(BMED66) HUMAN ANATOMY & PHYSIOLOGY WITH PATHOPHYSIOLOGY Laboratory Lecture Body Tissue Lesson 4

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BODY TISSUE

OUTLINE II. MICROSCOPY OF HUMAN TISSUE


I. Histology ● To be viewed under a microscope, tissue must be:
II. Microscopy of Human Tissue
III. Types of Tissue ○ Fixed -Tissue is preserved with solvent
A. Epithelial Tissue ○ Sectioned -Cut into slices thin enough to transmit
i. Functions of Epithelia light or electrons
ii. Classification of Epithelia ○ Stained -To enhance contrast, although artifacts
iii. Types of Epithelial tissue
iv. Major Types of Glands Develop (distortions) detract from what the sample looks like
From Epithelial Sheets in living tissues
B. Connective Tissue ● Light microscopy with used colored dyes
i. Functions of Connective Tissue ● Electron microscopy uses heavy metal coatings.
ii. General Features of Connective Tissue
iii. Connective Tissue Cells
iv. Extracellular Matrix III. TYPES OF TISSUE
v. Classification of Connective Tissue A. EPITHELIAL TISSUE
C. Muscle Tissue
i. Types of Muscle Tissue ● Epithelial tissue or epithelium is the lining, covering,
D. Nervous Tissue and glandular tissue of the body.
IV. Tissue Membrane ○ Covering and lining epithelium covers all free body
V. Tissue Damage and Inflammation
VI. Tissue Repair
surfaces, both inside and out, and contains versatile
VII. Aging and Tissues cells.
VIII. Developmental aspects of Cells and Tissue ○ Epithelium forms the boundaries that separate us
I. HISTOLOGY from the outside world, nearly all substances.
● Tissue i. Functions of Epithelia
○ Groups of cells similar in structure that perform ● Protection
common or related tissues ○ Protecting underlying structures.
○ The four primary tissue types epithelial, connective, ● Absorption
nervous, and muscle tissues interweave to form the ○ Absorbing substances.
fabric of the body. ● Filtration
○ Tissues are organized into organs such as the ○ Permitting the passage of substances.
heart, kidneys, and lungs. ● Secretion
○ Secreting substances.
ii. Classification of Epithelia
● Each epithelium is given two names.
○ The first indicates the number of cell layers it has.
Simple epithelium - one layer of cells

Figure 4.2 Simple epithelium


Stratified epithelium - more than one cell layer)

○ The second describes the shape of its cells.

Figure 4.1 Types of tissues

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● A single layer of thin squamous cells resting on a


basement membrane.
○ The cells fit closely together, much like floor tiles.
○ This type of epithelium usually forms
membranes where filtration or exchange of
substances by rapid diffusion occurs.
● Simple squamous epithelium is in the air sacs of the
lungs - alveoli.
● It also forms serous membranes or serosae - the slick
membranes that line the ventral body cavity and cover
the organs in that cavity.
Figure 4.3 Stratified Epithelium
Squamous - flattened like fish scales

Figure 4.4 Squamous


Cuboidal - cube-shaped like dice
Figure 4.8
Simple Cuboidal Epithelium
● One layer of cuboidal cells resting on a basement
membrane, is common in glands and their associated
small tubes called ducts
● It also forms the walls of the kidney tubules and covers
the surface of the ovaries.
Figure 4.5 Cuboidal
Columnar cells - shaped like columns

Figure 4.9
Simple Columnar Epithelium
Figure 4.6 Columnar ● Made up of a single layer of tall cells that fit closely together.
○ Goblet cells - which produce a lubricating mucus
● Simple columnar epithelium lines the entire length of the
digestive tract from the stomach to the anus.
○ Mucosae or mucous membranes - body
cavities open to the body exterior.

Figure 4.10
Figure 4.7 Epithelial Tissue Pseudostratified Columnar Epithelium
iii. TYPES OF EPITHELIA ● All of the cells s\of pseudostratified columnar epithelium rest on
Simple Squamous Epithelium a basement membrane.

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● Some of them are shorter than others and appear at different ○ Secretion, typically contains protein molecules in an
heights. aqueous (water-based) fluid
○ False (pseudo) impression ● Also indicates an active process in the glandular cells.
● Mainly functions in absorption and secretion.
iv. Major Types Of Glands Develop From Epithelial
Sheets
● Endocrine Glands
○ Lose their ducts, thus they are often called ductless
glands.
○ Their secretions diffuse directly into the blood vessels that
weave through the glands.
○ Examples:
● Thyroid, adrenals, and pituitary.
● Exocrine Glands
○ Retain their ducts.
● Their secretions exit through the ducts to the epithelial
surface.
Figure 4.11
○ Examples:
Stratified Epithelia
● Sweat and oil glands, liver, and pancreas (Both
● Consist of two or more cell layers.
internal and external)
● More durable than the simple epithelia
● Function primarily in protection.
Stratified Squamous Epithelium
● Is the most common stratified epithelium in the body.
○ It usually consists of many cell layers.
○ The cells at the free edge are squamous cells, whereas
those close to the basement membrane are cuboidal or
columnar.
● Found in sites that receive a good deal of abuse or friction.

