Extra Cellular Matrix(ECM)
Dr.S.Sethupathy,M.D.,Ph.D.,
Professor of Biochemistry,
Rajah Muthiah Medical College,
Annamalai University.
ECM -Definition
 Extracellular matrix (ECM) is a network of
extracellular macromolecules, such
as collagen, enzymes, and glycoproteins, that
provide structural and biochemical support to
surrounding cells
 ECM includes the interstitial matrix and
the basement membrane
 Gels of polysaccharides and fibrous proteins
fill the interstitial space and act as a
compression buffer against the stress placed
on the ECM
Functions of ECM
Functions of ECM
 ECM provides support, segregate tissues
from one another, and regulate
intercellular communication.
 It sequesters a wide range of
cellular growth factors and acts as a local
store for them.
 Changes in physiological conditions can
trigger protease activities that cause local
release of them rapidly.
 It is essential for growth, wound healing
and fibrosis
Functions of ECM
 The stiffness and elasticity of the ECM is implicated
in cell migration, gene expression, and differentiation.
 Cells actively sense ECM rigidity and migrate
preferentially towards stiffer surfaces in a phenomenon
called durotaxis .
 Cell-to-ECM adhesion is regulated by specific cell-
surface cellular adhesion molecules (CAM) known
as integrins.
 The attachment of fibronectin to the extracellular
domain initiates intracellular signalling pathways as well
as association with the cellular cytoskeleton via a set of
adaptor molecules such as actin
 Extracellular matrix has been found to
cause regrowth and healing of tissue.
 ECM works with stem cells to grow and
regrow all parts of fetuses that gets
damaged in the womb.
 It prevents the immune system from
triggering from the injury
 It facilitates the surrounding cells to repair
the tissue instead of forming scar tissue
Medical applications of ECM
 ECM is extracted from pig bladders used
regularly to treat ulcers by closing the hole in
the stomach
 ECM from pig small intestine is used to repair
"atrial septal defects" (ASD), "patent foramen
ovale" (PFO) and inguinal hernia.
 ECM proteins used in cell culture systems to
maintain stem and precursor cells in an
undifferentiated state
 ECM used to induce differentiation of epithelial,
endothelial and smooth muscle cells in vitro.
ECM molecules
 Basement membranes are sheet-like
depositions of ECM on which
various epithelial cells rest.
 Collagen fibers and bone mineral comprise the
ECM of bone tissue.
 Reticular fibers and ground substance comprise
the ECM of loose connective tissue;
 Blood plasma is the ECM of blood.
 Some single-celled organisms adopt
multicellular biofilms in which the cells are
embedded in an ECM composed primarily
of extracellular polymeric substances (EPS)
GAGs
 Components of the ECM are produced
intracellularly by resident cells and secreted
into the ECM via exocytosis.
 They then aggregate with the existing
matrix.
 ECM is composed of an interlocking mesh
of
fibrous proteins and glycosaminoglycans(G
AGs).
 Glycosaminoglycans (GAGs) are attached
to ECM proteins to
form proteoglycans (Except hyaluronic
ECM as a store of growth factors
 Proteoglycans have a net negative
charge
 It attracts positively charged sodium
ions (Na+)
 This attracts water molecules via
osmosis, keeping the ECM and
resident cells hydrated.
 Proteoglycans help to trap and
store growth factors within the ECM.
Heparan sulfate
 Heparan sulfate (HS) as a proteoglycan (PG)
attached in close proximity to cell surface or
ECM proteins.
 It regulates a wide variety of biological activities,
including developmental process,
angiogenesis, blood coagulation and tumor
metastasis.
 In ECM, to basement membrane proteins such
as agrin, perlecan and collagen XVIII , heparan
sulfate is attached.
 Chondroitin sulfates contribute to the
tensile strength of
cartilage, tendons, ligaments and walls of
the aorta. They have also been known to
affect neuroplasticity
 Keratan sulfates have a variable sulfate
content and, unlike many other GAGs, do
not contain uronic acid.
 They are present in the cornea,
cartilage, bones and the horns of animals.
