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    CONNECTIVE TISSUES

    CONTENT

    INTRODUCTION

    CLASSIFICATION

    - Connective tissue proper

    CELLS IN CONNECTIVE TISSUES

    - Fibroblasts

    -Macrophages

    -Adipose cells

    - Mast ells

    TYPES OF FIBERS

    - Collagen fibers

    - Reticular fibers

    - Elastic fibers

    GROUND SUBSTANCE

    - Proteoglycans

    - Glyoproteins

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    INTRODUCTION

    These are group of tissues predominantly composed of intercellular material

    (matrix). They are derived from the mesoderm. Connective tissues play many

    important roles in the body both structural and defensive.

    Early during embryological development the ectoderm and endoderm become

    separated by the third germ layer the Mesoderm. The tissues formed by this layer is

    called Mesenchyme mesos means middle and enchyma means infusion.

    Connective tissue consists of cells and a extra cellular matrix that includes

    extracellular fibers, substance and tissue fluids.

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    CLASSIFICATION OF CONNECTIVE TISSUES

    Classification depends upon

    composition organ ization of the cellular and extra cellular components

    special functions

    CONNECTIVE TISSUE PROPER

    Loose connective tissue

    Dense connective tissue

    -Irregular-Regular

    SPECIALIZED CONNECTIVE TISSUE

    Adipose tissue

    Blood

    Bone

    Cartilage

    Hemopoietic tissue

    Lymphatic tissue

    EMBRYONIC CONNECTIVE TISSUE

    Mesenchyme

    Mucous connective tissue

    Connective Tissues Proper has two sub types:-

    Loose connective tissue

    Dense connective tissue

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    Loose Connective Tissue or Areolar Tissue

    These cells are characterized by loosely arranged fibers, abundance of cells, thin

    and relatively sparse, viscous gel like consistency..

    Dense Connective Tissue

    On bases of arrangement of fibers it is further sub divided as: -

    Dense Irregu lar Connective Tissue

    Dense Regular Connective Tissue

    Dense Irregular Connective Tissue

    These are found in the region which experience mechanical stress and where

    protection is to be provided. Contain high proportion of collagen which forms thick

    bundles oriented in yarious directions. Due to high proportion of collagenous fibers it

    provides high strength. Cell population is less and is typically of a single type

    fibroblast. Active fibroblast are few. Mostly are flattened with heterochromatic nuclei.

    Found in dermis, connective tissue sheaths of muscle, nerve and large blood

    vessels.

    Dense Regular Connective Tissue

    These are characteri zed by ordered and densely packed array of fibers and cells.

    These are the main functional component of tendons, ligaments and aponeuroses.

    Tendons

    They are cord like structure that join muscle to bone. It consists of parallel bundles of

    collagenous fiber between which are row of fibroblast present. The substance of

    tendon is surrounded by a thin connective ti ssue capsule epitendineum.

    Ligament

    These are similar to tendon. They consist of fibers and fibrob last arranged parallel

    direction. The fibers are less regularly arranged as compared to that of tendon

    function of ligament is to join bone to bone.

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    Aponeuroses

    They are much more like flattened tendon. The fibers are arranged in multiple layers.

    These are sheet of dense connective tissue. It bears tensile forces directly or

    indirectly from skeletal muscle to other muscle cartilage or bone. The bundles of

    collagen fibers in a layer are arranged at 90 degree to neighboring layers.

    CELLS PRESENT IN CONNECTIVE TISSUES

    Connective tissue cells can be classified as:-

    Fixed

    Wandering

    Fixed

    These cells are relatively stable permanent residents of the tissue. These cells are: -

    Fibroblasts

    Macrophages

    Adipose cells

    Mast cells

    Wandering

    They migrate into tissue from blood on response to specific stimuli. These cells are:-

    Lymphocytes

    Monocytes

    Neutrophils

    Eosinophils

    Basophils

    Plasma cells

    FIBROBLAST

    These are the principal cells of connective tissue. They are responsible for the

    synthesis of collagen, elastin and reticular fibers and the complex carbohydrates of

    the ground substance. Its structure is flattened, irregular in outline having branching

    processes.

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    Profile is spindle shaped. Active fibroblast has an oval, pale-staining nucleus and

    has more cytoplasm. Nucleus of active fibroblast is euchromatic (opened - faced).