Figure 4.12

Stratified Cuboidal and Stratified Columnar


● Stratified Cuboidal
○ Typically has just two cell layers with the surface face cells
being cuboidal in shape.
● Stratified Columnar epithelium
○ Are columnar cells, but its basal cells vary in size and
shape.
● Both of these epithelia are fairly rare in the body, found mainly
in the ducts of large glands.
Transitional Epithelium
● Is a highly modified, stratified squamous epithel;ium that forms
the lining of only a few organs.
○ Urinary bladder, the ureters, and part of the urethra.
○ Considerable stretching.
● Cells of the basal layer are cuboidal or columnar.
● When the organ is not stretched, the membrane is many-
layered, and the superficial cells are rounded and domelike.
● The ability of these cells is to slide past one another and
Figure 4.13
change their shape.
Glandular Epithelium B. CONNECTIVE TISSUE
● A gland consists of one or more cells that make and secrete a ● It binds together, supports, and strengthens other body tissues.
particular product. ● Protects and insulates internal organs.
● Compartmentalizes structures such as skeletal muscles
● Serves as the major transport system within the body (blood, a

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fluid connective tissue). clast.


● The primary location of stored energy reserves (adipose, or fat, ○ -blast, which means “to bud or sprout.”
tissue); and is the main source of immune responses. ● create the matrix
i. Functions of Connective Tissue ● Blast cells retain the capacity for cell division and
● Connective tissue performs the following major functions: secrete the extracellular matrix that is characteristic of
1. Enclosing and separating other tissues. the tissue.
a. Sheets of connective tissue form capsules around ● Osteoblasts (osteo-, bone) form bone, osteocytes
organs, such as the liver and the kidneys. maintain it, and osteoclasts break it down.
b. Connective tissue also forms layers that separate ● Fibroblasts are cells that form fibrous connective
tissues and organs. tissue, and fibrocytes maintain it.
c. For example, connective tissues separate muscles, ● Chondroblasts form cartilage (chondro-, cartilage),
arteries, veins, and nerves from one another. and chondrocytes maintain it.
2. Connecting tissues to one another. ○ -cyte
a. Tendons are strong cables, or bands, of connective ● maintain it
tissue that attach muscles to bone, and ligaments are ● In cartilage and bone, once the extracellular matrix is
connective tissue bands that hold bones together. produced, the immature cells differentiate into mature
3. Supporting and moving parts of the body. cells.
a. Bones of the skeletal system provide rigid support for ● namely, fibrocytes, chondrocytes, and osteocytes.
the body, and semirigid cartilage supports structures, ○ -clast
such as the nose, the ears, and the surfaces of joints. ● break it down for remodeling
Joints between bones allow one part of the body to ● Also found in connective tissue are cells associated with the
move relative to other parts. immune system.
4. Storing compounds. ○ Macrophages (makros - large + phago - to eat) are large
a. Adipose tissue (fat) stores high-energy molecules, and white blood cells that are capable of moving about and
bones store minerals, such as calcium and phosphate. ingesting foreign substances, including microorganisms in
5. Cushioning and insulating. the connective tissue.
a. Adipose tissue cushions and protects the tissues it ○ Mast cells are nonmotile cells that release chemicals, such
surrounds and provides an insulating layer beneath the as histamine, that promote inflammation.
skin that helps conserve heat. ● Mature cells have reduced capacities for cell division and
6. Transporting. extracellular matrix formation and are mostly involved in
a. Blood transports gases, nutrients, enzymes, monitoring and maintaining the extracellular matrix.
hormones, and cells of the immune system throughout ● The types of cells in connective tissue vary according to the
the body type of tissue and include the following:
7. Protecting. 1. Fibroblasts (fibro- fibers)
a. Cells of the immune system and blood provide a. are large, flat cells with branching processes.
protection against toxins and tissue injury, as well as b. Fibroblasts migrate through the connective tissues,
against microorganisms. Bones protect underlying secreting the fibers and certain components of the
structures from injury. ground substance of the extracellular matrix.
2. Macrophages (macro- large; -phages eaters)
a. develop from monocytes, a type of white blood cell.
ii. General Features of Connective Tissue
b. Macrophages have an irregular shape with short
● Connective tissue consists of two basic elements: extracellular branching projections and are capable of engulfing
matrix and cells. bacteria and cellular debris by phagocytosis.
○ A connective tissue’s extracellular matrix is the material c. Fixed macrophages reside in a particular tissue;
located between its widely spaced cells. examples include alveolar macrophages in the lungs or
● The extracellular matrix consists of protein fibers and splenic macrophages in the spleen.
ground substance, the material between the cells and d. Wandering macrophages have the ability to move
the fibers. throughout the tissue and gather at sites of infection or
● The extracellular fibers are secreted by the connective inflammation to carry on phagocytosis.
tissue cells and account for many of the functional 3. Plasma cells
properties of the tissue in addition to controlling the a. are small cells that develop from a type of white blood
surrounding watery environment via specific cell called a B lymphocyte.
proteoglycan molecules b. Plasma cells secrete antibodies, proteins that attack or
● The structure of the extracellular matrix determines neutralize foreign substances in the body.
much of the tissue’s qualities. c. Thus, plasma cells are an important part of the body’s
● For instance, in cartilage, the extracellular matrix is firm immune response.
but pliable. The extracellular matrix of bone, by d. Although they are found in many places in the body,
contrast, is hard and inflexible. most plasma cells reside in connective tissue,
especially in the gastrointestinal and respiratory tracts.
iii. Connective Tissue Cells e. They are also abundant in the salivary glands, lymph
● Embryonic cells called mesenchymal cells give rise to the cells nodes, spleen, and red bone marrow.
of connective tissue. 4. Mast cells
● Each major type of connective tissue contains an immature a. are abundant alongside the blood vessels that supply
class of cells with a name ending or suffixes: -blast, -cyte, or - connective tissue.

