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    CONNECTIVE TISSUE

    dr. Arliek Rio Julia, MS

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    The Stages of The Development of CT

    First stage (Embryonic CT) :1. Mesenchymal CT Mesenchymal CT contains mesenchymal cells and

    intercellular substance.

    Mesenchymal cells - Has many cytoplasmic processus

    Intercellular substance - Amorph !". #illi chorialis placenta

    . Mucous CT$ %elatinous CT

    !esenchymal cells partly converte" into fibroblast #n the #ntercell$lar s$bstance occ$r fe% collagen fiber

    E&. 'mbilical cor"

    Secon" stage ("$lt CT) :

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    Jarin&an Ikat 'e(asa

    J.I Se)atiJ.I d& Spesialisasi

    *+hususJ.I enun)an&

    J.I lon&&ar$oose CT J.I adat$dense CT

    Irre&ular

    Re&uler

    +ola&en

    !lastik

    J.I Reticular Adiposa ematopoeticbloo"

    Cartila&oTulan&

    !lastik

    Hyalin

    /ibrosa

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    F$nctions of CT :

    1. Support :%hich forms the frame%or* tiss$es an"organ.

    2. Defence:

    +hysical , #mm$nologic.

    -. Repair :

    stim$lates the proliferation of fibroblasts.

    . Storage:

    /eserve of %ater an" electrolytes

    0. Transport :

    Transporting s$bstances to an" from other tiss$e

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    The Component :

    The component o0 connecti1e tissue consists o0 Cells Intercellular$e"tracellular matri"

    - Fibers : Colla&en Reticular !lastic

    'istin&uished by the combination o0 protein

    Ground substance

    2 It 0unctions as medium to e"chan&e nutrientand (aste product bet(een cells and bloodsupply

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    Connective Tissue Cells

    A. Fi&e" cell :1. Mesenchymal cell : prec$rsor of CT cells.

    Some mesenchymal cell remain $n"efferentiate"

    2. Fibroblasts: are pre"ominant cells in CT proper.

    Str$ct$rally2 fibroblast are t%o types :

    3 The first type resembles mesenchymal cell.

    #t is terme" 0ibroblast.

    3 The secon" type are less active an" terme"fibrocyte beca$se they more mat$re.

    -. Reticular cells

    They pro"$ce" retic$lar fibers that form netli*e stroma ofhemopoietic2 lymphoi" an" a"ipose tiss$e.

    4.Adipose cellsare mesenchymal "erivatives speciali4e" for lipi"storage

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    5. 6an"ering cells:are immigrant cell $s$ally from bloo" an"

    bone marro%.

    1. Mast cells

    2. Macrophage

    -. Plasma cells. Other blood-deried !T cells

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    !ast cell

    The characteristics

    Cytoplasmic &ranule *pre0orm mediator

    The &ranules (hich o0ten obscure the smallcentral nucleus, contain heparin, histamin 3eosinophilic chemotactic 0actor 0or anaphylactis*!C/-A

    Mast cell &ranules are metachromatic

    The sur0ace contains speci0ic receptor 0or I& ! a typeo0 immuno&lobuline produced by plasma cell. Mosto0 I& ! molecules are bound to the sur0ace o0 mastcells and blood basophils

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    !acrophage :

    ar&e, stellate cell deri1ed 0rom monocyte that in0iltrate CT

    3 de1elop into pha&ocytes

    2 'ye particles in)ected into the body are en&ul0ed 3

    accumulate in cytoplasmic &ranule

    2 Contains many lysosome, (hich aid in di&estin&pha&ocyted materials e& 0orei&n substance,

    cell debris, bacteria, neoplastic cell 3 others

    3 they participate in the immune response by presentin&

    pha&ocytosed anti&ens to lymphocyte

    2 May 0use to 0orm multinuclear &iantcell

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    Monoc"te-deried phagoc"tes2

    %hich together constit$te the monon$clear

    phagocyte system 2 incl$"e :

    !acrophage : 7ymphoi" organ2 l$ng2

    sero$s cavity , CT

    8$pffer cell ( liver )

    9steoclast ( bone )

    !icroglial cells ( CS )

    7angerhans cells ( S*in )

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    +lasma cell :"ifferentiate" from antigen3stim$late" 5 lymphocyte.

