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BY
DR. UCHENNA STEPHEN
AYOGU , MBBS, Msc.
1
HISTOLOGY OF
CONNECTIVE TISSUE
LEARNING
OBJECTIVES:
1.To understand the characteristics that define
connective tissue and the common features of
connective tissue.
2.To understand the major functions of connective
tissue.
3.To define the cell types that form connective tissue.
4.To define the cells types that, although they do not
form connective tissue, migrate into the connective
tissue.
LEARNING
OBJECTIVES CONT,D
 To define the different types of connective tissue
including: mesenchyme, adipose tissue, loose
connective tissue, dense regular connective tissue
and dense irregular connective tissue, and to be able
to recognize these in a micrograph.
 To understand the components of the extracellular
matrix in connective tissue, including the various
fibres present and the components of ground
substance.
 Clinical correlate of connective tissue disorders.
CONNECTIVE TISSUE
4
 Unlike the other major
tissues (e.g. epithelia) that
are made up mainly of cells,
with relatively little
extracellular space,
connective tissue consists of
cells embedded in large
quantities of extracellular
matrix.
 This extracellular matrix is
composed of protein fibres,
amorphous ground
substance and tissue fluid.
FUNCTIONS OF CONNECTIVE
TISSUE
5
1. Space filler and mechanical support.
2. Attachment and protection
3. Highway for nutrients
4. Main fat store and calcium store
5. Site of many immunological defence
reactions
6
CONNECTIVE TISSUE
 Subdivided into three types:
1. Soft connective tissue: Tendons, ligaments,
mesentery, stroma of organs,
dermis of the skin, etc
2. Hard connective tissue: Bone and cartilage
3. Blood and lymph: many authors consider
blood and lymph as a specialized form
of connective tissue
CONNECTIVE TISSUE
 Consists of:
 Cells:
 Extracellular matrix:
 The type of connective tissue is determined by the types
and relative amounts of these two components.
CELLS PRESENT IN CONNECTIVE
TISSUE
8
 Resident Cells of
Connective Tissue:
• Fibroblasts
• Adipose cells
• Osteocytes: cells of
bone
• Chondrocytes: cells of
cartilage
 We will deal with osteocytes and
chondrocytes in future lectures
 Immigrant cells of
Connective
Tissue:
 Lymphocytes
 Leukocytes
 Mast cells
 Macrophages
FIBROBLASTS
9
 Fibroblasts:
elongated cells with
tapered ends that are
widely distributed and
that produce and
maintain the
extracellular matrix.
Tissue damage
causes fibroblasts to
divide and they are
very important in
wound repair.
 Notice the prominent
rough endopasmic
reticulum (rER) and
Golgi apparatus (G)
typical of a protein
ACTIVE FIBROBLASTS
10
Note the enlarged
prominent nucleus.
These are plastic
sections: in the
more commonly
seen paraffin
sections stained with
H&E it is very
difficult to
differentiate between
the fibroblast
cytoplasm and the
ADIPOSE CELLS
11
Adipose cells (fat cells):
In adults these cells have a
single giant fat droplet and
with the release of fatty
acids into the bloodstream
provide energy for other
cells.
Adipocytes (another
name for adipose cell) are
found scattered in many
connective tissues, but are
the predominant cell by far
in adipose tissue (fat).
This type of tissue is also
called‘white fat’ or unilocular
ADIPOSE CELLS: BROWN FAT
12
Brown fat is a special type of
fat that in humans occurs
mostly in the fetus and
neonate.
Cells in brown fat contain many
small fat droplets and very
numerous mitochondria.
When brown fat is oxidized, rather
than producing ATP, a large
amount of heat is generated
which helps keep the infant
warm.
This is called ‘non-shivering
thermogenesis’.
Brown fat is also called
multilocular fat.
ADIPOSE TISSUE
 Adipose tissue is the largest store of energy in
the body.
 It is in a continuous state of turnover and is
sensitive to both hormonal and nervous
stimuli.
 Subcutaneous layers of adipose tissue help to
shape the body, while deposits in the form of
pads act as shock absorbers, e.g. soles of feet
& palms.