Non-proteoglycan polysaccharide-
Hyaluronic acid
 Hyaluronic acid resist compression by providing
a counteracting turgor (swelling) force by
absorbing significant amounts of water.
 It is found in abundance in the ECM of load-
bearing joints.
 It regulates cell behavior during embryonic
development, healing processes, inflammation,
and tumor development.
 It interacts with a specific trans-membrane
receptor, CD44
Collagen
 Collagen is the main structural protein in
the extracellular matrix in the various connective
tissues
 It is the most abundant protein in mammals-25%
to 35% of the whole-body protein content.
 It is a triple helix of elongated fibril
called collagen helix.
 It is mostly found in fibrous tissues such
as tendons, ligaments, and skin.
 The fibroblast is the most common cell that
produces collagen
Collagen amino acids
 Glycine is found at almost every
third residue.
 Proline makes up about 17% of
collagen.
◦Hydroxyproline derived from proline
◦ Hydroxylysine derived from lysine -
depending on the type of collagen,
varying numbers of hydroxylysines
are glycosylated
 Cortisol stimulates degradation of
(skin) collagen into amino acids.
Collagen types and functions
 30 types of collagen are identified.
 The five most common types are:
 Type I- skin, tendon vasculature,
organs, bone (main component of the organic
part of bone)
 Type II- cartilage (main collagenous component
of cartilage)
 Type III - reticulate (main component of reticular
fibers), commonly found alongside type I
 Type IV : forms basal lamina, the epithelium-
secreted layer of the basement membrane
 Type V: cell surfaces, hair, and placenta
Fibroblasts produce collagen fiber. Epithelial and smooth muscle
cells produce type IV collagen
Collagen
Collagen synthesis
 Inside the cell
 two types of alpha chains – alpha-1 and alpha 2, are
formed during translation on ribosomes along the rough
endoplasmic reticulum (RER).
 These are preprocollagen having registration peptides
one on each end and a signal peptide on N-terminal
side.
 Polypeptide chains are released into the lumen of the
RER.
 Signal peptides are cleaved inside the RER and the
chains are now known as pro-alpha chains.
 Hydroxylation of lysine and proline amino acids occurs
inside the lumen. This process is dependent on ascorbic
acid (vitamin C) as a cofactor,
 In scurvy, the lack of hydroxylation of prolines and lysines causes a
looser triple helix .
 Glycosylation of specific hydroxylysine residues occurs.
Collagen synthesis
 Now two alpha-1 chains and one alpha-2 chain form
triple helical structure - procollagen inside the RER.
 Procollagen is sent to Golgi apparatus, where it is
packaged and secreted by exocytosis.
 Outside the cell
 Registration peptides are cleaved and tropocollagen
is formed by procollagen peptidase.
 Multiple tropocollagen molecules form collagen fibrils,
via covalent cross-linking (aldol reaction) by lysyl
oxidase ( copper dependent ) which links
hydroxylysine and lysine residues.
 Multiple collagen fibrils form into collagen fibers.
 Collagen may be attached to cell membranes via
several types of
protein, fibronectin, laminin, fibulin and integrin.
Collagen synthesis
Prolyl and lysyl hydroxylase – vitamin C
Vitamin C deficiency
Collagen Medical applications
 The collagenous cardiac skeleton - four heart
valve rings, interventrivular septum, atrio
ventricular septum are histologically, elastically
and uniquely bound to cardiac muscle.
 The collagenous structure dividing the upper
chambers of the heart from the lower chambers
is an impermeable membrane that excludes
both blood and electrical impulses
 Collagen has been widely used in cosmetic
surgery, as a healing aid for burn patients, for
reconstruction of bone and variety of dental,
orthopedic, and surgical purposes.
Medical applications
 Collagen is used in bone grafting as it has a
triple helical structure, making it a very strong
molecule.
 Collagen scaffolds are used in tissue
regeneration, as sponges, thin sheets, or gels.
 Collagen is used as a natural wound dressing .
