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CONTENTS
 INTRODUCTION
 COMPONENTS
 ENDOTHELIAL CELLS
 PERICYTES
 PLASMA CELLS
 FIBROBLAST
 MAST CELLS
 ADIPOCYTES AND ADIPOSE TISSUE
 FIBER COMPONENTS
 GROUND SUBSTANCE
 BASEMENT MEMBRANE
 CONCLUSION
 REFERENCES
What is a connective tissue?
Tissue
1. Fills the interstices between more specialized elements
2. Serves to hold them together
3. Support (supporting tissue)
Google image
*Mesenchyme
*Arise from mesoderm
*Widely spaced, pale staining stellate cells with long
interconnecting cytoplasmic processes
Google image
CLASSIFICATION
LOOSE/IRREGULAR DENSE/REGULAR SPECIALIZED
E.g.:
Reticular layer of
dermis
Fibrous capsule &
septa of glands &
organs
E.g.:
Tendons
Aponeuroses
Ligaments
Cartilage
E.g.:
Adipose tissue
Blood cells &
Blood forming
organs
Bone
*M
COMPONENTS
CELLS
EXTRACELLULAR
MATERIAL
GROUND
SUBSTANCE
Amorphous
intercellular non
fibrous
components
FIBRES
• Collagen
• Elastin
• reticulin
 ENDOTHELIAL
CELLS
 FIBROBLAST
 ADIPOCYTES
 MACROPHAGES
 PLASMA CELLS
 MAST CELLS
DEVELOPMENT
Arise from embryonic
mesenchymal cells
Line the entire circulatory
system constituting a simple
squamous epithelium-
endothelium
50µm long and 15µm wide
Google image
LIGHT MICROSCOPIC VIEW
Google image
ELECTRON MICROSCOPY
 Endocytic pits & vesicles
 Contractile filaments
 Few mitochondria
 Less rER and sER
FUNCTIONS OF ENDOTHELIAL CELLS
 Maintainence of the lining layer of the circulatory system
Facilitates exchange of substances across the capillary walls
Produce type III collagen and proteoglycans
(Gr. peri, around)
*Pale staining connective tissue
cells with long, slender
cytoplasmic process that lie
immediately external to the
endothelium
*Insinuated into the basement
memberane
*Mesenchymal potentiality
Google image
Google image
FUNCTIONS
Regulation of blood flow
Inflammation
Immune function
Wound healing
Vascular development/ angiogenesis
HEMANGIOPERICYTOMA
tumor derived from pericytes
*numerous vascular channels showing
plump endothelial nuclei and indistinct
cytoplasm
*Staghorn appearance
Pericytes in Health and Disease;Prashant B Munde, Shubhangi P Khandekar, Alka
M Dive, Neha R Upadhyaya
Hemangiopericytoma of gingiva-A Case Report; Dr gayathri Ramesh
FIBROBLAST
(L. fibra; blastos, germ)
Produces fibers and
amorphous ground substance
Google image
LIGHT MICROSCOPIC VIEW
ACTIVE
o Wide cytoplasmic processes or
appear spindle shaped
o basophilic cytoplasm
o Prominent nucleoli
INACTIVE
o Fibrocytes
o Flattened ovoid nucleus
o Condensed chromatin
o Less basophilic cytoplasm
Google image
MACROPHAGE
Histiocytes
Development- mesenchyme
Precursor cell- monocytes
12µm diameter
 engulf particulate matter and
submit it to lysosomal hydrolysis
Round to oval or angular
shape
Dark staining nucleus
Eccentrically placed
Indented oval or kidney
bean shaped
Google image
ANTIBODY MOLECULES CAN FACILITATE PHAGOCYTOSIS
PREFORMED ANTIBODIES
posses cell surface receptors for the Fc end of the antibody
molecule
FUNCTIONS
 Elimination of microorganisms, the cellular debris, exogenous material,
worn out blood cells in the spleen