 Elsewhere it fills up the spaces between
tissues and helps to keep some tissues in
position.
Cells Present in Connective Tissue
Cells you might see in Connective Tissue:
• During wound healing a type of cell
with properties intermediate between a
fibroblast
• And a smooth muscle cell can be
found called a myofibroblast.
• Myofibroblasts cause wound
contraction by producing collagen
fibres
• And tugging on them to draw together
Cells Present in Connective Tissue
Cont,d
Immigrant cells:
• Leukocytes (white blood cells):
• Lymphocytes, plasma cells, granulocytes
and macrophages are commonly found in
loose connective tissue.
• These migrate from the blood stream.
• The number of these cells increases
dramatically at sites of inflammation or
infection
Immigrant cells Found In
Connective Tissue Cont,d
Mast cells:
 Probably originate from a type of
leukocyte
 They contain granules of heparin,
histamine
 And substances that stimulate
inflammation and attract white blood
Immigrant cells Found In Connective
Tissue Cont,d
Leukocytes
 These migrate from the blood.
 1. Neutrophils leave the blood stream in response to
infection.
 2. Eosinophils are found in increased number during
allergic reactions and parasitic diseases.
Immigrant cells Found In
Connective Tissue Cont,d
Macrophages
 Derived from monocytes in the bone marrow
 And circulate in the blood before migrating into the
connective tissue where they rapidly transform into
macrophages.
 They can proliferate locally.
 They are phagocytic cells that have a body-wide
distribution
 And live for several months. 10-30 µm in diameter.
Immigrant cells Found In
Connective Tissue
Immigrant Cells found in Connective Tissue
Mast Cells
Mast cells are the largest of the cells in the connective tissue
(20-30µm diameter) (except for adipocytes) and are widely
dispersed. Basophilic granules containing heparin (an
anticoagulant) fill the cytoplasm. Histamine is also present,
which increases the permeability of small blood vessels and,
in airways, causes increased mucous production and smooth
muscle contraction. Mast cells are sensitive to foreign
proteins and rapidly release their contents when these are
detected.
They are the cells which react in hay fever and asthma.
Mast cells share many characteristics with a type of leukocyte
(white blood cell) called a basophil.
Immigrant Cells found in Connective
Tissue
Immigrant Cells found in Connective
Tissue
Immigrant Cells found in Connective
Tissue
Extracellular Matrix of Connective
Tissue
 Extracellular matrix:
 Consisting of Fibres:
 Collagen, Reticular and Elastic fibres
 Ground substance: an amorphous, space
occupying material made of huge
unbranched polysaccharide molecules
called glycosaminoglycan (GAGs), most of
which are bound to protein cores to form
glycoproteins
COLLAGEN
 The most abundant protein in the human body
constituting 30-40% of the protein in the body.
 Collagen is synthesised in the fibroblasts and is
formed from three polypeptide chains. Collagen
molecules are approximately 300nm long and have
striations every 68nm.
 Collagen fibrils are inelastic and the most common
form (type I) has a tensile strength (on a weight for
weight basis) similar to mild steel, giving a tissue
which is both flexible and strong.
COLLAGEN FIBRILS
Reticular Fibres
 Reticular fibres are
thin fibres, made of a
special type of
collagen (Type III), that
forms a support
network in many
organs (indeed, the
word ‘reticular’ comes
from reticulum which is
Latin for a net).
 Reticular fibres form
the supporting
scaffolding in organs
Elastic Fibres
 Elastic fibres provide
elasticity to tissue.
 Elastic fibres are made up
of the proteins elastin
(which is a rubber-band-
like molecule) and the
microfibril, fibrillin and
forms random coils.
 Cross-links between
elastin molecules results
in an elastic array of
fibres.
 Elastic fibres are present,
for example in blood
vessels providing elastic
support and giving them
recoil.
Elastic Fibres Cont,d
Glycosaminoglycans
 Glycosaminoglycans (GAGs) are linear(unbranched)
polysaccharides formed by characteristic repeating
disaccharide units.
 With the exception of hyaluronic acid, these linear chains are
bound covalently to a protein core, forming a proteoglycan
molecule.
