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178 Cards in this Set
- Front
- Back
It is the most highly mineralized tissue in the body, consisting of more than 96% inorganic material in the form of apatite crystals and traces of organic material.
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Enamel
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Surface is not smooth, but has lateral stripes,called ____.
More numerous at what region? Absent where? |
Perikymata
-Cervical (most numerous) -Incisally//Gingivally (absent) |
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What is the clinical correlation between perikymata and caries
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Teeth of many individuals are pitted. The perikymata and the pits provide attachment sites for bacteria (Clinically)
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Enamel covering can be described as ___ and ___.
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Thin and Hard
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Enamel is essentially completely ______.Very hard, resists ______.Very brittle, easy to ______.Susceptible to acid dissolution.
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Inorganic= Composition;
Attrition= Hardness; Fracture= Brittle |
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Scanning electron microscope shows that enamel is composed of long rounded structures called ______, or _____. Known as the building block of enamel
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Enamel Rods/Enamel Prisms
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Enamel rods originate at the _____ and extend to the tooth surface. No rods terminate or originate away from the _____.
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DEJ; DEJ
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Rod and interrod enamel is made up of crystallites._____and _____ minerals occurring variously as hexagonal crystals as the chief constituent of phosphate rock and of bones and teeth.
There is ___ difference in the orientation of the rod and interred crystallites. |
Carbonated Hydroxyapeptite; Calcium Phosphate Minerals; 45 degree
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Rod and interred enamel are separated by a space called the ____. This is an important diffusion pathway from the tooth surface to deeper enamel.
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Rod Sheath
NOTE:Prism sheath is not a structure,..it is a space and diffusion pathway |
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What is made 1st Interrod enamel or enamel rods
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Inter- rod enamel
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Crystallites + Rod Sheath account for ___ percent of enamel volume
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10%
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Enamel crystals are ____ shape in cross section
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Hexagonal
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How long is an enamel crystal
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Not yet determined
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The stripped pattern on the inner 2/3 of enamel. Stripes are called _____.
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Hunter Schreger Bands
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T or F:HSB don’t really exsists, it’s the name given as a result of sectioning
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True
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An enamel rod that starts somewhere on the DEJ will go towards the surface, then twist parallel to the surface, then towards the surface again, several times to end up laterally and occlusally from its point of origin. Therefore there is thicker enamel occlusally, The purpose of the tortuous path of enamel rods is to
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Dissipate the tremendous forces of mastication thus reducing the incidence of enamel fractures.
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Forces are distrupted _____ and _____.
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Cervically and Laterally
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there is a Line of Retzius for every _____thus a 1:1
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Perikymata
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Lines of Retzius extending from the enamel surface to deeper enamel. The lines of Retzius are an important _____ for substances from the surface to subsurface enamel
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Diffusion Pathway (for lactic acid into enamel)
-Facilitate in enamel destruction -Cervical region of tooth susceptible to bacterial attack |
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Surface etch of teeth results three patterns: Name them?
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1)The rod is etched leaving sheaths.
2)Sheath areas etched deeper than rods. 3)Rods and sheaths etched at the same rate. |
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Etching is due to these 3 things:
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Etching due to:
1) Crystal Orientation 2) Protein Protection 3) Reprecipitation |
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_____are fan-like protein deposits found in the enamel at the DEJ. Origin, composition, and function are not known
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Tufts
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_____ are cracks in enamel and/or dentin that occur during tooth formation.
-filled w/ residual matrix material |
Lamellae
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____are extensions of odontoblast processes that extend into the enamel near the DEJ
HINT: Dentin Structure |
Spindles
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DENTIN is very different from enamel in several respects: Name 3 ways it is different.
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More organic (matrix is type I collagen)
More water Viable tissue with cells |
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Enamel is more than ___% inorganic
Dentin, bone and cementum are ___% inorganic. Soft tissue is mostly water and organic material. |
Enamel 90%- Inorganic
Dentin, Bone, Cementum- 65%inorganic// 35% Organic |
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_____ are long-term incremental growth lines. Perhaps comparable to the ______of enamel.
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Lines of Owen; Lines of Retzius
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______are daily incremental growth lines in dentin.
