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Avascular tissue with a dense intercellular matrix rich in proteoglycans in which chondrocytes and chondroblasts thrive. It gets its nutrition by diffusion, allowed by the softness of its matrix.Functions · Mechanical shock absorber to a certain extent. · Smooth-surfaced allows joint functions. May act as model for bone.
 
You see these in Lacunae, which is latin for "lake". · Big round cell, 10–50 µm in diameter· Clear layer of matrix surrounds the cells (proteoglycans and few collagen) This clear matrix of collagen and Proteoglycans is what they produceChondronectin, fibronectin and anchorin keep cells attached to the matrix
 
· Groups of up to eight cells chondrocyte (isogenous groups (L. equal origin) These isogenous groups come from ONE progenitor cell an go through interstitial growth.
 
· Perichondrium surrounds almost all cartilages. Its outer layer is made of fibroblasts and type I collagen. The inner layer has chondroblasts.
 
Stimulated by Growth hormone, thyroxine, testosterone Dampened by Cortisone, hydrocortisone, estradiol
 
Stimulated by Growth hormone, thyroxine, testosterone Dampened by Cortisone, hydrocortisone, estradiol
 
Hyaline, fibrous, and elastic.
 
Hyaline. · Most common type, its colour varies from bluish to white. · Type II collagen (this collagen is actually quite specific for cartilage) · It is nourished by the perichondrium or the synovial fluid (articular cartilage).
 
Elastic cartilage Primary protein is Elastin. · Type II collagen plus elastic fibres, which confer a yellowish appearance to it. o Auricle of the ear, auditory tubes, epiglottis, cuneiform cartilage of the larynx
 
Fibrous cartilag Can be relaxed by relastin, such as during labor and the pubic symphysis. Only type that has Type I cartilage. · Very strong and resilient, it shares characteristics of both dense connective tissue and hyaline cartilage. · It lacks of perichondrium and is highly specialized. · Type I collagen creates a frame of fibres that accommodate the chondrocytes. Pubic symphysis, intervertebral disks, menisci
 
Highly specialized cartilaginous structure Medial (more likely to be injured) and lateral (important due to its species specificity) Usually in injury you'll also injure the ACL or PCL, and since the outer third is vascularized, it heals faster than the inner two thirds. These three groups are called the "unhappy triad". Pivotal in knee stabilization Outer third vascularized Two cell types: o Fibrochondrocyte – receives this name since, while being a chondrocyte, it can synthesize type I collagen. It also synthesizes type II, III and VI collagens o Fibroblast-like cells – outer third, secretes type I collagen, may have a sensory component
 
O Fibrochondrocyte – receives this name since, while being a chondrocyte, it can synthesize type I collagen. It also synthesizes type II, III and VI collagens
 
Diarthroses and synovial joints mean the same thing, they allow movement. Diarthroses Synovial joint Synarthroses Synostosis – Bones joined with bone. Synchondrosis – Bones joined with cartilage. Syndesmosis – Bones joined with connective tissue.
 
Articular cartilage Hyaline cartilage with collagen fibres distributed in regard of mechanical stress May be fibrous where shearing forces predominate (margins of glenoid fossa of the shoulder, acetabulum of hip joint). It lacks of perichondrium (cells replaced by mitosis of the deeper layers).
 
Thin vascular membrane with two layers: The intimal layer along with the underlying subintimal layer is what keeps the synovial fluid locked in the joint under compression and prevents it from leaking. The intimal cells are made of fibroblasts and macrophages. The fibroblasts produce hyaluronan and lubricin to lubricate the joints and the macrophages keep it clean of unwanted material. Subintimal layer: Adipose and connective tissue, blood vessels Intimal layer: One to three layers of cells (synovial cells or synoviocytes)
 
Two cells types (or two cell stages) Type A: 25 % intensely phagocytic, motile. They are macrophages. Type B: 75 % Not totally clear lineage and functions. Myofibroblast-like cells; secrete collagen, fibronectin, hyaluronic acid. Seems to be responsible for the production and absorption of the synovial fluid, which implies that it works on the blood/synovial fluid exchanges (blood-joint barrier).
 
Type B synoviocyte.
 
