Tissue Types and Wound Healing

Embed Size (px)

Citation preview

  • 7/27/2019 Tissue Types and Wound Healing

    1/75

    Molecular Cell Biology

    A. Cells in the Context of Tissue,

    Organ and Organismal Architecture

    B. Wound Healing

  • 7/27/2019 Tissue Types and Wound Healing

    2/75

    Four Types of Vertebrate Tissue

    1.Epithelium

    2.Connective Tissue

    3.Muscle

    4.Nervous Tissue

  • 7/27/2019 Tissue Types and Wound Healing

    3/75

    1. Architecture of Epithelium

    Simple, Stratified, Pseudostratified, Transitional

    Squamous, Cuboidal, Columnar

    Ciliated or not

    Examples:

    Small Intestine = Simple Columnar Epithelium

    Trachea = Ciliated Pseudostratified Columnar Epithelium

    Blood Vessel = Simple Squamous Epithelium

    Skin = Stratified Squamous Epithelium

  • 7/27/2019 Tissue Types and Wound Healing

    4/75

    Structure equals Function

    Small Intestine:

    Simple Columnar Epithelium = absorption

    Trachea:

    Ciliated Pseudostratified Columnar Epithelium = filtering debris

    Blood Vessel:

    Simple Squamous Epithelium = gas exchange

    Skin:

    Stratified Squamous Epithelium = protective physical barrier

  • 7/27/2019 Tissue Types and Wound Healing

    5/75

    Function:

    1. absorption of nutrients

    2. enzymatic digestion at neutral pH

    3. multiple defensive mechanisms

    Simple,

    Columnar

    Epithelium

  • 7/27/2019 Tissue Types and Wound Healing

    6/75

    4 Cell types in Small Intestine

  • 7/27/2019 Tissue Types and Wound Healing

    7/75

    Small Intestine

  • 7/27/2019 Tissue Types and Wound Healing

    8/75

  • 7/27/2019 Tissue Types and Wound Healing

    9/75

    Tracheal Epithelium

    Ciliated PseudostratifiedColumnar Epithelium

    with Goblet Cells

    1. Mucus traps dust and air-borne microorganisms

    2. Ciliar waving gets rid of

    unwanted material

  • 7/27/2019 Tissue Types and Wound Healing

    10/75

    The Vasculature: Simple, Squamous Epithelium

    Gas Exchange Fluid Exchenge

  • 7/27/2019 Tissue Types and Wound Healing

    11/75

    Epidermis of Skin

    StratifiedSquamous

    Epithelium

    Creates tough,

    waterproofbarrier

  • 7/27/2019 Tissue Types and Wound Healing

    12/75

    Differentiation and Direction of Movement in Epidermis

    Cornification

    is the over-

    production of

    cytokeratins,ECM and the

    adhesions to

    a degree that

    stops cellularmetabolism.

  • 7/27/2019 Tissue Types and Wound Healing

    13/75

  • 7/27/2019 Tissue Types and Wound Healing

    14/75

    2. Mesenchymal Cell Types and

    Connective Tissues

  • 7/27/2019 Tissue Types and Wound Healing

    15/75Figure 23-52 Molecular Biology of the Cell( Garland Science 2008)

