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155 Cards in this Set

  • Front
  • Back
what is another name for cartilage cells?
chondrocytes
what type of collagen is abundant in the extracellular matrix of cartilage?
type II cartilage
how do nutrients and oxygen get to chondrocytes?
percolate through ground substance to chondrocytes
(cartilage is avascular)
what are the three types of cartilage?
hyaline cartilage
elastic cartilage
fibrocartilage
where is hyaline cartilage found?
fetal skeleton
epiphyseal plates of long bones
articular surfaces of bones
ribcage
trachea
larynx
bronchi
what is the purpose of hyaline cartilage in the fetal skeleton?
to serve as a template for adult bone
what is the function of hyaline cartilage in the epiphyseal plates of long bones?
allows the bones to lengthen from birth to adulthood
what is the function of hyaline cartilage in the articular surfaces of bones?
acts as a low-friction cushion in movements of joints
how are chondrocytes embedded in their extracellular matrix?
singly or in isogenous groups of 2-8 cells from a single parent cell
what is a lacuna?
the space occupied by a chondrocyte
(visible only after a cell's death or shrinkage due to tissue processing)
what do chondrocytes do?
synthesize and secrete extracellular proteins (e.g. type II collagen)
what type of collagen is secreted by chondrocytes?
type II collagen
what organelles are prominent in chondrocytes?
RER
Golgi complex
glycogen granules
why are glycogen granules prominent in chondrocytes?
chondrocytes rely on anaerobic glycolysis due to low oxygen supply
(since tissue is avascular)
what is the main fiber in the extracellular matrix of hyaline cartilage?
type II collagen
(small, with refractive index approx. equal to ground substance, therefore difficult to distinguish with light microscopy)
what is the most prominent glycosaminoglycan in hyaline cartilage?
chondroitin sulfate
what composes the ground substance of hyaline cartilage?
Glycosaminoglycans
proteoglycans
hyaluronic acid
glycoproteins
water (60-78%)
what does chondronectin do?
it is a glycoprotein which attaches matrix components and cells together
what is territorial matrix?
the matrix immediately surrounding a chondrocyte
(poor in collagen but rich in sulfated GAGs, so it is very basophilic and PAS-positive under light microscope)
what is interterritorial matrix?
matrix further away from chondrocytes
(less basophilic and stains less with periodic acid-Schiff stain)
what is perichondrium?
dense, irregular connective tissue layer surrounding hyaline cartilage, except at articular surfaces
what is in the outer layer of perichondrium?
fibroblasts, type I collagen, blood vessels
what is in the inner layer of perichondrium?
chondrogenic cells (chondroblasts)
where is all cartilage derived from?
mesenchyme
when does a chondroblast become a chondrocyte?
when it is completely surrounded by extracellular matrix
what are the two types of cartilage growth?
interstitial growth (within)
appositional growth (outside)
what do both processes of cartilage growth involve?
mitosis
deposition of additional matrix
what is interstitial cartilage growth?
new cartilage is formed within existing cartilage or mesenchyme by division of chondrocytes, giving rise to isogenous groups
what is appositional cartilage growth?
new cartilage is deposited along the surface of existing cartilage by differentiation of chondrogenic cells in perichondrium to chondroblasts
what are hypertrophy and dense packing of chondrocytes associated with?
calcification of matrix prior to bone formation
why is regeneration of hyaline cartilage limited in the adult?
lack of chondrogenic cells in perichondrium
what usually replaces large tears in hyaline cartilage?
dense connective tissue
why does damaged hyaline cartilage show signs of calcification?
blood vessels move into damaged area, providing higher oxygen concentration causing stem cells to differentiate into blood rather than cartilage
what difference is there between elastic cartilage and hyaline cartilage?
in addition to type II collagen, elastic cartilage also has a dense network of elastic fibers
(yellowish color in unstained tissue)
where is elastic cartilage located?
auditory tube
epiglottis
pinna of the ear
small laryngeal cartilages
what advantage does elastic cartilage have over hyaline cartilage?
less prone to degeneration and calcification
what is fibrocartilage?
combination of cartilage cells and dense, regular connective tissue
what types of collagen are present in fibrocartilage, interspersing the chondrocytes?
type I collagen
type II collagen
which types of collagen have perichondrium?
hyaline cartilage
elastic cartilage
where is fibrocartilage present?
annulus fibrosis of intervertebral discs
pubic symphysis
some bone-ligament junctions
what makes bone unique among connective tissue, which accounts for its hardness?
large, inorganic salt deposits in the extracellular matrix
what is the only form of growth in bone?
appositional growth
(no interstitial growth)
what function does the constant turnover of bone allow?
bone matrix as a storage site for calcium and other minerals
how does bone get oxygen and nutrients?
it is highly vascularized
what are the organic components of bone called?
osteoid
what are the inorganic components of bone called?
bone mineral
how much of bone weight do bone minerals account for?