 It is resistant against bacteria,
 It helps to keep the wound sterile, because of its
natural ability to fight infection.
 Collagen is used for cell culture, studying cell
behavior and cellular interactions with
the extracellular environment
Osteogenesis imperfecta (OI)
 OI is a group of genetic disorders that mainly
affect the bones. - means imperfect bone
formation
 Mutations in the COL1A1 and COL1A2 genes
cause type I collagen defect
 Bones fracture easily, often from mild trauma or
with no apparent cause.
 Multiple fractures are common, even before
birth.
 Other features are blue sclerae of the eyes,
short stature, curvature of the spine (scoliosis),
joint deformities (contractures), hearing loss,
respiratory problems, and a disorder of tooth
development called dentinogenesis imperfecta.
OI X ray –OI and Normal
Ehlers-Danlos syndrome
 A group of rare genetic connective tissue disorders
 Symptoms include loose joints, joint pain, stretchy
velvety skin, and abnormal scar formation.
 At birth or in early childhood.
 Complications may include aortic dissection,joint
dislocations, scoliosis, chronic pain, or osteoarthritis.
 AR or AD manner
 Musculoskeletal symptoms include hyperflexible
joints that are unstable and prone to sprain
,dislocation, subluxation, and hyperextension.
Ehlers-Danlos syndrome –
Hyperflexible joints , laxity of skin
Alport syndrome
 It is a glomerular basement membrane
disease caused by a defect in collagen IV -
Nephritis
 X-linked dominant commonly or recessive
disorder
 ocular features are corneal opacities, anterior
lenticonus and cataract, central perimacular and
peripheral coalescing fleck retinopathies, and
temporal retinal thinning.
 Rarely a macular hole, or a maculopathy
impairs vision
 Deafness
 Nephritis,Hematuria, later renal failure
Alport syndrome -Lenticonus, macular hole
Dystrophic Epidermolysis Bullosa (DEB)
 DEB is characterised by the site of blister formation
in the lamina densa within the basement
membrane zone and the upper dermis.
 It causes generalised blistering of the skin and
internal mucous membranes such as
the oesophagus, stomach and respiratory tract and
leads to scar formation
 DEB is due to mutationsin COL7A1 gene
encoding collagen type VII, either AR or AD
 Blisters occur with minor trauma or friction and are
painful.
 It can be mild to fatal and cause squamous cell
cancer.
DEB
Chondrodysplasias
 Rare autosomal recessive Chondrodysplasia or
acromesomelic dysplasia characterized by
severe dwarfism at birth.
 Epiphyseal and metaphyseal abnormalities
 Abnormalities confined to limbs
 Severe shortening and deformity of long bones
 Fusion or absence of carpal and tarsal bones,
ball shaped fingers
 Occasionally, polydactyly and absent joints.
 Facial features and intelligence are normal.
 Type II collagen defect
Spondyloepiphyseal dysplasia (SED) is a group of
disorders with primary involvement of the vertebrae and
epiphyseal centers resulting in a short-trunk
disproportionate dwarfism.
Spondylo- refers to the spine, epiphyseal refers to the
growing ends of bones, and dysplasia refers to abnormal
growth.
Collagen vascular diseases
 Ankylosing spondylitis.
 Dermatomyositis.
 Polyarteritis nodosa.
 Psoriatic arthritis.
 Rheumatoid arthritis.
 Scleroderma.
 Systemic lupus erythematosus.
Collagen vascular diseases
Scleroderma
 A group of autoimmune diseases affecting the skin, blood
vessels, muscles, and internal organs.
 The disease can be either localized to skin or involve other
organs
 There will be areas of thickened skin, stiffness, feeling tired,
and poor blood flow to the fingers or toes with cold exposure.
 A form CREST syndrome classically results in
 Calcium deposits, Raynaud's syndrome,
 Esophageal problems, Sclerodactyly thickening of the
skin of the fingers and toes
 Telengiectasias (areas of small dilated blood vessels.)
