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UCI SOM Smith

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Question
Answer
Functions of connective tissues   structural support, medium for exchange, aid in defense and protection, site of fat storage  
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Embryonic CT   mesenchyme, mucous CT (wharton’s jelly (in umbilical cord))  
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Mesenchyme comes from where   mesoderm  
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CT proper   loose (areolar), dense irregular, dense regular, reticular, adipose  
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Specialized CT   cartilage, bone, blood (hemopoietic & lymphatic tissues)  
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Components of CT   extracellular matrix (ground substance & fibers) and cells (resident/fixed &transient/wandering)  
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Ground substance   GAGs (glycosaminoglycans), PGs (proteoglycans), and Glycoproteins  
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GAGs   polysaccharides of disaccharaide subunits, unsulfated-hyaluronic acid, sulfated-keratan, chondroitin, and dermatan sulfate (sulfated GAGs are negatively charged, attract Na+ which attracts water)  
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PGs   mixture of protein with bound sulfated GAGs; important for binding and activating growth factors  
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Glycoproteins   fibronectin, laminin, entactin; have domains that bind integrins and ECM  
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Different CT Fibers   collagen, reticular (a type of collagen actually), & elastic  
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Collagen fiber assembly   tendon>bundle>fiber>fibril>tropocollagen triple helix  
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Collagen fiber info   major fibrous protein in CT; flexible, high tensile strength; <10 micro meter; stain pink with H&E  
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Tropocollagen molecules   triple helix of 3 alpha chains, every third AA is glycine, other AA are proline, hydroxyproline, and hydroxylysine  
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How many types of collagen   7  
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Type I collagen morphology, distribution, and fxn   large banded collagen fiber; dermis, tendon, bone, ligaments, capsules of organs; resists tension  
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Type II collagen morphology, distribution, and fxn   small banded collagen fiber; hyaline and elastic cartilage, vitreous of eye; resists pressure  
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Type III collagen morphology, distribution, and fxn   small banded collagen fiber; lymphoid tissue, bone marrow, spleen, liver, lung, cardiovascular system, skin; forms structural framework  
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Type IV collagen morphology, distribution, and fxn   sheet-like layers; basement membrane and basal lamina; forms meshwork of lamina densa, provides support and filtration  
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Type V collagen morphology, distribution, and fxn   thin fibrils; dermis, tendon, bone, ligaments, capsules of organs, placenta; associated with type I collagen, placental ground substance  
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Type VI collagen morphology, distribution, and fxn   thin fibrils; jxn of epidermis and dermis; anchoring fibrils in basement membrane  
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Collagen synthesis (8 steps)   1)transcription 2)translation of preprocolagen in RER 3)hydroxylation in RER 4)Glycosylation in RER 5)Formation of procollagen triple helix in RER 6)secretion of procollagen via TGN 7)cleavage of propeptides to form tropocollagen molecule 8)spontaneous se  
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How do you stain a type III collagen   not H&E; use silver or PAS stain  
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How do you stain elastic fibers   not H&E; must use a specialized elastic fiber stain  
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Scurvy   vit. C deficiency; proline hydroxylation needs Vit. C; collagen becomes weak; ligaments that hold teeth in gums weaken (bleeding gums; loss of teeth)  
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Ehlers-Danlos Syndrome   less than normal amount of collagen; hyper flexible skin or joints; can get ruptures of intestine  
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Marfan’s syndrome   defect in fibrilin gene; lack elastin; hypermobile joints; ruptured aorta b/c aorta has no elastin  
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Fixed/resident CT cells   fibroblast, pericyte, adipocyte, mast cells, histiocyte (macrophage)  
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Transient/wandering CT cells   macrophage, lymphocytes, granulocytes [neutrophils, eosinophils, basophils]  
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Myofibroblast   in between fibroblast and smooth muscle cells; play a role in wound closure/healing  
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Unilocular adipocytes   white/yellow fat for lipid storage  
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Multilocular adipocytes   brown fat for thermogenesis  
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Action of leptin   produced by adipocytes; decreases food intake; increases energy consumption  
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Multilocular adipocyte info   3% of infant weight, brown due to cytochromes in mitochondria; mitochondria have thermogenin which allows H+ ions to flow across inner membrane; rich capillary bed; heat production  
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Hypertrophic obesity   increase in cell size (adult onset)  
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Hypercellular obsesity   increase in cell number (childhood onset)  
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Histiocyte/macrophage   principal phagocytosing cells of CT; originate in bone marrow as monocytes; fuse to form foreign body giant cells  
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Mononuclear phagocyte cells and locations   histiocyte (connective tissue), kupffer cell (liver), alveolar macrophage (lung), macrophage (bone marrow, lymph node, spleen, thymus), plural and peritoneal macrophage (serous cavities), osteoclast (bone), microglia (CNS), langerhan’s cell (epidermis)  
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Plasma cell   originate from B lymphocytes; cartwheel nucleus, basophilic cytoplasm (blue staining); abundant in inflammation; synthesize and secrete immunoglobulins  
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Mast cells   20-30 micrometers; from bone marrow; hypersensitivity rxn (anaphylactic shock); mediate inflammatory response (basophilic granules contain primary mediators [heparin, histamine and more] and synthesize and secrete secondary mediators [leukotrienes, thromb  
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Other leukocytes and function   neutrophils (phagocytic, digest bacteria), eosinophils (attack parasites), and basophils (inflammatory response)  
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