Colourless, transparent, viscous fluid, Slightly alkaline Composition varies from joint to joint Rich in hyaluronic acid Nutritious and lubricant properties: Both articular cartilage and menisci depend.
 
Type B: 75 % Not totally clear lineage and functions. Myofibroblast-like cells; secrete collagen, fibronectin, hyaluronic acid. Seems to be responsible for the production and absorption of the synovial fluid,
 
· Structural: Main structural provider of the body; attachment for muscles. · Protection: Protects organs. · Storage: Main depot of calcium and phosphorus. · Sanctuary: Postnatal hematopoiesis (hosts the red bone marrow).
 
Produced by the osteoblasts Organic components · Type I collagen (30% of bone weight, 95% of total organic components) · Type V collagen (1.5%) · Also traces of type III, X and XI collagen · Proteoglycans: chondroitin 6 sulfate, keratan sulfate · Glycoproteins: sialoproteins, osteocalcin, osteopontin (these bind to the integrins of bone cells) · Glycosaminoglycans Inorganic components · Hydroxyapatite (60%), crystals mostly made of calcium and phosphorus · Water
 
· Mononuclear cells · Differentiation from precursors induced by bone morphogenic protein (BMP) and transforming growth factor beta · Found on the bone surface, · Produce the extracellular matrix (osteoid) that later will get calcified. · It has an alkaline phosphatase activity (pivotal for matrix calcification) · Secrete macrophage colony stimulating factor (M-CSF), the receptor for activation of the nuclear factor Kappa (RANKL), plus osteopontin (will anchor osteoclast), osteonecting (joins osteocytes with matrix) and sialoprotein (links osteoblasts to matrix) · Gap junctions between themselves and with osteocytes. As soon as it gets surrounded by matrix, the osteoblast becomes an osteocyte.
 
· Differentiation from precursors induced by bone morphogenic protein (BMP) and transforming growth factor beta
 
· Produce the extracellular matrix (osteoid) that later will get calcified.
 
· Secrete macrophage colony stimulating factor (M-CSF), the receptor for activation of the nuclear factor Kappa (RANKL), plus osteopontin (will anchor osteoclast), osteonecting (joins osteocytes with matrix) and sialoprotein (links osteoblasts to matrix)
 
As soon as it gets surrounded by matrix, the osteoblast becomes an osteocyte.
 
· Mature form of osteoblasts · 25 years life-span · Communicate with each other and with blood vessels using filopodial processes placed inside the canaliculi · One per lacuna (no more mitosis or secretion).
 
· Large polarized motile cells with 5-100 or more nuclei (average 10-15)· When they get active, they secrete the “degrading environment” and excavate the Howship’s lacuna
 
· Their precursor is called mononuclear osteoclast (committed macrophage). o Stimulation with M-CSF promotes mitosis. o RANKL binds to it and promote fusion. o Osteoprotegerin (OPG) might interfere with RANKL to modulate differentiation.
 
Receptors to calcitonin (but not to parathyroid hormone), colony stimulating factor 1 receptor, and nuclear factor Kappa B (RANK
 
O Stimulation with M-CSF promotes mitosis. o RANKL binds to it and promote fusion. Osteoprotegerin (OPG) might interfere with RANKL to modulate differentiation
 
This is trying to go from elevated Calcium levels to normal levels. The bone is the major deposit of Calcium in the body. The levels of Ca need to be closely regulated. When the level is high, you store it in bone. The parafollicular cells detect the high calcium levels. As a result, they secrete a hormone known as calcitonin. Osteoblasts have calcitonin receptors and that stimulates them to make a bed of osteotic bed (osteoid), which needs the 3 components you see above. The collagen and glycosaminoglycans create the framework for alkaline phosphatse to lay down hydroxylapatite. This creates bone which lowers Calcium levels.
 
This is to elevate low calcium levels. This time chief cells of the parathyroid glands detects the low levels and releases parathyroid hormone. This doesn’t directly activate the osteoclasts, but first the osteoblast. The osteoblast will secret collagenase which destroys collagen obviously. This destroys the limiting membrane which protected the calcified material, and now the osteoclasts will begin to target the crystals of hydroxylapatite, and this releases the phosphorus and the calcium. As a result, the osteoclasts start dissolving bone and now the Calcium levels go high, and that activates the mechanism to deal with high calcium levels which responds by forming collagen which replenishes the limiting membrane.
 