  • 7/27/2019 Tissue Types and Wound Healing

    16/75

    The Fibroblast

  • 7/27/2019 Tissue Types and Wound Healing

    17/75

    Loose Connective Tissue

    Dense Regular CT

    Dense Irregular CT

    Elastic Connective Tissue

  • 7/27/2019 Tissue Types and Wound Healing

    18/75

  • 7/27/2019 Tissue Types and Wound Healing

    19/75

    Cartilage and the Chondrocyte

  • 7/27/2019 Tissue Types and Wound Healing

    20/75

    Lacunar Structure of the Hyaline Cartilage

    Extremely low blood flow

  • 7/27/2019 Tissue Types and Wound Healing

    21/75

    Lacunar structure of the long bones

    Osteoblasts

  • 7/27/2019 Tissue Types and Wound Healing

    22/75

    Cortical Bone vs. Spongy Bone

  • 7/27/2019 Tissue Types and Wound Healing

    23/75

    Marrow of

    Long Bones

    has Stem Cells

    Cell Types of the Bone

    St t t til d l b ilt b h d t

  • 7/27/2019 Tissue Types and Wound Healing

    24/75

    Start out as cartilage models built by chondrocytes

    Chondrocytes hypertrophy, calcify and die

    Osteoblasts and osteoclasts finish up

  • 7/27/2019 Tissue Types and Wound Healing

    25/75

    The Adipocyte

    MesenchymalStem Cells are a

    continuous source

    of adipocytes

  • 7/27/2019 Tissue Types and Wound Healing

    26/75

    Figure 23-47a Molecular Biology of the Cell( Garland Science 2008)

    3. Contractile Tissue

  • 7/27/2019 Tissue Types and Wound Healing

    27/75

  • 7/27/2019 Tissue Types and Wound Healing

    28/75

    Arteries, veins

    Lymphatic vessels

    Gastrointestinal tract

    Respiratory tractUrinary bladder

    Reproductive tract

    Urinary tract

    Iris of the eye

    Erector pili of skin

  • 7/27/2019 Tissue Types and Wound Healing

    29/75

  • 7/27/2019 Tissue Types and Wound Healing

    30/75

    4. Nervous Tissue

  • 7/27/2019 Tissue Types and Wound Healing

    31/75

    Nerve Bundles

  • 7/27/2019 Tissue Types and Wound Healing

    32/75

    Cutaneous Wound Healing

    The skin is a complex organ...

  • 7/27/2019 Tissue Types and Wound Healing

    33/75

    Many cells and activities involved

  • 7/27/2019 Tissue Types and Wound Healing

    34/75

    Many cells and activities involved in Healing

    Clotting

    Scarring

    Re-establishing

    Function

  • 7/27/2019 Tissue Types and Wound Healing

    35/75

    Four overlapping stages to wound healing

    Hemostasis

    Inflammation

    Proliferation

    Maturation

  • 7/27/2019 Tissue Types and Wound Healing

    36/75

    Blood flows into the exposed ECM of

    the injured tissue.

  • 7/27/2019 Tissue Types and Wound Healing

    37/75

    RBC and Platelets Trapped in Fibrin Clot

  • 7/27/2019 Tissue Types and Wound Healing

    38/75

    Clottingfactor

    VII from the

    blood contacts

    tissue factoron

    cells in the

    damagedtissues to

    activate clotting

  • 7/27/2019 Tissue Types and Wound Healing

    39/75

    .

    Camacho A , Dimsdale J E Psychosom Med 2000;62:326-3362000 by Lippincott Williams & Wilkins

    Platelet activation in the clot makes them sticky

    and releases their signal storage vesicles

  • 7/27/2019 Tissue Types and Wound Healing

    40/75

    Positive feedback

    activates even more

  • 7/27/2019 Tissue Types and Wound Healing

    41/75

    Platelet activation

    releases growthfactors by regulated

    secretion

  • 7/27/2019 Tissue Types and Wound Healing

    42/75

  • 7/27/2019 Tissue Types and Wound Healing

    43/75

    Inflammation is a process mediated primarily

    by WBC as part of our innate immunity

    - Resident mast cells and macrophages

    - Recruited monocytes and neutrophils

  • 7/27/2019 Tissue Types and Wound Healing

    44/75

    Resident mast cells also degranulate

    rubor= rednesscalor= heat

    tumor= swelling

    dolor= pain

  • 7/27/2019 Tissue Types and Wound Healing

    45/75

    Activated mast cell activities

  • 7/27/2019 Tissue Types and Wound Healing

    46/75

    Figure 1 Development and differentiation of macrophages.