 Fuse and form multinucleated giant cells
 Represents the cellular source of – complementary proteins,
hematopoietic growth regulators
Antigen stimulated
regulatory T-
lymphocytes
Migration
inhibitory factor
macrophages
PLASMA CELLS
DEVELOPMENT- mesenchyme derived B lymphocytes
Coons (1955)- antibody is produced from plasma cells
They contain RUSSEL BODIES (2µm-3µm) in diameter
Google image-
FUNCTIONS
Secretion of
antibodies
LM
Rounded in outline
15µm in diameter
intense cytoplasmic basophilia
NUCLEUS:
Eccentrically placed, Spherical to
ovoid,Clumps of peripheral
condensed chromatin,Large
nucleolus
Google image- plasma cell leukemia
PLASMA CELL DYSCRIASIS
1.PLASMACYTOMA
Google image
MULTIPLE MYELOMA
MAST CELLS
DEVELOPMENT : HEMATOPOIETIC STEM CELL

MAST CELLS
LM
 Large rounded or ovoid
cells
Contains numerous
spherical, membrane-
bounded secretory
granules
Less prominent in H & E
staining
EM
 Irregular outline,
 Numerous mitochondria,
 Prominent rER, golgi
apparatus
Histamine
Heparin
serotonin
EM LM
Google image
MEDIATORS
1.Histamine
2.ECF-A
3.NCF
4.Lysosomal hydrolases
5.SRSA
6.PAF
7.Prostaglandins
HISTAMINES
Derived from histidine
contract visceral smooth muscles and cardiac smooth muscle
Relax all the other muscles
MAST CELL DEGRANULATION
the cell membrane of mast cell is provided with Fc receptors
Affinity for IgE
DEGRANULATION OF MAST CELLS
Google image
MAST CELL ACTIVATION DISEASES
SYSTEMIC MASTOCYTOSIS
Google image
ADIPOCYTES AND ADIPOSE TISSUE
DEVELOPMENT- pericapillary mesenchymal cells
 Signet ring appearance
 Chicken wire appearance
 70µm-120µm diameter
 Rim of cytoplasm is 1µm-
2µm
 Prominent mitochondria
Google image
LIPOMA
INTERCELLULAR COMPONENTS OF CONNECTIVE
TISSUE
INTERCELLULAR FIBERS
COLLAGEN---STRONG FIBERS MADE OF PROTEINS
ELASTIN----ELONGATE PASSIVELY WHEN STRETCHED
RETICULIN-AMORPHOUS INTERCELLULAR COMPONENTS
PROTEOGLYCANS & GLYCO PROTEINS---FILL
INTERSTITIAL GAPS BETWEEN THE COMPONENTS OF
CONNECTIVE TISSUE
COLLAGEN
Main fibre type
Tropocollagen – alpha chains (3 polypeptide chains)
300 nm long and 1.5nm diameter
Triple helix structure
2 UNIQUE AMINOACIDS- proline & glycine
Hydroxyproline- hydrogen bonds
Hydroxylysine - collagen crosslinking
attachment of short carbohydrate chains
P
R
O
C
O
L
L
A
G
E
N
S
E
C
R
E
T
I
O
N
MASSON’S TRICHROME STAININING OF COLLAGEN
VAN GIESON STAINING
Google image
AXIAL PERIODICITY
Repeating pattern of light and dark bands
64nm periodicity reflects the unique pattern of incorporation of
collagen molecule into the fibril
COLLAGEN DEGRADATION
Collagenases- fibroblasts, macrophages and neutrophils at neutral pH
Lysosomal elastase- neutrophils and macrophages
Lysosomal cathepsin (B & N)- at low pH
COLLAGEN DISORDERS
1.SCURVY
2.SYSTEMIC SCLEROSIS 3.SYSTEMIC LUPUS
ERYTHEMATOSIS
Google image
ORAL SUBMUCOUS FIBROSIS
HISTOPATHOLOGY (H & E 100x)
REF-Oral submucous fibrosis and its
dermatological relation
2.EHLER DANLOS SYNDROME
 First decribed by Van Meekeran in 1682
 Interferences with conversion of
procollagen to collagen
3. OSTEOGENESIS IMPERFECTA
 Decrease in collagen
synthesis or defective
collagen synthesis.