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b. They produce histamine, a chemical that dilates small tissue (areol = small space), adipose tissue, nerve
blood vessels as part of the inflammatory response, the fibers, and smooth muscle tissue.
body’s reaction to injury or infection. ○ Produced by fibroblasts, reticular fibers are much
c. Mast cells can bind to, ingest, and kill bacteria. thinner than collagen fibers and form branching
5. Adipocytes networks.
a. also called fat cells or adipose cells, are connective ○ Reticular fibers are plentiful in reticular connective
tissue cells that store triglycerides (fats). tissue, which forms the stroma (supporting framework)
b. They are found deep to the skin and around organs of many soft organs, such as the spleen and lymph
such as the heart and kidneys. nodes.
6. Leukocytes (white blood cells) ○ These fibers also help form the basement membrane.
a. are not found in significant numbers in normal ● Elastic fibers
connective tissue. ○ which are smaller in diameter than collagen fibers,
b. In response to certain conditions they migrate from branch and join together to form a fibrous network
blood into connective tissue. within a connective tissue.
i. For example, neutrophils gather at sites of ○ have the ability to return to their original shape after
infection, and eosinophils migrate to sites of being stretched or compressed, giving tissue an elastic
parasitic invasions and allergic responses. quality.
○ This tissue stretches like a rubber band in response to
force and recoils when relaxed.
○ An elastic fiber consists of molecules of the protein
elastin surrounded by a glycoprotein named fibrillin,
which adds strength and stability.
○ Because of their unique molecular structure, elastic
fibers are strong but can be stretched up to 150% of
their relaxed length without breaking.
○ Elastic fibers are plentiful in skin, blood vessel walls,
and lung tissue.
2. Ground Substance
● is the component of a connective tissue between the cells
and fibers.
● Ground substance consists of non fibrous protein and other
molecules.
● Contains water and an assortment of large organic
molecules, many of which are complex combinations of
Figure 4.14 polysaccharides and proteins.
○ The polysaccharides include hyaluronic acid,
iv. Extracellular Matrix chondroitin sulfate, dermatan sulfate, and keratan
● The extracellular matrix of connective tissue has three major sulfate.
components: (1) protein fibers, (2) ground substance. Hyaluronic Acid
● The structure of the matrix is responsible for the functional ○ is a viscous, slippery substance that binds cells
characteristics of connective tissues—for example, they enable together, lubricates joints, and helps maintain the
bones and cartilage to bear weight, tendons and ligaments to shape of the eyeballs.
withstand tension, and the skin’s dermis to withstand ○ White blood cells, sperm cells, and some bacteria
punctures, abrasions, and other abuse. produce hyaluronidase, an enzyme that breaks
1. Protein Fibers of the Matrix apart hyaluronic acid, thus causing the ground
● Collagen (glue-producing) fibers substance of connective tissue to become more
○ which resemble microscopic ropes, are very flexible liquid.
but resist stretching, but they are not stiff, which allows ○ The ability to produce hyaluronidase helps white
tissue flexibility. blood cells move more easily through connective
○ Collagen fibers often occur in parallel bundles. tissue to reach sites of infection and aids
○ The bundle arrangement adds great tensile strength to penetration of an oocyte by a sperm cell during
the tissue. fertilization.
○ Chemically, collagen fibers consist of the protein ○ It also accounts for the rapid spread of bacteria
collagen, which is the most abundant protein in your through connective tissue.
body, representing about 25% of the total. Chondroitin Sulfate
○ Collagen fibers are found in most types of connective ○ provides support and adhesiveness in cartilage,
tissues, especially bone, cartilage, tendons (which bone, skin, and blood vessels.
attach muscle to bone), and ligaments (which attach Dermatan Sulfate
bone to bone). ○ The skin, tendons, blood vessels, and heart valves
● Reticular fibers contain dermatan sulfate.
○ (reticul- net), consisting of collagen arranged in fine Keratan Sulfate
bundles with a coating of glycoprotein, provide support ○ The bone, cartilage, and the cornea of the eye
in the walls of blood vessels and form a network around contain keratan sulfate
the cells in some tissues, such as areolar connective ● Also present in the ground substance are adhesion

