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Human Anatomy and Physiology

Eleventh Edition

Chapter 04
Tissue: The Living Fabric

Copyright © 2019, 2016, 2013 Pearson Education, Inc. All Rights Reserved
Video: Why This Matters

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Tissue: The Living Fabric
• Individual body cells are specialized
– Each type performs specific functions that
maintain homeostasis
• Tissues
– Groups of cells similar in structure that perform
Loading…
common or related function
• Histology something
is always exposed to ,
A tissue
that

– Study of tissues -
the "cover" tissue , lining something
t
• Four basic tissue types: epithelial,
connective, muscle, and nervous tissue
movement tissue , muscle cell Has nuerons
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supporting tissue
Overview of Four Basic
Tissue Types: Epithelial,
Connective, Muscle, and
Nervous Tissues

Figure 4.1 Overview of four basic tissue types:


epithelial, connective, muscle, and nervous
tissues.

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4.1 Microscopy of Human Tissue
•To be viewed under a microscope, tissue
must be:
– Fixed: tissue is preserved with solvent
– Sectioned: cut into slices thin enough to
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transmit light or electrons
– Stained: to enhance contrast, although
artifacts (distortions) detract from what the
sample looks like in living tissues
● Light microscopy uses colored dyes
● Electron microscopy uses heavy metal coatings
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Comparison of Transmission and
Electron Micrographs

Figure 4.2 Comparison of transmission and scanning electron micrographs.

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4.2 Epithelial Tissue
• Epithelial tissue (epithelium) is a sheet of cells
that covers body surfaces or cavities
• Two main forms:
– Covering and lining epithelia
● On external and internal surfaces (example: skin)
– Glandular epithelia
● Secretory tissue in glands (example: salivary
glands)
• Main functions: protection, absorption, filtration,
excretion, secretion, and sensory reception
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Special Characteristics of Epithelial
Tissues (1 of 7)
•Epithelial tissue has five distinguishing
characteristics:
1. Polarity
Basal surface
>
-
-
>
Epical surface

2. Specialized contacts
3. Supported by connective tissues
4. Avascular, but innervated
5. Regeneration
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Special Characteristics of Epithelial
Tissues (2 of 7)
• Polarity
– Cells have polarity (top and bottom)
– Apical surface, upper free side, is exposed to surface or
cavity
● Most apical surfaces are smooth, but some have
specialized fingerlike projections called microvilli
– Basal surface, lower attached side, faces inwards
toward body
● Attaches to basal lamina, an adhesive sheet that holds
basal surface of epithelial cells to underlying cells
– Both surfaces differ in structure and function
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Special Characteristics of Epithelial
Tissues (3 of 7)

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Special Characteristics of Epithelial
Tissues (4 of 7)
•Specialized contacts
– Epithelial tissues need to fit closely together
● Many form continuous sheets
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– Specialized contact points bind adjacent
epithelial cells together
● Lateral contacts include:
– Tight junctions
– Desmosomes

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Special Characteristics of Epithelial Tissues
(5 of 7)
• Supported by connective tissues
– All epithelial sheets are supported by connective
tissue
– Reticular lamina
● Deep to basal lamina
● Consists of network of collagen fibers
– Basement membrane
● Made up of basal and reticular lamina
● Reinforces epithelial sheet
● Resists stretching and tearing
● Defines epithelial boundary
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Clinical – Homeostatic Imbalance
•Cancerous epithelial cells are not
contained by the basement
membrane boundary like other cells
•They penetrate the boundary and
invade underlying tissues, resulting in
spread of cancer

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Special Characteristics of Epithelial
Tissues (6 of 7)
•Avascular, but innervated
– No blood vessels are found in
epithelial tissue
●Must be nourished by diffusion from
underlying connective tissues
– Epithelia are supplied by nerve fibers,
however