· Nutrition and cellular reservoir, · Outer layer of collagen fibres and fibroblasts. · Inner layers with osteoprogenitor cells (easily differentiate into osteoblasts)
 
· There are also Sharpey’s fibres, which are collagen fibres that go into the bone and are actually embedded within the calcified matrix.
 
· Found lining the marrow cavity, · Single layer of osteoprogenitor cells and connective tissue
 
The osteoprogenitor cells respond mostly to the oxygen concentration. When is high they differentiate into osteoblasts. When low, they differentiate into chondroblasts. That is why when blood vessels appear close to cartilage models, they decay and get replaced by bone.
 
Primary and secondary bone In the prenatal life, primary bone appears. It is less strong and well organized, and most gets replaced by secondary bone (though it persists in tendon insertions, tooth sockets and suture lines in the calvaria). Secondary bone is the usual phenotype we describe as bone. While both primary and secondary bone can be compact and cancellous, the classic descriptions of the latter correspond to secondary bone.
 
Compact: Based in the Haversian system. Its components are illustrated in the image
 
Volkmann canals, also known as perforating holes, are microscopic structures found in compact bone. They run within the osteonsperpendicular to the Haversian canals, interconnecting the latter with each other and the periosteum. They usually run at obtuse angles to the Haversian canals and contain anastomosing vessels between Haversian capillaries. The Volkmann canals also carry small arteries throughout the bone.
 
Cancellous (spongy) bone: Based in the trabecula. Main responsible for the mechanical efficiency of the bone.
 
Bone density and architecture correlate with the magnitude and direction of the applied load. This means that the mechanical stress is the main morphogenetic influence on bone, and induces a positive (reinforcement) and negative (resorption) selection of trabeculae.
 
Mesenchymal tissue differentiates into osteoblasts. It is quicker, although less efficient. It is mainly mechanically induced. Flat bones of the head Portions of the pelvis Growth of short bones Thickening of large bones
 
The mesenchymal tissue differentiates into chondroblasts that create a model. When these cells die, the model is occupied by osteoblasts. It is slower, more efficient. This process is mainly genetically induced. All large bones
 
Epiphyseal plate: Here the endochondral ossification is organized to replace the cartilage with bone. The layers of such plate are: 1. Resting zone: Chondrocytes resting, lack of mitotic activity. 2. Proliferative zone: Chondrocytes proliferating, mitoses are abundant. 3. Hypertrophic zone: The chondrocytes start to grow. 4. Calcified cartilage zone: As the matrix gets calcified, the chondrocytes die (not as consequence, as far as research has shown). 5. Ossification zone: The calcified matrix is used by the osteoblast as a site to proliferate and create more matrix.
 
Fracture healing Bone can only be deposited on a solid base, since mineralization is sensitive to strain. The natural course of fracture healing with or without a cast (secondary repair): 1. Stabilization of the fractured bone fragments by callus formation and fibrocartilage differentiation. 2. Restoration of continuity and bone union by ossification. 3. Substitution of useless areas and partial correction of misalignment by remodeling. 4. Functional adaptation.
 
If surgical fixation is used, intramembranous ossification occurs instead (primary repair).
 
Plasma = serum + proteins (blood cloth factors + albumin + antibodies)
 
Biconcave disk shaped, the shape is maintained mainly by spectrin. It lacks of nucleus and organelles when it is fully mature. This non-motile cell is always inside the circulatory system for 120 days. Everyday up to 1 percent of the erythrocytic pool is replaced. 7 micrometres in diameter Its shape allows easy and thorough gas saturation as each haemoglobin molecule must be at a critical distance from the membrane.
 
Its shape allows easy and thorough gas saturation as each haemoglobin molecule must be at a critical distance from the membrane.
 