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proteins, which are responsible for linking components of


the ground substance to one another and to the surfaces of
cells.
○ The main adhesion protein of connective tissues is
fibronectin, which binds to both collagen fibers and
ground substance, linking them together.

v. Classification of Connective Tissue

Figure 4.16

● Mature connective tissue


○ Connective Tissue Proper
● Loose connective tissue
- Softer, have amore cells and fewer fibers than
other connective tissue .(except blood)
- are loosely arranged between cells.
- consists of relatively few protein fibers that form a
lacy network, with numerous spaces filled with
ground substance and fluid. T
○ Areolar connective tissue
- most widely distributed connective
tissue
● Embryonic connective tissue - Soft, pliable tissue like "cobwebs"
○ Mesenchyme - Location: Beneath all epithelial tissues
- Irregularly shaped mesenchymal cells embedded - Function: Universal packing tissue and
in semifluid ground substances that contain "glue" to hold organs in place.
delicate reticular fibers. - All fiber types form a loose network.
- Location: Under skin and along developing bones
of an embryo. Some in adults connective tissue
and blood vessels.
- Function: Forms almost all other types of
connective tissue.
-

Figure 4.15

○ Mucous connective tissue


- Widely scattered fibroblast embedded in viscous,
jellylike ground substances that contain fine
collagen fibers.
- Location: umbilical cord
- Function: support

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cell.
- Location: Liver, spleen,and lymph
nodes.
- Function: Form support( framework)of
soft organs.

Figure 4.17

○ Adipose connective tissue


- Has cells derived from fibroblast called
adipocytes.(Fat cells)
- Location: Under skin and surrounding
organs
- Function: Store lipids for fuel and
thermal insulation; cushioning organs.

Figure 4.19

● Dense connective tissue


- Main matrix element is collagen fiber.
- Fibroblasts are cells that make fibers.

○ Dense regular connective tissue


- Location: Forms ligaments (connects bone to
bone),tendons(connects muscle to
bone),and aponeuroses ( sheet like tendons
that connect muscle to muscle or muscle to
bone).
- Function: Resist pulling forces to attachment
points.

Figure 4.18

○ Reticular connective tissue


- Delicate network of interwoven fibers

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- Location: Lungs, trachea, and bronchi


aorta and other elastic arteries.
- Function: Allows respiratory organs to
recoil after inhalation. Recoil of elastic
tissue helps push blood through the
cardiovascular system.

Figure 4.22

○ Supporting Connective Tissue


● Cartilage
- Less hard and more flexible than bone.
- Found in only two places in the body .
- Chondrocyte(cartilage cell) is the major cell type.
- Repair and Growth of Cartilage
Figure 4.20 ○ Metabolically, cartilage is a relatively inactive
tissue that grows slowly.
○ Dense irregular connective tissue ○ When injured or inflamed, cartilage repair
- Location: Skin proceeds slowly, in large part because
- Function: Resist pulling forces from cartilage is avascular.
many different directions that would tear ○ Substances needed for repair and blood cells
skin when skin is stretched. that participate in tissue repair must diffuse or
migrate into the cartilage.
● Interstitial Growth
○ there is growth from within the tissue.
○ The cartilage increases rapidly in size
due to the division of existing
chondrocytes and the continuous
deposition of increasing amounts of
extracellular matrix by the chondrocytes.
○ This growth pattern occurs while the
cartilage is young and pliable, during
childhood and adolescence.
● Appositional Growth
○ there is growth at the outer surface of the
Figure 4.21 tissue.
○ When cartilage grows by appositional
○ Elastic connective tissue growth, cells in the inner cellular layer of