4.STICKLER SYNDROME
Gunnar B stickler
COLI A1,
COLI A2
COL1A1
on ch 17,
COL1A2
on ch 7
COL12A1,
COL11A1,C
OLI1A2
Google image
5.ALPORT SYNDROME
Inherited disorder of basement
membrane particulary type IV collagen
Mutations in gene located in X
chomosome
6.MARFAN SYNDROME
Autosomal dominant
mutations in the genes
encoding fibrillin
COL4A4
COL4A3
COL4A5
FNB ch
15q15
23.1
Google image
ELASTIC FIBERS
0.2- 1.5µm in diameter
Less wavy, branched,
irregular
Stained by resorcin fuchsin,
aldehyde fuchsin, van gieson
staining
tropoelastin
Desmosine
isodesmosine
ELASTIN
Google image
RETICULAR FIBERS (L.rete,net)
Thin 0.5 and 2 μm diameter
Not visible in H & E stains but can be easily stained black by
impregnation with silver salts
Argyrophilic fibers – affinity to silver salts
Fine, delicate & branch extensively
Transverse section of
smooth muscle
impregnated with
silver to stain the
reticular fibers
Google image
Coated with glycoprotein and polysaccharide-containing
proteoglycan
FUNCTIONS:
 Provide intimate support for capillaries, nerve fibers,
muscle fibers
 closely associated with basement membrane
 fine supporting elements for the parenchymatous cells of
major glands such as liver & blood-forming cells in
myeloid & lymphatic tissue
TISSUE DISTRIBUTION:
Smooth muscle, endoneurium,
hematopoietic organs, around
parenchymal organs
GROUND SUBSTANCE
Complex and hydrated semisolid gel
Acid mucopolysaccharides, glycosaminoglycans
Glycosaminoglycans= disaccharides= uronic acid+hexose
sugar
2 types- sulfated and sulfate free
HYALURONIC ACID
sulfated
Long, irregularly folded
400nm in diameter
Interstices are filled with tissue fluid
disaccharide=
N-acetyl glucosamine
+
glucoronic acid
S NO GLYCOSAMINOGLYCANS REPEATING DISACCHARIDE
UNITS
1
HEPARAN SULFATE N- acetylglucosamine and
glucoronic or iduronic acid
2
CHONDROITIN-4-SULFATE
CHONDROITIN-6-SULFATE
N-acetylgalactosamine and
glucoronic acid
3
DERMATAN SULFATE N- acetylgalactosamine and
glucoronic acid or iduronic acid
4
KERATAN SULFATE N- acetylglucosamine and
galactose
4 main gags-
1. DERMATAN SULFATE- skin, tendon aorta
2. CHONDROITIN SULFATE — hyaline cartilage, bone,
cornea,skin, aorta
3. KERATAN SULFATE — cornea
4. HEPARAN SULFATE — aorta, lung, liver, basal, basal
laminae.
GAGS
PROTEOGLYCANS
AND
GLYCOPROTEINS ???
STAINING?
GAGS AND
PROTEOGLYCANS
METACHROMATIC
STAINING,
COLLOIDAL IRON,
PAS NEGATIVE
GLYCOPROTEINS
PAS POSITIVE
FLUID COMPONENT OF THE GROUND SUBSTANCE
TISSUE FLUID AND LYMPH
OEDEMA
Google image
BASEMENT MEMBRANE
Immediately beneath the basal surface of epithelial
membranes
PAS positive
In electron micrograph- electron dense layer
100nm thick
Basement membrane/ basal lamina
LM OF TRANSITIONAL
EPITHELIUM
ELECTRON MICROSCOPIC
VIEW
Google image
Google image
*LAMINA DENSA- electron dense layer (20 -300 nm)
*LAMINA RARA- electron lucent layer
Collagen?
TYPE IV, TYPE III (fibroreticularis)
LAMINA RARA
INTERNA
LAMINA RARA
EXTERNA
LAMINA
LUCIDA
LAMINA
FIBRORETICULARIS
Google image
*Anastomosing cords possess an axial core filament made of TYPE
IV collagen surrounded by LAMININ and FIBRONECTIN ,
ENTACTIN, HEPARIN SULPHATE
FIBRONECTIN
 Attaching basement
membrane to the
reticular fibers
 cellular adhesion to
the basement
membrane
LAMININ
 Attach cells to the
basement membrane
FUNCTIONS
Bond cells to underlying connective tissue
Provides support
Freely permeable to substances of low molecular weight
and impedes the substances of high molecular weight
Act as a substrate capable of directing cell growth and
migration during morphogenesis , regeneration and
repair
REFERENCES
1.Ham’s histology
2.’Collagen in health in disease’;Simarpreet V Sandhu, Shruthi Gupta, Himanta
Bansal,, Kartesh Singla; Journal Of Orofacial Research; July-September
2012;2(3):153-159
3. ‘Pericytes in Health and Disease’; Prashant B Munde, Shubhangi P
Khandekar, Alka M Dive, Neha R Upadhyaya ;International Journal of Oral
and Maxillofacial Pathology ; November 2014;5(1):02-07
Connective tissue

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Connective tissue

  • 1.
