35 Unit 2: Connective Tissue Connective Tissue Proper, Adipose and Reticular Tissue 36 37 Connective Tissue Adult connective tissue contains a large amount of intercellular substance (fibers and ground substances) and relatively few cells. Unlike epithelial tissue, connective tissue has relatively little intimate contact between the cells that make up part of its structure. There are two main sub-classifications of connective tissue. They are 1) connective tissue proper and 2) specialized connective tissue. Connective tissue proper is subdivided further into loose (or sometimes referred to as areolar) and dense. Loose (areolar) is ubiquitously distributed throughout the body filling in areas between blood vessels and the substance of organs through which vessels course and beneath the covering of the skin and lining of the GI tract. Dense connective tissue makes up the structure of deep fascia, aponeuroses, tendons, ligaments, and the capsules of many organs. Specialized connective tissue is further subdivided into adipose, cartilage, bone, and blood. In this unit you will learn about connective tissue proper and two specialized connective tissues, adipose and reticular tissues. After completing this unit, you should be able to identify and distinguish between the following: 1. loose connective tissue 2. dense connective tissue 3. dense irregular connective tissue 4. dense regular connective tissue 5. adipose tissue 6. reticular tissue 4. elastic fibers 5. reticular fibers 6. collagen fibers 7. mast cells 8. macrophages 9. plasma cells Also, after completing this unit in conjunction with reading a chapter on connective tissue in a histology textbook and/or hearing a lecture on connective tissue, you should understand the following: 38 1. the importance of all three types of fibers 2. the importance of ground substance 3. the function of different connective tissues There are nine specimens available for study of connective tissue. The specimens available for study focus on the contrast between mesenchymal (embryonic) connective tissue and adult collagenous dense regular and dense irregular connective tissue. One specimen is stained for elastic tissue that demonstrates the difference between collagen and elastic fibers. Throughout the specimens the principle cell of connective tissue, the fibroblast, is labeled. One of the specimens is stained specifically for mast cells. The fourth specimen in the list (Reticular Fibers) – lymph node demonstrates reticular tissue which is a specialized connective tissue. Specimens of mammary gland and the intestine will also be used to illustrate loose connective tissue and cells like plasma and mast cells. Adipose tissue will be illustrated with specimens from other sections in the program. The order of study will be first the embryonic connective tissue, mesenchyme, and then the three types of fibers, followed by dense, loose, and adipose tissues. Finally mast and plasma cells will be demonstrated. 39 Mesenchyme (embryonic connective tissue) In the general histology section look under connective tissue and choose: Mesenchyme (Embryo) – Hematoxylin-Eosin All adult connective tissue is preceded in the developing embryo and fetus by mesenchyme. This primitive tissue is composed of cells, fibers and ground substance like adult connective tissue. Mesenchyme, however, is more primitive looking and has functioning cells that have the potential of differentiating into fibroblast, chondrocytes, osteoblasts and other cells found in adult connective tissue. Another difference is that mesenchyme has very small fibers. The most dominant diagnostic feature of mesenchyme is that it is highly cellular. Begin your study by selecting the 5x image of this specimen and scan it with the labels turned on. Observed the labeled mesenchyme, blood vessel and brain anlage (anlage means precursor or beginning of). Observe the difference in the density of blue stained dots between the mesenchyme and brain anlage. In mesenchyme the cells are fewer per unit area thus resulting in a light stain. Next scan the 20x image and find one of the labeled blood vessels. The cells in the vessel are nucleated primitive red blood cells (just before birth the nucleated cells are replaced with erythrocytes without nuclei. What type of tissue is lining the blood vessel? All blood vessels are lined with endothelium that is composed of squamous cells and is classified as simple squamous epithelium. Now observe the mesenchyme. Its appearance is largely reflective of a collection of nuclei in cells the cytoplasm of which is hard to recognize. Continue your study of this specimen by scanning the 100x image. At this magnification you can observe the nucleus of the mesenchymal cells and their slim cytoplasmic processes. The space between the cells would be occupied by ground substance in the intact tissue, but, in this image the ground substance, mostly water-soluble glycosaminoglycans, was washed out during the preparation of the tissue for microscopy. Before you leave this specimen observe and read the text related to the labeled endothelium and primitive erythrocytes. 