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Lines of Von Ebner
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Acid etching dentin removes the mineral and reveals the ____matrix.
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Collagen
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Humans have ____ (there are many other kinds of dentin).
The dentin near the DEJ is _____. The remainder of the dentin is ______. |
Orthodentin= Humans;
Mantle dentin= dentin near DEJ; Circumpulpal Dentin=remainder dentin |
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With age the dentinal tubules _____ as new dentin is deposited. The dentin at the periphery of tubules is ____ dentin.
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Constrict; Peritubular
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T or F:Peritubular dentin has different characteristics from intertubular dentin
EX:Calcium staining showing high mineral content of ____ dentin |
True; Peritubular Dentin= high mineral content
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After a tooth comes into occlusion, dentin continues to be deposited, but at a slower rate. Dentin formed after occlusion is called ____ Dentin
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Secondary Dentin
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Trauma results in localized formation of additional dentin within the pulp. This is ______. Some texts also refer to this as physiologic dentin or reparative dentin.
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Tertiary Dentin
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T or F:The tubules of tertiary dentin may or may not line up with the dentinal tubules of circumpulpal dentin.
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True
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Where is peritubular dentin located? Is it calcified?
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Walls of tubules; highly calcified
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Where is intertubular dentin located? Is it calcified?
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In between tubules; highly calcified
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Mantle dentin is the ___ layer of dentin and is the ___ to form
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Outermost; first layer to form
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Circumpulpal dentin is located where?
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Around the pulp,...formed after mantle dentin
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Which is more mineralized: Primary or Secondary Dentin
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Primary- develops at a faster rate
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Secondary Dentin
_____= rounded islands of mineralization either free in soft tissue or attached to the dentin. |
Denticles
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T or F: Dentinal tubules close with age
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True
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T or F:Mineralized tubules result in sclerotic dentin. Translucent.
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True
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Cementum is either cellular or acellular.
Acellular Cementum (primary) _____= unmineralized layer _____ layers formed. At least one layer over root, more in ____third. Formed ____ than cellular cementum. Has No cells. Width of layer never or always changes; Acellular cementum is the area for ____. |
Cementoid; 1st layer formed; cevical; formed slower than cellular cementum; Width NEVER changes; attachment
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Cellular cementum (secondary)
_____in lacunae with canaliculi. Formed after acellular. Many layers in ____third. More layers with time. Not in ____or ____. Very similar to____. |
Cementocytes; Apical 1/3;Not in the Incisors or Canines; Bone
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Intrinsic: fibers from ____
Extrinsic: fibers from ____ |
Cementoblast= Intrinsic;
Fibroblast of PDL= Extrinsic |
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Tooth formation starts at about the ____week of development
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5th
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Tooth development begins @ the ___ week of development?
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5th
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Neural Crest Derived Mesenchyme is induced by epithelium to produce ____
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Condensed Mesenchym
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Condensed Mesenchyme will differentiate in to what two structures
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Dental Sac and Dental Papilla
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Dental Papilla will become ____(dentin) and ____.
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Odontoblast and Pulpal Fibroblast
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Dental Sac will become the ____, _____ (cementum) and ___.
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PDL, Cementoblast and alveolar bone
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Name the 4 stages of tooth development
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Dental Lamina, Bud, Cap, Bell
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Incisor develop in the late ___ stage
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Bell
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Molars develop in the early ___ stage
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Cap
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Morphogenic Determinant is in the ____
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Mesenchyme
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Mesenchymal cells send processes that contact and become anchored to the ____.
Anchoring fibers are type ___ collagen |
Basement Membrane; Type VII
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Structure of the basement membrane, mostly type ____collagen.
Some of the large molecules that interact to form the basement membrane. Fibronectin hyaluronan Collagen IV decorin Laminin perlecan Tenascin aggrecan |
Type IV- BM
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Cells attach to the extracellular matrix via ____, transmembrane molecules. On the cytosol side, integrins are connected to the _____.
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Integrins; Cytoskeleton
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Composite of how molecules of cells may attach to, and interact with the molecules of the extracellulare matrix.
