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101 Cards in this Set

  • Front
  • Back

BONE:

- specialized CT, whose extracellular matrix is calcified, incarcerating the cells that secreted it

pressure applied to the bone leads to...

resorption

tension applied to the bone results in...

developmnet of new bone

bone- reservoir for minerals of the body:

it stores about 99% of bodys calcium

bone contains a central cavity - the marrow cavity, which hoses...

the bone marrow


bone is covered on external surface (except at synovial articulations) with...

PERIOSTEUM

PERIOSTEUM layers:

* outer- dense fibrous CT



* inner- cellular layer containing osteoprogenitoe cells

central cavity of bone is lined by...

ENDOSTEUM

ENDOSTEUM:

- specialized, thin CT, composed of monolayer of osteoprogenitor cells and osteoblasts

fibers that constitue bone are primary...

type I collagen

osteoprogenitor cells --> osteoblasts...

osteoblasts are responsible for secreting the matrix

when osteoblasts are surrounded by matrix they become quiescent and are known as...

osteocytes

the space occupied by osteocyte ...

lacunae

fused bone marrow precursors --> osteoclasts...

- responsible for bone resorption and remodeling

BONE MARTIX components:

* inorganic: 65%


- crystals of calcium hydroxyapatite ( composed of calcium and phosphorus)



* organic: 35%


- predominant- collagen type I

hydroxyapatite crystals Ca10(PO4)6(OH)2

- arranged in order fashion along the type I collagen fibers


- free surface surrounded by ground substance


- the surface ions of crystals attract H2O and form hydration shell


- osteocalcin and osteopontin bind to it (glycoproteins)

hydration shell function:

permits ion exchange with the extracellular fluid

collagen type I 80-90% of organic bone components:

- highly cross-linked, which prevents it from being easily extracted

stimulates synthesis of bony glycoproteins

vitamin D

protein that permites adhesion of osteoblasts and osteocytes...

sialoprotein

Osteoprogenitor cells:

- derived from embryonic mesenchymal cells


- retain their ability to undergo mitosis


- located in inner cellular layer of periosteum, lining Haversian canals in endosteum


- may differentiate into chondrogenic cells


- most active during period of intense bone growth

Osteoblasts:

- synthesize organic matrix of bone



- posses receptors for parathyroid hormone



- derived from osteoprogenitor cells under influance of bone morphogenic protein BMP family and transforming growth factor-beta



- produce RANKL( receptor for activation of nuclear factor kappa B) , osteocalcin, osteonectin, bone sialoprotein, macrophage colony-stimulating factor M-CSF



- active- basophilic cytoplasm with pink granules





- arrangment- cuboidal to columnar cells



- short processes- gap junctions (fewer than between osteocytes)

osteoblasts are rich in enzyme.... during active bone formation it's level also increases in blood

ALKALINE PHOSPHATASE

OSTEOID

thin substance that separates osteoblasts and osteocytes from calcified matrix (it is uncalcified bone matrix)

factors on the osteoblast membrane:

-integrins- parathyroid hormone receptors, when parathyroid hormone binds to these receprors it stimulates osteoblasts to secrete osteoprotegerin ligand OPGL

osteoprotegerin ligand OPGL is a factor that

- induces differentiation of preosteoclasts into osteoclasts


- increases RANKL expression

osteoblasts secrete an osteoclast- stimulating factor which...

activates osteoclasts to resorb bone

osteoblasts secrete enzymes responsible for removing osteoid so that...

osteoclasts can make contact with mineralized bone surface

Osteocytes:

- mature bone cells


-derived from osteoblasts that became trapped in their lacunae


- processes of osteocytes make gap junctions through which ions and small substances can move between the cells


- inactive cells but secrete substances necessary


- respond to mechanotransduction, releasing cAMP, osteocalcin, insulin-like growth factor

canaliculi:

- radiating out, in all directions from the lacunaa


- narrow, tunnel-like space


- house cytoplasmic processes of osteocytes


- contain extracellular fluid carring nutrients and metabolites --> osteocytes

periosteocytic space-

- interval between osteocyte plasmalemma and walls of the lacunae and canaliculi


- occupied by extracellular fliud


- posses extensive network of canaliculi

Osteoclasts:

- multinucleated, large, motile cells



- orginate from granulocyte-macrophage progenitors (mononuclear-phagocyte system)



- play role in bone resorption



- have receptors for: osteoclasts stimulating factor, colony-stimulating factor-1, osteoprotegerin OPG, calcitonin



- acidophilic cytoplasm



- occupy shallow depresion- Howship's lacunae

Osteoclasts secrete three signaling molecules:

- macrophage colony-stimulating factor M-CSF--> binds to receptor on macrophage --> proliferating octeoclast precursor --> expresion and activation of kappa B (RANK) on precursor


- RANKL


- OPG- member of tumor necrosis factor receptor TNFR, interacting with RANKL prohibiting it from binding to macrophage thus inhibiting osteoclast formation

regulate bone matabolism and osteoclast activity:

RANKL


RANK


OPG

Osteoclast active in bone resorption may be subdivided into four morphologically recognizable regions:

- basal zone (the farthest from Howship lacunae, houses most organelles)



- ruffled border - projection of the cell directly involved in resorption, finger-like processes project into- subosteoclastic compartment



- clear zone (surrounds periphery of ruffled border), organelle free, contains many actin myofilaments --> actin ring- contact with Howship lacunae



- vesicular zone (between basal zone and ruffled border), consists of many endocytotic, exocytotic vesicles that ferry lysosomal enzymes

Mechnism of bone resorption:

carbonic anhydrase: CO2 + H2O --> H2CO3


dissociation: H+ +HCO3- ( bicarbonate ions and Na+ cross plasmalemma --> capillaries)


proton pumps of plasmalemma of ruffled border of the osteoclasts actively transport H+ into subosteocentric compartment


lower pH- acidic (Cl- ions follow passively)


inorganic component of the matrix dissolves

Lysosomal hydrolases


Metalloproteinases: collagenase, gelatinase

are secrteted by osteoclasts into subosteoclastic compartment to degenerate organic components of bone matrix --> broken down into aminoacids, disacharides --> capillaries

Osteopetrosis-

- genetic disorder where osteoclasts do not posses ruffled border!


- no bone resorption, increased bone density


- anemia decreased marrow space, blindness, cranial nerve involvement

Hormonal control of bone resorption:

parathyroid gland ( chief cells) --> parathyroid hormone --> increase concentration of calcium in the blood, increase bone resorption



thyroid gland (parafollicular cells- C-cells) --> calcitonin --> reduces blood calcium level, decrease osteoclasts activity, stimulates osteoblasts

BONE STRUCTURE:


(according to the anatomical shape)

* long (tibia)


* short (carpal bones)


* flat (skull)


* irregular (sphenoid, ethmoid)


* sesamoid (patella)

BONY STRUCTURE:

* compact bone- dense, on the outside surface, houses Haversian system



* cancellous (spongy bone) - porous portion lining the marrow cavity, houses irregular lamellae

trabeculae and spicules-

jutting out from the internal surface of the compact bone through spongy bone to bone marrow

BONE MARROW:

- red bone marrow- where blood celld are forming



- yellow bone marrow composed mostly of fat

shaft

trzon

shaft of the long bone-

diaphysis

articular ends are called...

epiphyses

in the person who is still growing the diaphysis is separated from epiphysis by...

epiphyseal plate (of cartilage)

top of the articular end of bone:

- highly polished articular hyaline cartilage

the area of transition between epiphysis and diaphysis...

metaphysis (where columns of spongy bone are localized)


- bone grows in length

PERIOSTEUM:

- noncalcified, dense irregular collagenous CT covering the external bone's surface and inserting into in via Sharpey's fibers



- diaphysis is covered by periosteum, except where tendons and muscles insert



- outer fibrous layer, inner cellular layer

no periosteum:

- on surfaces of bone with articular cartilage


- absent in sesamoid bones - patella

flat bones of skull:

- two thick layers of compact bone called - inner and outer tables which surround the spongy bone- diploe- sandwitched between them