Integral membrane proteins. Part of the cell membrane, and they face both the interior and exterior of the cell. Divided into two families: glycophorins and the band 3 protein. The extracellular portions of these proteins and their corresponding glycocalix components are responsible for the blood group antigens. One member of the glycophorin family, Glycophorin C, is a site for anchoring the underlying cytoskeletal network. Band 3 protein does the same. Peripheral membrane proteins. At inner surface of the cell membrane and are organized in a agonal lattice network, made of spectrin tertramers, actin, band 4.1 protein, adducin, band 4.9 protein and tropomyosin. The lattice is anchored to the membrane through the actions of ankyrin (which interacts for that purpose with band 4.2 protein) to the band 3 protein. Some diseases of these proteins create abnormal RBCs: mutation in the spectrin gene creates hereditary spherocytosis (spherical erythrocytes). A deficiency in band 4.1 protein creates hereditary elliptocytosis, with elliptic erythrocytes. Aside of the saturation problems these cells face, they also struggle going through the smallest capillaries and spleen macrophages.
 
Gas exchange follows diffusion paths: from more concentrated to less concentrated: Arrives to the lung with low oxygen and high carbon dioxide, and leaves the lung with high oxygen and low carbon dioxide levels.
 
1. Reticulocytes (~ 1 %): Retained strings of rRNA (polysomes), require a special stain to become apparent (methylene blue, brilliant cresyl blue, purified azure B, or “reticulocyte stain”).
 
Howell Jolly bodies: Retained portions of DNA after the nucleus is expelled
 
1. Nucleated erythrocytes: Called ortochromatic erythroblasts or normoblasts if found in the bone marrow.
 
6,000 to 10,000 per microlitre.
 
Divided into granulocytes (neutrophils, eosinophils, basophils) and agranulocytes (lymphocytes, monocytes)
 
Leukocyte granules: Azurophilic and specific. Azurophilic are lysosomes, and the specific are different for each granular leukocyte type.
 
Neutrophils (polymorphonuclear leukocytes) · 60-70 % of leukocytes in blood, 12-15 µm in diameter · Nucleus: irregular, with 2 – 5 lobes (most have three lobes)
 
O Azurophilic – Contains myeloperoxidase, defensins (defend the body against a variety of bacteria, fungi, and viruses), lysozyme (enzyme that degrades bacterial peptidoglycans), azurocidin (antibacterial activity and antifungal activity against Candida albicans), bacterial permeability–increasing protein (BPI) (antibacterial activity against some gram-negative bacteria), enzymes. o Specific – Apolactoferrin (binds iron depriving bacteria from it), lysozyme, collagenase. o Tertiary – One type contains metalloproteinases (as gelatinases and collagenases that facilitate the travel of the neutrophil through connective tissue). The other type contains phosphatases, and is sometimes called phosphasome. o Secretory vesicles – Alkaline phosphatase
 
Juvenile neutrophils (bands) · 0.6 % of leukocytes · Sausage shaped (non-lobulated) nucleus · Their number increase in acute bacterial infectious diseases. When their number is increased, the report might indicate a "shift to the left".
 
Marginal pool Under normal conditions, 90 % of the neutrophils are in the bone marrow, 2 – 3 % are circulating and the rest are in the tissues. Of that 2 – 3 %, one half circulates, the other lives along the margins of the smallest blood vessels (particularly at the spleen and the liver). They quickly enter into the circulation in response of acute stress (demargination).
 
2-4 % of leukocytes, they increase in number usually linked to allergic processes (they dampen host’s response) and parasitic processes (phagocytic activity) · Nucleus: 2 lobes · They can recirculate (leave the blood stream and get back into it). · In its azurophilic granules it just has the usual lysosomal enzymes.
 
· antiparasitic activity Major basic protein (MBP) [makes the crystal itself] Eosinophyl cationic protein (ECP) Eosinophil peroxidase (EPO) Eosinophil-derived neurotoxin (EDN) [at the granule matrix]
 
· ~ 0.5 – 1% of leukocytes in blood · 12-15 µm in diameter · Nucleus: Irregular lobes · Azurophilic granules: Lysosomes. · Basophilic granules with heparin, histamine, heparan sulfate and leukotrienes.
 