  • 2. CONTENTS  INTRODUCTION  COMPONENTS  ENDOTHELIAL CELLS  PERICYTES  PLASMA CELLS  FIBROBLAST  MAST CELLS  ADIPOCYTES AND ADIPOSE TISSUE  FIBER COMPONENTS  GROUND SUBSTANCE  BASEMENT MEMBRANE  CONCLUSION  REFERENCES
  • 3. What is a connective tissue? Tissue 1. Fills the interstices between more specialized elements 2. Serves to hold them together 3. Support (supporting tissue) Google image
  • 4. *Mesenchyme *Arise from mesoderm *Widely spaced, pale staining stellate cells with long interconnecting cytoplasmic processes Google image
  • 5. CLASSIFICATION LOOSE/IRREGULAR DENSE/REGULAR SPECIALIZED E.g.: Reticular layer of dermis Fibrous capsule & septa of glands & organs E.g.: Tendons Aponeuroses Ligaments Cartilage E.g.: Adipose tissue Blood cells & Blood forming organs Bone
  • 6.
  • 7. *M COMPONENTS CELLS EXTRACELLULAR MATERIAL GROUND SUBSTANCE Amorphous intercellular non fibrous components FIBRES • Collagen • Elastin • reticulin  ENDOTHELIAL CELLS  FIBROBLAST  ADIPOCYTES  MACROPHAGES  PLASMA CELLS  MAST CELLS
  • 8. DEVELOPMENT Arise from embryonic mesenchymal cells Line the entire circulatory system constituting a simple squamous epithelium- endothelium 50µm long and 15µm wide Google image
  • 10. ELECTRON MICROSCOPY  Endocytic pits & vesicles  Contractile filaments  Few mitochondria  Less rER and sER
  • 11.
  • 12. FUNCTIONS OF ENDOTHELIAL CELLS  Maintainence of the lining layer of the circulatory system Facilitates exchange of substances across the capillary walls Produce type III collagen and proteoglycans
  • 13. (Gr. peri, around) *Pale staining connective tissue cells with long, slender cytoplasmic process that lie immediately external to the endothelium *Insinuated into the basement memberane *Mesenchymal potentiality Google image
  • 15. FUNCTIONS Regulation of blood flow Inflammation Immune function Wound healing Vascular development/ angiogenesis
  • 16. HEMANGIOPERICYTOMA tumor derived from pericytes *numerous vascular channels showing plump endothelial nuclei and indistinct cytoplasm *Staghorn appearance Pericytes in Health and Disease;Prashant B Munde, Shubhangi P Khandekar, Alka M Dive, Neha R Upadhyaya Hemangiopericytoma of gingiva-A Case Report; Dr gayathri Ramesh
  • 17. FIBROBLAST (L. fibra; blastos, germ) Produces fibers and amorphous ground substance Google image
  • 18. LIGHT MICROSCOPIC VIEW ACTIVE o Wide cytoplasmic processes or appear spindle shaped o basophilic cytoplasm o Prominent nucleoli INACTIVE o Fibrocytes o Flattened ovoid nucleus o Condensed chromatin o Less basophilic cytoplasm Google image
  • 19. MACROPHAGE Histiocytes Development- mesenchyme Precursor cell- monocytes 12µm diameter  engulf particulate matter and submit it to lysosomal hydrolysis Round to oval or angular shape Dark staining nucleus Eccentrically placed Indented oval or kidney bean shaped Google image
  • 20. ANTIBODY MOLECULES CAN FACILITATE PHAGOCYTOSIS PREFORMED ANTIBODIES posses cell surface receptors for the Fc end of the antibody molecule FUNCTIONS  Elimination of microorganisms, the cellular debris, exogenous material, worn out blood cells in the spleen  Fuse and form multinucleated giant cells  Represents the cellular source of – complementary proteins, hematopoietic growth regulators Antigen stimulated regulatory T- lymphocytes Migration inhibitory factor macrophages
