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Title: Histology of cartilage
Description: Describes the general structure of cartilage, the different types of cartilage (with focus on hyaline), cartilage growth and repair. Also includes a compare and contrast table of the three types of cartilage and some medical application notes. Diagrams included. Level: Undergraduate Medicine Years 1/2; Graduate Entry Medicine Year 1 (GEC/GEM)
Description: Describes the general structure of cartilage, the different types of cartilage (with focus on hyaline), cartilage growth and repair. Also includes a compare and contrast table of the three types of cartilage and some medical application notes. Diagrams included. Level: Undergraduate Medicine Years 1/2; Graduate Entry Medicine Year 1 (GEC/GEM)
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Histology of cartilage
Cartilage is a tough, flexible form of connective tissue, characterised by
extracellular matrix (ECM), with a high concentration of glycosaminoglycans
and proteoglycans which interact with collagen and elastic fibres
Cartilage consists of chondrocytes embedded in an extensive ECM
o
o
Chrondrocytes synthesize and maintain ECM components
o
Chondrocytes have low metabolic activity
Chondrocytes are located in matrix cavities called lacunae
Cartilage is avascular and receives nutrients by diffusion from capillaries in
adjacent connective tissue
Perichondrium (dense connective tissue) surrounds cartilage in most places
o
Also harbours cartilage’s vasculature supply, nerves and lymphatics
o
Articular cartilage lacks perichondrium
Taken from Mescher, Junqueira’s Basic Histology: Text and Atlas, Twelfth Edition
Variations in the composition of matrix components and cells produce three
types of tissue
o
o
Hyaline
Taken from Mescher, Junqueira’s Basic Histology: Text and Atlas, Twelfth Edition
Hyaline cartilage
Matrix
Most collagen is type II collagen
Aggrecan is the most abundant proteoglycan
o
These are bound to hyaluronic acid and to type II collagen fibres
Water bound to GAGs in the proteoglycans constitutes 60-80% of the weight
of fresh hyaline cartilage
Chondronectin binds to GAGs, type II collagen and integrins and mediates
the adherence of chondrocytes to the ECM
The molecular composition has local difference, the area around each
chondrocyte is richer in GAGs (these territorial matrixes stain differentially)
Taken from Mescher, Junqueira’s Basic Histology: Text and Atlas, Twelfth Edition
Chondrocytes
Young chondrocytes are found at the periphery of cartilage and have a long
elliptic shape
Deeper in the cartilage, chondrocytes may be rounder and appear in groups
of up to 8 cells – isogenous aggregates
o
As the cells become more active and secrete ECM components, they
are pushed apart
Respire under low-oxygen tension
Transport of water and solutes in the matrix is promoted by the pumping
action of iintermittent cartilage compression and decompression
o
Maximum thickness is limited by the limits of diffusion
Synthesis of sulphated GAGs and secretion of proteoglycans are accelerated
by hormones and growth factors
o
Somatotropin is a major regulator of hyaline cartilage growth
Perichondrium
Except in the articular joints, all hyaline cartilage is covered by perichondrium
Essential for growth and maintenance
Consists of type I fibres and fibroblasts (including chondroblasts that
differentiate into chondrocytes)
Cartilage formation, growth and repair
All forms of cartilage form from embryonic mesenchyme
Cartilaginous structures grow by mitosis of existing chondroblasts in lacunae
(interstitial growth or formation of new chondroblasts peripherally from
progenitor cells in the perichondrium (appositional growth)
Repair or replacement of injured cartilage is very slow and ineffective due in
part to the tissue’s avascularity and low metabolic rate
Hyaline cartilage
Elastic cartilage
Fibrocartilage
Main features of
Homogenous
Type II collagen
Type II collagen
ECM
Type II collagen
Aggrecan
Large areas of dense
Aggrecan (proteoglycan)
Elastic fibres
connective tissue with type I
collagen
Major cells
Chondrocytes
Typical
chondroblasts
Isolated or in small isogenous groups
Chondrocytes, chondroblasts
Usually in small isogenous groups
chondrocyte
Chondrocytes, fibroblasts
Isolated or in isogenous groups
arranged axially
arrangement
Presence of
Yes (except at epiphyses and articular
perichondrium
cartilage)
Main location
examples
Many components of upper
Yes
respiratory tract
Articular ends and epiphyseal
Main functions
External ear, external acoustic
Intervertebral discs, public
meatus, auditory tube
plates of long bones
No
symphysis, meniscus and
Epiglottis and certain other
certain other joints
laryngeal cartilages
Insertions of tendons
Foetal skeleton
Flexible shape and support of soft
Cushioning, tensile strength,
structural support for respiratory tract
Other notes
Smooth, low-friction surfaces in joints;
tissues
resists tearing/compression
Perichondrium is similar to that of
No distinct perichondrium
most hyaline cartilage
Scarcity of proteoglycans
means it is more acidophilic
Medical application
Many genetic conditions that cause defective cartilage, joint
deformities or short limbs are due to recessive mutations in genes
required for chondrocyte function
o e
...
collagen type II, the aggrecan core protein and the
sulphate transporter
Osteoarthritis involves the gradual loss or changed physical properties of
the hyaline cartilage that lines the articular ends of bones in joints
o Fragments released by wear-and-tear to the articular cartilage
trigger secretion of matrix metalloproteinases (MMPs)
o MMPs exacerbate damage and cause pain and inflammation
Inability of cartilage to regenerate or to be repaired fully may be
attributed to the chondrocytes immobility, low metabolic and mitotic
rates and avascularity
o In the event of injury, new tissue can be produced but function is
often impaired
Cells of cartilage can give rise to either benign (chondroma) or slowgrowing, malignant, rarely metastasising (chondrosarcoma) tumours in
which cells produce normal matrix components
Reference
1
...
Junquiera’s Basic Histology: text and Atlas
...
Title: Histology of cartilage
Description: Describes the general structure of cartilage, the different types of cartilage (with focus on hyaline), cartilage growth and repair. Also includes a compare and contrast table of the three types of cartilage and some medical application notes. Diagrams included. Level: Undergraduate Medicine Years 1/2; Graduate Entry Medicine Year 1 (GEC/GEM)
Description: Describes the general structure of cartilage, the different types of cartilage (with focus on hyaline), cartilage growth and repair. Also includes a compare and contrast table of the three types of cartilage and some medical application notes. Diagrams included. Level: Undergraduate Medicine Years 1/2; Graduate Entry Medicine Year 1 (GEC/GEM)