 An abnormal immune response due to
certain genetic factors, and exposure to silica cause
abnormal growth of connective tissue
Scleroderma- CREST syndrome
Scleroderma
Localized collagen defects
 Hypertrophic scar – excess collagen , raised
scar
 Keloid – scar goes beyond wound boundaries
does not regress
 Beal’s syndrome- contracture of
hip, knee, elbow ankle joints
Peyronie’s disease – deposition
of abnormal type 1 and III
collagen in the
penis
Elastin
 It is highly elastic and present in connective
tissue allowing many tissues to resume their
shape after stretching or contracting.
 It helps skin to return to its original position
when it is poked or pinched.
 ELN mutations are autosomal dominant .
 Abnormally long version of the tropoelastin
protein interferes with the formation of
mature elastin and the assembly of elastic
fibers.
 It weakens connective tissue in the skin and
causes cutis laxa.
 Elastin is encoded by the ELN gene.
Skin
Defective Elastin - Cutis laxa
 Fibrillin is a glycoprotein, which is essential for
the formation of elastic fibers found in connective
tissue.
 It is secreted into the extracellular
matrix by fibroblasts
 Gets incorporated into the insoluble microfibrils, a
scaffold for deposition of elastin
 Fibrillin-1 is a major component of
the microfibrils that form a sheath surrounding the
amorphous elastin.
 Marfan syndrome is due to defective FBN1 gene.
 Mutations in FBN1 and FBN2 are also associated
with adolescent idiopathic scoliosis
Fibrilin
Marfan syndrome (MFS)
 MFS is caused by a mutation in FBN1, that
makes fibrillin, results in abnormal connective
tissue. AR disorder
 Patient tends to be tall and thin, with long arms,
legs, fingers and toes.
 They also have flexible joints and scoliosis.
 An increased risk of mitral valve
prolapse and aortic aneurysm.
 The lungs, eyes, bones, and the covering of the
spinal cord are also commonly affected
Marfan syndrome
 A positive wrist sign in a person with Marfan
syndrome (the thumb and little finger overlap
when grasping the wrist of the opposite hand)
 A positive thumb sign
Marfan syndrome
Syndecan
Fibronectin
Fibronectin
Laminin
Laminin
Laminin
Integrin
Integrin functions
Integrin
integrin
Clinical importance of ECM
THANK YOU

Extra Cellular Matrix (ECM)

  • 1.
    Extra Cellular Matrix(ECM) Dr.S.Sethupathy,M.D.,Ph.D., Professorof Biochemistry, Rajah Muthiah Medical College, Annamalai University.
  • 2.
    ECM -Definition  Extracellularmatrix (ECM) is a network of extracellular macromolecules, such as collagen, enzymes, and glycoproteins, that provide structural and biochemical support to surrounding cells  ECM includes the interstitial matrix and the basement membrane  Gels of polysaccharides and fibrous proteins fill the interstitial space and act as a compression buffer against the stress placed on the ECM
  • 4.
  • 6.
    Functions of ECM ECM provides support, segregate tissues from one another, and regulate intercellular communication.  It sequesters a wide range of cellular growth factors and acts as a local store for them.  Changes in physiological conditions can trigger protease activities that cause local release of them rapidly.  It is essential for growth, wound healing and fibrosis
  • 7.
    Functions of ECM The stiffness and elasticity of the ECM is implicated in cell migration, gene expression, and differentiation.  Cells actively sense ECM rigidity and migrate preferentially towards stiffer surfaces in a phenomenon called durotaxis .  Cell-to-ECM adhesion is regulated by specific cell- surface cellular adhesion molecules (CAM) known as integrins.  The attachment of fibronectin to the extracellular domain initiates intracellular signalling pathways as well as association with the cellular cytoskeleton via a set of adaptor molecules such as actin
  • 8.
     Extracellular matrixhas been found to cause regrowth and healing of tissue.  ECM works with stem cells to grow and regrow all parts of fetuses that gets damaged in the womb.  It prevents the immune system from triggering from the injury  It facilitates the surrounding cells to repair the tissue instead of forming scar tissue
  • 9.
