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.

This forum is un-moderated. The views and opinions expressed are those of the individual poster and not the ABC. The ABC reserves the right to remove offensive or inappropriate messages.