The cytoskeleton is attached to the integrin via ________, ______, and ______ |
Paxillin, Talin, Vinculin
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Paxillin stains:
Vinculin// Talin stains: |
Ameloblast and Odontoblast
ONLY Ameloblast, not odontoblast |
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Define Condenstion:
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Site where large numbers of mesenchymal cells become attached to the basement membrane within short distance (short time?).
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Mesechymal cells quickly differentiate into odontoblast and secrete dentin matrix (type __collagen)
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I
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The first collagen secreted is mantle dentin, characterized by very large collagen fibers called _____.
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Von Korff's Fibers
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Mineralization of dentin first occurs within ____.
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Matrix Vesicles
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T or F: Mineralization of matrix vesicles spreads to surrounding collagen forming islands of mineralized tissue
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True
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Islands of mineralized dentin fuse to form the ___ dentin.
Note that no enamel has formed yet, but the ____ have elongated and the organelles for protein synthesis are in place. There is some evidence that some enamel matrix proteins have been secreted into the dentin at this stage |
Mantle; Pre-Ameloblast
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Enamel matrix is deposited when
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ameloblasts contact mineralized dentin
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_____ and _____of mantle dentin forming the DEJ
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Enamel Matrix and Von Korff's Fibers
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Name the stages of Amelogenesis
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Amelogenesis
Presecretory stage Secretory Stage Transition Maturation Stage Reduced Stage |
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Stopped @ Slide 127,...Start of Mechanisms of Bone Formation and Mineralization
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Stopped @ slide 127,..Start of Mechanisms of Bone formation and Mineralization
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Name 2 ways bones form
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Endochondrial Ossification (requies cartilage precursor) and Mesenchymal Ossification
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In endochondrial ossification the cartilage matrix (type ___ collagen) must be removed and replaced by bone matrix (type ___ collagen)
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Collagen Matrix (Type II)
Bone Matrix (Type I) |
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Name the different pathways a mesenchymal cell can differentiate into upon environment, growth factors, or hormonal stimulus.
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Fibrogenic (low cell density)
Myogenic Chondrogenic (high cell density// low O2 tension) Osteogenic (high O2 tension) |
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Osteoblast synthesize
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Type I collagen
Alkaline Phosphatase Osteocalcin Collagenase Prostaglandins |
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Resorptive Cells that contain acid phosphatase,collagenase, cathespins, and plasminogen activator
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Osteoclast
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These cells cover the surface of bone,..function is unknown
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Bone Lining Cells
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Name te two stages of mineralization?
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1-Nucleation by a pure solution/ foreign material;
2-Crystal Growth |
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Name the 3 ways that mineralization may occur
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Increasing Ca or Phosphate concentrations next to unmineralized area
Removal of inhibitors of mineralization (PPi, Mg, Ca binding proteins, Proteoglycans) Synthesis of molecules that will promote mineralization (collagen, phosphoproteins, gamma carboxyglutamate, phospholipds) |
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Osteocalcin=
low or high mw binds loosely or tightly to Ca++ contains ____that is post-transitionally modified,..vitamin K dependent only in bone or other places in the body measures ____ activity |
low MW
Binds tightly to Ca++ Contains GLA- Gamma CarboxyGlutaminic Acid Restricted to BONE Measures Osteoblastic Activity |
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Phospholipids=
Histologically stain in the _____in endochondrial bone formation, @ predentin-dentin interface. Also at sites of _____ formation Can serve as nucleation factors in _____deposition |
Hypertrophic Zone; Enamel formation
Hydroxyapeptite deposition |
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High Serine Phosphoproteins=
found in low or high concentrations in bone/dentin Serine residues bind to ____. |
High
Bind to Phosphate |
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Collagen (in bone)=
Post-trascriptional modification differ due to a greater extent of ____ and ____. Crosslinks are the same or different Vitamin D def, can alter what ___ and ___ inhibit mineralization |
Lysine Hydroxylation and Glycolysation
Cross-links are different Crosslinking of Collagen Fibers Mg and PPi= inhibit mineralization |
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PPi is made via the hydrolysis of ____.
What E catabolize PPi afterwards to make sure it doesnt interfere w/ bone mineralization Analogs of PPi are ____ and also inhibit mineralization |
ATP
Alkaline Phosphotase//Pyrophosphatase Phosphonates |
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Mg inhbits mineralization,..what happens if there is a def of Mg.
