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INTRODUCTION TO CELLS & TISSUES By Vijay Kapal Graduate Studies Course CMM 5001 The Pathological Basis Of Disease.

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Presentation on theme: "INTRODUCTION TO CELLS & TISSUES By Vijay Kapal Graduate Studies Course CMM 5001 The Pathological Basis Of Disease."— Presentation transcript:

1 INTRODUCTION TO CELLS & TISSUES By Vijay Kapal Graduate Studies Course CMM 5001 The Pathological Basis Of Disease

2 Fertilization Fertilization of egg by the sperm Egg + Sperm (23 Chromo) Fertilized egg (Zygote) (46 Chromosomes) Human body Sperm Ovum (Egg) Sperm Zygote

3 Implantation Uterus Uterine glands Maternal blood vessels Blastocyst Zygote

4 3-layered Flat Embryo Ectoderm (1) Mesoderm (3) Endoderm (2) Fertilized egg or Zygote (Single cell) 3-layers of cells All Tissues & Organs of Human body

5 Nucleus Cytoplasm Cell membrane Cell Human Genome Chromosomes (2N = 46) Each cell has 46 chromosomes Form 23 homologous pairs Each parent contributes = 23 Autosomes = 44 Sex chromosomes = 2 (Male = XY, Female = XX) Each autosome of a homologous pair look alike But each sex chromosome do not look alike

6 Cell Cycle Nondividing cells (Fixed postmitotics) Resting cells (Reverting postmitotics) Methotrexate Bleomycin Etoposide Paclitaxel Vincristine Vinblastine Colchicine G0G0 G1G1 S G2G2 M

7 Mitosis & Meiosis A Homologous Pair (2 Chromosomes) pair 23 pair Daughter Somatic Cells (2) Gametes (4) 2 nd Division 1st Division

8 Meiosis Takes place only in testes and ovaries Is a reductional division Main purpose is to reduce the number of chromosomes from 2N to 1N in sperms & eggs (Chromosomes of each homologous pair will separate from each other) Homologous pair = 1 chromosome from each parent (at fertilization) 2N = 46 chromosomes (2 sets) 1N = 23 chromosomes (1set) So Sperm = 1N chromosomes (23) Egg = 1N chromosomes (23) Fertilization restores chromosome number again to 2N = 46 chromosomes (2 sets)

9 Human Body Cells Tissues Organs Human body Cell Tissue

10 Cell Organelles NucleusChomatin, Transcription Rough ERProtein synthesis & Segregation Smooth ERFat & Steroid synthesis & Detoxification Golgi ComplexConcentrating, Modifying & Packaging of secretory products LysosomesIntracellular digestion PeroxisomesContain oxidative enzymes; Use catalase to degrade H 2 O 2 = H 2 O + O 2 MitochondriaOxydative phosphorylation & ATP production Cell MembraneLipid bilayer layer with intramembranous proteins Cell cytoskeletonActin filaments, Microtubules, intermediate filaments

11 Cell Organelles Mitochondria Lysozome Golgi Nucleus Rough ER

12 Cells, Tissues & Various Topics Of Research Subcellular localisation & trafficking of molecules and oganelles Cell-cell and cell-extracellular matrix interactions Cell cytoskeleton and receptor dynamics and functions Cell and tissue differentiation and remodelling Genetically engineered cells and tissues Three-dimensional reconstructions, particularly of expression patterns over time Cell cycle and cell lineage analysis involving gene expression profiles Apoptosis Gene expression analysis from histological preparations Functional genomics & proteomics Techniques used in molecular histology

13 Epithelial Tissue Outer layer of skin Inner lining of trachea Inner lining of ducts of sweat glands

14 General Features Diversity Metaplasia Lining and Covering Basal Lamina Renewal Avascularity Cell Packing Derivation

15 Classifying Principles 1. Number of cell layers: 1. Simple epithelia 2. Stratified epithelia 3. Pseudostratified epithelia 2. Shape of the surface cells: 1. Squamous cells 2. Cuboidal cells 3. Columnar cells 3. Luminal surface modifications: 1. Microvilli (Brush border) 2. Cilia 3. Stereocilia

16 Specific Epithelial Types Simple squamous epithelium: Simple cuboidal epithelium: Simple columnar epithelium: Pseudostratified epithelium: Stratified Squamous epithelium: a) Keratinized b) Nonkeratinized Stratified cuboidal epithelium: Stratified columnar epithelium: Transitional epithelium:

17 Simple squamous Stratified squamous Simple cuboidal stratified cuboidal Simple columnar Pseudostratified Transitional Types of Epithelia Full Empty Bladder

18 Kidney (Epithelium) Simple squamous Simple cuboidal Kidney Tubules

19 Small Intestine (Simple Columnar) Absorptive cells Nucleus Brush border Lamina propria Lumen of gut

20 Esophagus (Stratified Squamous) Epithelium Lamina propria

21 Skin (Stratified Squamous) Epidermis (Epithelium) Dermis (Connective tissue)

22 Epithelium Cilia Ciliated cells Goblet cells Basal lamina Lamina propria Trachea (Pseudostratified Epithelium)

23 Ureter (Transitional Epithelium) Epithelium Lumen Basal lamina Lamina propria

24 Basal Lamina Next to epithelia an acellular sheet like structure is the Basal Lamina. Component Layers & Constinuent Macromolecules: A. Component Layers Lamina lucida Lamina densa B. Constituent Macromolecules Lamina lucida (Laminin that binds to cell surface integrins, collagen IV) Lamina densa (Type IV Collagen) Basement Membrane: Basal lamina accompanied by reticular lamina (Type III Collagen) is called the basement membrane. Functions: Forms sieve-like selective barrier between the epithelia & connective tissue. Aids in cell organization, cell adhesion & maintainence of cell shape. Has a role in maintaining specific cell function. Helps guide migrations of cells during development and regeneration of injured tissue

25 Polarity & Specialization of Epithelial Cells A.Specialization of the Apical Surface: 1. Microvilli (Enterocytes & Proximal convoluted tubule cells)) 2. Cilia (Trachea, Bronchus etc.) 3. Stereocilia (Epididymis) 4. Flagella B.Specialization of the Lateral Surfaces: 1. Zonula occludens (Tight junctions) 2. Zonula adherens (Intermediate junctions) 3. Macula adherens (Desmosomes) 4. Gap junction (Nexus) C.Specialization of the Basal Surface: 1. Basal lamina 2. Hemidesmosome 3. Sodium-potassium ATPase D.Intracellular Polarity:

26 Microvilli Zonula occludens Zonula adherens Terminal web Macula adherens Gap junction Nucleus Hemidesmosome Cell Junctions

27 Mucous Membranes Components of Mucous Membrane: 1. Epithelium 2. Basement membrane 3. Lamina propria

28 Mucous Membrane Epithelium Basal lamina Lamina propria

29 Serous Membranes A.Components of Serous Membrane: 1. Epithelium called mesothelium 2. Basement membrane 3. Submesothelial connective tissue layer

30 Functions of Epithelia 1. Protection from: Mechanical trauma Dehydration Pathogens 2.Secretion of: Hormones, milk, sweat etc. Enzymes, HCl, glycoproteins, Mucous & serous products 3.Lubrication of: Contents of GI tract Fetus in birth canal Joints 4. Filtration of wastes:( Urine) 5.Absorption of food: (Aminoacids, Glucose, Fatty acids) 6.Neuroepithelium: (Taste, Smell, Hearing) 7.Reproduction: (Germ cells)

31 Major Types of Epithelial Cells A.Epithelial Cells Specialized for Transport: 1. Ion-transporting cells (Kidney tubules, Gall bladder etc.) 2. Cells that transport by pinocytosis (Endothelial cells of blood capillaries B.Absorption: (Enterocytes, Proximal convoluted tubule cells) C.Secretion: 1. Protein-secreting cells (Acinar cells of pancreas, Hepatocytes) 2. Polypeptide-secreting cells (APUD cells) 3. Mucous cells (Goblet cells) 4. Serous cells (Acinar cells of pancreas & secretory cells of parotid salivary glands. 5. Steroid-secreting cells (Adrenal cortex, Leydig cells etc.) D. Contractile Epithelial Cells: (Myoepithelial cells of glands)

32 GLANDS A.Exocrine & Endocrine Glands: B.Classification of Exocrine Glands: 1. By structure: a) Number of cells b) Duct system c) Secretory portion 2. By secretory product a) Mucous secretion b) Serous secretion c) Seromucous secretion 3. By mode of secretion a) Merocrine b) Apocrine c) Holocrine