  • 21. PLASMA CELLS DEVELOPMENT- mesenchyme derived B lymphocytes Coons (1955)- antibody is produced from plasma cells They contain RUSSEL BODIES (2µm-3µm) in diameter Google image- FUNCTIONS Secretion of antibodies
  • 22. LM Rounded in outline 15µm in diameter intense cytoplasmic basophilia NUCLEUS: Eccentrically placed, Spherical to ovoid,Clumps of peripheral condensed chromatin,Large nucleolus Google image- plasma cell leukemia
  • 25. MAST CELLS DEVELOPMENT : HEMATOPOIETIC STEM CELL  MAST CELLS LM  Large rounded or ovoid cells Contains numerous spherical, membrane- bounded secretory granules Less prominent in H & E staining EM  Irregular outline,  Numerous mitochondria,  Prominent rER, golgi apparatus Histamine Heparin serotonin
  • 28. HISTAMINES Derived from histidine contract visceral smooth muscles and cardiac smooth muscle Relax all the other muscles MAST CELL DEGRANULATION the cell membrane of mast cell is provided with Fc receptors Affinity for IgE
  • 29. DEGRANULATION OF MAST CELLS Google image
  • 30. MAST CELL ACTIVATION DISEASES SYSTEMIC MASTOCYTOSIS Google image
  • 31. ADIPOCYTES AND ADIPOSE TISSUE DEVELOPMENT- pericapillary mesenchymal cells  Signet ring appearance  Chicken wire appearance  70µm-120µm diameter  Rim of cytoplasm is 1µm- 2µm  Prominent mitochondria Google image
  • 33. INTERCELLULAR COMPONENTS OF CONNECTIVE TISSUE INTERCELLULAR FIBERS COLLAGEN---STRONG FIBERS MADE OF PROTEINS ELASTIN----ELONGATE PASSIVELY WHEN STRETCHED RETICULIN-AMORPHOUS INTERCELLULAR COMPONENTS PROTEOGLYCANS & GLYCO PROTEINS---FILL INTERSTITIAL GAPS BETWEEN THE COMPONENTS OF CONNECTIVE TISSUE
  • 34. COLLAGEN Main fibre type Tropocollagen – alpha chains (3 polypeptide chains) 300 nm long and 1.5nm diameter Triple helix structure 2 UNIQUE AMINOACIDS- proline & glycine Hydroxyproline- hydrogen bonds Hydroxylysine - collagen crosslinking attachment of short carbohydrate chains
  • 36.
  • 37. MASSON’S TRICHROME STAININING OF COLLAGEN VAN GIESON STAINING Google image
  • 38. AXIAL PERIODICITY Repeating pattern of light and dark bands 64nm periodicity reflects the unique pattern of incorporation of collagen molecule into the fibril
  • 39. COLLAGEN DEGRADATION Collagenases- fibroblasts, macrophages and neutrophils at neutral pH Lysosomal elastase- neutrophils and macrophages Lysosomal cathepsin (B & N)- at low pH
  • 40. COLLAGEN DISORDERS 1.SCURVY 2.SYSTEMIC SCLEROSIS 3.SYSTEMIC LUPUS ERYTHEMATOSIS Google image
  • 41. ORAL SUBMUCOUS FIBROSIS HISTOPATHOLOGY (H & E 100x) REF-Oral submucous fibrosis and its dermatological relation
  • 42. 2.EHLER DANLOS SYNDROME  First decribed by Van Meekeran in 1682  Interferences with conversion of procollagen to collagen 3. OSTEOGENESIS IMPERFECTA  Decrease in collagen synthesis or defective collagen synthesis. 4.STICKLER SYNDROME Gunnar B stickler COLI A1, COLI A2 COL1A1 on ch 17, COL1A2 on ch 7 COL12A1, COL11A1,C OLI1A2 Google image
  • 43. 5.ALPORT SYNDROME Inherited disorder of basement membrane particulary type IV collagen Mutations in gene located in X chomosome 6.MARFAN SYNDROME Autosomal dominant mutations in the genes encoding fibrillin COL4A4 COL4A3 COL4A5 FNB ch 15q15 23.1 Google image
  • 44. ELASTIC FIBERS 0.2- 1.5µm in diameter Less wavy, branched, irregular Stained by resorcin fuchsin, aldehyde fuchsin, van gieson staining tropoelastin Desmosine isodesmosine ELASTIN