 This is a three dimensional structure resembling a test tube
brush, with the wire stem representing the protein core and
the bristles representing the GAGs.
 Gags help to give turgor and determine the diffusion of
substances through the extracellular matrix
Proteoglycans
 They are intensely hydrophilic due to the presence of
hydroxyl, carboxyl and sulphate groups in the
carbohydrate moiety of the proteoglycans and are
therefore intensely hydrated structures with a thick
layer of solvation water surrounding the molecule.
 The main proteoglycans are composed of a core of
protein associated with GAGS.
 Therefore proteoglycans trap water and act
somewhat like a sponge.
 This makes the structure resistant to compression if
distorted and much of the elasticity of cartilage is due
to this capacity of proteoglycans to absorb and hold
water.
Structural Glycoproteins
 These compounds can bind molecules on the surface of cells
as well as extracellular matrix components (e.g. collagen) and
so help establish structural continuity between the
cytoskeleton and the extracellular matrix.
 The most common are listed below:
 1. Fibronectin: can also bind ECM to ECM
 2. Laminin: found in basal lamina
 3. Chondronectin: found in cartilage
TYPES OF SOFT
CONNECTIVE TISSUE
MESENCHYME
 Mesenchyme is an
embryonic
connective tissue
that differentiates
into cells that
become fibroblasts,
chondrocytes,
adipocytes and
osteocytes (also
muscle). Cells with
this capacity persist
at various sites in
the body.
Types of Soft Connective Tissue: Loose
Types of Soft Connective
Tissue: Loose
Types of Soft Connective
Tissue: Dense
DENSE IRREGULAR CONNECTIVE
TISSUE
DENSE REGULAR CONNECTIVE
TISSUE
CLINICAL CORRELATE
Of connective tissue disorders
 SYSTEMIC LUPUS
ERYTHEMATOSUS (SLE)
 This is a systemic
autoimmune disease of
connective tissue which
leads to inflammation of
several organs.
 It affects organs like the
heart, joints, skin, lungs,
blood vessels and nervous
system.
 Lupus is characterized by
the presence of antibodies
directed against a persons
MARFANS SYNDROME
 This is a genetic disorder
caused by the misfolding
of fibrillin-1.
 It has a variable clinical
presentation ranging
from mild to severe
systemic disease.
 The most serious
manifestatation involve
defects of the heart
valves and aorta.

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HISTOLOGY OF CONNECTIVE TISSUE IN ANATOMY

  • 1. BY DR. UCHENNA STEPHEN AYOGU , MBBS, Msc. 1 HISTOLOGY OF CONNECTIVE TISSUE
  • 2. LEARNING OBJECTIVES: 1.To understand the characteristics that define connective tissue and the common features of connective tissue. 2.To understand the major functions of connective tissue. 3.To define the cell types that form connective tissue. 4.To define the cells types that, although they do not form connective tissue, migrate into the connective tissue.
  • 3. LEARNING OBJECTIVES CONT,D  To define the different types of connective tissue including: mesenchyme, adipose tissue, loose connective tissue, dense regular connective tissue and dense irregular connective tissue, and to be able to recognize these in a micrograph.  To understand the components of the extracellular matrix in connective tissue, including the various fibres present and the components of ground substance.  Clinical correlate of connective tissue disorders.
  • 4. CONNECTIVE TISSUE 4  Unlike the other major tissues (e.g. epithelia) that are made up mainly of cells, with relatively little extracellular space, connective tissue consists of cells embedded in large quantities of extracellular matrix.  This extracellular matrix is composed of protein fibres, amorphous ground substance and tissue fluid.
  • 5. FUNCTIONS OF CONNECTIVE TISSUE 5 1. Space filler and mechanical support. 2. Attachment and protection 3. Highway for nutrients 4. Main fat store and calcium store 5. Site of many immunological defence reactions
  • 6. 6 CONNECTIVE TISSUE  Subdivided into three types: 1. Soft connective tissue: Tendons, ligaments, mesentery, stroma of organs, dermis of the skin, etc 2. Hard connective tissue: Bone and cartilage 3. Blood and lymph: many authors consider blood and lymph as a specialized form of connective tissue
  • 7. CONNECTIVE TISSUE  Consists of:  Cells:  Extracellular matrix:  The type of connective tissue is determined by the types and relative amounts of these two components.
