Normal function and development Flashcards

(36 cards)

1
Q

What purpose do bones have?

A
  1. Raises us up form the ground against gravity
  2. Determines basic body shape
  3. Transmits body weight
  4. Forms jointed lever system for movement
  5. Protects vital structures from damage
  6. Houses bone marrow
  7. Mineral storage (calcium, phosphorous, magnesium)
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2
Q

Which bones are in the axial skeleton

A
Skull - cranium, maxilla, mandible
Middle ear - (ossicles malleus, incus, and stapes/hammer, anvil, and stirrup)
Hyoid bone
Rib cage
Sternum
Vertebral column

The axial skeleton is the part of the skeleton that consists of the bones of the head and trunk of a vertebrate.

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3
Q

Which bones are in the appendicular skeleton

A
The appendicular skeleton is divided into six major regions: Pectoral girdles (4 bones) 
Left and right clavicle (2)
scapula (2)
Arms and forearms (6 bones) 
Left and right humerus (2) (arm), 
ulna (2) and radius (2) (forearm).
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4
Q

How can bones be classified by shape? (5)

A
  1. Long bones - tubular shape with hollow shaft and ends expanded for articulation with other bones eg, femur, tibia
  2. Short bones - cuboidal in shape, eg carpals and tarsals
  3. Flat bones - plates of bones, often curved, protective in function, eg cranium, sternum, ribcage
  4. Irregular bones - various shapes, eg hyoid bone
  5. Sesamoid bones - round, oval nodules in a tendon or muscle, eg kneecap/patella, pisiform in the wrist found in joints (sesame)
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5
Q

Types of bone structure -macro (2)

A
  1. Cortical - compact, dense, solid bones only has spaces for cells and blood vessels
  2. Trabecular - cancellous, spongy, network of bony struts (trabeculae), looks like a sponge, many holes filled with bone marrow, the cells reside in trabeculae and blood vessels in holes
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6
Q

Types of bone structure -micro (2)

A
  1. Woven bone/Primary bone - quick formation, disorganised, no clear structure
    - may devleop directly from mesenchyme (membrane), or cartilage proformer (endochondral)
  2. Lamellar bone/Secondary bone - made slowly, organised, layered structure, as a result of remodelling, good strength to weight ratio
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7
Q

How does bone structure contribute to function

a) Hollow long bone
b) Trabecular bone
c) Wide ends

A

a) Hollow long bone - keeps mass away from neutral axis, minimizes deformation
b) Trabecular bone - gives structural support while minimizing mass
c) Wide ends - spreads load over weak, low friction surface

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8
Q

What is the composition of bone?

A

50-70% Mineral (hydroxyapatite, crystalline form of calcium phosphate)
20-40% Organic matrix (collagen (I) 90%, 10% is non-collagenous proteins)
5-10% Water

Collagen is assembled in fibrils with mineral crystals situated in ‘gap’ regions between them

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9
Q

Why does bone contain collagen and mineral? (and water)

A

Mineral provides stiffness

Collagen provides elasticity

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10
Q

What two ways can bone form?

A
  1. Intramembranous bone - originates within sheets of connective tissue (collagen type II)

(Mesenchyme is embryonic connective tissue that is derived from the mesoderm and that differentiates into hematopoietic and connective tissue)

  1. Endochrondral bones - begin as models of hyaline cartilage that are replaced by bone (collagen type I)
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11
Q

What is the difference between modelling and remodelling?

A

Modelling - gross shape is altered, bone is added or taken away
Remodeling - all of the bone is altered and the new bone replaces the old bone

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12
Q

What are the 4 main cells of the bone?

A

Osteoclast - multinucleated

Osteoblast - plump, cuboidal

Osteocyst - stellate, entombed in bone

Bone-lining cells - flattened, line the bone

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13
Q

How does bone remodelling occur? (5/6)

A
  1. Resting phase
  2. Activation
  3. Resorption
  4. Reversal phase
  5. Formation
  6. (Resting stage)
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14
Q

What do bone cells differentiate from? (and into)

A

Mesenchymal stem cell = progenitor = can differentiate into, adipocytes, osteoblasts, chondrocytes, myoblasts, fibroblasts

Hematopoietic stem cells = osteoclasts (modulated by RANK L and others)

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15
Q

Function of osteoblast

A
  • The Build Bone (in form of osteoid)
  • Produce TYPE I collagen and mineralize the extra cellular matrix by depositing hydroxyapatite crystal (crystalline form of calcium phosphate) within collagen fibrils
  • High alkaline phosphatase activity
  • Make non-collagenous proteins
  • Secrete factors that regulate osteoclast (RANKL)

Mesenchymal stem cell

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16
Q

Function of osteoclast

A
  • Resorb bone
  • dissolve mineralised matrix (Acid)
  • Breakdown collagen in bone (Enzymatic)
  • High expression of TRAP and Cathepsin K

Hematopoietic stem cells

17
Q

Function of osteocyst

A
  • Live inside the cell and have long branches which allow them to contact each other and line the surface of cells
  • Sense mechanical strain on the bone
  • Can secrete growth factors which activate the lining cells or stimulate osteoblasts
18
Q

Why are bones remodelled? (6)

A
  1. Form bone shape
  2. Replace woven bone with lamellar bone
  3. Reorientate fibrils and trabeculae in favourable direction for mechanical strength
  4. Response to loading (exercise)
  5. Obtain calcium
  6. Disease
19
Q

How do the cells of the bone function when trauma has occurred?