    Medical applications ofECM  ECM is extracted from pig bladders used regularly to treat ulcers by closing the hole in the stomach  ECM from pig small intestine is used to repair "atrial septal defects" (ASD), "patent foramen ovale" (PFO) and inguinal hernia.  ECM proteins used in cell culture systems to maintain stem and precursor cells in an undifferentiated state  ECM used to induce differentiation of epithelial, endothelial and smooth muscle cells in vitro.
  • 11.
  • 14.
     Basement membranesare sheet-like depositions of ECM on which various epithelial cells rest.  Collagen fibers and bone mineral comprise the ECM of bone tissue.  Reticular fibers and ground substance comprise the ECM of loose connective tissue;  Blood plasma is the ECM of blood.  Some single-celled organisms adopt multicellular biofilms in which the cells are embedded in an ECM composed primarily of extracellular polymeric substances (EPS)
  • 15.
    GAGs  Components ofthe ECM are produced intracellularly by resident cells and secreted into the ECM via exocytosis.  They then aggregate with the existing matrix.  ECM is composed of an interlocking mesh of fibrous proteins and glycosaminoglycans(G AGs).  Glycosaminoglycans (GAGs) are attached to ECM proteins to form proteoglycans (Except hyaluronic
  • 16.
    ECM as astore of growth factors  Proteoglycans have a net negative charge  It attracts positively charged sodium ions (Na+)  This attracts water molecules via osmosis, keeping the ECM and resident cells hydrated.  Proteoglycans help to trap and store growth factors within the ECM.
  • 17.
    Heparan sulfate  Heparansulfate (HS) as a proteoglycan (PG) attached in close proximity to cell surface or ECM proteins.  It regulates a wide variety of biological activities, including developmental process, angiogenesis, blood coagulation and tumor metastasis.  In ECM, to basement membrane proteins such as agrin, perlecan and collagen XVIII , heparan sulfate is attached.
  • 18.
     Chondroitin sulfatescontribute to the tensile strength of cartilage, tendons, ligaments and walls of the aorta. They have also been known to affect neuroplasticity  Keratan sulfates have a variable sulfate content and, unlike many other GAGs, do not contain uronic acid.  They are present in the cornea, cartilage, bones and the horns of animals.
  • 19.
    Non-proteoglycan polysaccharide- Hyaluronic acid Hyaluronic acid resist compression by providing a counteracting turgor (swelling) force by absorbing significant amounts of water.  It is found in abundance in the ECM of load- bearing joints.  It regulates cell behavior during embryonic development, healing processes, inflammation, and tumor development.  It interacts with a specific trans-membrane receptor, CD44
  • 20.
    Collagen  Collagen isthe main structural protein in the extracellular matrix in the various connective tissues  It is the most abundant protein in mammals-25% to 35% of the whole-body protein content.  It is a triple helix of elongated fibril called collagen helix.  It is mostly found in fibrous tissues such as tendons, ligaments, and skin.  The fibroblast is the most common cell that produces collagen
  • 21.
    Collagen amino acids Glycine is found at almost every third residue.  Proline makes up about 17% of collagen. ◦Hydroxyproline derived from proline ◦ Hydroxylysine derived from lysine - depending on the type of collagen, varying numbers of hydroxylysines are glycosylated  Cortisol stimulates degradation of (skin) collagen into amino acids.
  • 22.
    Collagen types andfunctions  30 types of collagen are identified.  The five most common types are:  Type I- skin, tendon vasculature, organs, bone (main component of the organic part of bone)  Type II- cartilage (main collagenous component of cartilage)  Type III - reticulate (main component of reticular fibers), commonly found alongside type I  Type IV : forms basal lamina, the epithelium- secreted layer of the basement membrane  Type V: cell surfaces, hair, and placenta
  • 23.
    Fibroblasts produce collagenfiber. Epithelial and smooth muscle cells produce type IV collagen Collagen
  • 24.