40 Dense Connective Tissue First we will study dense irregular connective tissue that makes up part of the dermis of skin, capsules of some organs, and aponeuroses. In the general histology section under connective tissue choose: Collagenous Fibers (Skin) – Hematoxylin-Eosin Scan the 5x image and locate the labeled epidermis and dermis. Recall that epidermis is composed of stratified squamous keratinizing epithelium. Look around the regions labeled dermis and notice the pink stained structures. These are collagen fibers. If you look closely and compare the region below the label with the region above the label you should note that the pink structures are larger below the label. Below the label is dense connective tissue and above the label is loose connective tissue. The main difference is in that the size and prominence of the collagen fibers are greater in dense connective tissue. In this specimen the higher magnifications illustrate more details of dense connective tissue. Loose connective tissue will be illustrated in a different specimen. Now select and study the 20x image noting the labeled fibroblasts and collagen fibers. All you can observe about the fibroblasts are their nuclei that are pretty flat. The pink staining collagen fibers have this staining result with eosin because of the net positive charge of the collagen molecule that reacts with the net negatively charged eosin molecule. The two collagen fibers that are labeled are sectioned longitudinally. There are many collagen fibers in this image that are sectioned across (transversely). What should you conclude about the arrangement of the collagen fibers in this specimen? Are all of them oriented in one direction? Are they oriented in different directions? The collagen fibers in this specimen of the dermis of skin are oriented in different directions. This is dense irregular connective tissue. Now scan the 100x image and find the collagen fiber immediately below which there is a labeled fibroblast. Carefully study the fibroblast observing its oval shaped nucleus containing heterochromatin and euchromatin. Note the very light blue stained cytoplasm outside the nucleus. Fibroblasts in adult tissue have a low activity of synthesis to maintain a turnover of collagen molecules. In this state of low synthesis there is only a small amount of rough endoplasmic reticulum needed and thus the cytoplasmic area is small. Note that the labeled collagen fiber just above this fibroblast is sectioned longitudinally. Compare its appearance with 41 the other labeled collagen fiber. It is sectioned transversely. Now we will study dense regular connective tissue where all the collagen fibers and fibroblasts are oriented in parallel. Dense Regular Connective Tissue In the general histology section look under connective tissue. Choose: Regular Connective Tissue, longitudinal (Tendon)-Hematoxylin-Metanil Yellow In this specimen the nucleus and cytoplasm of the fibroblasts are stained shades of blue and the collagen fibers are stained yellow. We begin with this specimen because the collagen fibers and fibroblast nuclei are more readily observed compared to the hematoxylin-eosin stained specimens. You will be observing the dense regular connective tissue in tendon. In tendons the fibroblasts are called tendon cells. Also, in tendon the collagen fibers are wrapped by less dense collagenous tissue into bundles. Between the bundles there are channels or pathways that carry blood vessels. These pathways containing blood vessels surrounded by loose connective tissue are called ‘peritendineum internum’. The collagen bundles are small (called primary bundles) and large (called secondary bundles). Now select and scan the 10x image observing the orientation of the tendon cell (fibroblast) nuclei in a parallel fashion alongside the collagen fiber bundles. Now select and scan the 100x image observing in more detail the tendon cell and peritendineum internum. At this point you should choose the transverse sectioned tendon to observe the appearance of dense regular connective tissue in the other plane of section. In the general histology section under connective tissue choose: Regular Connective Tissue, transverse (Tendon) –Metanil Yellow Scan all three images, 5x-20x-100x. Note the smaller (primary) and larger (secondary) bundles of collagen fibers. Note how all collagen fibers are sectioned across (transversely), especially evident in the 20x and 100x images. Now you may wish to examine the hematoxylin-eosin stained tendons to compare. 