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Special Characteristics of Epithelial
Tissues (7 of 7)
•Regeneration
– Epithelial cells have high regenerative
capacities
– Stimulated by loss of apical-basal polarity
and broken lateral contacts
– Some cells are exposed to friction, some to
hostile substances, resulting in damage
● Must be replaced
● Requires adequate nutrients and cell division
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Classification of Epithelia (1 of
10)
• All epithelial tissues have two names
– First name indicates number of cell layers
● Simple epithelia are a single layer thick
● Stratified epithelia are two or more layers thick and
involved in protection (example: skin)
– Second name indicates shape of cells
● Squamous: flattened and scale-like
● Cuboidal: box-like, cube
● Columnar: tall, column-like
– In stratified epithelia, shape can vary in each layer, so
cell is named according to the shape in apical layer
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Classification of Epithelia

Figure 4.3a Classification of epithelia.


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Classification of Epithelia

Figure 4.3b Classification of epithelia.

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Classification of Epithelia
• Simple epithelia
– Involved in absorption, secretion, or filtration
processes
– Simple squamous epithelium
● Cells are flattened laterally, and cytoplasm is sparse
● Function where rapid diffusion is priority
– Example: kidney, lungs
● Two special simple squamous epithelia are based on
locations
– Endothelium: lining of lymphatic vessels, blood
vessels, and heart
– Mesothelium: serous membranes in the ventral body
cavity
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Epithelium: Simple Squamous

Figure 4.4a Epithelial tissues.


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Classification of Epithelia (5 of 10)

•Simple cuboidal epithelium


– Single layer of cells
– Involved in secretion and absorption
– Forms walls of smallest ducts of
glands and many kidney tubules

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Epithelium: Simple Cuboidal

inkidnesales
Not found
-v

Figure 4.4b Epithelial tissues.


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Classification of Epithelia (6 of 10)
•Simple columnar epithelium
– Single layer of tall, closely packed cells
● Some cells have microvilli, and some have cilia
● Some layers contain mucus-secreting goblet
epithelial cells that
cells Goblet cells are
T specialize and
Synthesizing
mucus.
in
secreting

– Involved in absorption and secretion of mucus,


enzymes, and other substances
● Ciliated cells move mucus
– Found in digestive tract, gallbladder, ducts of
some glands, bronchi, and uterine tubes
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Epithelium: Simple Columnar

Figure 4.4c Epithelial tissues.


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Classification of Epithelia (7 of 10)
>
-
False layer of epithelia

•Pseudostratified columnar epithelium


– Cells vary in height and appear to be multi-
layered and stratified, but tissue is in fact single-
layered simple epithelium
●“Pseudo” means false
● Many cells are ciliated


– Involved in secretion, particularly of mucus, and
also in movement of mucus via ciliary sweeping
action
– Located mostly in upper respiratory tract, ducts of
large glands, and tubules in testes
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Epithelium: Pseudostratified
Columnar

>
-
Basal
cells

Figure 4.4d Epithelial tissues.


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Classification of Epithelia (8 of 10)
• Stratified epithelial tissues
– Involve two or more layers of cells
– New cells regenerate from below
● Basal cells divide and migrate toward surface
– More durable than simple epithelia because
protection is the major role
Epidermis
– Stratified squamous epithelium >
-
On
of skin

● Most widespread of stratified epithelia


● Free surface is squamous, with deeper cuboidal or
columnar layers
● Located in areas of high wear and tear (example: skin)
● Keratinized cells found in skin; nonkeratinized cells are
found in moist linings
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Epithelium: Stratified Squamous

Figure 4.4e Epithelial tissues.


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Classification of Epithelia (9 of 10)
• Stratified epithelial tissues (cont.)
– Stratified cuboidal epithelium
● Quite rare
● Found in some sweat and mammary glands
● Typically only two cell layers thick
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– Stratified columnar epithelium
● Also very limited distribution in body
● Small amounts found in pharynx, in male urethra, and
lining some glandular ducts
● Usually occurs at transition areas between two other
types of epithelia
● Only apical layer is columnar
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Classification of Epithelia (10 of 10)

•Stratified epithelial tissues (cont.)