    Collagen synthesis  Insidethe cell  two types of alpha chains – alpha-1 and alpha 2, are formed during translation on ribosomes along the rough endoplasmic reticulum (RER).  These are preprocollagen having registration peptides one on each end and a signal peptide on N-terminal side.  Polypeptide chains are released into the lumen of the RER.  Signal peptides are cleaved inside the RER and the chains are now known as pro-alpha chains.  Hydroxylation of lysine and proline amino acids occurs inside the lumen. This process is dependent on ascorbic acid (vitamin C) as a cofactor,  In scurvy, the lack of hydroxylation of prolines and lysines causes a looser triple helix .  Glycosylation of specific hydroxylysine residues occurs.
  • 25.
    Collagen synthesis  Nowtwo alpha-1 chains and one alpha-2 chain form triple helical structure - procollagen inside the RER.  Procollagen is sent to Golgi apparatus, where it is packaged and secreted by exocytosis.  Outside the cell  Registration peptides are cleaved and tropocollagen is formed by procollagen peptidase.  Multiple tropocollagen molecules form collagen fibrils, via covalent cross-linking (aldol reaction) by lysyl oxidase ( copper dependent ) which links hydroxylysine and lysine residues.  Multiple collagen fibrils form into collagen fibers.  Collagen may be attached to cell membranes via several types of protein, fibronectin, laminin, fibulin and integrin.
  • 26.
  • 27.
    Prolyl and lysylhydroxylase – vitamin C
  • 29.
  • 30.
    Collagen Medical applications The collagenous cardiac skeleton - four heart valve rings, interventrivular septum, atrio ventricular septum are histologically, elastically and uniquely bound to cardiac muscle.  The collagenous structure dividing the upper chambers of the heart from the lower chambers is an impermeable membrane that excludes both blood and electrical impulses  Collagen has been widely used in cosmetic surgery, as a healing aid for burn patients, for reconstruction of bone and variety of dental, orthopedic, and surgical purposes.
  • 31.
    Medical applications  Collagenis used in bone grafting as it has a triple helical structure, making it a very strong molecule.  Collagen scaffolds are used in tissue regeneration, as sponges, thin sheets, or gels.  Collagen is used as a natural wound dressing .  It is resistant against bacteria,  It helps to keep the wound sterile, because of its natural ability to fight infection.  Collagen is used for cell culture, studying cell behavior and cellular interactions with the extracellular environment
  • 32.
    Osteogenesis imperfecta (OI) OI is a group of genetic disorders that mainly affect the bones. - means imperfect bone formation  Mutations in the COL1A1 and COL1A2 genes cause type I collagen defect  Bones fracture easily, often from mild trauma or with no apparent cause.  Multiple fractures are common, even before birth.  Other features are blue sclerae of the eyes, short stature, curvature of the spine (scoliosis), joint deformities (contractures), hearing loss, respiratory problems, and a disorder of tooth development called dentinogenesis imperfecta.
  • 33.
    OI X ray–OI and Normal
  • 34.
    Ehlers-Danlos syndrome  Agroup of rare genetic connective tissue disorders  Symptoms include loose joints, joint pain, stretchy velvety skin, and abnormal scar formation.  At birth or in early childhood.  Complications may include aortic dissection,joint dislocations, scoliosis, chronic pain, or osteoarthritis.  AR or AD manner  Musculoskeletal symptoms include hyperflexible joints that are unstable and prone to sprain ,dislocation, subluxation, and hyperextension.
  • 35.
  • 36.
    Alport syndrome  Itis a glomerular basement membrane disease caused by a defect in collagen IV - Nephritis  X-linked dominant commonly or recessive disorder  ocular features are corneal opacities, anterior lenticonus and cataract, central perimacular and peripheral coalescing fleck retinopathies, and temporal retinal thinning.  Rarely a macular hole, or a maculopathy impairs vision  Deafness  Nephritis,Hematuria, later renal failure
  • 37.
  • 38.
