1
Q

What are the 5 functions of bone?

A
β†’ Support and movement 
β†’ Protection for internal organs 
β†’ Bone marrow store
β†’ Mineral reservoir 
β†’ Endocrine
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2
Q

Where is cortical compact bone found?

A

β†’ On the outside

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3
Q

How is cortical bone organised?

A

β†’ In sheet like structures

β†’ Surrounding a hollow structure called the Haversian canal

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4
Q

What are the repeating units of cortical bone?

A

β†’ Osteons

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5
Q

What are lacunae?

A

β†’ cell sized holes within the bone matrix

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6
Q

What are the function of Haversian canals?

A

β†’ Allow for blood vessel penetration

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7
Q

Where is trabecular bone found?

A

β†’ Near the head of the bone

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8
Q

What is the structure of trabecular bone?

A

β†’ spongy

β†’ interlocking struts with spaces inbetween

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9
Q

What is the function of trabecular bone?

A

β†’ Makes bone lighter

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10
Q

What is the composition of bone in %s?

A

β†’ Protein : organic osteoid matrix 25%
β†’ Mineral : 75%
β†’ Cells

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11
Q

What is the function of the organic protein matrix?

A

β†’ Gives flexibility and tensile strength

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12
Q

What is bone mineral?

A

β†’ Hydroxyapatite

β†’ Calcium and Phosphate

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13
Q

What is the function of bone mineral?

A

β†’ Gives bone rigidity and compressive strength

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14
Q

What are the 4 types of bone cells?

A

β†’ Osteoblasts
β†’ Osteoclasts
β†’ Osteocytes
β†’ Bone marrow cells

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15
Q

What are the two subtypes of bone marrow cells?

A

β†’ Mesenchymal cells

β†’ Haematopoietic cells

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16
Q

What do mesenchymal stem cells make?

A

β†’ Osteoblasts and osteocytes

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17
Q

Where are osteoblasts found?

A

β†’ Lining the inner surface of bone

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18
Q

Where are osteocytes found?

A

β†’ Encased within the bone matrix

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19
Q

What do haematopoietic stem cells give rise to?

A

β†’ Lymphoid lineage - lymphocytes

β†’ Myeloid lineage - RBC and macrophages

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20
Q

What are the 3 functions of osteoblasts?

A

β†’ Bone forming cells
β†’ Secrete osteoid collagen matrix of bone
β†’ Promote mineralisation of the osteoid

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21
Q

What are the 2 functions of osteoclasts?

A

β†’ Bone reabsorbing - digest old bone

β†’ Dissolve bone mineral and have enzymes to digest the organic matrix

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22
Q

What is the life cycle of osteoclasts controlled by?

A

β†’ Apoptosis

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23
Q

What is a protease that osteoclasts secrete?

A

β†’ Cathepsin K

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24
Q

What do osteoclasts secrete?

A

β†’ Acid and proteases that are active in acidic environments

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25
What do osteoclasts look like?
β†’ They are large and multinucleate
26
What are osteocytes?
β†’ Terminally differentiated osteoblasts
27
What do osteocytes do?
β†’ They lay down bone matrix (organic material that becomes mineralised)
28
How do osteocytes extend?
β†’ Via multiple dendrites via minute canals in the bone matrix
29
What is the function of the lacunocanalicular system?
β†’ Maintains communication between the bone surface and blood vessels
30
How is bone continually renewed?
β†’ Old bone is continually resorbed and new bone is laid down β†’ Cycle between osteoclasts digesting old bone and osteoblasts laying down new bone
31
How does bone remodelling occur?
β†’ The leading edge is where cells differentiate into osteoclasts β†’ Behind that the new osteoblasts differentiate into new bone β†’ As the osteoblasts lay down the new bone some of them will stay in it where they are encased in lacunae
32
What are the 3 phases of bone remodelling?
β†’ Activation : promotion of differentiation of new osteoclasts β†’ Resorption : duration of osteoclast activity β†’ Reversal : osteoclast apoptosis, terminating activity
33
What are the 3 factors that control bone remodelling?
β†’ Load bearing exercise β†’ Cytokines and local signals β†’ Endocrine
34
What is the role of estrogen in bone remodelling?
β†’inhibits osteocyte apoptosis β†’ Promotes osteoclast apoptosis β†’ essential for skeletal health
35
What does process does estrogen favor?
β†’ Formation over resorption
36
What is osteoporosis?
β†’ Loss of bone mass above a certain threshold
37
In what gender is osteoporosis more common in?
β†’ Women
38
Why is osteoporosis more common in women?
β†’ dramatic loss of estrogen due to menopause
39
What is delayed skeletal growth in men linked to?
β†’ Aromatase deficiency
40
What is RANK?
β†’ A surface receptor on pre-osteoclasts that stimulates osteoclast differentiation
41
What is the RANK ligand produced by and what does it do?
β†’ Produced by pre-osteoblasts, osteoblasts and osteocytes | β†’ binds to RANK and stimulates osteoclast differentiation
42
In what two forms can the RANK ligand exist in?
β†’ Surface bounds | β†’ Soluble form that is secreted from osteocytes
43
What does the RANK receptor binding promote?
β†’ osteoclast differentiation
44
What is OPG?
β†’ A soluble protein produced by osteocytes
45
What does OPG do?
β†’ Acts as an antagonist | β†’ binds to RANK ligand and prevents it from binding to the receptor
46
What ratio controls osteoclast differentiation?
β†’ Ratio of RANK ligand to OPG
47
What are the steps for activating Wnt?
β†’ The frizzled receptor | β†’ and the co-receptor called LRP5/6 have to interace
48
What is the effector of the Wnt pathway?
β†’ beta catenin
49
What happens after the Wnt pathway is activated?
β†’ beta catenin is translocated to the nucleus where it causes transcription
50
What is the Wnt pathway regulated by?
β†’ DKK and Sclerostin
51
Where is sclerostin expressed and what does it do?
β†’ Expressed in osteocytes | β†’ stops osteoblast differentiation
52
What do OPG and NO do?
β†’ Inhibit the differentiation of osteoclasts
53
What does the RANK ligand promote?
β†’ Promotes the differentiation of osteoclasts
54
What do PGE2, NO and ATP promote?
β†’ Differentiation of osteoblasts
55
What do sclerostin, DDK and SFRP1 inhibit?
β†’ Inhibit the differentiation of osteoblasts
56
What is a common bone disease?
β†’ Osteoporosis
57
What is a rare bone disease?
β†’ Osteomalacia
58
What is sclerosteosis caused by?
β†’ Mutation of the SOST gene | β†’ Inactivating sclerostin protein
59
What is osteopetrosis caused by?
β†’ Inactivating the RANK ligand | β†’ overgrowth of bone
60
What 2 changes occur during osteoporosis?
β†’ Thinning of the cortical bone | β†’ Widening of the trabecular bone