– Transitional epithelium >
-
The cells can stretch

● Forms lining of hollow urinary organs


– Found in bladder, ureters, and urethra
● Basal layer cells are cuboidal or columnar
● Ability of cells to change shape when stretched
allows for increased flow of urine and, in the case
of bladder, more storage space

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Epithelium: Transitional
Round Top Layer

↑ Makes it different
from others

Figure 4.4f Epithelial tissues.


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Glandular Epithelia (1 of 7)
•Gland
– One or more cells that makes and secretes an
aqueous fluid called a secretion
•Classified by:
– Site of product release:
● Endocrine: internally secreting (example:
hormones)
● Exocrine: externally secreting (example: sweat)
– Relative number of cells forming the gland
● Unicellular (example: goblet cells) or multicellular
(example: salivary)
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Formation of Multicellular Exocrine
and Endocrine Glands

Figure 4.5 Formation of multicellular exocrine and endocrine glands.

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Glandular Epithelia (2 of 7)
•Endocrine glands
– Ductless glands
● Secretions are not released into a duct; are
released into surrounding interstitial fluid,
which is picked up by circulatory system
– Secrete (by exocytosis) hormones,
messenger chemicals that travel through
lymph or blood to their specific target
organs
– Target organs respond in some
characteristic way
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Glandular Epithelia (3 of 7)
•Exocrine glands
– Secretions are released onto body surfaces,
such as skin, or into body cavities
– More numerous than endocrine glands
– Secrete products into ducts
– Examples include mucous, sweat, oil, and
salivary glands
– Can be:
● Unicellular
● Multicellular
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Glandular Epithelia (4 of 7)
•Unicellular exocrine glands
– The only important unicellular glands
are mucous cells and goblet cells
– Found in epithelial linings of intestinal
and respiratory tracts
– All produce mucin, a sugar-protein that
can dissolve in water to form mucus, a
slimy protective, lubricating coating

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Goblet Cell (Unicellular Exocrine
Gland)

Figure 4.6 Goblet cell (unicellular exocrine gland).


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Glandular Epithelia (5 of 7)
•Multicellular exocrine glands
– Multicellular exocrine glands are composed of a
duct and a secretory unit
– Usually surrounded by supportive connective
tissue that supplies blood and nerve fibers to
gland
● Connective tissue can form capsule around gland,
and also extend into gland, dividing it into lobes
– Classified by:
● Structure
● Mode of secretion
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Glandular Epithelia (6 of 7)
•Multicellular exocrine glands (cont.)
– Structure
●Simple exocrine glands have unbranched
ducts, but compound glands have
branched ducts
●In a tubular gland, secretory cells form a
duct, whereas in alveolar glands,
secretory cells form sacs
– Tubuloalveolar glands have both types

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Types of Multicellular Exocrine
Glands

Figure 4.7 Types of multicellular exocrine glands.

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Glandular Epithelia (7 of 7)
•Multicellular exocrine glands (cont.)
– Mode of secretion -
Lose
nothing
● Merocrine: most secrete products by
exocytosis as secretions are produced (sweat,
pancreas) Lose
everything
>
-

● Holocrine: accumulate products within, then


rupture (sebaceous oil glands)
● Apocrine: accumulate products within, but
only apex ruptures; whether this type exists in
humans is controversial (maybe mammary
cells?)
lose the

top layer

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Chief Modes of Secretion in
Human Exocrine Glands

Figure 4.8 Chief modes of secretion in human exocrine glands.


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4.3 Connective Tissue
• Connective tissue is the most abundant and
widely distributed of primary tissues
• Major functions: binding and support,
protecting, insulating, storing reserve fuel, and
transporting substances (blood)
• Four main classes
– Connective tissue proper
– Cartilage

3 specie
a

– Bone
– Blood
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Table 4.1-1 Comparison of Classes
of Connective Tissues

>
Lining every epetil at
-

Table 4.1-1 Comparison of Classes of Connective Tissues.


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Table 4.1-2 Comparison of Classes
of Connective Tissues

Table 4.1-2 Comparison of Classes of Connective Tissues.

