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Articolo sulla casistica delle non idoneità allo sport agonistico in ...

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BODY EQUILIBRIUM AND CONNECTIVE TISSUE GALLOZZI<br />

<strong>in</strong> relation among other th<strong>in</strong>gs to the nature of the<br />

tissue to which they belong and to the position<br />

this takes up <strong>in</strong> the organism. Generally speak<strong>in</strong>g,<br />

it is possible to dist<strong>in</strong>guish between the cells delegated<br />

to form and ma<strong>in</strong>ta<strong>in</strong> the matrix (represented<br />

especially by fibroblasts, but also by cells<br />

of similar nature present <strong>in</strong> other tissues), cells<br />

delegated to defend the organism (macrophages,<br />

mast cells and leukocytes) and cells delegated<br />

to perform special functions, like the adipocytes<br />

of the adipose tissue which store fats as an energy<br />

reserve for the body (Figure 1).<br />

FIBROBLASTS<br />

Fibroblasts are the basic cells of connective<br />

tissue; their function is to produce fibres and the<br />

other components of the extracellular matrix<br />

which constitute by far the most abundant element<br />

of tissue and on which depend the support<br />

functions of connective tissue. Fibroblasts<br />

are generally of fusiform appearance, although<br />

varieties exist which present quite different morphologies,<br />

hav<strong>in</strong>g a stellate or tentacular appearance<br />

for example. They are generally to be found<br />

scattered <strong>in</strong> the matrix they themselves have created<br />

and <strong>in</strong> many cases they are arranged along<br />

the fibres. When they cease their biosynthetic<br />

activity, fibroblasts change <strong>in</strong>to fibrocytes.<br />

Therefore fibroblasts and fibrocytes represent the<br />

two functional moments of the same cell. Cells<br />

with a similar function are present <strong>in</strong> the different<br />

subtypes of connective tissue, although <strong>in</strong><br />

some cases they present particular functional features.<br />

Specifically:<br />

— the chondroblasts produce the matrix of<br />

cartilag<strong>in</strong>ous tissue;<br />

— the osteoblasts produce the matrix of bone<br />

tissue, characterized by the fact of be<strong>in</strong>g calcified;<br />

— the cementoblasts and the odontoblasts<br />

produce the dental matrix.<br />

MACROPHAGES<br />

Macrophages are cells specialis<strong>in</strong>g <strong>in</strong> phagocytosis,<br />

a mechanism they employ with a defensive<br />

function. They are delegated to absorb<strong>in</strong>g<br />

and elim<strong>in</strong>at<strong>in</strong>g external elements such as viruses,<br />

bacteria and also molecules and molecular<br />

complexes that are dangerous for the organism.<br />

These cells are also <strong>in</strong>volved <strong>in</strong> the immune<br />

response as their membranes present phagocyted<br />

bacteria antigens, so enabl<strong>in</strong>g the lymphocytes<br />

to recognize them. Under normal condi-<br />

Figure 1.—Connective tissue cells.<br />

Figura 1. — Cellule del tessuto connettivo.<br />

cociti) e cellule deputate a funzioni speciali, come<br />

gli adipociti del tessuto adiposo, che accumulano<br />

grassi come riserva energetica del corpo (Figura 1).<br />

FIBROBLASTI<br />

I fibroblasti sono le cellule fondamentali del tessuto<br />

connettivo; la loro funzione è quella di produrre le<br />

fibre e gli altri componenti della matrice extracellulare,<br />

che costituisce l’elemento di gran lunga più<br />

abbondante del tessuto, e dalla quale dipendono le<br />

funzioni di sostegno proprie del connettivo. I fibroblasti<br />

sono generalmente di aspetto fusiforme, sebbene<br />

ne esistano varietà che presentano morfologie anche<br />

molto diverse, come un aspetto stellato o tentacolare.<br />

Si trovano generalmente dispersi nella matrice<br />

da loro stessi creata, ed <strong>in</strong> molti casi sono disposti lungo<br />

le fibre. Quando cessano la loro attività bios<strong>in</strong>tetica,<br />

i fibroblasti si trasformano <strong>in</strong> fibrociti. Pertanto,<br />

fibroblasti e fibrociti rappresentano i due momenti<br />

funzionali di una stessa cellula. Cellule di funzione<br />

analoga sono presenti nei diversi sottotipi di tessuto<br />

connettivo, anche se presentano <strong>in</strong> alcuni casi peculiarità<br />

funzionali. In particolare:<br />

— i condroblasti producono la matrice del tessuto<br />

cartilag<strong>in</strong>eo;<br />

— gli osteoblasti producono la matrice del tessuto<br />

osseo caratterizzata dal fatto di essere calcificata;<br />

— i cementoblasti e gli odontoblasti producono la<br />

matrice nei denti.<br />

MACROFAGI<br />

I macrofagi sono cellule specializzate nella fagocitosi,<br />

meccanismo che utilizzano con funzione<br />

Vol. 62, N. 4 MEDICINA DELLO SPORT 387

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