33 Unicellular Multicellular Simple tubular Coiled tubular Branched Simple branched Simple acinar Compound tubularCompound tubulo-alveolar

34 Salivary Glands Mucous acini Serous acini

35 Active transport Merocrine Apocrine Holocrine Endocrine Mode of Secretion

36 Connective Tissue Fat Fat cells Tanden Fibroblasts Bone Osteocytes

37 Connective Tissue Is one of the 4 basic tissues of the body. Structurally it is made up of cells and large amount of intercellular space containing extracellular matrix. Matrix is the dominating component of this tissue. It forms framework, connecting, supporting and packing tissue of the body. It also plays a dynamic role in the development, growth and homeostasis of other tissue types.

38 Loose connective tissue Dense connective tissue Connective Tissue Fibroblasts Extracellular matrix Mammary Glands Epithelial tissue

39 Composition Cells Extracellular matrix

40 Types of Cells in Loose Connective Tissue 1.Residents: Fibroblasts Macrophages Reticular cells Mesenchymal cells 2.Visitants: Mast cells Plasma cells Leukocytes Fat cells Melanocytes

41 Loose Connective Tissue Elastic fibers Capillary Neutrophil Plasma cell Fibroblast Collagen fibers Macrophage Adipocyte Mast cell Lymphocyte

42 Fibroblast (Ultrastructure) Nucleus Rough ER Collagen Extracellular matrix

43 Collagen Producing Cells 1.Fibroblast-More than one type of collagen 2.Chondroblast- Type II collagen 3.Osteoblast-Type I 4.Reticular cell- Type III 5.Smooth muscle-Type I & III

44 Extracellular Matrix Extracellular matrix (Fibers & Ground substance) is synthesized and secreted mainly by the fibroblasts & the fibers are assembled in the extracellular space. Fibers Prime function is support & plays strengthing role in Ground substance Functions are 1. Acts as a molecular sieve & stops the spread of noxious substances 2. Plays very important role in cellular nutrition & waste removal 3. Plays a vital role in aging. Its amount diminishes with age and wrinkles start appearing.

45 Fiberous Components Connective tissue fibers are long, slender protein polymers that are present in variable proportions in different types of connective tissue. In many cases the predominant fiber type is responsible for conferring specific properties on the tissue. Collagen Fibers: Elastic Fibers: Reticular Fibers:

46 Collagen Fibers Collagen Fibers: Most abundant protein in the body. Synthesis & assembly: Collagen types- Type I- most abundant & occurs in loose and dense connective tissue & bone. Type II- occurs in cartilage. Type III- occurs in hematopoitic tissues. Type IV- occurs in basal laminae & does not form fibers or fibrils. Type V- in placental basement membranes & blood vessels. Type X- around hypertrophic, degenerating chondrocytes of the growth plate where bone formation is to occur.

47 Synthesis of Collagen Fibroblast Procollagen (Triple-helical units) Procollagen peptidase Tropocollagen Collagen fibril Collagen fiber Extracellular Intracellular Collagen’s main amino acids Glycine (34%) Proline (12%) Hydroxyproline (10%)

48 Ground Substance Proteoglycans: They are made up of a core protein to which glycosoaminoglycans (GAGs) are attached. GAGs are polysacharides that contain aminosugars. GAGs-Chondroitin sulphate, Dermatan sulphate, Keratan sulphate & Heparin sulphate. Hyaluronic acid is a GAG but do not form proteoglycans. Matrix viscosity and rigidity are determined by the amount and types of GAGs, their association with the core protein to form proteoglycans, GAG-fiber association, and GAG-GAG associations. Glycoproteins: Fibronectin-mediates the attachment of cells to the extracellular matrix. Laminin-a component of basal laminae that mediates the attachment of epithelial cells. Tissue fluids: Salts:

49 Connective Tissue Types A. Connective Tissue Proper: 1. Loose connective tissue 2. Dense connective tissue a) Dense regular connective tissue b) Dense irregular connective tissue B.Reticular connective tissue: C.Elastic connective tissue: D.Mucous connective tissue:

50 Connective Tissue Proper A. Connective Tissue Proper: 1. Loose connective tissue (lamina propria) 2. Dense connective tissue a) Dense regular connective tissue (Tendon, ligament) b) Dense irregular connective tissue (Dermis, organ capsule) Loose CT Dense CT

51 Elastic Connective tissue Elastic fibers consist of an amorphous protein called elastin and numerous protein microfibrils embedded in it. Diameter range um. Elastic fibers are collected in thick, wavy, parallel bundles & seperated by loose collagenous tissue with fibroblasts. Ground substance is sparse. Elastic connective tissue provides flexible support. Predominates in the ligamentum flava of the vertebral column & the suspensory ligament of the penis.