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Common Characteristics of
Connective Tissue
• Three characteristics make connective tissues
different from other primary tissues:
– All have common embryonic origin: all arise from
mesenchyme tissue as their tissue of origin
– Have varying degrees of vascularity (cartilage is
avascular, bone is highly vascularized)
– Cells are suspended/embedded in extracellular
matrix (ECM) (protein-sugar mesh)
● Matrix supports cells so they can bear weight,
withstand tension, endure abuse
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Structural Elements of Connective
Tissue
• All connective tissues have three main
elements
– Ground substance
– Fibers
– Cells
● The first two elements (ground substance and
fibers) together make up the extracellular matrix
– Composition and arrangement of these three
elements vary considerably in different types
of connective tissues
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Structural Elements of
Connective Tissue (2 of 5)
• Ground substance
– Unstructured gel-like material that fills space
between cells
● Medium through which solutes diffuse between blood
capillaries and cells
– Components
Based on this
● Interstitial fluid
-

● Cell adhesion proteins (“glue” for attachment)


● Proteoglycans (sugar proteins), made up of protein core +
large polysaccharides
– Example: chrondroitin sulfate and hyaluronic acid
● Water also is trapped in varying amounts, affecting
viscosity of ground substance
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Structural Elements of Connective
Tissue (3 of 5)
• Connective tissue fibers
• Three types of fibers provide support
– Collagen Where there's
>
-
a lot of tension .

tendons
, ligaments

● Strongest and most abundant type


● Tough; provides high tensile strength
– Elastic fibers
● Networks of long, thin, elastin fibers that allow for stretch and recoil
– Reticular
● Short, fine, highly branched collagenous fibers (different chemistry and
form from collagen fibers)
● Branching forms networks that offer more “give”

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Structural Elements of Connective
Tissue (4 of 5)
• Cells
– “Blast” cells
● Immature form of cell that actively secretes ground
substance and ECM fibers
● Fibroblasts found in connective tissue proper
● Chondroblasts found in cartilage CHONDRO CARTILAGE
>
-
=

● Osteoblasts found in bone


● Hematopoietic stem cells in bone marrow
– “Cyte” cells >
- Retired

● Mature, less active form of “blast” cell that now becomes


part of and helps maintain health of matrix
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Structural Elements of Connective
Tissue (5 of 5)
• Other cell types in connective tissues
– Fat cells
● Store nutrients
– White blood cells
● Neutrophils, eosinophils, lymphocytes
● Tissue response to injury
– Mast cells
● Initiate local inflammatory response against foreign
microorganisms they detect
– Macrophages
● Phagocytic cells that “eat” dead cells, microorganisms; function
in immune system
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Areolar Connective Tissue: A
Prototype (Model) Connective Tissue

Figure 4.9 Areolar connective tissue: A prototype (model) connective tissue.

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Types of Connective Tissues (1 of 13)

•There are four main classes of


connective tissue:
– Connective tissue proper
– Cartilage
– Bone
– Blood

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Overview of Types of Connective
Tissue

Figure 4.10 Overview of types of connective tissue.


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Types of Connective Tissues (2 of 13)
• Connective tissue proper
– Consists of all connective tissues except bone,
cartilage, and blood
– Two subclasses
● CT proper: loose connective tissues
– Areolar
– Adipose
– Reticular
● CT proper: dense connective tissues
– Dense regular
– Dense irregular
– Elastic
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Types of Connective Tissues (3 of 13)
•CT proper: loose connective tissues
– Areolar connective tissue
● Most widely distributed CT
● Supports and binds other tissues
● Universal packing material between other tissues
● Contains fibroblasts that secrete loose arrangement of
mostly collagen fibers
● Loose fibers allow for increased ground substance,
which can act as water reservoir by holding more
interstitial fluid
● Macrophages and fat cells are contained in spaces
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Connective Tissues-Proper-Loose-
Areolar

Figure 4.11a Connective tissues.


