Ct Proper-types and Distribution

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    Department of Natural SciencesUniversity of St. La Salle

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    1.LOOSE CT esophagus, vagina, urinary bladder

    Encountered in almost every microscopic

    section of the body, it is the packing andanchoring material; binds other tissues and

    organs together; allows a degree of mobility

    between these parts due to its flexibility.

    Found beneath thetunica propria of

    organ cavities

    Fibers are loosely

    arranged in ameshwork as in the

    loose areolar or

    fibro-elastic types

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    Collagenous and elastic fibers are both present

    forming a loose, continuous and branching

    meshwork; reticular fibers few and inconspicuous. Fibroblasts, macrophages, mast cells are relatively

    very few and may include any or all of the different

    varieties.

    Ground substance is

    fluid like, containingmany spaces capable

    of becoming enlarged

    and distended with

    fluid.

    These spaces or

    areola is a synonym

    for loose CT.

    Richly supplied with blood vessels, lymphatics,

    nerves.

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    2.DENSE CT- has compactly

    or closely packed fibers;

    subdivided into:Dense regular:

    a.Dense fibrous (white or

    collagenous) CT- tendons

    Found wherever firmness

    and resistance are needed

    in the body, such as in

    tendons, flat sheets, cornea, fasciae and aponeurosis.

    The fibers are oriented in a consistent pattern to meet

    specific mechanical requirements. The predominant elements are oriented collagen

    bundles with few, small blood vessels.

    Ground substance is scanty in amount.

    Blood vessels and nerves are found in CT sheaths.

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    In tendons, each bundle is composed of a large

    number of fibrils covered by a small amount of loose

    CT, termed the endotendineum. Generally, several primary bundles are grouped

    together into secondary fascicles bounded by a

    coarser type of CT, the peritendineum.

    The tendon is composed of a number of fascicles

    ensheathed by thick CT called the epitendineum. Few, scattered fibroblasts

    are found between the

    layers of collagen.

    Cell bodies appear rod-

    shaped, but rectangular,

    triangular or trapezoid in

    surface view due to

    pressure from the bundles of fibers.

    In tendons, these are called tendon cells.

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    Dense irregular- skin

    Found typically in the dermis

    of the skin, capsules of manyorgans, tendon sheaths and

    nerves, in parts of the urinary

    tract.

    Essentially the same as the

    loose type except that thefibers are thicker, woven into a compact feltwork

    accompanied by extensive elastic networks.

    Due to the compact arrangement of its fibers, this

    tissue is stronger and offers more resistance than theloose variety.

    Cells are located among the fibers. Macrophages are

    easily identified by vital dyes; undifferentiated

    mesenchymal cells are found along the small vessels.

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    Form variants of loose CT. One type maybe transformedinto another depending on changes in local conditions so

    that this classification should not be taken strictly.

    1.RETICULAR CT- stroma of liver, bone

    marrow, spleen, lymph nodes, thymus

    Composed of typeIII

    collagen; thesefibers are very fine, arranged in

    slender bundles which anastomose

    forming a delicate lattice network.

    The stellate reticular cells are have

    long cytoplasmic extensions that join other cells;mesenchyme cells may become actively phagocytic or

    remain fixed as primitive reticular cells

    Has a large population of resident macrophages adhering

    to fibers; a few plasma cells, RBC and WBC are present.

    CONNECTIVE TISSUE WITH SPECIAL PROPERTIES

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    2. EMBRYONIC CT- uterus

    A young form of CT occurring

    in fetal life; during regenerationof adult destroyed CT areas

    (uterine mucosa); dental pulp

    and in certain tumors.

    In the uterus, the tissue is

    found in the tunica propria(corium) immediately beneath

    the columnar epithelium lining of the uterus.

    Very cellular, mostly fibroblasts of the spindle and

    stellate variety, or the undifferentiated mesenchymal

    type. Some blood cells and phagocytes are present. CT

    fibers are obscured by coagulated ground substance.

    This CT is highly vascular, blood vessels are numerous,

    fully formed, containing non-nucleated RBC.

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    3. MUCOUS CT- Whartons jelly of umbilical cord

    Transient type of tissue that appears in the

    development and differentiation of CT Found in the embryo, especially under the skin. In

    adult animals, it is limited to the dermis and

    hypodermis.

    Fibroblasts, a few macrophages and lymphoid

    wandering cells are present; fibers are thin,collagenous, increasing in number as the fetus

    ages.

    Very abundant, soft, jelly-like homogenous ground

    substance. Residue contains granules and fibrillar precipitates

    when fixed and exhibiting the staining reactions of

    mucin.

    It stains metachromatically with toluidine blue.

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    In the umbilical cord, a

    portion of the periphery

    of the specimen far from

    the 3 big umbilical

    vessels will show a mass

    of mucous CT called the

    Whartons jelly which is

    devoid of blood vessels. The specimen is

    surrounded by the

    amnion which is lined by

    a single layer of

    cuboidal cells. The CT fibers appear

    indistinct showing the

    coagulated gelatinous

    ground substance.

