Connective tissue

Types

File:Illu connective tissues 1.jpg File:Illu connective tissues 2.jpg Connective tissue can be broadly classified into connective tissue proper (including loose connective tissue and dense connective tissue) and special connective tissue (including supportive connective tissue and fluid connective tissue).

Connective tissue proper

Loose and dense connective tissue are distinguished by the ratio of ground substance to fibrous tissue. Loose connective tissue has much more ground substance and a relative lack of fibrous tissue, while the reverse is true of dense connective tissue.

Loose connective tissue includes reticular connective tissue, and adipose tissue.

Dense connective tissue is subdivided into dense regular and dense irregular connective tissue. Dense regular connective tissue, found in structures such as tendons and ligaments, is characterized by collagen fibers arranged in an orderly parallel fashion, giving it tensile strength in one direction. Dense irregular connective tissue provides strength in multiple directions by its dense bundles of fibers arranged in all directions.

Special connective tissue

Special connective tissue consists of supportive connective tissue (comprising bone and cartilage) and fluid connective tissue (comprising blood and lymph). Special connective tissue are a form of fascia, with blood and lymph being known as liquid fascia.

Other kinds of special connective tissues include fibrous, elastic, and lymphoid connective tissues. Fibroareolar tissue is a mix of fibrous and areolar tissue. Fibromuscular tissue is made up of fibrous tissue and muscular tissue.

New vascularised connective tissue that forms in the process of wound healing is termed granulation tissue.

Membranes

Membranes can be either of connective tissue or epithelial tissue. Connective tissue membranes include the meninges (the three membranes covering the brain and spinal cord) and synovial membranes that line joint cavities. Mucous membranes and serous membranes are epithelial with an underlying layer of loose connective tissue.

Fibrous types

Fiber types found in the extracellular matrix are collagen fibers, elastic fibers, and reticular fibers.

Ground substance is a clear, colorless, and viscous fluid containing glycosaminoglycans and proteoglycans allowing fixation of collagen fibers in intercellular spaces. Examples of non-fibrous connective tissue include adipose tissue (fat) and blood. Adipose tissue gives "mechanical cushioning" to the body, among other functions. Although there is no dense collagen network in adipose tissue, groups of adipose cells are kept together by collagen fibers and collagen sheets in order to keep fat tissue under compression in place (for example, the sole of the foot). Both the ground substance and proteins create the matrix for connective tissue.

Type I collagen is present in many forms of connective tissue, and makes up about 25% of the total protein content of the mammalian body.

Function

Connective tissue has a wide variety of functions that depend on the types of cells and the different classes of fibers involved.

Loose and dense irregular connective tissue, formed mainly by fibroblasts and collagen fibers, have an important role in providing a medium for oxygen and nutrients to diffuse from capillaries to cells, and carbon dioxide and waste substances to diffuse from cells back into circulation. They also allow organs to resist stretching and tearing forces.

Dense regular connective tissue, which forms organized structures, is a major functional component of tendons, ligaments and aponeuroses, and is also found in highly specialized organs such as the cornea.

Mesenchyme is a type of connective tissue found in the developing organs of an embryo that is capable of differentiation into all types of mature connective tissue. Another type of relatively undifferentiated connective tissue is the mucous connective tissue known as Wharton's jelly, found inside the umbilical cord. This tissue is no longer present after birth, leaving only scattered mesenchymal cells throughout the body.

Various types of specialized tissues and cells are classified under the spectrum of connective tissue, and are as diverse as brown and white adipose tissue, blood, cartilage and bone. Cells of the immune system—such as macrophages, mast cells, plasma cells, and eosinophils—are found scattered in loose connective tissue, providing the ground for starting inflammatory and immune responses upon the detection of antigens.

Clinical significance

Main article: Connective tissue disease

There are many types of connective tissue disorders, such as:

• Connective tissue neoplasms including sarcomas such as hemangiopericytoma and malignant peripheral nerve sheath tumor in nervous tissue.
• Congenital diseases include Marfan syndrome and Ehlers-Danlos Syndrome.
• Myxomatous degeneration – a pathological weakening of connective tissue.
• Mixed connective tissue disease – a disease of the autoimmune system, also undifferentiated connective tissue disease.
• Systemic lupus erythematosus (SLE) – a major autoimmune disease of connective tissue
• Scurvy, caused by a deficiency of vitamin C which is necessary for the synthesis of collagen.
• Fibromuscular dysplasia is a disease of the blood vessels that leads to an abnormal growth in the arterial wall.

References

1. (26 September 2019). "4.1 Types of Tissues".
2. (2019). "4.3 Connective Tissue Supports and Protects". OpenStax/Oregon State University.
3. Mathews, M. B. (1975). ''Connective Tissue, Macromolecular Structure Evolution.'' Springer-Verlag, Berlin and New York. [https://books.google.com/books?id=_xf2CAAAQBAJ link].
4. Aterman, K.. (1981). "Connective tissue: An eclectic historical review with particular reference to the liver". The Histochemical Journal.
5. Shostak, Stanley. "Connective Tissues".
6. (1 October 2010). "Essentials of Pathophysiology: Concepts of Altered Health States". Lippincott Williams & Wilkins.
7. Potter, Hugh. "The Connective Tissues".
8. (21 May 2021). "5.3.4: Fluid Tissues".
9. Caceci, Thomas. "Connective Tisues".
10. "Supporting Connective Tissue {{!}} Human Anatomy and Physiology Lab (BSB 141)".
11. Karki, Gaurab. (2018-02-23). "Fluid or liquid connective tissue: blood and lymph".
12. (2022). "Anatomy, Fascia". StatPearls Publishing.
13. (October 2019). "Fascial nomenclature: Update on related consensus process.". Clinical Anatomy.
14. King, David. "Histology Intro".
15. "Medical Definition of FIBROAREOLAR".
16. "Granulation Tissue Definition".
17. "Membranes {{!}} SEER Training".
18. Ushiki, T. (June 2002). "Collagen fibers, reticular fibers and elastic fibers. A comprehensive understanding from a morphological viewpoint.". Archives of Histology and Cytology.
19. Xu, H.. (2008). "Monitoring Tissue Engineering Using Magnetic Resonance Imaging". Journal of Bioscience and Bioengineering.
20. Laclaustra, M.. (2007). "Metabolic syndrome pathophysiology: The role of adiposetissue". Nutrition, Metabolism and Cardiovascular Diseases.
21. (2002). "Mapping the Ligand-binding Sites and Disease-associated Mutations on the Most Abundant Protein in the Human, Type I Collagen". Journal of Biological Chemistry.
22. (2011). "Histology: a text and atlas ; with correlated cell and molecular biology". Lippincott Williams & Wilkins.
23. (2013). "Wheater's Functional Histology: A Text and Colour Atlas". Elsevier.
24. (June 26, 2023). ["Anatomy & Physiology"](https://openstax.org/books/anatomy-and-physiology/pages/4-3-connective-tissue-supports-and-protects}} {{Cite book). OpenStax CNX.