- outer table posses- periosteum- pericranium


- inner table posses- dura mater

Bony types based on microscopic observations:

- primary (immature bone)



- secondary (mature bone)

PRIMARY BONE


(woven, immature)

- the first formed during fetal development and bone repair


- lesser mineral content than secondary bone, abundant with osteocytes, collagen


- organizes secondary bone

exceptions where primary (woven) bone does not organizes secondary bone:

- sutures of calvaria


- insertion sites for tendons


- bony alveoli surrounding the teeth

SECONDARY BONE


(lamellar, mature)

- composed of parallel or concentric bony lamellae


- osteocytes, canaliculi with their processes- network of communicating channels


- matrix is more calcified

lamellae-

blaszki, płytki

Lamellar systems in compact bone:

- outer circumferential lamellae



- inner circumferential lamellae



- osteons (haversian canal systems)



- interstitial lamellae

Outer circumferential lamellae:

- just deep to th epeiosteum


- outer most region of the diaphysis


- contain Sharpey's fibers anchoring the peiosteum to the bone

Inner circumferential lamellae:

- not as extensive as outer


-encircle the marrow cavity


- trabeculae of spongy bone extend from the inner circumferential lamellae into bone marrow cavity

Haversian canal systems - Osteons:

- in compact bone


- composed of cylinders of lamellae concentrically arranged around vascular space- haversian canal


- bounded by thin cementing line- composed mostly of calcified ground substance with collagen fibers


- bifurcate


Haversian canal:

- lined by layer of osteoblasts and osteoprogenitor cells,


- houses neurovascular bundle with CT


Haversian canals of adjacent osteons are connected to each other by...

Volkmann's canals



- vascular spaces that are oriented oblique to or perpendicular to Haversian canals

during the formation of osteons the lamella closest to cementing line is ...

the first to be formed

the more lamellae are added the more...

reduced is the diameter of Haversian canal

bone is being remodeled osteoclasts resorb osteons which are replaced by...

osteoblasts

Interstitial lamellea:

- remnant of osteons


- remain as irregular arcs of lamellar fragments


- (surrounded by osteons and cementing line)

Bone formation:

- intramembranous



- endochondrial

Intramembranous bone formation:

- occurs withinrich vascularized mesenchymal tissue, whoes cells kake contact with eachother via long processes


- mesenchymal cells --> osteoblasts - - bone matrix --> network of spicules and trabeculae


*primary ossification center


--> calcification --> osteocytes - - systems of canaliculi


- continuous activity of mesenchymal cells provides a supply of undifferenciated osteoprogenitor cells


- spongy-like network of trabeculae


- in most flat bones

regions of mesenchymal tissue that remain uncalcified differentiate into...

periosteum and endosteum

spongy bone deep to the periosteum and periosteal layer of dura mater of flat bones are transformed into...

compact bone forming inner and outer tables

Endochondrial bone formation:

- requires the presence of a cartilage template (szablon)


- most of the long and short bones


- occurs in phases:


* formation of miniature hyaline cartilage model


* continuous growth of the model which serves as structural scaffold for bone development (hyper


* resorption and replacement by bone

Events that occur at the primary center of ossification:

within the embryo --> hyaline cartilage model of that bone develops --> appositional and interstitial growth --> chondrocytes hypertrophy, glycogen accumulation, , enlargment of lacunae, calcified



perichondrium at the midriff of the diaphysis of cartilage becomes vascularized ! --> chondrogenic cells became osteoprogenitor cells --> osteoblasts, perichondrium--> periosteum



osteoblasts secrete bone matrix, forming subperiosteal bone collar (intramembranous bone formation)



due to collar, chpertrophic chondrocytes die- this process is responsible for presence of empty lacunae, future marrow cavity



periosteal bud (osteogenic bud) : osteoprogenitor cells, hemopoietic cells, blood vessels



osteoprogenitor cells --> osteoblasts- elaborate matrix on surface of calcified cartilage : calcified cartilage/ calcified bone complex



thicker subperiosteal bone, osteoclasts resorption of calcified cartilage/ calcified bone complex --> enlargement of marrow cavities

diaphysis is repleaced by bone except...

