lecture 8 Flashcards

1
Q

What is the extracellular matrix?

A
  • macromolecules outside cells, formed by local secretion and assembled into network surrounding cells
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2
Q

What are the functions of the ECM?

A
  • reservoir for growth factors
  • scaffolding within which cells adhere, migrate, and proliferate
  • sequester H2O for turgor (physical pressure that ECM exerts on cells within the matrix); minerals for rigidity
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3
Q

What are the three stages of after wounding?

A

Inflammation (2-6days)

  • clot formation
  • chemotaxis

Proliferation (6-12 days)

  • re-epithelialization
  • angiogenesis and granulation tissue
  • provisional matrix

Maturation (12-16 days)

  • collagen deposition
  • collagen matrix
  • wound contraction
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4
Q

What is the importance of the matrix in regeneration and repair?

A
  • ECM regulates proliferation, movement and differentiation of the cells living in it
  • If the ECM is destroyed you can’t regenerate –> a scar forms instead
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5
Q

What are the two types of cellular-macromolecular organisation?

A

Interstitial matrix/a.k.a stroma
- spaces between epithelial, endothelial and smooth muscle cells and in connective tissue

Basement membrane
- associated with cell surfaces (epithelial and mesenchymal)

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6
Q

What are the three groups of molecules that form the matrix?

A
  1. fibrous structural proteins e.g. collagen, elastins
  2. adhesive glycoproteins e.g. fibronectin, laminin
  3. gelatinous-like molecules e.g. proteoglycans, hyaluronan
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7
Q

What is important to note about the ECM?

A
  • not a layering
  • there is an interaction between all aspects
  • e.g. between epithelium and basement membrane via integrins
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8
Q

What is collagen?

A

most common protein in the animal world

  • each molecule
    • 3 right handed alpha (triple) helices
    • gly-X-Y repeating sub-units
    • mutations: collagens lose stability and vulnerable to proteinase digestion: bone structure can be affected, flexibility/elasticity, skin/hair/eye integrity
  • 27 types: 41 genes, 14 chromosomes
    • I, II, III, V, XI: fibrillar = extracellular structures
    • IV non-fibrillar:amorphous - forms sheets - Basement membrane
  • other collagens:
    • meshworks/anchors at epidermis/epidermis junction, cartilage, blood-platelet activation; vessel wall
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9
Q

How is collagen synthesised?

A
  • procollagen 3 strands put together
  • enzymes cleave off terminal ends - forms tropocollagen
  • lots of glycine residues
  • cross-linking with other triple helices - collagen fibre formed
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10
Q

What is elastin/fibrillin?

A
  • blood vessels, skin, uterus, lung - need elasticity
  • elastic fibres: stretch to several times length - return after release of push/pull force
  • elastic fibres = central core (elastin), surrounded by fibrillin
    • 70 kD protein
    • rich in amino acids: glycine, proline, alanine
    • cross-links enable and regulate elasticity

associated with:

  • fibrillin = microfibrillar network - surrounds core
    • 350kD glycoprotein
    • self-associating
    • scaffolding for elastin/elastic fibres
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11
Q

What is marfan syndrome?

A
  • connective tissue genetic disorder affecting the FBN1 gene that encodes Fibrillin-1
  • tall stature and long limbs resulting in defects of the aorta and heart valves, lungs, eyes, skeleton
  • affected individuals exhibit increased chronic inflammatory disease (e.g. severe RhA) since Fibrillin-1 regulates TGF-beta dependent inflammation
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12
Q

What are the 4 major families of adhesive glycoproteins/integrins?

A
  • in membranes = receptors - homotypic or heterotypic binding OR
  • in cytoplasm (stored

immunoglobulin cell adhesion molecules

  • ICAMs
  • hetero/homotypic

Cadherins
= Ca++ dependent adherence protein, homotypic
- connect plasma membranes of adjacent cells - regulate motility, proliferation and differentiation

Integrins

  • cell adhesion
  • bind to fibronectin and laminin
  • bind cells/ECM and cell/cell

Selectins
- e.g. neutrophil margination and rolling (E and P selectin)

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13
Q

What is fibronectin?