· Unknown precursor, they may complement the function of mast cells
 
· ~ 30 % of leukocytes in blood · 6-8 µm (small), 9-15 µm (medium) and 16-30 µm (large) · B, T and N subclasses · Nucleus: round or with one indentation · Scant and basophilic cytoplasm · No granules or azurophilic ones (NK)
 
· Scant and basophilic cytoplasm· No granules or azurophilic ones (NK)
 
Differentiated in the equivalents of the bursa of Fabricius, they make ~ 15 % of the lymphocyte population. They may differentiate into plasma cells or remain as B memory cells once they get exposed to an antigen.
 
They differentiate at the thymus, and account for ~ 80 % of the total lymphocytes. Further classified into helper, suppressor and cytotoxic classes.
 
These ones lack of markers and account for ~ 5 % of the lymphocytes. Many are natural killer cells and some might be stem cells (not actual lymphocytes of course, but lymphocytes look-alikes).
 
· Precursor of the macrophage
 
· 12-20 µm in diameter · Nucleus: kidney-shaped · Cytoplasm: basophilic · No granules or very fine azurophilic ones; vesicles · Half-life in blood: 12 to 24 h · Precursor of the macrophage
 
These little cells (300,000 per microlitre, 2-4 µm in diameter, the smaller are older and the larger younger) are fragments of the megakaryocytic cytoplasm. Each megakaryocyte produces 1000 – 1500 platelets. One third of the total number are sequestered in the spleen, and the mean life span is 9-12 days (after then they are removed by the spleen). If necessary, platelet production can be increased up to eight times
 
Are fragments of the megakaryocytic cytoplasm.
 
Two cytoplasmic regions: Hyalomere: Peripheral, light blue stained Granulomere: Central, with purple granules: Delta granules with serotonin; Lambda granules are lysosomes; Alpha granules have fibrinogen The serotonin content of the platelets correlate with the brain serotonin levels, hence providing a non-invasive method to assess the dynamics of that neurotransmitter in the CNS.
 
Collagen exposure is followed by platelet adherence. Subsequently, thrombin will attract other platelets and the network of fibrin will entrap them, creating a haemostatic plug.
 
Erythropoiesis Leukopoiesis Thrombopoiesis
 
Hepatic (& splenic) phase: From 3rd to 7th month (matter of debate)
 
Bone marrow phase: Starts at 5th - 7th month
 
After the 10th birthday, hemopoiesis is confined to the ribs, sternum, pelvis and the proximal epiphysis of the femur and the humerus.
 
Yellow Adipose tissue Non-functional Can be replaced by red marrow if needed Red Hemopoietic tissue Interspersed adipocytes
 
· Stroma: Reticular cells (currently known as adventitial cells) and the reticular fibres they create.
 
It is made mainly by hemopoietic cells. · Hematopoietic cords: Haemopoietic cells and macrophages organize themselves in these loose cords. · Sinusoidal capillaries: Surround the cords and being so open allow an easy exchange of substances and cells. · Stroma: Reticular cells (currently known as adventitial cells) and the reticular fibres they create. · Other cells: Adipocytes, osteoclasts, osteoblasts, macrophages, plasma cells. · There is not a barrier or any other protective mechanism, so it is very exposed to noxious influence. · Microenvironmental conditions: Certain conditions of the extracellular matrix. · Growth factors: Hemopoietins (colony stimulating factors CSF, growth factors).
 
Stem cells Able to produce all the subsets of hemopoietic cells · Stem cells lack of morphological unique characteristics, but they may look like large lymphocytes (granular, maybe) CFUs Cells only capable of producing one particular subset of blood cells are known as colony forming units (CFU)
 
PPSC (pluripotential stem cell) gives raise to the CFU-Ly (colony forming unit – lymphoid) from which lymphocytes develop; and to the CFU-GEMM (colony forming unit – granulocytic, erythrocytic, monocytic and megakaryocytic) from which granulocites (neutrophils, basophils, eosinophils), erythrocytes, monocytes and megakaryocytes (they produce platelets) develop, respectively. CFU-GEMM includes: Burst Forming Unit-erythroid (BFU-E) becomes the CFU-E for the erythroid lineage CFU-Eo for the eosinophilic lineage CFU-Ba for the basophilic lineage CFU-GM (granulocyte-monocyte) which differentiates into: CFU-G for the neutrophilic lineage CFU-M for the monocyte-macrophage lineage CFU-Meg for the megakaryocyte lineage
 
Erythropoiesis: Colonies made of cells with round nuclei; cytoplasm becomes more homogeneous.
 