epiphyseal plates- reponsible for continuous growth till 20

Events occurring at the secondary centers of ossification:

- ossification begins at epiphysis (except there is no bone collar)


- growth of bone occurs at epiphyseal plate


- epiphysis and diaphysis become continuous

Continuous lengthening of bone depends on...

epiphysea plate

ZONES at the epiphyseal plate:



(bone growth in length)

- Zone of reserve (quiescent) cartilage


- Zone of proliferating cartilage


- Zone of maturation and hyperthrophy ( hypertrophic cartilage)


- Zone of calcification ( calcareous cartilage)


- Zone of ossification (trabeculae)

trabeculae-

beleczki kostne

Bone growth in width:

- takes place by appositional growth


- growth of the diaphysis


- osteoprogenitor cells ( in inner periosteum) --> osteoblasts, elaborate matrix in subperiosteal bone surface


- bone resorption internally so that marrow space can be enlarged

Calcification of bone:

- begins when there are deposits of calcium phosphate on the collagen fibril


- stimulated by osteonectin and bone sialoprotein

Bone remodeling:

- in adult bone development is balanced with bone resorption as bone is remodeled to meet stresses places on it



- Haversian systems are continually being replaced



- Bone must be resorbed from one area and added to another to meet changing stresses placed on it ( weight, posture, fractures) - COUPLING



- calcaneous bone and cortical bone are not remodeled in the same fasion

osteoclasts recruided to the area to resorb the bone matrix form...

absorption cavities

osteoclasts that are recruited to the area to resorb bone matrix form...

absorption cavities

Bone repair:

- involves both intramembranous and endochondrial bone formation



- bone haversians canals are without blood, osteocytes become pyknotic --> lysis



steps:



- formation of the hematoma (hemorrhaging)



- blood clot --> fibroblasts --> granulation tissue



- formation of internal callus



- cartilage --> cancellous bone (endochondrialy) * primary bone



- remodeling primary bone of intramembranous bone formation is replaced by secondary bone


parathyroid hormone:

- secreted by chief cells of parathyroid hormone when blood Ca2+ level is below normal



- activating receprors on osteoblasts --> OPGL and osteoclast- stimulating factor

calcitonin:

parafolicular cells (C cells) of thyroid gland



when calcium ion level in blood is elevated



activates receptors on osteoclasts- inhibiting them



osteoblasts --> osteoid Ca2+ deposid increases

somatotropin :

influences bone development via somatomedins (insulin like growth factors)

interleukin-1

- released by osteoblasts, activates osteoclasts precursors to proliferate


* indirect role in osteoclasts stimulation

Tumor necrosis factor-

released by macrophages act in fashion similar to interleukin 1

Colony-stimulating factor-1

- released by bone marrow stromal cells, induces osteoclasts formation

Interleukin-6

- released by various cells especially by osteoclasts, stimulates the formation of other osteoclasts

OPG

- inhibits osteoclasts differentiation

Interferon gamma-

- released by T-lymphocytes, inhibits differentiation of osteoclasts precursors

Transforming growth factor-beta

- liberated from bone matrix during osteoclasia



- induces osteoblasts to manufacture matrix, mineralization



- prevents proliferation of osteoclasts

Acromegaly:

- in adults who produce excessive somatotropin, abnormal increase in bone deposition without resorption

OSTEOPOROSIS:

- when estrogen secretion drops


(estrogen normally binds to osteoblast activating them for matrix secretion)

estrogen replacement therapy:

- increases the risk of heart disease, stroke, breast cancer, blood clots

RICKETS:

- disease in infants and children who are deficient in vitamin D


- intestinal mucosa cannot absorbe the calcium

Osteomalacia:

- adult rickets, result from prolonged deficiency of vitamin D



- fetus requires calcium

Scurvy

- condition resulting from deficiency of vitamin D


- deficient collagen production, reduced formation of bone matrix

JOINTS:

- cells in synovial layer:


* type A cells -macrophages


* type B cells fibroglasts that secrete synovial fluid (hyaluronic acid and lubricin)