52 Reticular Connective Tissue These fibers look very similar to collagen but are thinner than them ( um). More highly glycosylated. Form delicate silver-staining network instead of thick bundles. Composed mainly of type III collagen and some glycoprotein. These fibers are covered by long processes of the reticular cells. There is very little ground substance. Reticular connective tissue supports motile cells & filters body fluids. It is found mainly in hematopoietic tissue (bone marrow, spleen and lymph nodes).

53 Reticular fibers Lymphocyte Reticular cell Nu Reticular cells Lymph Node Reticular Connective Tissue

54 Mesenchyme Mesenchyme is embryonic connective tissue. Its stellate and fusiform cells (mesenchymal cells) are derived from mesoderm. They give rise to all the connective tissue of of the body. These are multipotential cells and persist in adults to give rise to new generations of connective tissue cells especially during wound healing, bone repair and tissue fibrosis.

55 Mesenchymal Tissue (Embryo) Neural tube Mesenchyme Somite Notochord Neural tube Extracellular matrix Mesenchymal cells

56 Histophysiology A. Functions: 1. Support. 2. Defense. a) Physical b) Immunologic 3. Repair. 4. Storage. 5. Transport B.Edema: C.Hormonal Effects: D.Nutritional Factors: E.Collagen Renewal:

57 Special Types of Connective Tissues Adipose tissue Blood & lymph Cartilage Bone

58 Blood

59 White Blood Cells (Granulocytes) Neutrophil Eosinophil Basophils Functions:- Neutrophils act as first line of defense in infections. Eosinophils respond to allergic states & parasitic infection Basophils release heparin & histamine

60 Defense System INNATE DEFENSES (Do not require immunization) Physical barriers Chemical barriers Soluble factors (Skin, mucous membranes) (Low pH, Mucous) (Lysosomes, Interferons, Acute phase proteins, Complements) Facilitates CELLS (Macrophages, Granulocytes) Fast response Limited Flexibility Non-specific No memory Facilitate ADAPTIVE DEFENSES (Requires immunization) Directly kill infected cells T lymphocytes B lymphocytes Cytotoxic Help Delayed response Highly flexible Highly specific Memory, lasting immunity ANTIBODIES

61 Mast Cells Functions:- Produce heparin, an anticoagulant Produce histamine to render blood vessels permeable Mast cells

62 Monocytes Nucleus Cytoplasm RBC Nucleus Cytoplasm Phagocytized RBC Nucleus

63 B Lymphocytes deliver antibodies-mediated immune response T lymphocytes deliver cell-mediated immune response Natural killer cells kill tumor & nonself cells LYMPHOCYTES

64 Plasma Cells Plasma cells produce antibodies to fight the infections ImmunoglobulinsIgG, IgA, IgM, IgE & IgD Plasma cells Lymphocyte

65 Functions:- Phagocytose, process & present antigens to lymphocytes Act as scavengers etc. Macrophage

66 Unilocular Adipose Tissue Adipocytes Nucleus

67 Multilocular Adipose Tissue

68 Cartilage Perichondrium Chondroblasts Chondrocytes Lacuna Cartilage matrix Isogenous group of chondrocytes

69 Primary Bone Periosteum Osteoblasts Osteocytes Bone matrix Bone trabecula

70 Nervous Tissue Cerebellum Cortical neurons Spinal cord Motor neurons Spinal ganglion Sensory neurons

71 Divisions of the Nervous System Central Nervous System (CNS) Peripheral Nervous System (PNS) Autonomic Nervous System (ANS)

72 Nervous System

73 General Features Two Classes of Cells: 1. Neurons 2. Supporting cells Impulse Conduction: Synapses: Divisions of the Nervous System: Embryonic Development of Nervous Tissue: Aging and Repair: Meninges: Blood-Brain barrier:

74 Cells of the Nervous Tissue Two Classes of Cells: 1. Neurons. 2. Supporting, neuroglial or glial cells.

75 Neurons Cell Body Dendrites Axon Classification of Neurons

76 Neuron

77 Neuromuscular Junction Skeletal muscles Motor end plate Axon

78 Neuron Blood capillary Glial cells Dendrites Nissl bodies Axon hillock Nucleus Nucleolus Myelinated axons

79 Neuron (Cell body) Cell Body: -It is also called soma or perikaryon -It is the synthetic & trophic center of cell -It can receive signals from axons of other neurons through synaptic contacts on its cell membrane and relay them to its axon -Nucleus usually large, central, spherical and euchromatic -Nucleus with prominent nucleolus -Cytoplasm contains many organelles like mitochondia, lysosomes etc. -Cytoplasm has abundant free polyribosomes & rough endoplasmic reticulum, appears as basophilic purplish-blue clumps called Nissl bodies -Well developed Golgi to pack & often glycosylates neurotransmitters in neurosecretory, or synaptic vesicles -Abundant neurotubules (microtubules) & neurofilaments (intermediate filaments) in soma, dendrites & axon

80 Neuron (Dendrites) Dendrites: -Extensions of cell body, specialized to increase the surface area for incoming signals -Synaptic contacts are made on them -Some synaptic sites on them look like sharp projections called dendritic spines gemmules -Proximal ends has some Nissl bodies

81 Neuron (Axon) Axon: -One axon per neuron, its cytoplasm called axoplasm & its plasma membrane, the axolemma. -A complex cell process (uniform diameter) carries impulses away from the soma. -The part of the cell body where axon exits the soma is called the axon hillock and it lacks Nissl bodies. -Axon can be myelinated or unmyelinated. -Myelin sheath in CNS is provided by the oligodendrocyte, while in PNS by the Schwann cell -Axon diameter & myelin thickness determines the speed of nerve impulse. Internode (Myelin –covered) & Node (without myelin) -Some axons have branches called collaterals. -Terminal branching of axon is called terminal arborization. -Each branch ends as a bulb-like sac called terminal bouton, each bouton contains many mitochondria & neurosecretory vesicles. Specialized region of plasma membrane of bouton that take part in the formation of synapse is called as presynaptic membrane.

82 Nerve (Myelinated axons) Perineurium Endoneurium Nodes of Ranvier Axon Myelin Axon

83 Myelinated Axon (E.M.) Node of Ranvier Neurilemma Myelin Axoplasm

84 Synapses (Chemical) Synapses are specialized junctions by which a stimulus is transmitted from a neuron to its target cell. 1. Presynaptic Membrane: This is part of plasma membrane of terminal bouton. 2. Synaptic Cleft: Fluid-filled space between pre and post synaptic membranes. 3. Postsynaptic Membrane: This is part of plasma membrane of the target cell. It is thicker than presynaptic membrane due to the presence of receptors for neurotransmitters. When enough receptors are occupied, hydrophilic channels open, resulting in depolarization of the postsynaptic membrane. Neurontransmitter like acetylcholine that remains in the synaptic cleft is degraded by acetylcholinesterase. This removal of extra acetylcholine allows postsynaptic mambrane to reestablish its resting potential and prevents continuous firing of the postsynaptic neuron in response to a single stimulus.

85 Types of Synapses Axodendritic (Between an axon & a dendrite) Axosomatic (Between an axon & a cell body) Dendrodendritic (Between dendrites) Axoaxonic (Between axons)

86 Neuron (Types) Based upon Configuration of cell processeses: Multipolar(Motor neurons of spinal cord) Bipolar(Retina, olfactry mucosa) Unipolar(Photoreceptors, rods & cones of retina) Pseudounipolar (Sensory neurons of dorsal root ganglia) Based upon Cell size: Golgi type I (Motor neurons of spinal cord) Golgi type II (Interneurons of spinal cord) Based upon Function Motor neurons (Multipolar neurons of ventral horn etc.) Sensory neurons (Pseudounipolar neurons of dorsal root ganglia) Interneurons (Golgi type II neurons) Based upon Neurotransmitter released Cholinergic neurons(Most somatic motor neurons) Adrenergic & noradrenergic neurons (Postganglionic sympathatic neurons) Dopaminergic(Some neurons of hypothalamus) GABAergic(Some neurons of the brain)

87 Types of Neurons Unipolar Bipolar Pseudounipolar Multipolar

88 Supporting Cells Provide structural and functional support to neurons. Take part in the formation of blood-brain barrier, thus monitoring the passage of materials from blood to neurons.