A
  • adhesive glycoprotein - stromal
  • multifunctional - attaches cells to matrix
  • 450 kD glycoprotein - 2 chains - disulphide bonds
  • from: fibroblasts, monocytes, endothelial cells
  • binds to: collagen, fibrin, proteoglycans - domains
  • binds to: cells via receptors/membrane e.g. bone marrow stroma
  • cell attachment and spreading, cell migration
  • enhances sensitivity to growth factors
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14
Q

What is laminin?

A
  • most abundant glycoprotein in basement membrane
  • = family - 820kD, heterotrimeric, cross shaped
  • bind with receptors on cell surface
  • binds with matrix e.g. collagen type IV, heparan sulphate
  • mediates attachment: cells to connective tissue substrate
    • in vitro: growth, survival, morphology, motility cells e.g. alignment of endothelial cells - capillaries
  • binds to integrins
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15
Q

What are integrins?

A
  • major family of cell surface receptors
  • transmembrane, 2 chains: alpha (14 types) Beta (8 types)
  • at least 30 different heterodimers

attachment

  • cell-ECM, cell-cell e.g. leukocytes
  • via recognition of RGD sequence by extracellular domain

crucial in

  • development
  • leukocyte extravasation, platelet aggregation, wound healing
  • lack of attachment via integrins leads to apoptosis
  • transduction of signals: ECM -> cell interior
  • organise actin cytoskeleton into focal adhesion complexes
  • complexes - activate signal transduction pathways
  • possible similar to growth factor pathways e.g. MAP kinase, PI3 kinase.
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16
Q

What are cadherins?

A
  • CA++ dependent adherence protein - 90 members
  • interactions between cells of same type via specialised junctions e.g. desmosomes
    • integrins - bind to actin/intermediate filaments and link cell surface with cytoskeleton
17
Q

What is SPARC?

A
  • secreted protein acidic and rich in cysteine
  • aka osteonectin
  • important in tissue remodelling: angiogenesis inhibitor
18
Q

What are thrombospondins?

A
  • angiogenesis inhibitors
19
Q

What is osteopontin?

A
  • leukocyte migration, regulates calcification
20
Q

What is tenascin?

A
  • morphogenesis

- cell adhesion

21
Q

What are proteoglycans?

A
  • core protein and polysaccharides (=glycosaminoglycans/GAGs)
  • polysaccharides have -ve charge, occupy large volume, hydrophilic
  • in all ECM, on cell surfaces, in biological fluids
  • diverse
    • named for polysaccharide e.g. heparan sulphate, chondroitin sulphate, dermatan sulphate
  • regulate connective tissue structure and permeability
  • modulate cell growth and differentiation
  • in ECM of many cells – huge molecules
  • associates with receptors
  • proliferation/migration
  • binds large amount of water –> viscous gel
  • gives connective tissue its ‘turgor pressure’
    • resists compression - joints
    • inhibits cell-cell adhesion
    • facilitates migration

hyaluronan = MW 8x10^6

  • act as a reservoir for growth factors
  • regulates timing - damage will cause release of growth facts
22
Q

What are essential processes in repair?

A
  • angiogenesis = formation of new blood vessels
    • proliferation, migration, differentiation
  • fibroplasia = formation of new connective tissue
    • proliferation + migration + synthetic activity = ECM deposition
  • remodelling - maturation and organisation off the new fibrous tissue
23
Q

What is vasculogenesis?

A

Occurs during development: formation of first blood vessels
1. Hemangioblasts (haemopoietic stem cells)
2. angioblasts + HSCs (form R/WBCs) + Endothelial Precursor Cells (stored in bone marrow, used in adults when undergoing angiogenesis)
angioblasts proliferate, migrate, differentiate
3. endothelial cells
+ pericytes
+ smooth muscle cells
4. vessels (arterioles, venules, capillaries)

24
Q

What are the two basic ways angiogenesis can happen in adults?

A
  1. endothelial precursor cells triggered by chemotactic signal –> follow this (site of injury)
    migrate and form new capillary network
  2. endothelial cells at site of injury can form new cells - limited response, less efficient than EPCs
25
Q

How is angiogenesis controlled?

A
  • VEGF is most important GF
  • VEGFR-2 is most important receptor
  1. proteolysis of ECM
  2. migration and chemotaxis
  3. proliferation (VEGF-2 + VEGFR-2)
  4. lumen formation, maturation, and inhibition of growth
  5. increased permeability through gaps and transcytosis
26
Q

What is vasculogenesis?