    Old fibroblasts are elongated with less cytoplasm. Nucleus of old, inactive fibroblast

    is flattened, heterochromatic (closed - faced). Fibroblasts are separated from one

    another by extracellular matrix components. Exception is embryonic tissue and

    periodontal ligament were there is cell to cell contact. Originate from mesenchymal

    cells. Once they are differentiated they are replicate by mitosis. Cultured fibroblast

    undergoes 50-55 division.

    Fibroblast from long Iived species divides more then fibroblast from short lived

    species. Gradual loss of telomere DNA is the onset of senescence. Accumulation of

    oxidative damage to DNA & protein contribute to senescence. Cultured fibroblasts

    that become senescent never die.

    MACROPHAGES

    A.lso known as Histiocytes or Clasmatocytes

    These ells are relative ly larger in size 15 - 20 11m diameter. Nuclei are usually

    indented or kidney shaped. Cytoplasm is mildly basophilic and typically has a "frothy"

    appearance under light microscope. Surface of macrophages have numerous folds

    and fingers like projection. These folds and fingers helps in Phagocytosis

    ADIPOSE CELLS

    When occurring singly the cells are oval Qr spherical in shape, but when mutually

    compressed they become Polygonal in shape. Each cell consists of peripheral rim of

    cytoplasm, in which the nucleus is embedded surrounding a single large central

    globule of- fat. They are fixed and stained by osmium tetroxide and specially

    coloured by alcoholic solution of certain dyes - sudan III, sudan black. Adipose cells

    when acumulated in large number are called Adipose tissue.

    MAST CELLS

    Also known as Mastocytes or Histaminocytes. These cells are important defensive

    cells. Their shapes are round or oval about 12 micro meter in diameter. It has many

    Filopodia extending from cell surface. It's cytoplasm is filled with large granules. It

    has a centrally placed nucleus. It is stained by Periodic Acid Schiff PAS) method.

    Mast cells are distributed in vicinity of small blood vessels.

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    TYPES OF FIBERS

    Each fiber type is produced by the fibroblast. They are composed of protein

    formed by long peptide chains

    Fibers are mainly of three types:

    Collagen fibers

    Reticular fibers

    Elastic fibers

    Collagen Fibers

    It forms the most abundant fibers of connective tissue. They are very flexible,

    have high tensile strength. Provide strength and support to the tissue. Appear as

    wavy structures of variabIe width and indeterminate length. They stain readily with

    eosin and other acid dyes. Linder electron microscope they appear as bundle or

    bundles of fine thread like subunit called collagen fibril. Collagen fibrils within a fiber

    are relatively of uniform in length. Developing or immature tissue fibrils are as small

    as 15-20 nm in diameter fibrils of dense regular connective tissue like tendon

    measure up to 200nm in diameter.

    They constitute the most abundant protein found in the body. Collagen family

    consists of 30 different genes. This produces 19 known collagens. They are

    composed of 3 polypeptide alpha chains coiled around each other. This forms a

    typical collagen triple - heIix configuration. They include the presence of amino. acid

    glycin in every third position. Collagen molecules are called tropocollagen. They are

    300nm long and 1.5nm in thickness. They exhibit a sequence of closely spaced

    transverse band. These repeat after every 68nm along the length of the fibril.

    Variation among collagens includes :-

    Difference in the assembly of the basic polypeptide chains. Different length of

    triple helix. Interruption in the helix and difference in the terminations of the helical

    domains. Sylthesis of collagen involves both event that occur Within and outside the

    fibroblast. Within the fibroblast precursor of collagen is formed called procollagen.

    The actual collagen is formed outside the fibroblast. Involving enzymatic activity at

    the plasma membrane. Collagen molecules formed are aliened to form fibril under

    the guidance of ceII.

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    INTRACELLULAR EVENTS

    First cleavage of polypeptide chain occurs. Then hydroxylation of proline and

    lysine takes place. Addition of O-linked sugar group to some ofthe hydroxylysine

    residues and N-linked sugar to the terminal ends take place. Formation of triple

    helix by 3 polypeptide chains except at the terminals occurs. Then Formation of

    interchain and intrachain hydrogen bonds that influence the shape of the molecule.

    Now the resultant molecule is called procollagen. Procollagen moves out of cell by

    exocytosis of secretory vesicles.

    EXTRACELLULAR EVENTS

    Firstly procallagen is converted to collagen by procollagen pentidase. Then

    the secreted molecules concentrate at an indentation on the cell surface. Then

    assemble in row occurs to cross link.