    Dystrophic Epidermolysis Bullosa(DEB)  DEB is characterised by the site of blister formation in the lamina densa within the basement membrane zone and the upper dermis.  It causes generalised blistering of the skin and internal mucous membranes such as the oesophagus, stomach and respiratory tract and leads to scar formation  DEB is due to mutationsin COL7A1 gene encoding collagen type VII, either AR or AD  Blisters occur with minor trauma or friction and are painful.  It can be mild to fatal and cause squamous cell cancer.
  • 39.
  • 41.
    Chondrodysplasias  Rare autosomalrecessive Chondrodysplasia or acromesomelic dysplasia characterized by severe dwarfism at birth.  Epiphyseal and metaphyseal abnormalities  Abnormalities confined to limbs  Severe shortening and deformity of long bones  Fusion or absence of carpal and tarsal bones, ball shaped fingers  Occasionally, polydactyly and absent joints.  Facial features and intelligence are normal.  Type II collagen defect
  • 43.
    Spondyloepiphyseal dysplasia (SED)is a group of disorders with primary involvement of the vertebrae and epiphyseal centers resulting in a short-trunk disproportionate dwarfism. Spondylo- refers to the spine, epiphyseal refers to the growing ends of bones, and dysplasia refers to abnormal growth.
  • 44.
    Collagen vascular diseases Ankylosing spondylitis.  Dermatomyositis.  Polyarteritis nodosa.  Psoriatic arthritis.  Rheumatoid arthritis.  Scleroderma.  Systemic lupus erythematosus.
  • 45.
  • 46.
    Scleroderma  A groupof autoimmune diseases affecting the skin, blood vessels, muscles, and internal organs.  The disease can be either localized to skin or involve other organs  There will be areas of thickened skin, stiffness, feeling tired, and poor blood flow to the fingers or toes with cold exposure.  A form CREST syndrome classically results in  Calcium deposits, Raynaud's syndrome,  Esophageal problems, Sclerodactyly thickening of the skin of the fingers and toes  Telengiectasias (areas of small dilated blood vessels.)  An abnormal immune response due to certain genetic factors, and exposure to silica cause abnormal growth of connective tissue
  • 47.
  • 48.
  • 49.
    Localized collagen defects Hypertrophic scar – excess collagen , raised scar  Keloid – scar goes beyond wound boundaries does not regress  Beal’s syndrome- contracture of hip, knee, elbow ankle joints Peyronie’s disease – deposition of abnormal type 1 and III collagen in the penis
  • 50.
    Elastin  It ishighly elastic and present in connective tissue allowing many tissues to resume their shape after stretching or contracting.  It helps skin to return to its original position when it is poked or pinched.  ELN mutations are autosomal dominant .  Abnormally long version of the tropoelastin protein interferes with the formation of mature elastin and the assembly of elastic fibers.  It weakens connective tissue in the skin and causes cutis laxa.  Elastin is encoded by the ELN gene.
  • 52.
  • 53.
  • 54.
     Fibrillin isa glycoprotein, which is essential for the formation of elastic fibers found in connective tissue.  It is secreted into the extracellular matrix by fibroblasts  Gets incorporated into the insoluble microfibrils, a scaffold for deposition of elastin  Fibrillin-1 is a major component of the microfibrils that form a sheath surrounding the amorphous elastin.  Marfan syndrome is due to defective FBN1 gene.  Mutations in FBN1 and FBN2 are also associated with adolescent idiopathic scoliosis
  • 55.
  • 56.
    Marfan syndrome (MFS) MFS is caused by a mutation in FBN1, that makes fibrillin, results in abnormal connective tissue. AR disorder  Patient tends to be tall and thin, with long arms, legs, fingers and toes.  They also have flexible joints and scoliosis.  An increased risk of mitral valve prolapse and aortic aneurysm.  The lungs, eyes, bones, and the covering of the spinal cord are also commonly affected
  • 57.
    Marfan syndrome  Apositive wrist sign in a person with Marfan syndrome (the thumb and little finger overlap when grasping the wrist of the opposite hand)  A positive thumb sign
  • 58.
  • 59.
  • 60.
  • 61.
  • 62.
  • 63.
  • 64.
  • 65.
  • 66.
  • 67.
  • 68.
  • 69.
  • 72.