    The cells are large an" ovoi" %ith an eccentric n$cle$s

    basophilic cytoplasm %ith ab$n"ant /E/

    $cle$s : spheric

    The characteristic 4clock 0ace5 nucleus results 0rom a lar&e,

    central nucleolus and lar&e heterochromatin clumps

    re&ularly spaced around the nuclear en1elope6s.

    verage of life spent : 1; ; "ays

    s the primary pro"$cers of circ$lating b2 they are the

    main effector of the h$moral imm$ne response

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    F#5E/S :

    . Collagen fibers : The bo"y

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    T #$ i ? ll f b l l i it

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    T"pe #$: is ma?or collagen of basal lamina2 it

    "oes not form fibers or fibrils

    T"pe $: occ$rs in placental basement

    membranes an" bloo" vessels.

    T"pe %: is fo$n" in matri& s$rro$n"ing hyper

    trophic chon"rocytes of gro%th plate

    cartilage in sites of bone formation

    T"pe #% & %#: occ$rs in association %ith type ##

    in cartilage

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    5. /etic$lar fibers :

    /esemble %ith collagen fibers b$t thinner2

    Consist mainly collagen type ###

    The fibers form "elicate net%or* instea" of b$n"l

    Characteristic staining :

    3 #mpregnation %ith silver salt. 5eca$se the affinity forsilver salt they are calle" argyrophilic

    3 +S (perio"ic aci" Shiff) ( @ ) beca$se high contain ofs$gar chainsA B 1 he&oses as oppose" to 1 in

    collagen fibers #n smooth m$scle2 en"one$ri$m2 frame%or* of

    hematopoetic organ , lymphatic organ2 parenchymalorgan ( eg. 7iver2 en"ocrine glan"s )

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    C. Elastic fibers:consist of amorpho$s protein elastin

    /ange in "iameter from ;21 1; 'm

    Synthesis:=#ntracell$lar steps: proelastin are synthe4ise" on /E/

    =E&tracell$lar steps: proelastin molec$lels polymeri4e toform elastin

    Special stains : = erhoeff

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    /9'D S'5TCE :

    #s a highly hi"rate"

    Comple& mi&t$re of glycosaminoglicans2

    proteoglycans an" m$ltia"hesive

    glycoprotein

    #s colorless , transparant

    #t fills the space bet%een cells an" fibers

    #t is visco$s2 acts as both l$bricant an" a

    barrier to the penetration of inva"ers.

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    Tiss$e fl$i" :

    The composition similar to bloo" plasma2 in it s

    content of ions an" "iff$sible s$bstance.

    Contains a small percentage of plasma protein

    of lo% molec$lar %eight that pass thro$gh thecapillary %alls as a res$lt of the hy"rostatic

    press$re of the bloo".

    5loo" bring to CT the n$trient re$ire" by it

    cells an" carries %aste pro"$cts a%ay to the

    "eto&ifying an" e&cretory organs

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    "ipose tiss$e

    7argest organ : 10 ; on man

    ; 0 on %oman

    types of a"ipose tiss$e :

    'niloc$lar (%hiteA yello% fat) !$ltiloc$lar (bro%n fat)

    Divi"e" into lobes an" lob$les by collagen CTsepta.

    #n"ivi"$al cells are s$rro$n" by retic$lar fibers.!istoenesis: From mesenchymal prec$rsor

    Special staining : S$"an ### , 9smic aci"

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    Tiss$e /epairTiss$e /epair

    Slide 3.69Copyright G ;;- +earson E"$cation2 #nc. p$blishing as 5en?amin C$mmings

    /egeneration/eplacement by the same *in" of cells

    Fibrosis

    /epair by "ense fibro$s connective tiss$e

    Type of repair "etermine" by:

    Type of tiss$e "amage"

    Severity of the in?$ry

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    /egeneration of Tiss$es/egeneration of Tiss$es

    Slide 3 71C i ht G ;;- + E" ti # bli hi 5 ? i C i

    Tiss$es that regenerate easily Epithelial tiss$e

    Fibro$s connective tiss$e an" bone

    Tiss$es that regenerate poorly

    S*eletal m$scle

    Cartilage

    Tiss$es replace" largely %ith scar tiss$e

    Car"iac m$scle

    ervo$s tiss$e %ithin the brain an" spinal cor"