Thrombocytopoiesis: Big cells, with multilobulated nuclei
 
~ 7 days from proerythroblast to reticulocyte. It is stimulated by erythropoietin, and requires vitamins (B12, B6, C, E, folic acid, riboflavin, pantothenic acid, thiamin) and metals (iron, cobalt, manganese) plus aminoacids
 
Proerythroblast Basophilic erythroblast (prior and during this stage the peak of rRNA formation is reached, and haemoglobin synthesis starts) Polychromatophilic erythroblast Ortochromatic erythroblast (sometimes wrongly called nucleated erythrocyte, it is the last nucleated cell of the lineage and the earliest that can circulate). Reticulocyte Erythrocyte
 
Basophilic erythroblast (prior and during this stage the peak of rRNA formation is reached, and haemoglobin synthesis starts)
 
Ortochromatic erythroblast (sometimes wrongly called nucleated erythrocyte, it is the last nucleated cell of the lineage and the earliest that can circulate).
 
Myeloblast Promyelocyte Myelocyte (specific granules appear, so at this stage the differentiation of the eosinophilic, basophilic and neutrophilic colonies start) Metamyelocyte Band Mature granulocyte
 
Notice that the myelocyte stage is not only the end of the mitotic phase of granulocytopoiesis, but also the stage in which specific granules appear and hence the three granulocyte lineages can be distinguished.
 
Megakaryoblasts, megakaryocytes.
 
Platelets are released from the megakaryocyte cytoplasmic fragmentation.
 
· the one at the upper third of the esophagus and at the oropharynx.
 
· Myofibrils: Arrangement of sarcomeres. They require desmin and plectin to get properly organized and stabilized.
 
· Myofibrils: Arrangement of sarcomeres. They require desmin and plectin to get properly organized and stabilized.
 
· Myofilament: Thick (myosin II, myomesin, titin and C protein) and thin (F-actin, tropomyosin, troponin and associated proteins) ones
 
The molecule myostatin restricts the size of the muscle fibres
 
Organization of the skeletal muscle Endomysium: Surrounds the muscle fibre. Perimysium: Surrounds bundles of muscle fibres. Epimysium: Surrounds several bundles
 
· Darker bands (A bands); H band is a pale central band of the A band where filaments do not overlap (there tropomodulin caps the minus-end of F-actin to prevent its unwanted growth) · The M line is a lighter zone at the centre of the H band, and it contains the lateral connections between adjacent thick filaments linked by myomesin Lighter bands (I bands) are bisected by a dark line (Z line).
 
Nebulin (aligns the actin filament at its core, it’s anchored to the Z line with its carboxy terminal while its amino terminal ends in the A band)myosin filament we have titin, which also anchors the latter to the Z line (similar to what nebulin does with the actin filament)
 
Peripherally such Z discs are anchored to the sarcolemma by vinculin and dystrophin in regions called costameres.
 
· Sarcoplasmic reticulum (smooth endoplasmic reticulum) sequesters calcium bound to calsequestrin
 
· Transverse (T) tubules system (invaginations of the cell membrane). They spread the depolarization impulse, and exist at the level of the A-I junction.
 
Triad: Expanded cisternae of the sarcoplasmic reticulum of each side adjacent to each T tubule.
 
Troponin and tropomyosin are intimately related with the actin molecule and are fundamental for contraction
 
O Troponin T: tail of the molecule, anchors the troponin complex to tropomyosin o Troponin C: has the binding site for calcium (calmodulin-like?) o Troponin I: binds to actin to inhibit the interaction between actin and myosin
 
1. Binding of calcium to troponin forces tropomyosin to move, exposing the myosin-binding sites of the actin molecule. 2. Myosin head binds to actin and ATP breaks into ADP; such energy is used the myosin head. 3. The actin filament slides over the myosin one. 4. The process repeats.
 
Nerve-motor unit 1. One motor neuron fibre. 2. Any number of muscle fibres.
 