42 This concludes our study of dense connective tissue. Next we will study loose (areolar) connective tissue. Loose (areolar) Connective Tissue Loose connective tissue is characterized by smaller interwoven collagen fibers embedded in more ground substance than in dense connective tissue. The fibroblast is the main cell that produces and maintains the ground substance and collagen fibers. Loose connective tissue is distributed throughout the body filling in the potential space between ducts, gland cells and blood vessels. It is also present beneath the lining epithelium of the gastrointestinal, respiratory, urinary, and reproductive tracts and just beneath the epidermis in the superficial layer of the dermis of skin. Skin has several appendages, hair, sweat glands, and the mammary gland. The specimens of mammary gland in WEBMIC have good examples of loose connective tissue so we will begin our study with one of these specimens. In the organ histology section under skin and appendages choose: Mammary Gland, inactive – Goldner This specimen is stained with Goldner’s stain. This is a trichrome stain that stains collagen bluegreen, nuclei black-blue, and cytoplasm red-violet. This is a female mammary gland from a human in a non-pregnant state. Scan the 5x image with the labels turned on and observe the labeled lobule composed of mammary gland ducts surrounded by loose connective tissue. At this magnification you can easily observe that the density of collagen is much less in the loose connective tissue of the lobule compared to the dense connective tissue surrounding the lobule. Also note the scattered somewhat rounded white spaces outside the lobule among the dense connective tissue. These are fat cells (adipocytes) and we will study them later in this lesson. Select and scan the 20x image and find the labels ‘tubuloalveolus’ and venule (lower left part of the image). Compare the density of collagen and cells between areas surrounding the two structures. Collagen is significantly denser around the venule at the perimeter of the lobule. Note also that the density of cells (judged by nuclei per unit area) is greater in the loose connective tissue surrounding the tubuloavleolus. Thus you now have observed the difference in the histology of loose and dense irregular connective tissue. Choose next the 40x image finding the labeled fibroblast (in loose connective tissue) and the collagenous fiber (in dense irregular 43 connective tissue). Complete your study of loose connective tissue by examining a specimen of female non-pregnant mammary gland stained with hematoxylin-eosin. In the section of organ histology under skin and appendages choose: Mammary Gland, inactive – Hematoxylin-Eosin Begin with the 5x image. The contrast between the loose connective tissue the ducts and tubuloavleoli in the lobules and the dense connective tissue between the lobules is not as striking with the hematoxylin-eosin stain as it was with the trichrome stain. As you study the 20x and 40x images the difference becomes more apparent. In summary, loose connective tissue has smaller collagen fibers and more cells embedded in the ground substance. It staining always appears lighter due to the lesser size and amount of collagen fibers. Next we are going to observe reticular and elastic fibers. First let’s study elastic fibers followed by reticular and then reticular and adipose tissues. To study elastic fibers select a specimen in the general histology section under connective tissue. Choose: Elastic Fibers (Skin) – Elastin (Verhoeff’s) – Nuclear Red-Picric Acid This is a specimen of thin skin. The stain used renders nuclei-red, cytoplasm-light yellow, collagen fibers-intense yellow, and elastic fibers-brown/red. Begin with the 5x image noting the distribution of collagen and elastic fibers. You should conclude that there are more collagen and elastic fibers in the deeper layer of the dermis beginning and below the label ‘dermis connective tissue’ by observing the yellow collagen and brown/red elastin. This becomes even more obvious when you examine the 20x and 100x images. Elastic fibers are distributed throughout