    Rickard A J , Young M J J Mol Endocrinol 2009;42:449-459

    2011 Society for Endocrinology

  • 7/27/2019 Tissue Types and Wound Healing

    47/75

    Activated macrophage activities

  • 7/27/2019 Tissue Types and Wound Healing

    48/75

    Neutrophil Diapedesis

  • 7/27/2019 Tissue Types and Wound Healing

    49/75

  • 7/27/2019 Tissue Types and Wound Healing

    50/75

    Activated neutrophils are phagocytic

  • 7/27/2019 Tissue Types and Wound Healing

    51/75

    Proliferation re-establishes tissue function

    Reconnection of

    the dermal

    connective tissue

    Integrity of the

    epidermal layers

    Re-establishment

    of blood flow

  • 7/27/2019 Tissue Types and Wound Healing

    52/75

    Reconnection of

    the dermal CT

    Cell Migration or Crawling

  • 7/27/2019 Tissue Types and Wound Healing

    53/75

    Cell Migration or Crawling

    The Basic Mechanism

    Triggered by signals from outside the cell

    Actin-myosin based movement

    Requires attachments to outside to pull against

    Gotta drag all of the cell contents along for the ride

  • 7/27/2019 Tissue Types and Wound Healing

    54/75

    Chemotaxis

    Circumferential receptors

    Rho-family GTPases (monomeric)

    Rho-dependent kinases

    1. Actin monomer nucleotide exchange2. Actin fiber polymerization and disassembly

    3. Myosin motor ATPase activity

  • 7/27/2019 Tissue Types and Wound Healing

    55/75

    Figure 17-62 (part 1 of 3) Molecular Biology of the Cell( Garland Science 2008)

  • 7/27/2019 Tissue Types and Wound Healing

    56/75

    Formation of the scar matrix

    1. glycosaminoglycans

    2. proteoglycans

    3. fibrous proteins

    4. elastic proteins

  • 7/27/2019 Tissue Types and Wound Healing

    57/75

    Re-establishment of the

    epidermal epithelium

    involves both mitosis and

    epithelial migration

  • 7/27/2019 Tissue Types and Wound Healing

    58/75

    Also must reform the basal lamina

  • 7/27/2019 Tissue Types and Wound Healing

    59/75

    Model depicting 31 integrin mediated functions of epidermis that contribute to wound

  • 7/27/2019 Tissue Types and Wound Healing

    60/75

    Model depicting 31-integrin-mediated functions of epidermis that contribute to wound

    healing.

    Mitchell K et al. J Cell Sci 2009;122:1778-1787

    2009 by The Company of Biologists Ltd

  • 7/27/2019 Tissue Types and Wound Healing

    61/75

  • 7/27/2019 Tissue Types and Wound Healing

    62/75

  • 7/27/2019 Tissue Types and Wound Healing

    63/75

    Figure 23-34 Molecular Biology of the Cell( Garland Science 2008)

  • 7/27/2019 Tissue Types and Wound Healing

    64/75

    Maturation Phase

  • 7/27/2019 Tissue Types and Wound Healing

    65/75

    Wound contraction by myofibroblasts

  • 7/27/2019 Tissue Types and Wound Healing

    66/75

    Stitches Perform Wound Contracture

  • 7/27/2019 Tissue Types and Wound Healing

    67/75

    Collagen Remodeling

  • 7/27/2019 Tissue Types and Wound Healing

    68/75

  • 7/27/2019 Tissue Types and Wound Healing

    69/75

    Healing Abnormalities

    Failure to heal: Excessive Inflammation

    Excessive scarring: Wound Fibrosis Hypertrophic Scarring

    Keloid Scarring

  • 7/27/2019 Tissue Types and Wound Healing

    70/75

  • 7/27/2019 Tissue Types and Wound Healing

    71/75

    Biofilms May Block Healing

  • 7/27/2019 Tissue Types and Wound Healing

    72/75

    Hypertrophic scars result from failed

  • 7/27/2019 Tissue Types and Wound Healing

    73/75

    Hypertrophic scars result from failed

    fibroblast contracture

    Dont extend beyond the original wound edge

    Keloid scars result from excessive

  • 7/27/2019 Tissue Types and Wound Healing

    74/75

    Keloid scars result from excessive

    TGF-b receptors on fibroblasts

    Extend to fibroblasts outside the wound

  • 7/27/2019 Tissue Types and Wound Healing

    75/75