A

Occurs during development: formation of first blood vessels
1. Hemangioblasts (haemopoietic stem cells)
2. angioblasts + HSCs (form R/WBCs) + Endothelial Precursor Cells (stored in bone marrow, used in adults when undergoing angiogenesis)
angioblasts proliferate, migrate, differentiate
3. endothelial cells
+ pericytes
+ smooth muscle cells
4. vessels (arterioles, venules, capillaries)

27
Q

What are the two basic ways angiogenesis can happen in adults?

A
  1. endothelial precursor cells triggered by chemotactic signal –> follow this (site of injury)
    migrate and form new capillary network
  2. endothelial cells at site of injury can form new cells - limited response, less efficient than EPCs
28
Q

What is fibroplasia?

A
  • organisation/healing/repair
    • scar production
    • scar production replacing necrotic tissue
  • fibrosis: any abnormal deposition of connective tissue – occurs in chronic disease
    • e.g. cirrhosis
    • rheumatoid arthritis
    • chronic obstructive lung disease
    • chronic glomerulonephritis
  • in granulation tissue - new blood vessels + ECM
  • migration and proliferation of fibroblasts at injury site
  • deposition of ECM
  • after a few months huge amounts of fibrosis that can never be recovered

deposition of ECM

  • with time - fibroblasts produce ECM
  • fibrillar collagens - strength
  • begins and 3-5 days for weeks
  • synthesis stimulated by growth factors e.g. TGF-beta, PDGF, TNF and cytokines e.g. IL-1, IL-4
  • amount of collagen is a balance between synthesis and degradation
  • as scar matures: vascular regression occurs
29
Q

What is VEGF?

A
  • family (A-D)
  • low levels in many adult tissues produced by mesenchymal and stromal cells (connective tissue and blood vessel cells)
  • induced by hypoxia, TGF-beta, PDGF, TGF-alpha
  • receptors e.g. VEGFR-2 (endothelial cells), VEGFR-3 - lymphatic cells
  • functions
    • angiogenesis
    • vascular permeability
    • endothelial migration and proliferation
    • endothelial differentiation and sprouting of new capillaries
    • endothelial expression of collagenase etc.
30
Q

What is the role of ECM in angiogenesis?

A
  • motility and directed migration of endothelial cells
  • integrins - (alpha-v, beta-3) - formation and maintenance of newly formed vessels - regulates VEGFR-2
  • matricellular proteins e.g. thrombospondin - destabilise cell-matrix interactions (i.e. destroy newly formed vessels that are not required)
  • proteinases e.g. plasminogen activator and matrix metalloproteinases - tissue remodelling - release growth factors and inhibitors from storage
31
Q

What is fibroplasia?

A
  • organisation/healing/repair
    • scar production
    • scar production replacing necrotic tissue
  • fibrosis: any abnormal deposition of connective tissue – occurs in chronic disease
    • e.g. cirrhosis
    • rheumatoid arthritis
    • chronic obstructive lung disease
    • chronic glomerulonephritis
32
Q

How is fibroplasia regulated?

A

TGF-beta

  • fibroblast migration, proliferation, increased synthesis
  • decreased degradation of ECM by metalloproteinases
  • increased expression in chronic fibrotic disease

Macrophages

  • clear extracellular debris, fibrin, foreign material
  • secrete growth/survival factors
33
Q

What occurs during remodelling?

A
  • vascular granulation tissue changes into an avascular scar –> changes in composition of ECM
  • balance between proliferation of fibroblasts and synthesis of ECM vs activation of matrix metalloproteinases which degrade ECM
34
Q

Why is it good to understand ECM and the signalling going on?

A
  • attempts to mimic
  • synthetic ECM for cardiomyocytes to grow back, liver, even artificial bone
  • a few years ago they replaced patient’s oesophagus ECM from donor –> fully formed
35
Q

How does a thin wound heal?

A
  • occurs in small wounds that close easily
  • epithelial regeneration predominates over fibrosis
  • healing is fast, with minimal inflammation, scarring/infection
  • e.g. small cuts, minor surgical procedures
36
Q

How does healing with scar formation and contraction occur?

A
  • occurs in larger wounds that have gaps between wound margins
  • fibrosis predominates over epithelial regeneration
  • healing is slower, with more inflammation and granulation tissue formation, and more scarring e.g. infarction, large burns and ulcers
37
Q

Why is good to understand ECM and the signalling going on?

A
  • attempts to mimic

- synthetic ECM