the dermis of the skin and are responsible for the elastic property of skin. You can test the elasticity of the skin by taking a portion of skin on the back of your hand between your thumb and index finger (what you have between your finger and thumb are two layers of epidermis and the dermis). Pull the skin away from the back of your hand and then let go. Observe how the stretched skin quickly rebounds to take the shape of the contour of the back of your hand. In older individuals this rebound lessens until, in old age, doing the same maneuver results in a tent like shape on the back of the hand which only slowly resumes the shape of the back of the hand. Aging and ultraviolet light from the sun degrade the protein elastin until its elastic properties are 44 significantly reduced. Elastic fibers are difficult to demonstrate in routine hematoxylin-eosin stained specimens. Reticular Fibers and Reticular ‘Specialized’ Connective Tissue The third type of fiber found in connective tissue is the reticular fiber (collagen and elastic fibers are the other two types). Reticular fibers are very small, on the order of 1 micron in diameter. They are made up of type III collagen (collagen fibers are made up of type I collagen). Reticular fibers cannot be visualized in specimens stained with hematoxylin-eosin mainly because they are so small and contain so little collagen protein. The collagen of each reticular fiber is coated with glycosaminoglycans. This molecule reacts with PAS (periodic shift reaction) and silver. To study reticular fibers in the general histology section under connective tissue choose: Reticular Fibers (lymph node) – Silver Stain—Nuclear Red In this specimen you will observe reticular fibers as narrow black lines that are oriented in many different directions. This specimen is a lymph node. An extensive network of reticular fibers maintains the form of a lymph node. The term reticular is derived from the term rete, which means net. Thus, the construction of the framework of a lymph node is like a net. All the reticular fibers are secreted and maintained by reticular cells, a variant of the fibroblast. The main functional cell of a lymph node is the lymphocyte. The reticular fiber network holds the lymphocytes like a net holds fish. In addition to the lymph node, other organs that have a reticular fiber network are spleen, liver, and bone marrow. Begin your study of this specimen by scanning the 5x image noting the numbers of reticular fibers, one of which is labeled. The small round lighter stained objects that will be recognized more readily in the higher magnified images represent the lymphocytes. Examine the 20x and 100x images. In the 100x image you can clearly see individual reticular fibers and can recognize the outline of the circular pale staining lymphocytes. Now it will be instructive to make a couple of measurements. First find the labeled reticular fiber in the right upper region of the image. First measure the diameter of the lymphocyte using the measurement tool. Your measurement should be pretty close to 5 microns, the diameter of most lymphocytes. Now measure the thickness of the labeled reticular fiber. Your measurement should be on the order of 1 micron. The actual size in real life is less 45 than one micron. In the stained specimen the adhering silver molecules binding to the glycosaminoglycans adds to the thickness. At this point you have now seen and learned about collagen, elastic, and reticular fibers. You also have studied loose, dense, and one specialized (reticular) connective tissues. Now, before we look at some of the other cells in connective tissue, we will study adipose tissue. Adipocytes and Adipose ‘Specialized’ Connective Tissue Begin by examining an adipocyte (fat cell). In the organ histology section under blood and blood vessels choose: Vein-Hematoxylin-Eosin This is a vein embedded in mesentery in which there is a significant amount of adipose tissue. In the 5x image scan around the vein until you find the area labeled ‘adipose tissue’. Note the light staining. In routine preparations lipid present in adipocytes is lost through the action of alcohols and other lipid solvents used to prepare the tissue. Therefore, there is nothing left to stain. Adipose tissue is a collection of adipocytes bound together with a collagenous wrapping and permeated by capillaries and other small blood vessels. To get a closer look at fat cells (adipocytes), go to the organ section and under blood and blood vessels choose: Bone Marrow-Hematoxylin-Eosin Here among the blood forming cells of the bone marrow