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Hypermineralization
-inspite of low ca in blood serum (to signal mineralization) |
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GAG's bind to Ca- this decreases or increase as mineralization proceeds
What is the GAG that predominates in bone mineralization. |
decreases
Chondrotin Sulfate |
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Cellular control of bone mineralization is dependent on the presence of a ____.
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Bone Membrane
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Mitochondria accumulate ___ and ____.
Ca gradient in mitochondria increases in cartilage to what level |
Ca and Phosphate
Level of Calcification and then disappears |
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Matrix vesicles=
Have a _____ in interior. Arise from ____ by budding High ____ and _____ enzymatic activity Secreted in areas of ____ |
Amorphous Ca Phosphate in interior
Plasma Membrane Alkaline Phosphatase and ATPase Enzymatic Activity Calcification |
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What is sooooooo important about Bone Morphogenic Matrix
How many exisists |
Well, it is decalcified, cell free bone powder that initiates cellular differentiation in cartilage and bone lines of embryonic tissue,...could be used as an IMPLANT MATERIAl
9 |
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Bone composition=
% Inorganic, Organic, Water |
60% inorganic
25% organic- collagen accounts for 90% of this 15% water |
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Ca circulates in plasma in one of three ways,...name them?
What is the most common way Ca is carried? What is the protein that Ca is bound to in the plasma |
Ionized, Protein Bound, and complexed
Ionized; (50%) Albumin: |
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What does complexed Ca mean?
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Ca is carried by other molecules such as phosphate or citrate
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What is the major affect of hypocalcemia/hypercalcemia?
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Hypo-Muscular Tetany
Hyper-Lethargy,GI probs, cardiac arrthmyias, calcification of soft tissues |
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Approx. ___of Skeletal Ca is exchangable w/ ECF
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1%
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The majority of Ca, P, and Mg is where in the body?
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Skeleton
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Mg and Ca are mainly in the ___ forms in the plasma and P is mainly in the ___ form.
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Ionized; Complex
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Serum Ca levels are mainly controlled by what three factors
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PTH, Calcitonin, Vitamin D
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PTH increases/decreases PLASMA Ca
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Increase
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PTH is a ___ chain PP made of ___ aa lacking ___.
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Single;84aa;cysteine
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1-34 aa amino terminal sequence in PTH has what importance
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Mobilization of Ca activity
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PTH is synthesized as a ____ hormone w/ 37 aa added to the amino terminal end
Two cleavages occur,..name where? |
Preprohormone; cleaved @ 31//6 aa
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What stimulates PTH secretion primarily and secondarily
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1- low Ca levels
2- low mg levels |
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Where is PTH degrades
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LIVER and Kidney
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What does PTH do when it is active?
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Mobilize bone Ca and activates activity of Vitamin D metabolism in Kidney
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Calcitonin (CT) decreases/increases plasma Cs
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Decreases
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CT has ____ aa in a single PP chain
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32 AA
ALL are needed for function |
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CT is secreted from where
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Parafollicular cells in Thyroid
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What triggers CT secretion
(2 things) |
High Ca (ionized) levels and Gastrin
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1/2 life of CT is ___
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4-5 min
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What is CT function?
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Block PTH activity on bone
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Vitamin D increases/decreases plasma Ca?
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increases
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7-dehydrocholesterol is converted into cholecalciferol (vit D3) by ____ in skin
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UV irradiation in skin
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Vit D3 is converted hydroxylated @ the 25th position in the ____ yielding _____.
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Liver- 25 OH
-Loosely controlled |
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25-OH is hydroxylated at the 1 postion in the ____ to yield____. THe E for this rxn is ____.
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Kidney; 1,25 (OH)2 Vit D3
Renal 1 alpha Hydroxylase Tightly controlled |
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What does vit d3 do when active?
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Increase Ca absorption in GUT// acts secondarily w/ PTH on Ca in bone
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Def of Vit D3 in children is called ___ and in adults is called ____.
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Rickets// Osteomalacia
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Bone resorption can be defined as removal of both _____ and ____ that is mediated by ____.