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    TYPE OF COLLAGEN

    TYPES COMPOSITION LOCATION FUNCTION

    I -1, -2 Skin,bone,dentin,

    cementum,

    tendon,ligament

    Resistance to

    force, tension,

    stress

    II -1 Cartilage,

    intervertebral disk

    Tensile strength to

    connective tissue

    III -1 Embryonic

    connective tissue,

    pulp,skin,bloodvessels

    Tensile strength to

    connective tissue

    IV -1, -2, -3, -4,

    -5, -6

    Basement

    membrane

    Structural network

    of basement

    membrane

    V -1, -2, -3 Basement

    membrane,blood

    vessel, ligament,

    dentin,periodontal

    tissue

    Provides tensile

    strength

    VI -1, -2, -3 Ligament, skin,

    cartilage

    Bridging between

    cells and matrix

    VII -1 Epithelium

    (skin,mucosa)

    Strengthens

    epithelial-

    connective tissue

    junction

    VIII -1, -2 Cornea Tissue support

    IX -1, -2, -3 Cartilage, vitreous

    humor

    Attaches functional

    group to surface of

    type II fibril

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    X -1 Hypertrophic zone

    of cartilage growth

    plate

    Calcium binding

    XI -1, -2 Cartilage, vitreous

    humor

    Provides tensile

    strength

    XII -1 Widespread in

    connective tissue

    Modulates fibril

    interactions

    XIII -1 Cell surface, focal

    adhesions,

    intercalated disks

    Cell-matrix, cell-

    cell adhesion

    XIV -1 Widespread in

    connective tissue

    Modulate fibril

    interaction

    XV -1 Endothelial

    basement

    membrane

    Proteolytic release

    of antiangiogenic

    factor

    XVI -1 Endothelialmuscle,basement

    membrane

    unknown

    XVII -1 hemidesmosomes Cell attachment to

    matrix

    XVIII -1 Endothelial

    basement

    membrane

    unknown

    XIX -1 Endothelial

    muscle,basement

    membrane

    unknown

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    INHERITED DISEASES INVOLVING COLLAGENS

    I. Osteogenisis imperfecta or brittle bone diseases due to deficiency of Type I

    2. Ehlers Danlos syndrome (hyper extensible skin, hyper mobile joint and

    tissue

    fragility) due to defi ciency of Type I, III,Y

    3. Stickler syndrome retinal detachment, cataract, hearing loss, joint problem,

    cleft

    palate, facial and dental abnormalities) due to deficiency of Type II, XI

    4. Epidermolysis bullosa (separation of epidermis and dermis) due to

    deficiency of

    Type VII, XVII

    RETICULAR FIBERS

    It provides supporting framework for cellular constituents of various tissues

    and organs of the body. They are arranged in mesh like pattern or network. They are

    closely related to collagen fibers as it also contains collagen fibrils. They are

    composed of Type III c0l1agen. Type IV may be also associated. They do not bundle

    to form thick fibers. Found at the boundary of loose connective tissue. They are also

    present as a supporting stroma in hemopoietic and lymphatic tissues. These type of

    reticular fibers are produced by special cells call ed reticular cells. Rest all reticular

    fibers are produced by fibroblast.

    ELASTIC FIBERS

    Elastic fibers provide tissues with the ability to respond to stretch and

    distension. They are typically thinner then collagen fibers. They are arranged in

    branching pattern forming a three dimensional network. Fibers are interwoven with

    collagen fibers this prevent tearing from excessive stretching. They are produced by

    fibroblast and smooth muscle cells.

    Elastin

    It's a protein that is rich in proline and glycine but poor in hydroxyproline and

    completely lacks hydroxylysine. Microfibril are a fibular glycoprotein that is relatively

    straight and thin measuring 12 nm in diameter. They are found in ligament vertebral

    column and neck and vocal cord.

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    GROUND SUBSTANCE OR INTERFIBULLAR SUBSTANCE

    It is the component that occupies the space between the cells and fibers. It is

    a colourless transparent substance. It is viscous clear substance having a slippery

    feel. it has high water content. It provides mechanism for regulating tissue water

    content & diffusion of nutrition, waste and other molecules. Physical properties of

    ground substance are same whether viscous nature in connective tissue or turgid

    character in cartilage. It is stained by periodic acid schiff (PAS) method. In routine

    H&E preparation ground substance is always lost due to extraction during fixation

    and dehydration. Functions as a molecular sieve through which nutrients diffuse

    between blood capillaries and cells.

    Glycosaminoglycan is a major component.