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Types of Connective Tissues (4 of 13)
• CT proper: loose connective tissues (cont.)
– Adipose tissue
● White fat
– Similar to areolar tissue but greater nutrient storage
– Cells are called adipocytes
– Scanty matrix
– Richly vascularized
– Functions in shock absorption, insulation, and energy
storage
● Brown fat
– Use lipid fuels to heat bloodstream rather than to
produce ATP, as does white fat
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Connective Tissues-Proper-Loose-
Adipose

Figure 4.11b Connective tissues.


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Types of Connective Tissues (5 of 13)
•CT proper: loose connective tissues
(cont.)
– Reticular connective tissue
● Resembles areolar tissue, but fibers are
thinner reticular fibers
● Fibroblast cells are called reticular cells
– Secrete reticular fibers made up of thin
collagen
● Reticular fibers form a mesh-like stroma that
acts as a support for blood cells in lymph
nodes, spleen, and bone marrow
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Connective Tissues-Proper-Loose-
Reticular

Figure 4.11c Connective tissues.


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Types of Connective Tissues (6 of 13)

•CT proper: dense connective


tissues
– Three varieties of dense connective
tissue
●Dense regular
●Dense irregular
●Elastic

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Types of Connective Tissues (7 of 13)
• CT proper: dense connective tissues (cont.)
– Dense regular connective tissue
● Very high tensile strength; can withstand high tension and
stretching
● Closely packed bundles of thick collagen fibers run parallel to
direction of pull
– Fibers appear as white structures
• Great resistance to pulling
– Fibers slightly wavy, so stretch a little
● Fibroblasts manufacture collagen fibers and ground
substance
● Very few cells and ground substance, mostly fibers
● Poorly vascularized
● Example: tendons and ligaments
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Connective Tissues-Proper-Dense-
Regular

Figure 4.11d Connective tissues.


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Types of Connective Tissues (8 of 13)
• CT proper: dense connective tissues (cont.)
– Dense irregular connective tissue
● Same elements as dense regular, but bundles of
collagen are thicker and irregularly arranged
● Forms sheets rather than bundles
● Resists tension from many directions
● Found in:
– Dermis
– Fibrous joint capsules
– Fibrous coverings of some organs
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Connective Tissues-Proper-Dense-Irregular

Figure 4.11e Connective tissues.

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Types of Connective Tissues (9 of 13)
•CT proper: dense connective
tissues
–Elastic connective tissue
●Some ligaments are very elastic
–E.g.: ligaments connecting adjacent
vertebrae must be very elastic
●Also found in walls of many large
arteries
–Arteries need to stretch when blood
enters and recoil to push blood out
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Connective Tissues-Proper-Dense-
Elastic

Figure 4.11f Connective tissues.


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Types of Connective Tissues (10 of 13)
•Cartilage
– Matrix secreted from chondroblasts (during growth)
and chondrocytes (adults)
● Chondrocytes found in cavities called lacunae
● 80% water, with packed collagen fibers and sugar
proteins (chondroitin and hyaluronic acid)
– Tough yet flexible material that lacks nerve fibers
– Avascular: receives nutrients from membrane
surrounding it (perichondrium)
● Periochondrium gives rise to chondroblasts and
chondrocytes

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Types of Connective Tissues (11 of 13)
• Three types of cartilage:
– Hyaline cartilage
● Most abundant; “gristle”
● Appears as shiny bluish glass
● Found at tips of long bones, nose, trachea, larynx, and
cartilage of the ribs
– Elastic cartilage
● Similar to hyaline but with more elastic fibers
● Found in ears and epiglottis
– Fibrocartilage
● Properties between hyaline and dense regular tissue
● Strong, so found in areas such as intervertebral discs and
knee

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Connective Tissues-Proper-Cartilage-
Hyaline

Figure 4.11g Connective tissues.


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Connective Tissues-Proper-Cartilage-
Elastic

Figure 4.11h Connective tissues.


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Connective Tissues-Proper-Cartilage-
Fibrocartilage

Figure 4.11i Connective tissues.


