INTRODUCTION Extracellular Matrix (ECM) are collection of extracellular molecules secreted by cells that provides structural and biochemical support to the surrounding cells. They are substances containing Collagen, Elastin, Proteoglycans, Glycosaminoglycans and fluid produced by the cells they are embedded. They fill the spaces between the cells in a tissue protecting them and holding them together. They are the natural support Structures of the cells. The extracellular matrix may be semifluid or rigidly solid and hard as in bone. Each type of connective tissue in animals has a type of ECM: collagen fibers and bone mineral comprise the ECM of bone tissue; reticular fibers and ground substance comprise the ECM of loose connective tissue; and blood plasma is the ECM of blood. Some common function of the Extracellular Matrix includes cell adhesion; cell-to-cell communication and cell differentiation. PHYSICAL STRUCTURES OF THE EXTRACELLULAR MATRIX • They may be semifluid or rigidly solid and hard as in bone. • They are network of proteins and carbohydrates that surrounds the cells and fill the intercellular spaces. • They are composed of an interlocking mesh of Fibrous proteins and Glycosaminoglycans (GAGs). COMPOSITION OF THE EXTRACELLULAR MATRIX. Because multicellularity evolved independently in different multicellular lineages, the composition of ECM varies between multicellular structures. However, the two main Classes of molecules that make up the Extracellular Matrix are Fibrous Proteins and Proteoglycans, other molecules include Water, Electrolytes and Minerals. These Components are produced and organized by the Cells that are embedded within them. They Fibroblast (Fiber making cells) are commonly charged with this responsibility. There are four principles classes of Fibrous Protein found in the Extracellular Matrix namely; Collagen, Elastin, Fibronectin and Laminin. Proteoglycans are composed of Protein core surrounded by long chains of Starch-like molecules called Glycosaminoglycans (GAG). Let’s take a look at these Molecules. COLLAGEN Collagens are strong stretch resistant fibers that provide tensile strength to the tissues. They are the most abundant proteins in the human body and are the principle constituent of the tendons and ligament. They are also known to provide support to the skin and help in wound healing. ELASTINS Elastin is a stretchy and resilient protein that gives elasticity to the tissues, allowing them to stretch when needed and then return to their original state. They are useful in blood vessels, the lungs, and skin and these tissues contain high amounts of Elastin. They are synthesized by fibroblasts and smooth muscle cells. FIBRONECTIN Fibronectins are glycoprotein that connect cells with collagen fibers in the Extracellular Matrix, allowing cells to move through the Matrix. Fibronectins bind collagen and cell surface integrins, causing a reorganization of the cell’s cytoskeleton to facilitate cell movement. Fibronectins are secreted by cells in an unfolded, inactive form. Binding to integrins unfolds Fibronectin molecules, allowing them to form dimers so that they can function properly. Fibronectins also help at the site of tissue injury by binding to platelets during blood clotting and facilitating cell movement to the affected area during wound healing. LAMININ Laminins are proteins found in the basal laminae of virtually all animals. They form sheet-like network that serves as the “glue” between dissimilar tissues. They also assist in cell adhesion. Laminins bind other ECM components such as collagens, nidogens, and entactins. Laminin are the principle proteins in the basement membrane. Basement membranes are sheet-like depositions of ECM on which various epithelial cells rest Glycosaminoglycan • Glycosaminoglycans are large complexes of negatively charged heteropolysaccharides chains • They have the ability to bind large amount of water. Thereby, producing the gel like matrix that form the basis of ECM. • They are generally associated with small amount of protein, forming proteoglycans ,which typically consist of 95% of carbohydrate. Importance of glycosaminoglycans • The hydrated glycosaminoglycans serve as a flexible support for the ECM . • They interact with the structural and adhesive protein ,and as a molecular sieve , influencing movement of material through the ECM. • The viscous , lubricating properties of mucous secretion also result from the presence of glycosaminoglycans ,which led to the original naming of these compounds as mouco polysaccharides. • Glycosaminoglycans binds with water produces gel like matrix form the basis body ground substance which along with fibrous structural proteins such as collagen and elastin , and adhesive proteins such as fibronectin ,make up the extracellular matrix. PROTEOGLYCANS Proteoglycans are a combination of proteins and Glycosaminoglycans. Glycosaminoglycans (GAGs) are carbohydrate polymers and are usually attached to extracellular matrix proteins to form Proteoglycans. Proteoglycans have a net negative charge that attracts positively charged sodium ions (Na+), which attracts water molecules via osmosis, keeping the ECM and resident cells hydrated. Proteoglycans may also help to trap and store growth factors within the ECM MACHANICAL PROPERTIES OF THE EXTRACELLULAR MATRIX The ECM can exist in varying degrees of stiffness and elasticity, from soft brain tissues to hard bone tissues, the elasticity of the ECM can differ by several orders of magnitude. This property is primarily dependent on collagen and elastin concentration, and it has recently been shown to play an influential role in regulating numerous cell functions. Cells can sense the mechanical properties of their environment by applying forces and measuring the resulting backlash. This plays an important role because it helps regulate many important cellular processes including cellular contraction, cell migration, cell proliferation, differentiation and cell death (apoptosis). Bone & its ECM • What is bone for? • Support - bones make up a structural framework for the body, and provide attachment sites for muscles. • Protection - protection of internal organs - i.e. brain, heart and lungs, • Assisting movement. • Mineral homeostasis - the bone is a store for calcium and phosphorus • Blood cell production - takes place in the bone marrow. What is bone made up of?