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the perichondrium differentiate into - Location: cartilage pads in knee pubic


chondroblasts. symphysis.
○ Appositional growth starts later than Function: cushioning
interstitial growth and continues through - Location: Pubic symphysis
adolescence. - Function: Forms strong, flexible joints
○ Hyaline cartilage between hip bones.
- Location: End of long bones(articular
cartilage)
Function: Smooth surface that is resilient
and reduces friction at joint.
- Location: trachea and bronchi
Function: Provide support and flexibility
to ensure an open airway.
- Location: anterior end of ribs (costal
cartilage)
Function: Connect ribs to sternum with
flexible joint.
- Location: embryonic skeleton
Function: Provides template for bone
formation.

Figure 4.24

○ Elastic cartilage
- Provides elasticity
- Location: External ear, auditory tube,
epiglottis of larynx
- Function: Support and maintain shape of
external ear, support and elasticity to
auditory tube and epiglottis.

Figure 4.23
○ Fibrocartilage
- Location: Intervertebral disc
Function: Provide strength to discs that
form joints between vertebrae and act as
shock absorbers.

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Figure 4.25

○ Fluid Connective tissue


● Bone tissue
○ Composed of osteocytes sitting in lacunae.
○ Hard matrix of calcium salts; house red bone
marrow, which produces blood cells; and contain
yellow bone marrow, a storage site for
triglycerides.

○ Large numbers of collagen fibers.
○ Function: Support, protection and storage of
minerals.
○ Two types:
● Spongy (Interior of bones)
○ lacks osteons.
○ It consists of columns of bone called
trabeculae is little beams), which contain
lamellae, osteocytes, lacunae, and
canaliculi.
○ Spaces between trabeculae are filled
with red bone marrow.
● Compact( Exterior of bones)
○ Is an osteon or haversian system
○ Each osteon has four parts:
1. Lamellae (lamellae = little plates;
singular is lamella)
a. are concentric rings of extracellular
matrix that consist of mineral salts
(mostly calcium and phosphates), Figure 4.26
b. which give bone its hardness and
compressive strength, and collagen ● Liquid connective tissue
fibers, which give bone its tensile ○ Blood
strength. - Blood cells surrounded by a fluid matrix
c. The lamellae are responsible for the known as blood plasma.
compact nature of this type of bone - Soluble fibers are visible only during clotting.
tissue. - Function: Act as the transport vehicle for the
2. Lacunae cardiovascular system, carrying
a. as already mentioned, are small nutrients,waste, respiratory gases.
spaces between lamellae that ● Blood Plasma
contain mature bone cells called ○ is a pale yellow fluid that consists
osteocytes. mostly of water with a wide variety of
3. Canaliculi dissolved substances: nutrients,
a. Little canals wastes, enzymes, plasma proteins,
b. Projecting from the lacunae hormones, respiratory gases, and
c. networks of minute canals ions.
containing the processes of ○ is located in the liquid part of
osteocytes. arteries, veins and capillaries. It
d. Canaliculi provide routes for transports nutrients, blood gases,
nutrients to reach osteocytes and for wastes, chemical messengers,
wastes to leave them. blood cells and platelets.
4. Central Canal Or Haversian Canal ○ Suspended in the blood plasma are
a. contains blood vessels and nerves formed elements—red blood cells
(erythrocytes), white blood cells
(leukocytes), and platelets

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(thrombocytes) ○ Latin word mus, means "little mouse"


● Red blood cells ● Function
○ transport oxygen to body cells and ○ To contract or shorten
remove some carbon dioxide from ○ Responsible for all body movements
them. ○ “Machines” of the body
○ are formed elements of blood in i.Three Types of Muscle Tissue
arteries, veins and capillaries. 1. Skeletal Muscle
○ Transport of blood gases. ● Also known as striated stripes (obvious stripes) and as
● White blood cells voluntary muscle (conscious control)
○ Attack pathogens and other ● Attached to the skeleton and pulled on bones or skin.
substances. ● Produces gross body movements or facial expressions
○ Formed element of blood in arteries, ● It is a multinucleate (more than one nucleus) and it is long
veins and capillaries. and has cylindrical shape.
■ Platelets Take note:
○ Participate in blood clotting. ○ These are the keywords in remembering skeletal
○ Formed element of blood in arteries, muscle tissue: skeletal, striated, and voluntary
veins and capillaries. ● Important Roles in the Body
○ Produce movement - it responds quickly to every
change.
○ Maintain Posture and Body Position - it maintains an
erect or seated posture.
○ Stabilize joints - especially those with poor articulating
surfaces such as the shoulder and knee joints.
○ Generate Heat - the muscle activity generates heat in
which this heat is vital in maintaining normal body
temperature.

