Cartilage Flashcards

(46 cards)

1
Q

What are the only mineralised parts in the body?

A

Bone
Enamel
Dentin
Cementin

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2
Q

Where is cartilage primarily found

A

Where bones can’t offer adequate flexibility but fairly rigid support is still required as it forms a semi rigid support structure

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3
Q

Why is it found at articular surfaces

A

It has the ability to form a smooth surface

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4
Q

Features of normal cartilage

A

Covered in fibrous perichondrium
Avascular (generally found in mesenchyme and surrounding CT)
- Except not avascular in early embryo

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5
Q

What makes up the matrix produced by the cells

A

Fibres
Ground substance
Water (75%)

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6
Q

What types of cells are there

A

Progenitor cells
Chondroblasts
Chondrocytes

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7
Q

Progenitor cells

A

Perichondrium fibroblasts situated in the perichondrium

Can differentiate into cartilage producing cells upon stimulation

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8
Q

Chondroblasts

A

Immature cartilage matrix producing cells situated on the cartilage periphery

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9
Q

Chondrocytes

A

Mature cells embedded deep in the matrix found in small (2-8) clusters
Maintain the integrity of the matrix by continually turning over the cartilage matrix

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10
Q

Cartilage fibres

A

C 2
C 1
Elastic fibres

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11
Q

C 2

A

Main C present
Rich in hydroxylysine allowing x linking of C and gags
Not x banded like C1 and is arrange in an interlacing network of fine fibrils (mesh) so can’t be demoed by light microscopy

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12
Q

C1

A

More parallel
Present in the perichondrium
And fibrocartilage

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13
Q

Elastic fibres

A

Found in abundance in elastic cartilage

Fx is to incr cartilage flexibility

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14
Q

Ground substance

A

Consists of proteoglycan aggregates of 100+ molecules and account for the solid but flexible cartilage consistency
Non sulphate GAG
sulphated GAGs

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15
Q

Non sulphated GAG

A

Hyaluronic acid: large in branches molecule forming the back bone of the complex

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16
Q

Sulphated GAGs

A

Chondroitin 4&6 sulphate, keratan sulphate:
Predominate the matrix and form high density of -ve charges attracting cations eg Na bringing a lot of water with it
Bind to pros to form proteoglycans

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17
Q

Where is perichondrium and what is its fx

A

All cartilage is covered by the thick layer of CT that is the perichondrium except fibrocartilage and articular surfaces
Essential for cartilage growth and maintenance
Rich in C 1 and has fibroblast and progenitor cell reservoir

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18
Q

Types of growth

A

Interstitial

appositional

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19
Q

What is interstitial growth

A

Militia division of pre existing centrally located and embedded Chondrocytes (only occurs during early cartilage formation) causes once mass by expanding cartilaginous matrix from within

20
Q

Appositional growth

A

Differentiation of peripheral perichondrial cells into Chondroblasts which start producing the matrix causing once tissue mass around the edges

21
Q

Cause of growth in long bones

A

Up to time of puberty due to hyaline cartilage cells multiplication at growth played at ends of diaphysis

22
Q

How cartilage gets nutrients

A

Avascular so nutrients from blood diffuse through the matrix. Chondrocytes metabolise glucose mainly by anaerobic glycolysis to produce lactic acid

23
Q

How do hormones affect cartilage

A

Chondrocytes fx is under hormonal control
Synth of SGAGs incr under growth hormone influence (thyroxine & testosterone)
Decr by cortisone, hydrocortisone, oestrodiol (steroid hormones)

24
Q

What happens in old age

A

Cartilage calcified as ages
Composition changes and calcium phosphate/carbonate granules are laid down in matrix by Chondrocytes
Becomes brittle and hard so nutrients are cut off so Chondrocytes die

25
Regeneration capacity
Ability to repair lost or damaged cartilage is v low
26
How regen occurs in adults
Rare Mostly occurs slowly by re establishment of perichondrium Fibrous tissue may fill gap instead and become calcified eventually
27
Articular cartilage regen
No perichondrium so little/no healing when damaged General slight wear replaced by extra matrix production More severe replace by fibrous material so lose smoothness
28
Embryonic regen
Repairs pretty much completely by chondrogenesis
29
Cartilage types
Hyaline Articular Elastic Fibrocartilage
30
Hyaline
Most abundant form Shape, structure, support & growth in bone length and low friction joints Translucent blue-white to pearl-white
31
Hyaline found
Resp tract (nasal septum, larynx, tracheal rings, bronchi) Stern all part of ribs Growth plates of bones and at joint surface as art cart Embryo bones appear as this then are replaced by bone
32
Hyaline composition
Mainly C2 Perichondrium High GaG level around Chondrocytes so more intense basophilic halo
33
Art cart
Hyaline but no perichondrium Low friction coefficient in joint due to no perichondrium and C fibrils arrangement in matrix Ltd regen capacity
34
Elastic found/ fx
Flexible support and structure External eat and external auditory canal Some laryngeal cart (epiglottis, corniculate, cuneiform processes of arytenoid cart) found continuous with hyaline often
35
Elastic composition
Yellow due to elastin in elastic fibres Perichondrium C2 fibres among many elastic fibres Less likely to degen than hyaline (less likely to calcify)
36
Fibrocartilage Fx Found
Very tough & fibrous Assoc with dense CT where tensile strength and substantial support req Intervertebral disc pubic symphysis some tendon/ligament-bone attachments
37
Fibrocartilage | Composition
C1 &2 No perichondrium Never alone always merge into hyaline or dense fibrous tissue
38
Fibrocartilage formation
Fibroblasts lay down fibrous tissue Some fibroblasts transform into Chondroblasts which lay down cart matrix Repair by laying down fibrous tissue
39
First stage of histogenesis
Precursor mesenchymal cells have a stellate appearance before differentiation into Chondroblasts/cytes
40
2nd histogenesis stage
Protraction of cytoplasmic extensions results in rounding of mesenchymal precursor cells
41
3rd histogenesis stage
Rapid multiplication and form condensed agglomerates of rounded cells
42
4th
Differentiate into Chondroblasts | Start producing GS and C fibres of matrix
43
5th histogenesis stage
Cells trapped in own secretions as they lay down matrix and are pushed apart
44
Final histogenesis stage
When completely embedded immature matrix Chondroblasts multiply and form isogenic groups of 2-8
45
Cartilage fx
``` Structure A Support H Growth H Flexibility E Model H Joints HA Shock absorption H ```
46
What is cartilage not
Soft bone | Mineralised