    GLYCOSAMINOGLYCANS (GAG)

    these are unbranched chain of repeating disaccharide units. Each unit carry

    one or more negatively charged group. This negative charge helps in osmotic

    activity. Due to high water attraction it forms hydrated gel. This causes swelling

    pressure and helps in keeping fibriIs apart and causes stiffness. On the basis of

    Specific sugar residues, Nature of linkages and Degree of sulfation

    Glycosaminoglycans are of seven distinct types.

    1. Hyaluronic acid

    2.Chondroitin sulfate

    3. Dermatan sulfate

    5. Heparin

    6. Keratan sulphate

    HYALURONIC ACID

    These are found in abundance in embryonic tissues and cartilage also found

    in all ECM. It has simple structure of extremely long chains of non-sulfated

    disaccharides. It forms. The keystone in aggregation of proteoglycans and link

    protein. Found in abundance in embryonic tissues and catilage also found in all extra

    cellular matrix. It has a simple struture of extremely long chains of non-sulfated

    disaccharides. It forms the keystone in aggregation of proteoglycans and link protein.

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    Hyaluronic acid is not bound to core protein and other glycosaminoglycans are

    bound to the core protein forming a bottle like structure.

    CHONDROITIN SULPHATES 4 & 6 (CS4, CS6)

    They are labeled as according to the predominant component sulphate (4 &

    6). Found in cartilage in very high concentration and in most extra cellular matrix.

    Most are mixed or hybrid AGAGs. Undersulphated chondroitinsulphates is CS4

    found in cornea. While properly sulphated chondroitin sulphates is CS6 are found in

    vitreous body and oversulphated chondroitin sulphates is CSO which are found in

    cartilage of fishes.

    KERATAN SULPHATES (KS)

    Their polymer back bone is identical to that of chondroitin. They are Present in

    age cartilage and intervertibral discs and cornea.

    DERMA SULPHATES (DS)

    They are formed by CS4. OS aggregates with itself in solution, this causes the

    organization of most extra cellular matrix. They are found in very high concentration

    in tissue.

    HEPARAN SULPHATES

    It is a important constituent of basement membrane. They interact directly

    with constituents of extra cellular matrix. They are usually located on skin fibroblast.

    HEPARIN

    They are made-up of repeating disaccharide units contains glucosamine and

    two uronic acids. They are usually located in mast cells, liver lung and skin.

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    GLYCOPROTEIN

    There may be one or more carbohydrate chains covalently linked to a protein.

    The chains may be neutral or negatively charged. They are frequently branched.

    They have a acihesivc properties. One of their primary function is to bind cells to

    extracellular matrix elements.

    SOME FUNCTIONS OF GLYCOPROTEIN AND PROTEOGLYCANS

    They act as structural component of the extra cellular matrix. They have

    specific infraction with collagen, elastin, fibronectin and laminin. They facilitates cell

    migration. Thay play a role in making cartilage stress bearing. They acts as

    anticoagu lant. They are components of plasma membrane where they may act as

    receptors and participate in cell adhesion.

    FILAMENTOUS PROTEIN WITH ADHESIVE PROPERTIES

    These are structural proteins, which contains molecules that mediate

    adhesion between cells and extra cellular matrix. These are glycoproteins, which

    helps cell to adhere at the appropriate matrix structure. They contain signaling

    molecules which are detected by the cell surface receptors. They initiates changes

    within the cytoplasm. The best known filamentous proteins are Fibronectin, Laminin

    and Tenascin.

    FINRONECTIN

    Larce glycoprotein molecule consisting of a dimer held together by disulphide

    link. Each subunit is composed of a string of large repetitive domain joined by flexible

    region. These bears binding sites for collagen and cell surface receptors. They are

    bound in onkrly fashion to cell su rface forming fibronectin filaments.

    FIBRONEXUS

    It is the term use to describe the morphologic relationship between

    Intracellular filament, Cell membrane, Extracellular filament and to the sticky

    attachment glycoprotein fibronectin. The binding of myofibroblast to each other

    causes fibronexus to transmit the collective forces generated by the contraction of

    actin microfilaments throughout the granulation tissue. This causes wound

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    contraction. Fibronexus are associated with fibroblast in transseptal fiber region of

    gingiva. New studies show fibronexus are present only in inflamed gingiva.

    LAMININ

    Large flexible cruciform molecule composed of three polypeptide chains (a,

    13, y). Their terminal two third are wound round each other to form the stem of cross.