89 Supporting cells of CNS 1. Astrocytes:- (Blood-Brain Barrier) a) Protoplasmic astrocytes b) Fibrous astrocytes 2.Oligodendrocytes:- (Myelin to axons in CNS) 3.Ependymal cells:- (Produce the CSF) 4.Microglial cells:- (Macrophages of the nervous system)

90 Supporting Cells of PNS 1.Schwann cells: A Schwann cell may envelop segments of several unmyelinated axons or provide a segment of a single myelinated axon with its myelin sheath. Each mylinated axon segment (internode) is wrapped around by layers of a Schwann cell process with most of its cytoplasm squeezed out. This multilayered Schwann cell plasma membrane (mainly of phospholipids) is called myelin. The gaps between myelin sheath segments are the nodes of Ranvier. 2.Satellite cells: Each neuron outside the CNS is surrounded by a single layer of cells, called satellite cells.

91 Aging and Repair A neuron is a terminally differentiated cell. And is incapable of undergoing mitosis. Aging neurons accumulate more of lipofuscin pigment. Neurons lost through injury or surgery cannot be replaced. If the cell body remains intact, the injured axon can regenerate itself. If stimulated by injury, supporting cells, unlike neurons, can divide.

92 Blood-Brain Barrier Components of the barrier: 1. Endothelial cells of continuous type capillaries (Tight junctions) 2. Basal lamina 3. Cytoplasmic processes of astrocytes.

93 Blood-brain Barrier

94 Peripheral nerve

95 Perineurium Endoneurium Myelinated axons Peripheral Nerve (Fascicle)

96 Response of Nerve Tissue to Injury A.Damage to the Cell Body: A neuron is a terminally differentiated cell & is unable to divide. So damaged or dead neurons can’t be replaced. B.Damage to the Axon: 1. Degenaration:- Distal to the site of injury, axon & myelin degenerate. Within 2-3 days, they are removed & these clear endoneurial channels are occupied by Schwann cells. Proximal to the site of injury, retrograde degeneration of axon goes up to 2 internodes, then injured axon is sealed. Cell body also undergoes changes in response to the injury. The Nissl bodies disappear (chromatolysis) & nucleus moves to the periphery. (2 Weeks) 2. Regeneration:- Begins at 3 rd week, Nissl bodies reappear, protein synthesis starts. Axon’s proximal stump gives off a number of small processes called neurites. One of these enters and grows in an endoneurial channel and synaptic contacts are remade with the target cell. The target cell or organ deprived of innervation often atrophy.

97 Cell body Nissl bodies Axon Schwann cells Motor end plate Muscle Before injury 2 weeks 3 weeks 3 months No healing A B C D E Nerve Injury & Recovery

98 Muscle Tissue Cardiac muscle Skeletal muscle Visceral muscle

99 Basic Properties of Muscle Tissue 1.Excitability- ability to respond to a stimulus 2.Conductivity- ability to propagate a limited response 3.Contractility- ability to shorten 4.Relaxability- ability to relax (return to original shape after contraction)

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102 Nucleus IC Disc Cardiomyocyte in Longitudinal Section CardiomyocytePurkinje Cell In Cross Section Nucleus Myofibrils Endomysium Capillary

103 Smooth Muscle

104 Skeletal Muscle

105 Endomysium Cardiomyocytes Nucleus Cardiomyocyte (Long. Section)

106 Cardiomyocytes Nucleus Myofibrils Endomysium Capillaries Cardiomyocytes (Cross section)

107 Comparison Of Types Of Muscles Location Cell size/shape Nuclei Striations Z lines T tubules & Sarcoplasmic reticulum Cell junctions Muscles of skeleton Long; cylindrical Many; peripherally locatedYes Triads at A-I junctions None Heart Short, branched Single; centrally located Yes Diads at Z line Intercalated disks (Adherens, occludens & nexi) Visceral organs Variable, fusiform Single: central No Dense bodies Caveolae replace T tubules; sparse Nexi (Gapjunctions) Property Skeletal Muscle Cardiac Muscle Smooth Muscle

108 EM of Cardiac muscle (IC disc) Macula adherens Gap junction Fascia adherens

109 EM of Skeletal muscle

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