• Bone is a strong, flexible and semi-rigid supporting tissue. It can
withstand compression forces, and yet it can bend. Like cartilage, and other types of connective tissue, bone is made up of Cells and Extracellular matrix: • Cells - which in bone are called osteoblasts and osteocytes, (osteo - bone). There are also two other cell types: osteoprogenitor cells and osteoclasts. ECM of Bone • Extracellular matrix, which is made up of an organic matrix (30%) containing proteoglycans (but less than cartilage), glycosaminoglycans, glycoproteins, osteonectin (anchors bone mineral to collagen) and osteocalcin (calcium binding protein). There are collagen fibres (mostly type I (90%), with some type V). Only 25% of bone is water. Almost 70% of bone is made up of bone mineral called hydroxyapatite. • Before the extracellular matrix is calcified, the tissue is called osteoid (bone- like) tissue. When the concentrations of calcium and phosphate ions rise high enough, they are deposited into the extracellular matrix, and the bone calcifies. Impaired calcification (i.e. in diseases such as rickets) leads to higher levels of osteoid tissue than normal. Calcification occurs only in presence of collagen fibers - salts crystallize in the spaces between the fibers, then accumulate around them. • Bone is resistant to bending, twisting, compression and stretch. It is hard, because it is calcified, and the collagen fibers help the bone to resist tensile stresses. If you dissolve away the calcium salts of bone, then the bone becomes rubbery because of the collagen fibers which are left behind. Types of bone: • The first bone formed at any site is woven (or primary) bone, but this is soon replaced by lamellar bone. In woven bone the collagen fibres are random. In lamellar bone, the collagen fibres have become re-modelled to become more parallel - in layers. • There are two types of mature bone: • 1. Compact - which is found in the shafts of long bones (in the diaphyses). This makes up 80% of all bone. • 2. Spongy (cancellous) bone - which is found at the ends of long bones (in the epiphysis). This makes up 20% of all bone. This type of bone contains red bone marrow and a network of bony trabeculae. • A 'periosteum' is found on the outside of bone. This is a dense fibrous layer, where muscles insert. It contains bone forming cells. It is not found in the regions of bone covered by articular cartilage. • The endosteum is the name given to the tissue that lines the inner surfaces of bones. Growth and nourishment of bone. • Unlike cartilage, bone has a very good blood supply. Bone is riddled with blood capillaries. The central cavity contains blood vessels and is a storage for bone marrow. All of the osteocytes in bone are within 0.2mm of a capillary. The tissue fluid from the capillary reaches the osteocytes though canaliculi. • There are two ways in which bone can grow: • Endochondral - formation of bone onto a temporary cartilage model or scaffold. • Intramembranous - formation of bone directly onto fibrous connective tissue. There is no intermediate cartilage stage. This type of ossification occurs in a few specialised places such as the flat bones of skull (i.e. parietal bone), mandible, maxilla and clavicles. Mesenchyme cells differentiate into osteoprogenitor cells, then into osteoblasts, which secrete the bone matrix. Once the osteoblasts are embedded in the bone matrix, they are known as osteocytes. Teeth & its ECM • Dental pulp is an unmineralized oral tissue composed of soft connective tissue, vascular, lymphatic and nervous elements that occupies the central pulp cavity of each tooth. Pulp has a soft, gelatinous consistency. The majority of pulp (75-80%) is water. Aside from the presence of pulp stones, found pathologically within the pulp cavity of aging teeth, there is no inorganic component in normal dental pulp. There are a total of 32 pulp organs in adult dentition. The pulp cavities of molar teeth are approximately four times larger than those of incisors. • The pulp cavity extends down through the root of the tooth as the root canal which opens into the periodontium via the apical foramen. The blood vessels, nerves etc. of dental pulp enter and leave the tooth through this foramen. This sets up a form of communication between the pulp and surrounding tissue - clinically important in the spread of inflammation from the pulp out into the surrounding periodontium. • Developmentally and functionally, pulp and dentin are closely related. Both are products of the neural crest-derived connective tissue that formed the dental papilla. Components of dental pulp Components of dental pulp • CELLS (odontoblast, fibroblast,undifferentiated cell, macrophage, dendritic cell) • FIBERS AND GLYCOPROTEIN (collagen type I, III, no elastic fiber, fibronectin) • GROUND SUBSTANCES (glycosaminoglycans, chondroitin sulfate • proteoglycan) • BLOOD VESSELS, NERVES, LYMPH VESSELS The principle cells of the pulp: • Odontoblasts (The most distinctive cells of the dental pulp). • Fibroblast (The function is to form and maintain pulp matrix). • Undifferentiated mesenchymal cells (Represents the pool from which the connective tissues of the pulp are derived). • Macrophages (Involved in the elimination of dead cells). • Immunocompetent cells (Lymphocytes & Dendritic cells). Collagen in dental pulp • Concentration varies from species to species, 32% in human pulp. • Higher content in the middle and apical pulp. • Total collagen decreases with age. • Interestingly high level of collagen type III. (43%) : vascular content, tissue extensibility (cf. Elastin) • Absence of elastin . Adhesive glycoproteins in dental pulp • Fibronectin found in predentine NOT mature dentine. • Fibronectin present in pulp and dental papilla. • Fibroblasts synthesize pulpal fibronectin. • Fibronectin is expressed during reparative dentinogenesis. Glycosaminoglycans in dental pulp • Chondroitin sulfate, dermatan sulfate, hyaluronic acid present. • Amount of uronic acid decreases with age • Total GAG decreases with reduced dentinogenic activity • Decorin may involve in mineral nucleation at the mineralization front.