  • 8. CELLS PRESENT IN CONNECTIVE TISSUE 8  Resident Cells of Connective Tissue: • Fibroblasts • Adipose cells • Osteocytes: cells of bone • Chondrocytes: cells of cartilage  We will deal with osteocytes and chondrocytes in future lectures  Immigrant cells of Connective Tissue:  Lymphocytes  Leukocytes  Mast cells  Macrophages
  • 9. FIBROBLASTS 9  Fibroblasts: elongated cells with tapered ends that are widely distributed and that produce and maintain the extracellular matrix. Tissue damage causes fibroblasts to divide and they are very important in wound repair.  Notice the prominent rough endopasmic reticulum (rER) and Golgi apparatus (G) typical of a protein
  • 10. ACTIVE FIBROBLASTS 10 Note the enlarged prominent nucleus. These are plastic sections: in the more commonly seen paraffin sections stained with H&E it is very difficult to differentiate between the fibroblast cytoplasm and the
  • 11. ADIPOSE CELLS 11 Adipose cells (fat cells): In adults these cells have a single giant fat droplet and with the release of fatty acids into the bloodstream provide energy for other cells. Adipocytes (another name for adipose cell) are found scattered in many connective tissues, but are the predominant cell by far in adipose tissue (fat). This type of tissue is also called‘white fat’ or unilocular
  • 12. ADIPOSE CELLS: BROWN FAT 12 Brown fat is a special type of fat that in humans occurs mostly in the fetus and neonate. Cells in brown fat contain many small fat droplets and very numerous mitochondria. When brown fat is oxidized, rather than producing ATP, a large amount of heat is generated which helps keep the infant warm. This is called ‘non-shivering thermogenesis’. Brown fat is also called multilocular fat.
  • 13. ADIPOSE TISSUE  Adipose tissue is the largest store of energy in the body.  It is in a continuous state of turnover and is sensitive to both hormonal and nervous stimuli.  Subcutaneous layers of adipose tissue help to shape the body, while deposits in the form of pads act as shock absorbers, e.g. soles of feet & palms.  Elsewhere it fills up the spaces between tissues and helps to keep some tissues in position.
  • 14. Cells Present in Connective Tissue Cells you might see in Connective Tissue: • During wound healing a type of cell with properties intermediate between a fibroblast • And a smooth muscle cell can be found called a myofibroblast. • Myofibroblasts cause wound contraction by producing collagen fibres • And tugging on them to draw together
  • 15. Cells Present in Connective Tissue Cont,d Immigrant cells: • Leukocytes (white blood cells): • Lymphocytes, plasma cells, granulocytes and macrophages are commonly found in loose connective tissue. • These migrate from the blood stream. • The number of these cells increases dramatically at sites of inflammation or infection
  • 16. Immigrant cells Found In Connective Tissue Cont,d Mast cells:  Probably originate from a type of leukocyte  They contain granules of heparin, histamine  And substances that stimulate inflammation and attract white blood
  • 17. Immigrant cells Found In Connective Tissue Cont,d Leukocytes  These migrate from the blood.  1. Neutrophils leave the blood stream in response to infection.  2. Eosinophils are found in increased number during allergic reactions and parasitic diseases.
  • 18. Immigrant cells Found In Connective Tissue Cont,d Macrophages  Derived from monocytes in the bone marrow  And circulate in the blood before migrating into the connective tissue where they rapidly transform into macrophages.  They can proliferate locally.  They are phagocytic cells that have a body-wide distribution  And live for several months. 10-30 µm in diameter.
  • 19. Immigrant cells Found In Connective Tissue
  • 20. Immigrant Cells found in Connective Tissue Mast Cells Mast cells are the largest of the cells in the connective tissue (20-30µm diameter) (except for adipocytes) and are widely dispersed. Basophilic granules containing heparin (an anticoagulant) fill the cytoplasm. Histamine is also present, which increases the permeability of small blood vessels and, in airways, causes increased mucous production and smooth muscle contraction. Mast cells are sensitive to foreign proteins and rapidly release their contents when these are detected. They are the cells which react in hay fever and asthma. Mast cells share many characteristics with a type of leukocyte (white blood cell) called a basophil.