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Clinical – Homeostatic Imbalance 4.2
•Avascular cartilage loses ability to
divide as we age, so injuries heal
slowly
– Common in people with sports injuries
•Later in life, cartilage can calcify or
ossify (become bony), causing
chondrocytes to die

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Types of Connective Tissues (12 of 13)
•Bone
– Also called osseous tissue
– Supports and protects body structures
– Stores fat and synthesizes blood cells in cavities
– Has more collagen compared to cartilage
– Has inorganic calcium salts
– Osteoblasts produce matrix
– Osteocytes maintain the matrix
● Reside in cavities in matrix called lacunae
– Osteons: individual structural units
– Richly vascularized
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Connective Tissues-Bone

Figure 4.11j Connective tissues.


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Types of Connective Tissues (13 of 13)
•Blood
– Most atypical connective tissue because it is
fluid
● Consists of cells surrounded by matrix
(plasma)
– Red blood cells are most common cell type
– Also contains white blood cells and platelets
– Fibers are soluble proteins that precipitate
during blood clotting
– Functions in transport and in carrying nutrients,
wastes, gases, and other substances
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Connective Tissues- Blood

Figure 4.11k Connective tissues.


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4.4 Muscle Tissue
•Highly vascularized
•Responsible for most types of movement
– Muscle cells possess myofilaments made up
of actin and myosin proteins that bring about
contraction
•Three types of muscle tissues:
– Skeletal muscle > With bones
-

– Cardiac muscle > Only in the heart


-

– Smooth muscle Hallo >


- w
Any tubelike *

Organs Structure
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Skeletal Muscle (1 of 2)
•Skeletal muscle tissue >
-

They
look

:D
– Attached to and causes movement of
bones
– Also called voluntary muscle
●Skeletal muscles can be consciously
controlled
– Cells are called muscle fibers
●Contain multiple nuclei
●Appear striated or banded
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Skeletal Muscle (2 of 2)

Figure 4.12a Muscle tissues.


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Cardiac Muscle (1 of 2)
•Cardiac muscle tissue
– Found only in walls of heart
– Involuntary muscle
– Like skeletal muscle, contains striations;
but cells have only one nucleus
– Cells can have many branches that join
branches of other cardiac cells
●Intercalated discs are special joints
where cardiac cells are joined
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Cardiac Muscle (2 of 2)

Branching
-

Loading…

Figure 4.12b Muscle tissues.

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Smooth Muscle (1 of 2)

•Smooth muscle tissue


– Found mainly in walls of hollow
organs (other than heart)
– Involuntary muscle
– Has no visible striations
– Spindle-shaped cells with one
nucleus

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Smooth Muscle (2 of 2)

Figure 4.12c Muscle tissues.

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4.5 Nervous Tissue
•Main component of nervous system
(brain, spinal cord, nerves)
– Regulates and controls body functions
•Made up of two specialized cells:
– Neurons: specialized nerve cells that
generate and conduct nerve impulses
– Supporting cells that support, insulate,
and protect neurons
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Nervous Tissue

Figure 4.13 Nervous tissue.

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4.6 Covering and Lining Membranes
•Composed of at least two primary
tissue types: an epithelium bound to
underlying connective tissue proper
layer
•Three types
– Cutaneous membranes
– Mucous membranes
– Serous membranes
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Cutaneous Membranes
•Another name for skin
•Keratinized stratified squamous
epithelium (epidermis) attached to a
thick layer of connective tissue
(dermis)
•Unlike other membranes, skin is a dry
membrane
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Classes of Covering and Lining
Membranes (1 of 3)

Figure 4.14a Classes of covering and lining membranes.

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Mucous Membranes
• Mucosa indicates location, not cell composition
• Also called mucosae
– Line body cavities that are open to the exterior
(example: digestive, respiratory, urogenital tracts)
• Moist membranes bathed by secretions (or urine)
• Epithelial sheet lies over layer of loose
connective tissue called lamina propria
• May secrete mucus

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Classes of Covering and Lining
Membranes (2 of 3)

Figure 4.14b Classes of covering and lining membranes.


