Dental Pulp Chapter 4
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Dental Pulp Chapter 4
Pulp as a Connective Tissue
Collagen is the most abundant _______ protein
_______ are the principle cell in connective tissue.
________ substance is primarily responsible for the ________ and filtration function of connective tissue.
Ground substance is mainly composed of?
Proteogylcans (Protein core and GAG)
List layers of pulp from peripheral.
cell free zone or zone of Weil
List the main components of the odontoblastic layer
Terminal capillary network
Nerve fibers (terminal axons from plexus of Rashkow) between odontoblasts
Class II MHC dendritic cells
List main components of the cell free zone.
unmyelinated nerve fibers
process of fibroblasts
List main components of cell rich zone.
Fibroblasts (more here than pulp proper)
undiff mesenchymal cells
defense cells (macrophages/lymphocytes)
How can Korff fibers be identified histologically?
List components of pulp proper.
Fibroblasts (most abundant cell type)
Larger blood vessels
Undiff mesenchymal cells
defense cells like macrophages (in perivascular area)
Collagen fiber bundles are more numerous where?
Root pulp, therefore clinical implication of barbed broach
What is meant by low-compliance environment of the pulp?
It is encased in rigid mineralized tissue
What is the self-strangulation theory?
Increased tissue pressure caused blood vessel compression and resultant ischemia and pulpal necrosis
What physiologic mechanisms does the pulp have to combat the strangulation theory?
Feedback mechanisms to oppose inc. in tissue pressure (inc. lymph flow and absorption of interstitial fluid into capillaries in non-inflamed areas)
Which neuropeptides modulate vasodilation in the pulp?
substance P, CGRP, neurokinin A
What are the efferent properties of the pulpal sensory neurons when using substance P and CGRP?
modulate extracellular matrix production
3 polypeptide chains
Collagen distinct two amino acids?
Cells responsible for collagen synthesis?
Most common form of collagen?
Type 1 found in?
Skin, bone, tendon, dentin, pulp
Collagen fibers are made up of _____
fibrils in characteristic striations every 67nm, hallmark for ID
What differentiates the types of collagen?
Combinations of linkages of the polypeptide chains
Two main classes of collagen?
Fibrillar (Type I, III, V, XI)
Collagen II (NF) found in_______
mostly cartilage, not in pulp
Type III collagen co-distributes with _____
Type III collagen found where?
Reticular fibers (fine fibers) mainly used in embryogenesis, inflammation, and wound healing
Type IV and VII present
in basement membranes
Type V collagen present in
Type VI collagen is found
distributed in body as interfibrillar filaments
Amount of collagen in dried pulp in PM? 3rd molar?
25.7% vs 31.9%
Type III collagen in pulp, percent and where?
42.6%, forms thinner fibrils, cell-free and cell-rich zones
Is type I collagen exclusive to pulp?
NO, but it is definitely to dentin.
What types of collagen can be found in predentin?
I, III, V
Korff fibers were originally described as
Korff fibers pass ______ between the odontoblasts entering the ______.
Korff fibers particularly evident during
early dentinogenesis, involved with mantle dentin and odontoblast differentiation
Korff fibers mainly composed of which collagens
What other collagens have been observed in the pulp?
form dense meshwork of thin microfibrils
VI found between odontoblasts toward predentin suggesting comp of Korff
Type IV collagen forms the
basement membranes of pulpal blood vessels
Describe how CaOH works to induce collagen formation.
First produces necrotic zone bc of high pH
fibroblast-like cells, inflammatory cells migrate to site
formation of new collagen close to necrotic zone with cellular inclusions
GAGs are ____, ______ polymers of repeating __________ units.
Four main types of GAGs?
Chondroitin sulfate/dermatan sulfate
The 3D structure of proteoglycans can be likened to
an interdental brush, the metal is the protein and the bristles are the GAGs
Why are proteoglycans so hydrophilic?
carboxyl, hydroxyl, sulfated hexosamines
The long GAG chains allow for storage of?
Water, lots of it, form a shock absorbing gel that protects connective tissue
Since they are cationic, proteoglycans attract
matrix proteins and GFs like TGF-β, act as a bioactive molecule pool
What is syndecan?
Proteoglycan on cell membrane, binds collagen, fibronectin, tenascin. Cell-surface receptors that connects matrix molecules to the cytoskeleton
Name the proteoglycans found in consistently in pulp?
Dentins main proteoglycan is
Chondroitin sulfate plays what role in dentinigenesis?
strong capacity to bind calcium and may maintain levels of calcium-phosphate during mineralization
How to proteoglycans mechanically stop bacteria?
How do bacteria counter PGs viscosity?
