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Medicine Notes Organisation of the Body Notes

Connective Tissue Notes

Updated Connective Tissue Notes

Organisation of the Body Notes

Organisation of the Body

Approximately 257 pages

1st year Oxford notes and tutorial essays in the module Organisation of the body. ...

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Connective tissue

Definition: association of the extracellular matrix and the various cell types within it. It varies in type and amount in different locations of the body.

Functions:

Mechanical

-supporting matrix for highly organised structures such as the blood, nerve, lymp

-force transmitter- tendon-MUSCLE to bone, ligaments- bone to bone

-facilitates movement between structures

Metabolic

-route for exchange between metabolites and regulatory molecules- between the blood and tissues between blood and tissues

-storage of fat- subcutaneous and mesentries

Defense

-fat in the superficial fascia forms an insulating layer. Fat in the loculi of loose connective tissue of the dermis provides cushioning and padding

-Inflammation- macrophages and mast cells of the connective tissue- inflammation- local response to bacteria

Repair- after injury fibroblasts lay down collagen fibres- scar tissue

STRUCTURE

-cells

Fibroblasts-STRUCTURAL ROLE: embryonic mesenchyme- secrete most of the extracellular matrix components (fibres and ground substancs)

-GAG, PROTEOGLYCANS, COLLAGEN, ELASTIC, GLYCOPROTEINS , GROWTH FACTORS

-Secrete fibroblast growth factors- mutation in FGF3R leads to Achondroplasia

-plays a role in wound healing

-active and quiescent forms are distinct-

-active fibroblasts have euchromatin and a prominent nucleolus and ovid shaped nuclei

-queicsent fibroblasts have fusiform cells, less ERcytoplasm is elongated into a thin line

-Secretes glycogen in a particular orientation

Macrophages: DEFENCE-phagocytosis, antigen presentation, cytokine secretion

- resident phagocytic cells- blood monocytes-engulf and remove invading organisms and dead cells- secrete cytokines the local inflammatory response – recruit other phagocytic cells such as leucocytes from the blood stream

-specialised roles in certain tissues: Kuppfer cells (liver), microgilia (CNS), Langerhan’s cells (epidermis),osteoclasts in bone

Mast cells

-contain secretory granules containing bioactive molecules-histamine, serotonin, tumour necrosis factor, proteases, heparin, prostaglandins

-activation of IgE receptors on cell surface- activation of mast cells, release the mast cells granules- vasodilation, increase capillary permeability, breakdown of ECM- inflammatory response

adipose cells

- white adipose cells- single large droplet of lipid- energy storage, insulation, padding and shock absorber

- brown adipose cells- fat globules are smaller and numerous-heat productions

Matrix- ground substance

GAG-long unbranched polysaccharide chains- repeating disaccharide units- amino sugar- N-acetylglucosamine) chondroitin sulphate, keratin sulphate

-Highly anionic- attract sodium ions and water which leads to swelling, turgor and resists compression in joints

-stornly hydrophilic-porous hydrated gels

proteoglycans- covalent linkage GAG to core protein-aggrecan found in cartilage-control the activity of growth factors

glycoproteins- laminin and fibronectin- EXTRACELLULAR matrix –cells can attach to and move through the matrix- bind to integrins

-integrin receptors in the plasma membrane link the cytoskeleton to extracellular glycoproteins and collagen

Fibres

-Collagen-

-made up of three alpha helix chains, rod like super helix- fibrils, fibres

-Type 1: found in tendons and bones- resists tension

-type 2: found in hyaline cartilage- reisist pressure

-Type 3: found in skin, muscles and vessels- resists deformation on expansion

- type 4 sheets basal lamna

-collagen is arranged in a staggered fashion that is cross linked to form fibrils and many of these fibrils are linked together to form fibres- banded appearance- electron microscopy- collagen is stained using H&E stain- pink stain

Collagen Type I biosynthesis:

  • Preprocollagenα chains synthesised

  • Signal peptide cleaved to form procollagen

  • Hydroxylation of specific prolyl and lysyl residues by peptidylproline/lysine hydroxylases

    • Requires Vitamin C as cofactor

  • Glycosylation of hydroxylysines: glucosyl/galactosyl groups added

  • Self-assembly of procollagen triple helix with N and C registration peptides

  • Secretion

  • Procollagen Peptidase catalyses formation of Tropocollagen(a...

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