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Serous Membranes
• Also called serosae
• Found in closed ventral body cavities
• Constructed from simple squamous epithelium (called
mesothelium) resting on thin areolar connective tissue
• Parietal serosae line internal body cavity walls
• Visceral serosae cover internal organs
• Cavity between layers is filled with slippery serous fluid,
so these are moist membranes
• Special names given to show location: pleurae (lungs),
pericardium (heart), peritoneum (abdomen)
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Classes of Covering and Lining
Membranes (3 of 3)

Figure 4.14c Classes of covering and lining membranes.


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4.7 Tissue Repair

•When the body’s barriers are


compromised, the inflammatory and
immune responses are activated
•Repair starts very quickly
•Repair is the function of the
inflammatory process

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Steps in Tissue Repair (1 of 3)
• Repair can occur in two major ways:
– Regeneration: same kind of tissue replaces
destroyed tissue, so original function is restored
– Fibrosis: connective tissue replaces destroyed
tissue, and original function lost
• Step 1: Inflammation sets stage
– Release of inflammatory chemicals causes:
● Dilation of blood vessels
● Increase in blood vessel permeability
– Clotting of blood occurs

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Tissue Repair of a Nonextensive Skin
Wound: Regeneration and Fibrosis (1 of 3)

Figure 4.15 Tissue repair of a nonextensive skin wound: regeneration and fibrosis.
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Steps in Tissue Repair (2 of 3)

• Step 2: Organization restores blood supply


– Organization begins as the blood clot is
replaced with granulation tissue (new
capillary-enriched tissue)
– Epithelium begins to regenerate
– Fibroblasts produce collagen fibers to bridge
the gap until regeneration is complete
– Any debris in area is phagocytized

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Tissue Repair of a Nonextensive Skin
Wound: Regeneration and Fibrosis

Figure 4.15 Tissue repair of a nonextensive skin wound: regeneration and fibrosis.
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Steps in Tissue Repair (3 of 3)
•Step 3: Regeneration and fibrosis
effect permanent repair
– The scab detaches
– Fibrous tissue matures
– Epithelium thickens and begins to
resemble adjacent tissue
– Results in a fully regenerated epithelium
with underlying scar tissue, which may or
may not be visible
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Tissue Repair of a Nonextensive Skin
Wound: Regeneration and Fibrosis

Figure 4.15 Tissue repair of a nonextensive skin wound: regeneration and fibrosis.
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Regenerative Capacity of Different
Tissues (1 of 2)
•Tissues that regenerate extremely well
include:
– Epithelial tissues, bone, areolar connective
tissue, dense irregular connective tissue,
blood-forming tissue
•Tissue with moderate regenerating
capacity:
– Smooth muscle and dense regular
connective tissue
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Regenerative Capacity of
Different Tissues (2 of 2)
•Tissues with virtually no functional
regenerative capacity:
–Cardiac muscle and nervous tissue
of brain and spinal cord
–New research shows cell division
does occur, and efforts are underway
to coax them to regenerate better
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Clinical – Homeostatic Imbalance 4.3
•Scar tissue that forms in organs,
particularly the heart, can severely
impair the function of that organ
– May cause the organ to lose volume
capacity
– May block substances from moving
through organ
– May interfere with ability of muscles to
contract or may impair nerve
transmissions
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Clinical – Homeostatic Imbalance 4.3

•Scar adhesions may cause organs


to adhere to neighboring
structures, preventing normal
functions
•Scarring can potentially cause
progressive failure of the organ,
particularly the heart

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Developmental Aspects of Tissues
•Primary germ layers
– Superficial to deep: ectoderm, mesoderm,
and endoderm
– Formed early in embryonic development
– Specialize to form the four primary tissues
●Nerve tissue arises from ectoderm
●Muscle and connective tissues arise from
mesoderm
●Epithelial tissues arise from all three germ
layers
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Developmental Aspects of Tissues
• Tissues function well through youth and middle
age if given adequate diet and circulation and if
wounds and infections are minimal
• As the body ages, epithelia thin, so they are more
easily breached
• Tissue repair is less efficient
• Bone, muscle tissues, and nervous tissues begin
to atrophy
• DNA mutations increase cancer risk
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