Three muscle types. Three connective tissue types. Use the label reveals, quick checks, and bettybroadbent.com reference pages to explore each tissue β then put your skills to the test in the Mystery Lab.
DMD results from a mutation in the dystrophin gene. Dystrophin links the sarcolemma to the internal cytoskeleton, stabilizing the membrane during contraction. Without it, the sarcolemma tears repeatedly, calcium floods the cell, and the fiber degenerates. On H&E, affected muscles show fibers of wildly variable size, centrally-relocated nuclei (a regeneration sign), and replacement by fat and CT. The peripheral nucleus you just labeled? Its position is the first thing that changes in a diseased fiber.
Cardiac muscle cannot regenerate after death. Following an MI, necrotic cardiomyocytes are replaced by scar tissue β dense irregular CT. On Masson's, this appears as an expanding blue patch where red muscle used to be. Cardiologists call this replacement fibrosis. You now know exactly what that scar looks like. A large enough scar reduces contractile force and can cause conduction problems β the scar is electrically silent, and action potentials must route around it.
An aortic aneurysm is a dangerous dilation of the aortic wall caused by breakdown of the elastic laminae you just labeled β from hypertension, Marfan syndrome (fibrillin-1 mutation), or atherosclerosis. The smooth muscle may still look intact, but without the elastic scaffold, the wall can't withstand systolic pressure. On Verhoeff stain, you would see those beautiful parallel black lines becoming fragmented, interrupted, or absent in the affected region.
The Achilles tendon is the largest tendon in the body and one of the most commonly ruptured. It almost always tears at the watershed zone (2β6 cm above the calcaneal insertion) β the region with the poorest blood supply. Dense regular CT has very few blood vessels because cells are sparse and the matrix is mostly collagen. Efficient for transmitting force; terrible for healing. That is why Achilles rupture recovery takes months, not weeks.
All Three CT Types β Side by Side
| CT Type | Fiber Arrangement | Key Cells | Stain Appearance | Primary Function | Specimen |
|---|---|---|---|---|---|
| Dense Regular | Parallel bundles | Fibrocytes | Pink fibers; dark flat nuclei between them | Resists tension in ONE direction | Slide 104 (Tab 4) |
| Dense Irregular | Multi-directional | Fibrocytes | Blue collagen (Masson's); crossing bundles | Resists force from ALL directions | Slide 100 (Tab 2) |
| Elastic CT | Squiggly elastin fibers | Fibrocytes | BLACK wavy fibers (Verhoeff) | Stretch and recoil | Slide 303 (Tab 3) |
Four unknown specimens below. Each card tells you how many tissues are on the slide. Examine the image carefully and make your best identification before using the hint. Record your identification and give three features that support it.