    Mucous tissue of an embryo showing

    fibroblasts immersed in a very loose

    extracellular matrix composed mainly of

    molecules of the ground substances.

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    4.ADIPOSE- skin, tongue

    Stores fat, provide insulation against heat loss, and

    mechanical support in certain regions of the body Plays an important role in maintaining a stable supply

    of fuel by accumulating lipid in periods of excess food

    intake and releasing fatty acids in periods of fasting.

    Widely distributed as fat depots (e.g.panniculus adiposus of the belly and

    buttocks in subcutaneous tissue,

    yellow bone marrow, mesentery and

    omenta) and may exhibit regional

    differences in amount as influencedby certain factors like age and sex.

    In the nervous system, eyelids, lungs

    and penis, adipose tissue is absent.

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    In the skin or tongue,

    adipose CT can be

    recognized readily

    by the presence of

    rounded clear spaces.

    The clear spaces

    represent the adipose

    ghost cells, the fatcontent of which has

    been washed away during the preparation of the slide.

    These are closely spaced, separated by the thin

    fibrous strands of both collagenous and elastic fibers,

    pushed aside by expanding fat cells duringdevelopment to form the fibrous septa separating fat

    lobules.

    Within these septa are located other types of CT cells

    and blood vessels.

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    Two types are present:

    Unilocular yellow or white

    adipose tissue comprise the

    bulk of body fat

    Multilocular brown variety are

    abundant in hibernating

    species and newborn human

    infants.

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    Unilocular adipocytes can generate benign tumors

    (lipomas), or malignantliposarcomas. Hibernomas

    are relatively rare. In the multilocular type, mitochondria have a

    transmembrane protein called thermogenin which

    permits proton-motive backflow without passing the

    ATP-synthetase system.

    This releases heat that warms the body. It is notablethat in obese individuals, thermogenin is reduced in

    quantity.

    Obesity in adults may result from dietary excess,

    resulting to an excessive accumulation of fat in

    unilocular cells that become larger than usual

    (hypertrophic obesity); or from an increase in the

    number of adipocytes (hyperplastic obesity).

    The latter typically occur in overnourished infants.

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    Hormones that affect adipose tissues:

    1.Insulin- increases uptake of glucose by adipocytes and

    synthesis of triglycerides from carbohydrates2.Epinephrine, ACTH, glucagon, growth hormone,

    thyroxine- promote varying degrees of lipolysis of

    stored lipids and release of fatty acids.

    ACTH results to localized hypertophy

    of adipocytes in lower cervical regioncausing the buffalo hump condition.

    3.Estrogens- influence pattern of

    distribution of adipose tissue in females

    Neural (sympathetic nerves of ANS) or humoral

    mechanisms mobilize fats when the body issubjected to fasting periods or severe cold.

    These factors stimulate adenylate cyclase,

    activating the enzyme triglyceride lipase,

    which breaks down triglyceride droplets.

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    In general, adipocytes synthesize and store triglycerides.

    In the fed state, an insulin:glucagon ratio stimulates

    adipocytes to produce the following reactions:

    a.Secrete lipoprotein lipase (LPL) into the capillaries of whiteadipose tissue. LPL catalyzes the digestion of triglycerides

    (via VLDL and chylomicrons) into FA and glycerol. The former

    enter the adipocyte to be stored; the latter travels to the liver.

    b.Uptake and metabolize glucose and use it for energy and as a

    source of the glycerol moiety of the stored triglycerides.

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    In the fasted state, a decreased insulin: glucagon ratio and

    epinephrine stimulate adipocytes to begin lipolysis due to

    increased levels of cAMP which activate hormone-sensitive

    lipase. This catalyzes the cleavage of FA from triglycerides.

    The FA are used for ATP synthesis, and converted in the liver toketone bodies. The glycerol is used as a source of carbon for

    gluconeogenesis.

    Adipocytes secrete a hormone called leptin that has an anorexic

    action . The action of the LEP gene is mediated through satiety

    centers in the hypothalamus where their receptors are found.

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    Hormones and Appetite

    Produced byadipose (fat)tissue, leptin

    suppressesappetite as its level

    increases. When

    body fat

    decreases,

    leptin levels fall,

    and appetiteincreases.

    Leptin

    PYY

    Insulin

    Ghrelin

    Secreted by the stomachwall, ghrelin is one of the

    signals that triggers

    feelings of hunger as

    mealtimes approach. In

    dieters who lose weight,

    ghrelin levels increase,which may be onereason its so hard to

    stay on a diet.

    The hormone PYY,

    secreted by the smallintestine after meals,

    acts as an appetite

    suppressant that

    counters the appetite

    stimulant ghrelin.

    A rise in blood sugar

    level after a mealstimulates the

    pancreas to secreteinsulin. In addition to its

    other functions, insulin

    suppresses appetite by

    acting on the brain.

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