Figure 4.28

2. Cardiac Muscle
● It is striated, uninucleate, and involuntary.
● It is found in the heart, where it forms the bulk of the heart
walls.
● Pumps blood through blood vessels
● Short with branching cells and has intercalated disc that
contain gap junctions to connect cells together
Take note:
Figure 4.27 ○ These are the keywords in remembering cardiac
○ Lymph muscle tissue: cardiac, striated, and involuntary
● is the extracellular fluid that flows in
lymphatic vessels.
● It is a liquid connective tissue that consists of
several types of cells in a clear liquid
extracellular matrix that is similar to blood
plasma but with much less protein.

C. MUSCLE TISSUE
● Muscle

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Figure 4.29
3. Smooth Muscle
● It has no striations and is involuntary (we cannot
consciously control it)
● It is found mainly in the walls of hollow visceral organs
such as the (stomach, urinary bladder, uterus, blood
vessels and respiratory passages.
● Has peristalsis, a wavelike motion to keep the food from
moving
● Has spindle-shaped cells
Take note: Figure 4.31
○ These are the keywords in remembering smooth
muscle tissue: visceral, nonstriated, and involuntary D. NERVOUS TISSUE
● The main components of nervous system are brain,
spinal cord, and nerves
● Function:
○ Regulates and controls body functions
○ Receives and conducts electrochemical impulses to
and from parts of the body
● Irritability - the ability to convert stimulus to a
nerve impulse
● Conductivity - ability to transmit impulse to a
target
● Made up of two specialized cells
○ Neurons: specialized nerve cells that generates and
Figure 4.30 conduct nerve
ii. Common Locations in the Body ○ Neuroglia: supporting cells that insulate,
protect and support neurons

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Figure 4.34

Serous Membranes
Figure 4.32 Nervous tissue ● Serous - producing watery secretion
● line cavities that do not open to the exterior of the body such
IV. TISSUE MEMBRANE as the pericardial, pleural, and peritoneal cavities.
● a thin sheet or layer of tissue that covers a structure or lines a ● Consist of three components: a layer of simple squamous
cavity epithelium, its basement membrane, and a delicate layer of
● Most membranes consist of epithelium and the connective loose connective tissue.
tissue on which the epithelium rests. ● Serous membranes do not contain glands, but they secrete a
● There are four tissue membranes in the body, one external and small amount of fluid called serous fluid, which lubricates the
three internal. surface of the membranes.
○ The external tissue membrane is the skin, or cutaneous
membrane (It is composed of stratified squamous
epithelium and dense connective tissue).
○ The three internal tissue membranes are mucous, serous,
and synovial membranes.
Cutaneous Membranes
● skin covers the entire surface of the body and consists of a
superficial portion called the epidermis and a deeper portion
called the dermis. Figure 4.35
● The epidermis consists of keratinized stratified squamous
epithelium, which protects underlying tissues. ● Serous membranes protect the internal organs from friction,
● The dermis consists of dense irregular connective tissue and help hold them in place, and act as a selectively permeable
areolar connective tissue. barrier to prevent large amounts of fluid from accumulating
within the serous cavities.
Synovial Membranes
● line the cavities of freely movable joints.
● They are made up of only connective tissue and consist of
modified connective tissue cells.
● Synovial membranes are either continuous with the dense
connective tissue of the joint capsule or separated from the
capsule by areolar or adipose tissue.
● Synovial membranes produce synovial fluid, which makes the
joint very slippery, thereby reducing friction and allowing smooth
movement within the joint
Figure 4.33 Layer of Skin

Mucous Membranes
● line cavities that open to the outside of the body, such as
the digestive, respiratory, and reproductive tracts.
● Consist of epithelial cells, their basement membrane, and a thick
layer of loose connective tissue.
● Contain goblet cells or multicellular mucous glands that secrete
mucus. Figure 4.36
● Function is for protection, absorption, and secretion.
● Mucous membranes also line the nasal passages. When it
becomes inflamed, we experience the “runny nose”
characteristic of the common cold or an allergy.