are large adipocytes. Measure the diameter of the adipocyte that is labeled. Its diameter should measure on the order of 100 microns. In this specimen it is not possible to observe the thin rim of cytoplasm and a single nucleus that belongs to each adipocyte. In actuality an adipocyte in the adult has one large lipid droplet. This is the typical histological appearance of a white fat cell. Brown fat is much different. In brown fat there are many small lipid droplets and a large amount of mitochondria. Brown fat is found in the fetus and in hibernating animals. To see the thin rim of cytoplasm and nucleus of an adipocyte you will need to choose a specimen under general histology, glandular epithelia-Goldner. In this specimen select the 2nd 20x image and you should see a labeled 46 adipose cell appear in the microscope. Now you can observe the thin rim of cytoplasm and a flattened nucleus at about 7 o’clock along the rim of cytoplasm. The nucleus and thin rim of cytoplasm resembles a signet ring. Plasma Cells and Lymphocytes In loose connective tissue two cells that are found in addition to fibroblasts are plasma cells and lymphocytes. Plasma cells are derived from B-lymphocytes. Lymphocytes are of two types, T and B. T lymphocytes constantly circulate through the vessels and loose connective tissue. Plasma cells derived from B-lymphocytes take up residence in lymph nodes, bone marrow, and loose connective tissue where they synthesize and secrete specific antibodies. To teach you how to recognize plasma cells and lymphocytes in tissue sections we will examine loose connective tissue in a variety of locations. Let’s begin by examining the loose connective tissue beneath the epithelium of the gallbladder. In the organ histology section under the gastrointestinal tract choose: Gallbladder – hematoxylin-eosin Scan the 5x image and note the long fingers of tissue covered with epithelium. The mucosa here is composed of simple columnar epithelium and loose connective tissue. Examine the loose connective tissue more closely in the 20x image. In this image the loose connective tissue is labeled lamina propria because it is the first layer of tissue beneath the epithelium, (which you should recognize as simple, columnar). Now scan the 40x image and look for the labeled lymphocyte. Measure its diameter. You should get a diameter on the order of 5 microns. Observe the darkly blue stained nucleus and a very small amount of blue stained cytoplasm. Compare the shape of the nucleus in the lymphocyte to the shape of the nuclei in the two labeled fibroblasts. Note that the fibroblast nuclei are oval. Note also that there is one lymphocyte labeled that is located within the epithelium. This is a common occurrence for T lymphocytes. To illustrate plasma cells we will use a specimen from the body of the stomach. Go to the organ section and under gastrointestinal tract choose: 47 Stomach-Corpus-Hematoxylin-Eosin Scan the 5x image and find the mucosa. We will look in the lamina propria of the mucosa of the body of the stomach to locate a plasma cell. Select the second 20x image and find the labeled lamina propria. This is the loose connective tissue beneath and between the glandular epithelium of the stomach mucosa. Select the first 40x image and locate the labeled plasma cell. Note that the cell is oval shaped and the nucleus is located at one side of the cell (eccentric position). Plasma cells are larger than lymphocytes. Measure the long dimension of the cell. The cell measures almost 9 microns compared to around 5 microns for the average lymphocyte. Even the narrow dimension (the width) measures 7 microns. Plasma cells have more cytoplasm visible than lymphocytes as can be observed here. The other feature is that the chromatin of the nucleus of a plasma cell is arranged like the face of a clock. To observe that select the third 40x image and find the labeled plasma cell. Also, compare the plasma cell nucleus with the nucleus of the lymphocyte also labeled in this field. Mast Cells Mast cells are present throughout loose connective tissue and are typically arranged along and just outside of small blood vessels. Mast cells secrete histamine, heparin and other factors. They are important in the uptake of fatty acids from the blood into fat cells. To study mast cells go to the general histology section and under connective tissue choose: Mast Cells (Mesenterium)-CresylViolet-Nuclear Red Scan the 5x image observing the labeled mast cells and fibroblasts. You can readily observe that mast cells have more cytoplasm visible and they stain darker than fibroblasts. This