  • 21. Immigrant Cells found in Connective Tissue
  • 22. Immigrant Cells found in Connective Tissue
  • 23. Immigrant Cells found in Connective Tissue
  • 24. Extracellular Matrix of Connective Tissue  Extracellular matrix:  Consisting of Fibres:  Collagen, Reticular and Elastic fibres  Ground substance: an amorphous, space occupying material made of huge unbranched polysaccharide molecules called glycosaminoglycan (GAGs), most of which are bound to protein cores to form glycoproteins
  • 25. COLLAGEN  The most abundant protein in the human body constituting 30-40% of the protein in the body.  Collagen is synthesised in the fibroblasts and is formed from three polypeptide chains. Collagen molecules are approximately 300nm long and have striations every 68nm.  Collagen fibrils are inelastic and the most common form (type I) has a tensile strength (on a weight for weight basis) similar to mild steel, giving a tissue which is both flexible and strong.
  • 27. Reticular Fibres  Reticular fibres are thin fibres, made of a special type of collagen (Type III), that forms a support network in many organs (indeed, the word ‘reticular’ comes from reticulum which is Latin for a net).  Reticular fibres form the supporting scaffolding in organs
  • 28. Elastic Fibres  Elastic fibres provide elasticity to tissue.  Elastic fibres are made up of the proteins elastin (which is a rubber-band- like molecule) and the microfibril, fibrillin and forms random coils.  Cross-links between elastin molecules results in an elastic array of fibres.  Elastic fibres are present, for example in blood vessels providing elastic support and giving them recoil.
  • 30. Glycosaminoglycans  Glycosaminoglycans (GAGs) are linear(unbranched) polysaccharides formed by characteristic repeating disaccharide units.  With the exception of hyaluronic acid, these linear chains are bound covalently to a protein core, forming a proteoglycan molecule.  This is a three dimensional structure resembling a test tube brush, with the wire stem representing the protein core and the bristles representing the GAGs.  Gags help to give turgor and determine the diffusion of substances through the extracellular matrix
  • 31. Proteoglycans  They are intensely hydrophilic due to the presence of hydroxyl, carboxyl and sulphate groups in the carbohydrate moiety of the proteoglycans and are therefore intensely hydrated structures with a thick layer of solvation water surrounding the molecule.  The main proteoglycans are composed of a core of protein associated with GAGS.  Therefore proteoglycans trap water and act somewhat like a sponge.  This makes the structure resistant to compression if distorted and much of the elasticity of cartilage is due to this capacity of proteoglycans to absorb and hold water.
  • 32. Structural Glycoproteins  These compounds can bind molecules on the surface of cells as well as extracellular matrix components (e.g. collagen) and so help establish structural continuity between the cytoskeleton and the extracellular matrix.  The most common are listed below:  1. Fibronectin: can also bind ECM to ECM  2. Laminin: found in basal lamina  3. Chondronectin: found in cartilage
  • 34. MESENCHYME  Mesenchyme is an embryonic connective tissue that differentiates into cells that become fibroblasts, chondrocytes, adipocytes and osteocytes (also muscle). Cells with this capacity persist at various sites in the body.
  • 35. Types of Soft Connective Tissue: Loose
  • 36. Types of Soft Connective Tissue: Loose
  • 37. Types of Soft Connective Tissue: Dense
  • 40. CLINICAL CORRELATE Of connective tissue disorders  SYSTEMIC LUPUS ERYTHEMATOSUS (SLE)  This is a systemic autoimmune disease of connective tissue which leads to inflammation of several organs.  It affects organs like the heart, joints, skin, lungs, blood vessels and nervous system.  Lupus is characterized by the presence of antibodies directed against a persons
  • 41. MARFANS SYNDROME  This is a genetic disorder caused by the misfolding of fibrillin-1.  It has a variable clinical presentation ranging from mild to severe systemic disease.  The most serious manifestatation involve defects of the heart valves and aorta.