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Figure 4.38
1. A splinter in the skin causes damage and introduces
bacteria. Chemical mediators of inflammation are released
or activated in injured tissues and adjacent blood vessels.
Some blood vessels rupture, causing bleeding.
2. Chemical mediators cause capillaries to dilate and the skin
to become red. Chemical mediators also increase capillary
permeability, and fluid leaves the capillaries, producing
swelling (arrows).

Figure 4.37
(a) Mucous membranes line cavities that open to the outside and
often contain mucous glands, which secrete mucus.
(b) Serous membranes line cavities that do not open to the
exterior, do not contain mucous glands, but do secrete serous
fluid.
(c) Synovial membranes line the cavities that surround synovial
joints.

V. TISSUE DAMAGE AND INFLAMMATION


● Inflammation (flamma, flame)
○ occurs when tissues are damaged.
○ For example, when viruses infect epithelial cells of the Figure 4.39
upper respiratory tract, inflammation and the symptoms of 3. White blood cells (e.g., neutrophils) leave the dilated blood
the common cold are produced. vessels and move to the site of bacterial infection, where
○ Inflammation can also result from the immediate and painful they begin to phagocytize bacteria and other debris.
events that follow trauma, such as closing your finger in a
car door or cutting yourself with a knife. ● Following an injury, substances called chemical mediators
○ Inflammation mobilizes the body’s defenses and isolates are released or activated in the injured tissues and adjacent
and destroys microorganisms, foreign materials, and blood vessels.
damaged cells so that tissue repair can proceed. ● The mediators include histamine and prostaglandins.
○ Inflammation produces five major symptoms: ● Some mediators cause dilation of blood vessels, which
● Redness produces redness and heat.
● Heat ○ Dilation of blood vessels is beneficial because it
● Swelling increases the speed with which blood cells and other
● Pain infection-fighting and repair-inducing substances are
● Disturbance of function brought to the injury site.
● Chemical mediators of inflammation also increase the
permeability of blood vessels, allowing materials and blood
cells to move out of the vessels and into the tissue, where
they can deal directly with the injury.
● Edema or swelling, of the tissues

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○ results when water, proteins, and other substances - Events of tissue repair
from the blood move into the tissues. a. Inflammation sets the stage
● One of the proteins, fibrin, forms a fibrous network that ● Capillaries become very permeable
“walls off” the site of injury from the rest of the body.
● Clotting proteins migrate into the area
○ This mechanism can help prevent the spread of
infectious agents. from the bloodstream
● One type of blood cell that enters the tissues is the ● A clot walls off the injured area
neutrophil, a phagocytic white blood cell that fights b. Granulation tissue forms
infections by ingesting bacteria. ● Growth of new capillaries
○ Neutrophils die after ingesting a small number of ● Phagocytes dispose of blood clot and
bacteria; the mixture of dead neutrophils, other cells, fibroblasts
and fluid that can accumulate is called pus.
● Rebuild collagen fibers
● Pain
○ associated with inflammation is produced in several c. Regeneration and fibrosis effect permanent
ways. repair
○ Nerve cell endings are stimulated by direct damage
and by some chemical mediators to produce pain ● Scab detaches
sensations. ● Whether scar is visible or invisible
○ In addition, the increased pressure in the tissue caused depends on severity of wound
by edema and pus accumulation can cause pain. 1. Tissues that regenerate easily
○ Pain, limitation of movement resulting from edema, and ● Epithelial tissue (skin and mucous membranes)
tissue destruction all contribute to the disturbance of ● Fibrous connective tissues and bone
function, which can be adaptive 2. Tissues that regenerate poorly
● because it warns the person to protect the injured
● Skeletal muscle
area from further damage.
3. Tissues that are replaced largely with scar tissue
Chronic Inflammation
● Cardiac muscle
● Chronic, or prolonged, inflammation
○ results when the agent responsible for an injury is not ● Nervous tissue within the brain and spinal cord
removed or something else interferes with the healing
process.
○ Prolonged infections, or prolonged exposure to irritants, can VII. AGING AND TISSUE
result in chronic inflammation, which could lead to the ● All vital organs begin to lose some function as you age
replacement of normal tissue by fibrous connective tissue. during adulthood.
○ The loss of normal tissue leads to the loss of normal organ
function. AGING CHANGES
○ Consequently, chronic inflammation of organs, such as the ● All cells experience changes with aging. They become larger
lungs, liver, or kidneys, can lead to death. and are less able to divide and multiply. Among other changes,
● When the inflammatory response lasts longer or is there is an increase in pigments and fatty substances inside the
more intense than is desirable, drugs are sometimes cell (lipids). Many cells lose their ability to function, or they begin
used to suppress the symptoms by inhibiting the to function abnormally.
synthesis, release, or actions of the chemical ● As aging continues, waste products build up in tissue. A fatty
mediators of inflammation. brown pigment called lipofuscin collects in many tissues, as do
● For example, medications called antihistamines other fatty substances.
suppress the effects of histamine released in people ● Connective tissue changes, becoming more stiff. This makes
with hay fever. the organs, blood vessels, and airways more rigid. Cell
● Aspirin and related drugs, such as ibuprofen and membranes change, so many tissues have more trouble
naproxen, are effective anti-inflammatory agents that getting oxygen and nutrients, and removing carbon dioxide and
relieve pain by preventing the synthesis of other wastes.
prostaglandins and related substances. ● Many tissues lose mass. This process is called atrophy. Some
tissues become lumpy (nodular) or more rigid.
● Cell and tissue changes, your organs also change as you age.
Aging organs slowly lose function.
VI. TISSUE REPAIR
● Tissue repair (wound healing) occurs in two ways: AGING
1. REGENERATION ● Is a complex process that varies as to how it affects different
people and even different organs.
● Replacement of destroyed tissue by the same kind of cells ● Most gerontologists (people who study aging) feel that aging is
2. FIBROSIS due to the interaction of many lifelong influences.
● Repair by dense (fibrous) connective tissue (scar tissue) ● These influences include heredity, environment, culture, diet,
- Whether regeneration or fibrosis occurs depends on: exercise and leisure, past illnesses, and many other factors.
A. Type of tissue damaged
B. Severity of the injury
- Clean cuts (incisions) heal more successfully than ragged
tears of the tissue VIII. DEVELOPMENTAL ASPECTS OF CELLS AND
TISSUES