is because the mast cell stores its products in secretion granules and releases the content of these granules when stimulated. Fibroblasts do not store their product but continuously release ground substance, collagen fibers, elastic fibers, or reticular fibers as they are being synthesized. Select the 100x image and find the labeled mast cell. Now you can easily observe the granules stained violet and the nucleus stained red. 48 Other Connective Tissue Cells There are three other types of cells present in loose connective tissue. They are macrophages, neutrophils and eosinophils. Macrophages are large cells with more cytoplasm than lymphocytes or plasma cells. They have no granules and function to ingest other cells and bacteria. Neutrophils are granulated, they have a lobated nucleus and are rounded, larger than lymphocytes. Eosinophils have a two lobed nucleus and intense red granules. Neutrophils migrate from the blood to loose connective tissue when attracted by signals from bacteria. Eosinophils migrate into loose connective tissue when attracted by antigen-antibody complexes or they can also be attracted by parasites. Macrophages are derived from monocytes of the blood and, along with neutrophils and eosinophils will be studied when we study blood cells. This now concludes your study of connective tissue. You have learned that there are two main types of connective tissue: dense and loose. You have learned that there are three types of fibers: collagen, elastic, and reticular. You have learned that fibroblasts are responsible for making all three types of fibers. You have also learned that loose connective tissue has other types of cells other than fibroblasts, namely, mast cells, lymphocytes, and plasma cells. You also have learned that certain cells migrate into loose connective tissue from the blood: monocytes, neutrophils and eosinophils. 49 Sample Questions: 1. First order identification of a cell/structure or classification of a tissue. Classify the tissue. A. loose connective tissue B. dense regular connective tissue C. dense irregular connective tissue D. cardiac muscle tissue E. smooth muscle tissue 2. Second order question. A structure/cell/tissue is indicated and its function is asked. The cell indicated by the number 1 functions to: A. B. C. D. E. synthesize collagen synthesize elastin synthesize reticular fibers it does all of the above synthesizes only collagen and elastin 50 Connective Tissue Section Labeled Structures The tables below are arranged by sections listing the specimens in the connective tissue collection with the labeled structures by magnification. In reviewing you will find it easy to find a structure by consulting these tables. Mesenchyme (Embryo)-Staining: Hematoxylin-Eosin 20X Blood vessel Brain anlage Mesenchyme 80X Mesenchyme Blood vessel Primitive epidermis 400X Endothelium Primitive erythrocyte mitosis Mesenchyme cell - nucleus Mesenchyme cell process Collagenous Fibers (Skin)-Staining: Hematoxylin-Eosin 20X Epidermis - stratified Squamous epithelium Dermis - connective tissue 80X Fibroblast Collagenous fiber 400X Fibroblast Collagenous fiber Elastic Fibers (Skin)-Staining: Elastin (Verhoeff’s)-Nuclear Red-Picric Acid 20X Epidermis Dermis - connective tissue Smooth muscle Hair 80X Epidermis - stratified Squamous epithelium Dermis Elastic fiber Collagenous fiber 400X Elastic fiber Collagenous fiber Fibroblast Reticular Fibers (Lymph node)-Staining: Silver Stain-Nuclear Red 40X Reticular fiber Lymphatic nodule Blood vessel 80X Reticular fiber 400X Reticular fiber Lymphocyte Regular Connective Tissue, longitudinal (Tendon)-Staining: Hematoxylin-Metanil Yellow 40X Peritendineum internum Tendon cell Tendon fiber Primary Bundle 160X Tendon cell Tendon fiber Peritendineum internum Regular Connective Tissue, longitudinal (Tendon)-Staining: Hematoxylin-Eosin 40X Tendon fiber Peritendineum internum Tendon cell Primary bundle 80X Tendon fiber Peritendineum internum Tendon cell 160X Tendon fiber Tendon cell nucleus 51 Regular Connective Tissue, transverse (Tendon)-Staining: Hematoxylin-Metanil Yellow 20X Secondary bundle Primary bundle 80X Tendon fiber Tendon cell Peritendineum internum 400X Tendon cell Tendon fiber Regular Connective Tissue, transverse (Tendon)-Staining: Hematoxylin-Eosin 20X Peritendineum internum Primary bundle Secondary bundle 80X Primary bundle Peritendineum internum Fibroblast nucleus Tendon cell nucleus Mast Cells (Mesenterium)-Staining: Cresyl Violet-Nuclear Red 160X Mast Cell Fibroblast 320X Mast Cell Fibroblast 400X Mast cell Nucleus Mast cell granules Fibroblast 52