Streptococci produce hyaluronidase (hydrolyzes GAGs)
Fibronectin a glycoprotein exists as the three in pulp:
1. plasma protein
2. protein attaches to cells
3. insoluble fibrils form ECM
Fibronectin acts a mediator for ______ and ______ adhesion and thus has major effect on the ____________, ____________, and _____________ of cells
Fibronectin is immunolocalized in the odontoblastic layer where it forms _______ fibers that pass from _____ into _______ parallel to longaxis of OD.
(which suggests constituent of Korff fibers)
Odontoblasts and fibronectin?
morphology controlled by
Relations of OD cell bodies predentin and fibronectin?
FN contributes to tight seal here
FN implicated in reparative dentinogenesis, how?
Immunolocalized during CaOH capping, allows for diff of OD and migration
Osteonectin is a __________ protein that has affinity for ______ and _________ and promotes the deposition of _______ _______ mineral onto ________.
What non-collagenous proteins are found in the pulp?
Odontoblast nucleus contains up to how many nucleoli?
Diameter of odontoblast process?
Odontoblast processes do/do not extend to the outer dentin
do not, except during early tooth development
What kind of junctions keep odontoblasts together?
What there junctions are common to odontoblasts?
desmosome-like and gap jxns and tight
Which junction is involved in cell adhesion for the odontoblast?
which junction is involved in pathways for intercellular ion transfer, between odontoblasts?
What jxn exists where the cell body and process interface is close to another odontoblast?
Tight jxn, prevent passage of materials between cells
Why is it unclear if the tight junctions encircle the whole odontoblast?
small nerve fibers and collagen fibers pass through interodontoblastic space, known as macular or "leaky"
What molecule do odontoblasts present making them defense cells?
TLRs (Toll Like Receptors)
What bioactive substances do odontoblasts secrete?
TGF-β (OD are main source in pulden complex)
What non-col proteins do OD synthesize?
dentin matrix protein 1
What specific MMPs do OD synthesize?
MMP-8 (collagenase 2)
What are thr findings that show OD are involved in innate immunity?
1. express TLRs
2. produce chemokines and express chemokine receptors
3. produce antimicrobial peptides such as β-defensins
TLR-2 recognizes products of
gram-positive bacteria (lipoteichoic acid)
lipopolysaccharides prod by gram - bacteria
Activation of TLR by microbial ligands causes
prod of cytokines, chemokines, defensins
Which dentin specific protein marks the odontoblast phenotype?
What do fibroblasts produce?
Type 1, 3 collagen
Fibroblasts secrete MMPs, which one of these has limited expression in other normal adult tissue?
What are the antibody secreting cells?
B-lymphocytes, humoral immunity
What is the main job of T cells?
cause lysis of other cells that carry foreign antigens
Two types of T cells?
CD4 helper cells, humoral and cell-mediated immunity
CD8, cytotoxic, cell mediated
Match MHC to T cell?
MHC Class I binds to CD8
MHC Class II binds to CD4
MHC Class I or II is also termed
HLA, human leukocyte antigen
Expression of MHC Class I and Class II, which cells?
Class I is expressed on almost all cells
Class II is expressed on dendritic cells and B lymphocytes (macrophages can be induce)
Where are T lymphocytes scattered in the pulp proper?
Along the blood vessels
Numbers of CD8 to CD4?
CD8 outnumbers CD4
Which lymphocytes are rarely found in the pulp?
B lymphocytes and plasma cells
phagocytosis of foreign particles, self-tissues, injured or dead cells (bone marrow derived cell)
Where are macrophages found in pulp?
Everywhere but rich in perivascular area of inner pulp
Where are dendritic cells derived?
Characteristics of dendritic cells (5)
1. dendritic morphology
2. Class II MHC
3. high motility
4. limited phagocyctic
5. potent capacity for antigen presentation
Where do dendritic cells mature and what tissues do they populate?
Dendritic cells express what factor also seen in cells of the dermis?
coagulation factor XIIIa
Dendritic cells of pulp reside
in periphery of the pulp, sometimes compete for space with odontoblasts evening expressing their processes into the tubules
Following ingestion of antigen what two ways may dendritic cells act?
1. migrate to regional lymph nodes to present antigen to naive T lymphocytes to start primary immune response
2. locally present antigens to patrolling T lymphocytes (secondary immune response)
The two types of cells termed pulpal dendritic cells
Dendritic cells and macrophages
The intensity of inflammatory and immunologice responses correspond to the ______ and ______ of _______ and _________ processes of dentin that influence dentin permeability
______ et al have demonstrated that the accumulation of _______ cells remains evident even _ months after caries removal with the aid of a caries detector dye and resin restoration with resin.
What is the major function of connective tissue?
provide a matrix that binds cells and organs
gives support to the body
What is ground substance composed of?
Proteoglycan (GAGs and protein)
Fibronectin (cell adhesive)
Cell free zone is also known as the zone of _____