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Mineral Phase + Matrix
Mediated by Osteoclast |
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Osteoclast are SMALL multinucleated,cells w/ normal looking nuclei,...T or F
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F:Large cells, Multi-nucleated w/ Irregular Shaped Nuclei
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Osteoclast actively resorbing bone show this structure
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A ruffled border
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Osteoclast stain for ____, and contain ____ receptors.
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Tartate Resistant Acid Phosphotase, Calcitionin
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Osteoclast dont respond to PTH directly,...instead they respond to what?
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Secretory products of PTH stimulated by osteoblasts
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____ are known to aid in the bone resorption process by degrading collagen @ acidic pHs
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Cathepsins
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Name 3 situations in which bone resorption exceeds bone formation?
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1)Hyperparathyroidism (imbalance in Ca homeostatic metabolism)
2) Infection//Inflammation activates bone cells by cytokines and other inflammatory mediators produced by immune/inflammatoru cells Lack of mechanical stress on bone (basically you dont use,..you lose) |
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Name the age:
Excessive resorption is coupled w/ decreased bone formation |
Post-Menopausal Women
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Decreased rates of bone formation and decreased rates of bone formation
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Elderly
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Resorption increase w/ normal rates of bone formation
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Pre-Menopausal Women
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T or F,...PTH when given at pulsated doses can stimulate bone formation
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TRUE!
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In vivo,..PTH is associated w/
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Increased Osteoclasts
PTH also stimulates bone resorption on organ culture |
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Necessary permissive cofactor for PTH but does not stimulate bone resportion in vivo
When does it stimulate bone resorption |
Vit D3
Organ Culture |
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Calcitonin is most affected by what
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Its antagonist- PTH
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This molecule is known to stimulate Osteoclast activity,..in fact it is called an osteoclast activating factor
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IL-1
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This molecule,..like IL-1 stimulates osteoclast activity: it is the primary mediator of immune and inflammatory processes,...stimulates bone resorption in vivo// in vitro
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TNF
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This molecules is produced by osteoblast to aid in bone resorption w/ osteoclast.
Name the molecule that works w/ this molecule in sitmulating stem cell populations leading to osteo clast This molecule works w/ ____ in organ culture in bone resorption |
IL-6
IL-3 IL-1 |
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When macrophages are exposed to stimuli these molecules are potent stimulators of bone resorption in Organ culture
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Prostaglandins
Esp- PGE2 |
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Excessive glucocorticoids is associated w/ what
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Increased bone LOSS
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Def Androgens and Estrogens are associated w/ what
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Increased bone MASS
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___ loss is associated w/ osteoporosis in post-menopausal women
HOW? |
Estrogen; Estrogen sensitizes bone cells to the effects of circulating PTH (makes them more responsive)
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____ has been shown to slow osteoclast activity w/ no affect on bone formation
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Estrogen Therapy
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Estrogen inhbits this molecule
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IL-6 being released from osteblast
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Resorptive affects of ___ and ___ are dose dependent and can stimulate bone formation
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PTH and Prostaglandins
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___ and ___ lead to increase bone fragility
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Cadmium and Lead
-Inhibits syntheis of Vit D3 |
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___ is a necesary factor for normal bone growth and maturation
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Zn
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What occurs during cellular differentiation
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Cells are responding to changes in there external enviornment...so they are altering there genome activity by changing there genetic expression which is most of the time irreversible
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How does the cell know that there is a change in the external enviorment
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It recieves a signal,...this signal affects transcription
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Name some of the most common primary signals that a cell recieves that affect transcription
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Growth Factors
Hormones Retinoic Acid// Derivatives Can come into the cell or act on the surface of the cell |
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Signals acts in two ways to affect transcription,...name them?
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Directly- act as a transcription factor
In directly- affect the activity of a transcription factor |
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How does a steroid hormone work?