  • 46. RETICULAR FIBERS (L.rete,net) Thin 0.5 and 2 μm diameter Not visible in H & E stains but can be easily stained black by impregnation with silver salts Argyrophilic fibers – affinity to silver salts Fine, delicate & branch extensively Transverse section of smooth muscle impregnated with silver to stain the reticular fibers Google image
  • 47. Coated with glycoprotein and polysaccharide-containing proteoglycan FUNCTIONS:  Provide intimate support for capillaries, nerve fibers, muscle fibers  closely associated with basement membrane  fine supporting elements for the parenchymatous cells of major glands such as liver & blood-forming cells in myeloid & lymphatic tissue TISSUE DISTRIBUTION: Smooth muscle, endoneurium, hematopoietic organs, around parenchymal organs
  • 48. GROUND SUBSTANCE Complex and hydrated semisolid gel Acid mucopolysaccharides, glycosaminoglycans Glycosaminoglycans= disaccharides= uronic acid+hexose sugar 2 types- sulfated and sulfate free
  • 49. HYALURONIC ACID sulfated Long, irregularly folded 400nm in diameter Interstices are filled with tissue fluid disaccharide= N-acetyl glucosamine + glucoronic acid
  • 50. S NO GLYCOSAMINOGLYCANS REPEATING DISACCHARIDE UNITS 1 HEPARAN SULFATE N- acetylglucosamine and glucoronic or iduronic acid 2 CHONDROITIN-4-SULFATE CHONDROITIN-6-SULFATE N-acetylgalactosamine and glucoronic acid 3 DERMATAN SULFATE N- acetylgalactosamine and glucoronic acid or iduronic acid 4 KERATAN SULFATE N- acetylglucosamine and galactose
  • 51. 4 main gags- 1. DERMATAN SULFATE- skin, tendon aorta 2. CHONDROITIN SULFATE — hyaline cartilage, bone, cornea,skin, aorta 3. KERATAN SULFATE — cornea 4. HEPARAN SULFATE — aorta, lung, liver, basal, basal laminae.
  • 54. FLUID COMPONENT OF THE GROUND SUBSTANCE TISSUE FLUID AND LYMPH OEDEMA Google image
  • 55. BASEMENT MEMBRANE Immediately beneath the basal surface of epithelial membranes PAS positive In electron micrograph- electron dense layer 100nm thick Basement membrane/ basal lamina
  • 56. LM OF TRANSITIONAL EPITHELIUM ELECTRON MICROSCOPIC VIEW Google image Google image
  • 57. *LAMINA DENSA- electron dense layer (20 -300 nm) *LAMINA RARA- electron lucent layer Collagen? TYPE IV, TYPE III (fibroreticularis) LAMINA RARA INTERNA LAMINA RARA EXTERNA LAMINA LUCIDA LAMINA FIBRORETICULARIS
  • 59. *Anastomosing cords possess an axial core filament made of TYPE IV collagen surrounded by LAMININ and FIBRONECTIN , ENTACTIN, HEPARIN SULPHATE FIBRONECTIN  Attaching basement membrane to the reticular fibers  cellular adhesion to the basement membrane LAMININ  Attach cells to the basement membrane
  • 60. FUNCTIONS Bond cells to underlying connective tissue Provides support Freely permeable to substances of low molecular weight and impedes the substances of high molecular weight Act as a substrate capable of directing cell growth and migration during morphogenesis , regeneration and repair
  • 61. REFERENCES 1.Ham’s histology 2.’Collagen in health in disease’;Simarpreet V Sandhu, Shruthi Gupta, Himanta Bansal,, Kartesh Singla; Journal Of Orofacial Research; July-September 2012;2(3):153-159 3. ‘Pericytes in Health and Disease’; Prashant B Munde, Shubhangi P Khandekar, Alka M Dive, Neha R Upadhyaya ;International Journal of Oral and Maxillofacial Pathology ; November 2014;5(1):02-07