A

Osteoblasts - produce new woven bone (quick formation)
Osteoclasts - mop up dead bone and remodel into strong bone
Osteoblasts - then lay down the lamella bone (slower to form, well structured)

20
Q

What occurs in osteoporosis?

A

When breakdown exceeds synthesis

-often linked to reduce oestrogen in women after the menopause

21
Q

What are bone lining cells?

A
  • Former osteoblasts which have become flat
  • Line entire surface of the bone, responsible for release of calcium
  • Protective
  • Receptors from hormones that initiate bone remodelling
22
Q

What are the types of collagen?

A

I a) loose and dense ordinary connective tissue, collagen fibres (fibroblasta and smooth muscle cells)

b) fibrocartilage
c) bone - osteoblasts
d) dentin - odontoblasts

II a) hyaline and elastic tissue - chondrocytes
b) vitreous body of the eye - retinal cells

III a) loose connective tissue, reticular fibres - fibroblasts and reticular cells

b) papillary layer of dermis
c) blood vessels - smooth muscle cells, endothelial cells

IV basement membrane - epithelial and endothelial cells

23
Q

List of some types of collagen

A

Type I Skin, bone, teeth, capsules of organs
Type II Cartilage
Type III Liver, kidney, spleen, arteries, uterus
Type IV Basement membranes
Type V Placenta

24
Q

Fibrillar collagen structure

A
  • 3 collagen molecules form 3-stranded tropocollagen molecule
  • triple helices
25
What breaks down collagen?
Proteinases break down collagen, particularly collagenases and cathepsin K (found in bone) -this can be due to repair and replacement or can be pathological
26
How do osteoclasts reabsorb bone?
-They make resorption pits -Produce protons and protainases (HCl - dissolves mineral, cathepsin K digests matrix)
27
What occurs in bone remodelling?
1. Quinesence - communication between osteocytes and bone lining cells 2. Resorption - osteoclasts reabsorb old bone 3. Reversal - macrophage-like cells 4. Formation - osteoblast precursors proliferate and differentiate into mature osteoblasts and then secrete new bone matrix (osteoid) 5. Mineralisation - matrix mineralises to generate new bone 6. (Quinesence)
28
How can tumours affect bone?
Tumour cells may synthesise and secrete agents that enhance osteoclastogenesis = more osteoclasts = more bone breakdown (RANK L, OPG and others)
29
What are integrins?
Integrins are receptors for collagens and fibronectin | -they control cell shape and movement and can alter gene expression via kinase cascades
30
What does cross talk mean?
-Continual cross talk between the cells and the matrix mean that the ECM can affect cell phenotype and the cells can affect ECM composition
31
What is osteoid
Organic component of bone that is secreted by osteoblasts | -it is then mineralised
32
How does endochrondral ossification occur?
- Cartilage proformer - Collar formation - Invasion of oestogenic bud - Formation of primary centre - Establishment of secondary centres - Lengthening via growth plates - Closure of growth plates -Type II, long bones
33
What factors affect bone growth?
Growth hormones, sex hormones,
34
How do growth hormones affect bone growth?
- Stimulate growth of epiphyseal cartilage - excess causes gigantism - excess causes acromegaly once the growth plates are exhausted -GH released by pituitary gland, stimulates insulin-like growth factor 1 (IGF-1, from liver) which causes growth of muscles/bones/cartilage
35
How do sex hormones affect bone growth?
- Generally stimulators of bone growth - Precocious sexual maturity results in reduced stature as growth plates close early - hormone deficiencies cause tall stature as growth plates remain open for longer (growth plates close at different times in different bones, occurs in girls earlier than boys, eg around 12-14 for elbow bone) - long bones! 12(f)-14(m) = growth spurt
36
How does intramembranous ossification occur?
1. Condensation of mesenchyme into soft sheet permeated with blood capillaries 2. Deposition of ostoid tissue by osteoblasts on mesenchyme surface, entrapment of first osteocyte = formation of periosteum 3. Honeycomb of bony trabeculae formed by continued mineral deposition = spongey bone 4. Surface bone is filled in by bone deposition converting spongy bone to compact bone (persistence of spongy bone is in the middle layer) Type I - flat bones