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Crosses cell membrane, binds to an intracellular receptor,.. attaches to HORMONE RESPONSE ELEMENT in genome and activates 50-100 genes
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____ modulate intracellular events via G. Proteins, Tyrosine Kinases (DIRECTLY), Tyrosine Kinase associated mechanisms , Serine-Threonine Kinases or alteration in ion channels
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Cell Surface receptors
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Cytokines may direclty activate ____ by phosphorylation of a TYROSINE residue or indirectly activate through a ___
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STAT (Signal Transducer and Activator of Transcription; JAS (Janus Kinase
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Different second messengers,..like cAMP activate these 2 pathways
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MAP (mitogen activated protein) kinase pathway
RAS |
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Give and example of physical re-arrangement of the genome
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Linking of the V, D, and J segments to a C gene segment in B- Lymphocytes
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What is a feed-back loop
Give and example |
When a regulatory protein activates its own transcription factor to ensure the gene is ALWAYS expressed
Myo-D transcription factor in muscle |
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_____ is the reason for the differences in tissue type
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Pattern Formation
In some tissues,..position is important (ie teeth) |
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How does limb formation begin
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By Bilateral outgrowths lateral plate mesoderm surrounded by epithelium
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How does a limb bud know where to grow
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by Fibroblast growth factor 8 (FGF-8)
- in fact implantation of FGF8 will stimulate limb bud formation |
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2nd- The Bilateral outpockets in mesoderm (surrounded by ectoderm gets ____ along the apex and into the ____.
As this is occuring the posterior ____ forms the zone of ______. |
Thicker; Apical Ectodermal Ridge (AER)
Mesenchyme; Zone of Polarizing Activity (ZPA) |
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What is the Zone of Polarizing Activity resposible for?
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Anterior-Posterior Patterning of the digits (pinky to thumb)
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ZPA is mediated through what protein
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SHH (Sonic Hedge-Hog) Protein??
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Grafting of cells from a ZPA to the anterior portion of the limb bud resulted in what?
What does this mean? |
Resulted in Mirror Image formation of digits
ZPA is involved in Pattern formation Application of SHH does the same thing,..so they work together |
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The Apex Ectodermal Ridge (AER) regulates what?
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Proximal-Distal (shoulder-digits)
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Removal of AER results in what
Removal of AER @ successive later stages @ later stages results in what |
Trucation of the Limb
Progressive loss of more and more distal elements |
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AER functions through the release of ___ by it maintaining the cells beneath (progress zone) the apical ectodrmal ridge
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FGF's
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W/ the loss of this receptor an embryo will be limbless
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FGFR2 receptor
-Uncouples FGF8-FGF-10 |
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Dorsal-Ventral (back of hand) to palm is specified by what three factors
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En-1, Wnt7a and Lmx-1
interactions btw the three fine tune positional information |
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___ induces ectopic bone and cartilage formation
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SHH
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____, ____,and ____, work together to stimulate mesenchymal cell progression into chondrocyte linage
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SHH, BMP2, Ihh (indian hedge-hoge)
-also regulate Pre-osteoblast differentiating into osteoblast -Parathyroid hormone related peptide also aids in this process |
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BMP belongs to the ____ superfamily of growth and differentiation factors
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TGF-B Superfamily
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____ and ___ are expressed in perichondrium of developing limbs but ____ is absent in joints
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BMP2 and 7; 7
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Retinol A is metabolized into ____ and _____
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Retinal and Reinoic Acid
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____ (AKA:____) during pregnacy will result in defects of the ear, mandible, secondary palate, thymus, and heart
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Accutane (13-cis reinoic acid)
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In limb formation ___ incuces production of polarizing signals
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Retinoic Acid
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These genes are required for the proliferation of skeletal progenitor cells
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Hox genes
-4 hox gene clusters= code for 39 genes= encode homeodomain Transcription factors |
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Hox gene combo determine length of upper arm (__ and __) lower arm (___, ___, ___) and digits ( ___, ___, ___)
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Upper arm= 9, 10
Lower arm= 10, 11, 12 Reduction in gene dose will result in trucation of the corresponding anatomical regions Digits= 11, 12, 13 |
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Responses to the ECM are most likely mediated through the ___
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Integrin (link ECM w/ cell membrane and interal structures)
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Can a differentiated cell change
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Yes if put under the appropriate conditions
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Do osteoclast have receptors for PTH
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NO
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Name three factors that are important in the control mechanisms in regulating osteoclast differentiation
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RANK
RANKL Osteoprotegerin |