75%
what minerals are bone minerals composed of?
calcium
phosphate
bicarbonate
citrate
magnesium
potassium
trace minerals
what is the source of calcium and phosphate in bone?
hydroxyapatite crystals
where are the nucleation sites for crystallization located in bone?
on type I collagen fibers and some ground substance molecules
what is the main component of osteoid?
type I collagen fibers
what are the components of osteoid?
type I collagen
glycoproteins
Vitamin K dependent proteins
Proteoglycans
GAGs
Growth factors
cytokines
what is the purpose of sialoproteins?
to connect collagen fibers with cells
what is osteocalcin? what does it do?
a vitamin K dependent protein
captures calcium from circulation
what are bone morphogenic proteins?
what do they do?
growth factors and cytokines in bone
induce the differentiation of mesenchymal cells into osteoblasts
what is used clinically to induce bone growth after bone surgery involving spinal fusion, graft materials, or large defects?
recombinant human BMP7
what is periosteum?
the connective tissue layer covering the external surface of bone
what are the two layers of periosteum?
outer layer (collagenous layer)
inner layer (osteogenic layer)
what is the name for the type I collagen fibers in the periosteum which extend into the underlying bone matrix? what do they do?
Sharpey's fibers
anchor the periosteum to the bone
what is endosteum?
the thin, connective tissue layer cover internal surfaces of bone
(inner lining of marrow or medullary cavity and bony Haversian canals)
what are the four types of bone cells?
osteoblasts
osteocytes
osteoclasts
osteoprogenitors
what are osteoprogenitor cells?
stem cells in endosteum and periosteum capable of differentiating into osteoblasts
what are osteoblasts derived from?
osteoprogenitor cells
what do osteoblasts do?
they are the major bone-forming cells
(synthesize and secrete osteoid)
how do you find osteoblasts?
they form a single layer of cuboidal, basophilic cells along bony surfaces
what organelles are prominent in osteoblasts?
RER
golgi apparatus
when do osteoblasts become osteocytes?
when they are surrounded by bone matrix
what are osteocytes?
mature bone cells in lacunae in mineralized bone matrix
what are the long, thin cellular processes of osteocytes?
filopodia
what do filopodia do?
extend through narrow canals (canaliculi) in the mineralized matrix to communicate with neighboring osteocytes via gap junctions
how do osteocytes obtain nutrients and oxygen and eliminate waste?
through the canaliculi
what is it called when osteocytes lyse calcium from bony matrix? when do they do this?
osteocytic osteolysis
in response to low blood calcium
what is the function of osteoclasts?
bone resorption
what are osteoclasts?
large multinuclear cells with acidophilic cytoplasm, with many lysosomes and mitochondria
what are the shallow depressions called where osteoclasts reside (along bony surfaces)?
Howship's lacunae
what is the plasma membrane called adjacent to the bony surface?
ruffled border
(it is highly folded)
what is a major enzyme released by osteoclasts into the area of the ruffled border?
collagenase
what is another name for bone resorption?
osteolysis
what breaks down the mineral portion of bone?
HCl (from osteoclasts)
what type of cells fuse to produce osteoclasts?
monocyte precursor cells (CFU-GMs)
what type of cells regulate osteoclast maturation/formation?
osteoblasts
what stimulates osteoclast precursor proliferation? what cells produce it?
M-CSF
stromal cells or osteoblasts
what increases resorption?
what cell produces it?
IL-1
osteoblasts
what hormone stimulates stromal cells to produce IL-1? what effect does this have?
parathyroid hormone
increases osteoclast activity
what stimulates osteoclast differentiation?
What secretes it?
RANKL
osteoblasts
what inhibits osteoclast differentiation?
what secretes it?
osteoprotegerin (OPG)
osteoblasts
what are the two gross types of bone?
spongy (cancellous)
compact (cortical)
what is spongy bone called when it lies between the thick plates or tables of skull flat bones?
diploe
where does spongy bone occur?
epiphyses of mature long bones and short bones
between thick plates or tables of flat bones
what is the 3D lattice which surrounds cavities filed with bone marrow called?
bone spicules
trabeculae
where are osteocytes contained?
trabeculae
how many layers of osteoblasts are around trabeculae?
a single layer lines a trabeculum
what microscopic type of bone is spongy bone?
primary or secondary
(can be either one)
where is compact bone found?
thick diaphyseal cylinder of long bones
thin covering around epiphyses
tables of skull flat bone
how is compact bone different from spongy bone?
lacks large spaces and trabeculae
what microscopic type of bone is compact bone?
ALWAYS secondary bone
what are other names for primary bone?
immature bone
woven bone
what displays an irregular or "woven" pattern in primary bone?
Type I collagen
what is the first bone type produced during fetal development and bone repair?
primary bone
what remodels and replaces primary bone?
secondary bone
where does primary bone persist in adults?
tooth sockets
near skull suture lines
insertion sites of tendons
what are other names for secondary bone?
mature bone
lamellar bone
how is the collagen organized in lamellar bone?
type I collagen fibers in each lamella are aligned in parallel and are nearly perpendicular to fibers in adjacen lamellae
what is the name for the concentric layers of calcified matrix in lamellar bone?
lamellae
what are lamellae organized around?