    The free end forms the upright members and transverse members. It bears binding

    sites for a number of extra cellular matrix molecules like heparan sulphate, Type IV

    collagen, and laminin.

    TENASCIN

    Large glycoprotein consisting of six subunits joined at one end to form a

    radiating structure which resembles spoke of a wheel. It is abundant in embryonic

    tissues. These are fo und less in adult tissues. They play important role in guiding

    cell migration.

    Tenascin is a glycoprotein associated with the extra-cellular matrix and the

    surface of some cell types. During early stages of neural crest migration, tenascin is

    observed in a dense matrix surrounding premigratory cranial neural crest cells.

    During advanced neural crP-:t migration, tenasc in immunoreactivity colocaUzed with

    and appeared to be on the surface of migrating neural crest cells. At later stages;

    tenascin is present around the otic vesicles, retina, lens, and in an interstitial matrix

    in the region ofthe branchial arches. At the level of the occipital somites, tenascin

    immunoreactivity is present around the neural tube, notochord and on the basal

    surface of the ectoderm. Tenascin is requ ired for proper cranial neural crest

    migration.

    PROTEOGLYCANS

    These are very large macromolecules of protein to which many

    glyscosaminoglycans molecules are covalently bounded. Proteoglycan binds growth

    factors and cytokines. They are essential co-receptor for growth factor and are

    involved in transmembrane signaling. Five proteoglycan are of particular interest

    these are Decorin, Versican, Perlecan, Syndecan and CD44.

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    DECORIN

    They are called so because it binds to collagen and is visualized as

    "decoration" on collagtn fibril. They play an important role in regu lation of growth,

    diameter or both of collagn fibril.

    VERSICAN

    They are large proteoglycan that assist in bonding cell surface glycoprotein to

    extra cellular matrix.

    PERLECAN

    They are cell surface proteoglycan. Its name arises because the large core

    protein containing number of globular domains which form pearl necklace like

    structure. Itbinds fibroncctin that helps in anchoring fibroblast to extra cellular matrix.

    SYNDECAN

    Ithas an extracellular domain, membrane-spanning domain and cytoplasmic

    domain. It binel collagen and other extracellular glycoproteins.

    CD44

    It has transmembrane structure which is capable of binding to fibronectin,

    laminin and collgen.

    CLASSIFICATION OF PROTEOGYCANS

    According to the shape and size of the protein core Proteoglycans are

    classified into 3 groups: -

    I. Small

    2. Large

    3. Very large

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    SMALL PROTEOGLYCANS

    They are attached to the family of globular protein of very small size amino

    acid and

    gene structure. Electron microscopically they appears as Tadpole - shaped with

    globular protein at the head and one or two glycan chains at the tail.

    LARGE PROTEOGLYCANS

    Their molecule contains one or two globular protein domains. They are

    connected via a polypeptide chain. To which 5 - 10 acidglycosaminoglycans are

    attached.

    VERY LARGE PROTEOGLYCANS

    These are complex molecules with up to three globular regions linked by a

    polypeptide chain. To which about 100 chondroitin sulphates and keratan sulphates

    chains are attached.

    PROTEOGLYCANS COLLAGEN INTERACTIONS

    The proteogylcans interact with collagen rich fibril s. They sometimes

    completely encircle them. Very frequently they form bridge between neighboring

    fibrils. In cornea as many as 4 tibil s are bridged by the same filament of

    acidglycosaminoglycans. They acts as cross linking structure between proteoglycan

    cores which are attached to the collagen fibril.

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    BIBLIOGRAPHY

    Gray's Anatomy - Churchill Livingstone, 38th edition. Oral Histology Development, Structure And Fundamental - A. R. Ten Cate,

    5th & 6TH edition.

    Histology A Text And Atlas - Michael H. Ross Lynn J. Romrell, Gordon I.

    Kaye, 3rd edition.

    Bloom & Fawcett's Concise Histology - Don W. Fawcett & Ronald P. lenish,

    2nd edition

    Di Fiore's Atlas ofHistology With Functional Correlations - Victor P.

    Eroschenko, 7th edition

    The Periodontal Ligament in Health & Disease - Barry K. B. Berkovitz,

    Bernard. J. Moxham, 2nd edition

    Harper's Biochemistry - Robert K. Murray, Daryl K. Granner, Peter A. Mayes,

    VictorW. Rodwell, 24th edition.

    Journal of Neuroscience Research Volume 21 , Issue 2-4 , Pages 135 - 147

    Published Online: 11 Oct 2004.