The smaller the number of fibres innervated by the motor neuron fibre, the higher the precision and delicacy of movement.
 
Neuromuscular junction Acetylcholine is released from the motor neuron into the synaptic space, and it binds with the receptor at the muscle fibre inducing membrane deporalization. Excess of acetylcholine is hydrolyzed by cholinesterase. The depolarization is internalized via the T tubule inducing the sarcoplasmic reticulum to release calcium.
 
Propioceptors that maintain the posture and help to coordinate the activity of opposing muscle groups. They are made of: Connective tissue Fluid-filled space Thick and thin fibres (intrafusal fibres) Sensory (stretch sensitive) nerve fibres
 
Sensory nerves that penetrate the connective tissue sheath encapsulating bundles of collagen fibres (continuous with those that make the myotendinous junction). They detect tensional differences in tendons.
 
Highly specialized system, with collagen fibres deeply intertwined with the muscle fibres (the collagen fibres insert into infoldings of the plasmalemma of the muscle fibres).
 
Types of muscle fibres Type I Type IIa Type IIb Slow twitch fatigue resistant Fast twitch fatigue resistant Fast twitch fatigue prone Very rich in mitochondria Many mitochondria but also glycogen Lesser amount of mitochondria Rich in myoglobin (red) Less myoglobin (light red) Scant myoglobin (light pink) Continuous low tension contraction Continuous high tension contraction Short term high tension contraction Oxidative phosphorylation of fatty acids Oxidative phosphorylation of fatty acids plus glycolysis Glycolysis predominates over mitochondrial activity ↑↑↑ succinate dehydrogenase ↑↑ succinate dehydrogenase ↑ succinate dehydrogenase Hikers, marathoners, triathletes Middle distance swimmers, 400-800 m spinters, hockey players, wrestlers, martial arts Weight-lifters, short-distance sprinters
 
Myoglobin is similar to hemoglobin in the sense that binds oxygen, but acts only within the muscle fibre
 
· Mononuclear (some cells binucleated) striated trouser-shaped cells 15 µm diameter and 85-100 µm in length.· Intercalated disks with gap junctions · Defined sarcomere. · Fatty acids are the major fuel of cardiac muscle. Keeps noticeable amounts of lipofuscin in the cytoplasm.
 
· 80 % of the cell volume is occupied by mitochondria.
 
· Fatty acids are the major fuel of cardiac muscle.
 
Granules, 0.2-0.4 µm in diameter, more abundant in the juxtanuclear area of the cells of the right atrium, contain the high-molecular weight precursor of the atrial natriuretic factor and brain natriuretic factor.
 
Intercalated disks Limit between two continuous cardiac cells, with a straight line or step-like pattern, which has junctional complexes (gap junctions and others). · Transverse portion: Fascia adherentes and desmosomes plus hemi-Z lines. · Lateral portion: Gap junctions (connexons made by connexins)
 
Tubular system · At the level of the Z line and not as regular as in skeletal muscle. · The T tubules are larger and more numerous. · Diads: One T tubule and one sacoplasmic reticulum cisterna
 
· From small (20 µm) in small blood vessels to large (up to 500 µm) in the pregnant uterus. · Mononuclear cells, · Rudimentary sarcoplasmic reticulum, · Absence of T tubules (caveoli instead) · Presence of gap junctions. · Lattice-like pattern arrangement of actin-myosin complexes · Dense bodies (cytoplasmic and membrane-related) are the equivalent to the Z line, which means actin is anchored there. · Mitochondrial content is highly variable but overall low.
 
· Absence of T tubules (caveoli instead)
 
· Dense bodies (cytoplasmic and membrane-related) are the equivalent to the Z line, which means actin is anchored there.
 
Smooth muscle patterns Syncytial Multiunit smooth muscles Syncytial contraction Abundant gap junctions Poor nerve supply Large sheets in hollow viscera Precise and graded contraction Rich innervation Few gap junctions Iris of the eye
 
The nerve supply in syncytial smooth tissue has regulatory but not excitatory functions. In the multiunit type of smooth muscle, the sympathetic and parasympathetic divisions of the autonomous nervous system hold control of the muscle activation.