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● Very early in embryonic development, cells begin to division and multiply wildly, an abnormal mass of
specialize to form the primary tissues, and by birth, proliferating cells
most organs are well formed and functioning. The ○ May benign or malignant
body continues to grow and enlarge by forming new B. Hyperplasia
tissue throughout childhood and adolescence. ○ Certain body tissues (or organs) may enlarge
CELL DIVISION because there is some local irritant or condition that
● Extremely important during the body’s growth period. stimulates the cells.
● Most cells (except neurons and mature red blood C. Atrophy
cells) undergo mitosis until the end of puberty, when ○ Decrease in size
adult body size is reached and overall body growth ○ Can occur in an organ or body area that loses its
ends. normal stimulation.
● After this time, only certain cells routinely divide (are
mitotic)—for example, cells exposed to abrasion that
continually wear away, such as skin and intestinal
cells.
● Liver cells stop dividing, but they retain this ability
should some of them die or become damaged and
need to be replaced.
● Still other cell groups (for example, heart muscle and
nervous tissue) almost completely lose their ability to
divide when they are fully mature; that is they become
amitotic.
● Amitotic tissues are severely handicapped by injury
because the lost cells cannot be replaced by the
same type of cells. This is why the heart of an
individual who has had several severe heart attacks
becomes weaker and weaker.
● Damaged cardiac muscle does not regenerate and is
replaced by scar tissue that cannot contract, so the
heart becomes less and less capable of acting as an
efficient blood pump.
AGING PROCESS
● The aging process begins once maturity has been REFERENCES
reached. ➢ Notes from the discussion by Mr. Dan David Vale Cruz
● No one has been able to explain just what causes ➢ Gerard J. Tortora, (2014), Principles of Anatomy and
Physiology, 14th Edition
aging, but there have been many suggestions.
➢ Notes from the discussion by Ms. Annie M. Ramos RMT, RN.
● There is no question that certain events are part of MD
the aging process. For example, with age, epithelial ➢ Marieb, E., (12th Edition) .Essentials of Human Anatomy and
membranes thin and are more easily damaged, and Physiology
the skin loses its elasticity and begins to sag. ➢ Aging changes in organs, tissues, and cells. (n.d.).
● The exocrine glands of the body (epithelial tissue) MedlinePlus. Retrieved March 26, 2021, from
become less active, and we begin to “dry out” as less https://medlineplus.gov/ency/article/004012.htm
oil, mucus, and sweat are produced.
● Some endocrine glands produce decreasing amounts
of hormones, and the body processes that they
control (such as metabolism and reproduction) slow
down or stop altogether.
● Connective tissue structures also show changes
with age.
● Bones become porous and weaken, and tissue repair
slows.
● Muscles begin to waste away.
● Although a poor diet may contribute to some of these
changes, there is little doubt that decreased efficiency
of the circulatory system, which reduces nutrient and
oxygen delivery to body tissues, is a major factor.
A. Neoplasm
○ When cells fail to honor normal controls on cell

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