| From: JimC | 10/09/2001
12:10:03 |
| Subject: Scar Tissue | post id:
407498 |
| I noticed this morning that,
after 49yrs, I still have my appendix scar, with it's neat little suture
points. This made me think. Aren't our body cells in a sort of continual state of renewal process, essentially under control of our DNA master blueprint? If this is the case then why does "scar tissue" persist? Shouldn't the old and "damaged" cells be systematically replaced by new "undamaged" cells and the scar tissue eventually be eliminated? | |
| From: Carmel ® | 10/09/2001
12:13:49 |
| Subject: re: Scar Tissue | post id:
407503 |
| Some scars do fade - these are
usually surface scars. Deep tissue scars however (resulting from surgery,
major trauma or tyring to sever your finger with a compueter desk) damage
not only the surface layers of skin, but also the deeper
tissue. ALthough the skin reforms, it must also make up for the damage underneath, forming classical scar tissue - this does not fade away as the cells in the 'scar' replicate themselves in such away that they remain in the scar pattern (I started out so well, but I think I bothced that explanation at the end). Does that help a bit? | |
| From: JimC | 10/09/2001
12:17:23 |
| Subject: re: Scar Tissue | post id:
407511 |
| Thanks Carmel. I suppose it's the
botched bits I'm concerned about. It is obvious that the scar tissue does
persist. I was just interested as to why? Don't the underlying cells also
get replaced? If they do then shouldn't they get "fixed" over
time? | |
| From: Zardoz ® | 10/09/2001
12:18:18 |
| Subject: re: Scar Tissue | post id:
407512 |
| Healing of wounds, internal and
external, takes place by a quick ( plugging the leaks, and clearing
debris/dead tissue, dirt or invading pathogens) and a slow stage (
definitive repair and restoration of longterm durable integrity to the
damaged surface tissues). THis is rather like a household plumbing repair;
first, you turn the taps off or plug the leak, then you go to find the
source of the problem and replace the deamaged pipe/pumps/valves etc which
are ultimately responsible) The quick stage involves increased supply of blood,local blood vessels, antibodies and clotting materials, and white cells to fight local bacterial invaders; this results in a local clot, which scabs over, in a few days. If there is infection or dirt, the white cells predominate, and there is more flow of blood and serum, and inflammation, causing pus formation, which can well delay matters. This is the emergency repair phase. The slower, more definitive phase involves migration by newly regenerated tissues, which, if the wound is slight and clean, can lead to virtually no scarring. If the gap from the injury is too wide, the tissues form a scaffolding of collagen fibres across the scab, and the result is a scar, which slowly contracts. This scar tissue has no blood supply, and so is effectively biologically inert like hair or toe nail! However, over very long times, local phagocytes( scavenging cells) might be able to nibble away at the edges of scar tissue, allowing for a slow replacement by underlying active tissues, like skin or membranes. Because a scar forms an effective repair, replacement is not a high priority, as long as surface integrity has been achieved, and since, as I have said, scar is inert, bloodless tissue, removal would be very slow from the margins, and often, if the scar is substantial, does not happen at all. The tendency of scars to turn pale after initial inflammation shows the withdrawal of active attempts by the body to repair further, which is why most scars go pale and shrink to some extent. Similar principles operate internally In the case of tissues which do not readily regenerate, like nervous tissues, scars form permanently in default of new nerves. http://www.madsci.org/posts/archives/aug98/901896791.Me.r.html | |
| From: CJW ® | 10/09/2001
12:48:58 |
| Subject: re: Scar Tissue | post id:
407544 |
| There's also another major
reason. Normal tissue is not only cells, but structures. For example, in an area of scar tissue, you will loose hair follicles. Hair follicles are not likely to spontaneously re-form. Presumably, there are lots of high level structures like this that cannot reform. | |
| From: michael c (Avatar) | 10/09/2001
13:58:59 |
| Subject: re: Scar Tissue | post id:
407651 |
| The scar
tissue is dead tissue and does not get replaced because it is
inert. That's not exactly how it works. The scar is made up of fibrous tissue. This tissue is alive, but doesn't have the complex structure that makes up the normal tissue. It contains living cells called fibroblasts, which manufacture the collagen that forms the structural elements of the scar tissue. The surface of a scar on the skin is covered with epithelium like the rest of the skin, except it doesn't have all of the more complex structures like hair follicles, sweat glands and sebacious glands, so it has a smooth appearance. Just like most of the tissues in the rest of your body there is a gradual turnover of cells and structure, but it can only replace what was already there i.e. a scar. | |