Haversian canals
where are the lacunae of osteocytes located?
between lamellae
what is another name for a haversian system?
osteon
what is an osteon?
cylindrical structure of haversian canal surrounded by lamellae in compact bone
where are blood vessels, nerves, lymphatics, etc. of the bone?
Haversian canals
what structures interconnect osteons?
Volkmann's canals
(also connect periosteum and endosteum, carrying neurovascular supply)
what is the name for irregularly shaped lamellae between haversion systems?
Interstitial lamellae
what are interstitial lamellae?
remnants of remodeled haversion systems
where are outer and inner circumferential lamellae?
along the external and internal surfaces of diaphysis
what are the two processes by which bone is formed?
intramembranous
endochondral
where are bones developed from in intramembranous ossification?
directly from mesenchymal condensations
(no cartilage present)
in intramembranous ossification, what is the process?
mesenchymal cells differentiate to osteoblasts
osteoblasts secrete osteoid
osteoid becomes mineralized
mineralized spicules fuse forming woven bone
how is the periosteum formed around trabeculae in intramembranous ossification?
formed by differentiating mesenchymal cells
which bones are formed entirely by intramembranous ossification?
frontal bone
parietal bones
maxilla
mandible
(membrane bones or flat bones)
which bones are formed partially by intramembranous ossification?
temporal bones
occipital bones
periosteal bone collar of endochondral bones
how is bone formed in endochondral ossification?
cartilage is replaced with bone
(hyaline cartilage model is precursor for bone)
how does endochondral ossification begin?
mesenchyme differentiates into a hyaline cartilage model
where is the primary center of ossification formed in endochondral ossification? how?
along the surface of the diaphysis
vascularization transforms chondrogenic cells into osteoblasts, which become periosteum
how is space formed within the cartilage for the bone to grow?
chondrocytes within diaphysis hypertrophy and degenerate, forming space
what composes an osteogenic bud?
blood vessels
osteoprogenitor cells
what does an osteogenic bud do?
penetrates the bone collar and enters space formed by primary ossification center in endochondral ossification
what happens to cartilage in the walls of spaces formed during endochondral ossification?
cartilage becomes calcified
osteiod, synthesized by osteoblasts, is deposited onto calcified cartilage spicules
calcified cartilage-calcified bone complex is formed
where do secondary centers of ossification appear in endochondral ossification?
in the epiphyses (form epiphyseal plate)
how do long bones grow?
along epiphyseal plate, cartilage proliferates, and then endochondral ossification takes place
what is it called when growth has completed (when there is no more cartilage to proliferate)?
epiphyseal closure
what are the zones within an epiphyseal plate?
zone of resting cartilage
zone of proliferation
zone of hypertrophy
zone of calcified cartilage
zone of resorption and ossification
what is in the zone of resting cartilage?
typical hyaline cartilage
what is in the zone of proliferation?
rapid cell division, giving rise to stacks (isogenous groups) of flattened chondrocytes
what is in the zone of hypertrophy?
greatly enlarged chondrocytes
what is in the zone of calcified cartilage?
dead chondrocytes and calcified matrix
what occurs in the zone of resorption and ossification?
bone is deposited on calcified cartilage, then the complex is resorbed and remodeled
what are the components of bone remodeling?
bone resorption in some areas
bone deposition in others
what is the initial tissue formed at the fracture site by fibroblasts and periosteal cells? what type of tissue is it?
collagenous tissue
aka granulation tissue

connective tissue
in a fractured bone, what forms within granulation tissue as it becomes denser?
cartilage
what happens to cartilage in the granulation tissue?
calcifies and is replaced by primary bone
what is "primary bone tissue of the callus"?
the primary bone which replaces cartilage in a bone fracture which is being replaced
what are synthroses?
where are some?
immoveable joints
connecting skull bones and joining first rib to sternum
what are diarthroses?
synovial joints
joints which provide maximal movement
what is the outer layer of a synovial capsule composed of?
dense connective tissue
what is the inner layer of a synovial capsule composed of?
synovial membrane
what is the difference between epithelial tissue and synovial membrane?
synovial membrane lacks a basal lamina
what is the characterizer of osteoporosis?
low bone mass/decrease in bone mineral density
number of trabeculae is reduced
cortical bone is thinner than normal
what are the possible causes of osteoporosis?
disuse of limbs
metabolic disturbances
what is rheumatoid arthritis?
a clinical condition where the immune system causes inflammation in the synovial membrane
what is the name for inflammation in the synovial membrane?
synovitis
what tissue is produced from the inflamed synovial membrane in rheumatoid arthritis? what does it do?
pannus
decomposes the cartilage and underlying bone, causing severe pain and joint deformity
what is gout?
metabolic disorder characterized by increased blood levels of uric acid and urate crystal deposition in soft tissues
what is hyperuricemia?
high uric acid in the blood
what effect does an accumulation of urate crystals near joints cause (gout)?
inflammatory reaction with neutrophils and macrophages
what is a tophus or tophaceous gout?
a subcutaneous nodule caused by the continued deposition of urate crystals in gouty arthritis
what disorder would cause nonbirefringent monosodium urate crystals (when analyzed with polarized light microscopy) within aspirated joint fluid?
gout/gouty arthritis