist through life) +epiphysial (growth of length-interstitial, disappear as adult)

Epiphyseal cartilage zones
*Zone of reserved cartilage exhibits no active ECM production.
*Zone of proliferating cartilage actively produces collagen type II.
*Zone of hypertrophy contains greatly enlarged (hypertrophic) cartilage cells.
*Zone of calcified cartilage is where cartilage calcifies (duh) and chondrocytes apoptose
*Zone of resorption osteoblasts invade the cartilage leaving only longitudinal spicules behind.

18
Q

bone matrix+calcification vs bone remodelling

A

bone matrix 50% each
organic
- collagen type I
- proteoglycans (sulphate keratan, chondroitin+hyaluran)
multi adhesive glycoproteins
- osteonectin-bind crystals to collagen fibrils
- sialoproteins (sialoproteins I,II, osteopoitin) non- collagemous mineralization
- non-specific vit K: osteocalcin (bind Ca) + protein S (moves apoptotic cells)

inorganic
- hydroxyapatite crystals (amorphous, noncrystalline)- has layer of water to facilitate exchange of ions between mineral + body fluid
- ions bicarbonate, citrate, Mg,Na,K

calcification
1)vit k dependent osteocalcin +glycoproteins bind to Ca
2) osteoblasts secrete matrix vesicles w alkaline phosphatase (increase PO4 conc)
3) make hydroxyapatite crystals which grow rapidly in + around mateix
form calcified materials embedded in collagen and proteoglycans

bone remodelling: osteoclasts secrete lysosomal enzymes (collagensa+cathepsin k) cause protein pumps to secrete H, increase acidity. Dissolved crystals+digest matrix. Endocytosis occurs, infoldings of PM going to ECM.
– osteopetrosis condition: overly dense w abnormal growth, very brittle fracture easily. No ruffled border so reabsorption is low

19
Q

types of bones

A

types of bones
long bone-
-bulbus ends- epiphysis (are rounded bulbus structures at end of each side of bone. covered by layer of articular cartilage. bulbus ends important for the stability and support of joint.
epiphysis composed of spongy bones convered by thin layer of compact bone

  - diaphysis- compact bone w thin layer of spongy bone (around central merrow cavity)

short bone- cores of spongy bone surround by compact

flat bone form calvaria (2 layers of compact called plates separated b thicker layer of spongy bone diploe

trabeculae (cancellous)- at epiphysis of bones, contain red bone marrow. Weaker= easier to fracture. thin therefore allow diffusion of vessels to bone marrow- important for stem cell+blood cell production

compact bone
- packed osteons- bone matrix, 3-7um of lamellae parallel oriented conc around haversion canal. space between lamellae=lacunae which where osteocytes reside. have dendritic process allowing for communication between osteocyte for diff of nutrients, waste and senses mechanical stress of bones.
- cement line outer boundary of osteon collagen rich
- volkmann canal comm merrow cavity w periosteum
- lamellae interconnected by canaliculi. organization:
- interstitial lamillae- between osteon remnants after remodeling. irr shaped
- Circumferential between/ around bone. external: beneath periosteum and Volkman canal or inner: around merrow cavity covered by endosteum

Woven bone/fibrillar
random dispersion of type I, primary bone newly formed (immature) replaced w lamellar when matured
not replaced for sutures of calvaria
lower mineral content but high osteocyte (rapidly grow but weaker)

lamellar bone
has lamellae (organized in conc around central canal)
multiple layer of matrix
lamellae appear as alternating dark and bright bands- due to diff orientations +layers of fibres = strong
bright- birefringence of collagen fibres

20
Q

bone remodelling in forming type of bone
metabolic role

A

bone remodeling (children have 200x turnover excellent capacity for repair due to osteoprog cells)

osteoclasts remove old bone, replace it
- osteoclast in tunnel-like cavities w diameter = size of new bone
tunnel invaded by osteoprog cells and sprouts loops of capillaries. diff to blasts which on the walls secrete osteoid in cyclical manner = conc lamellae around bone w trapped osteocytes

metabolic role of bone
controlled by Ca2+ 9-10mg/dL
Ca from hydroxyapatite crystals or interstitial fluid

parathyroid hormone: release Ca2+ stimulate osteoblasts (secrete factors that make osteoclasts) which then reabsorb matrix (indirect affect)

calcitonin- decrease Ca2+ tell psteoclasts to slow down reabsorption+ bone turnover

21
Q

collagen production (type I)

A

procollagen alpha chain synthesis-> hydroxylation+ glycosylation-> in rer three alpha chain(has globular structures) arranged in triple helix -> protease: procollagen peptidase removes terminal globular peptide-> procollagen becomes collagen -> self assemble to fibrils (by covalent cross-links using lysyl oxidase). - degradation uses metalloproteinase

intro: rodlike fibres in triple helix (300nm) +self assemble
1)reg overlapping arrangement of procollagen subunit continues as large collagen fibrils are assembled
2)structure cause cross-striations w alternating light+dark bands (EM)
3)fibrils assemble further and linked together w larger collagen fibres (light micro)
4)Type I fibers often form into larger aggregates
bundled and linked together by other collagens.