1 Flashcards

1
Q

What is a cell

A

Basic unit of life Smallest unit able to

reproduce

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Eukaryotic cells

A

Everything except bacteria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Prokaryotic cells

A

bacteria cells

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is a tissue

A

Group of cells plus matrix that have a specific

function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Four main types of tissue

A

epithelial
connective
muscle
nervous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

what is the Extracellular matrix

A

3D matrix surrounding the cell :
• provides support and structure for cells
• regulates cell function

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Van’t Hoff equation -osmotic pressure

A

tells us that osmotic pressure is proportional to concentration : Π=𝑐𝑅𝑇

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Polyelectrolyte

A

polymer with groups that
dissociate in solvent leaving
charged regions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Proteoglycan function in ecm and how its achieved

A

Proteoglycans attract and retain water in the ECM
Important for
• filling space
• allowing transport of solutes
• mechanical properties
achieve this by exerting an osmotic pressure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what is a Proteoglycan

A

core protein chain with GAG “hairs” bonded to it 2 types decorin and aggrecan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Glycosaminoglycans (GAGs)

A
Polysaccharide chains
• Four main groups
• Hyaluronan
• Chondroitin sulphate & dermatan sulphate
• Heparan sulphate
• Keratan sulphate
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Decorin

A

A few GAG chains
• Chondroitin and dermatan sulphate
• Role in developing collagen fibres
“decorates” collagen fibers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Aggrecan

A

100s of GAG chains
Chondroitin and keratan sulphate
Role in providing structure to extracellular matrix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

issues with the Van’t Hoff equation

A

bad for high concentrations and doesnt account for charged molecules

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Donnan model - cocentration

A

semi permeable membrane in a in a jar of solution so some molecules cant make it through impacting the concentration of ions / final distribution of solutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

cell model - concentration

A

tba

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What do aggrecan molecules attach to when they form an aggrecan aggregate

A

Hyaluronan

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

which distribution can be used to model the charge density in the rod-in-cell model

A

Boltzmann

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the term that describes the contents of a cell (fluid plus organelles)?

A

Cytoplasm

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Why are glycosaminoglycans good at attracting and retaining water in the extracellular matrix?

A

They have a negative charge

They are fixed in the matrix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Poisson’s equation for electrostatics

A
𝛻^2𝜓( 𝑟) =−𝜌 (𝑟)/𝜀
𝜌 (𝑟) =𝑧𝑒𝑐 (𝑟)
𝜓 𝑟 Mean electric potential at r
𝜌 𝑟 Mean charge density at r 
𝜀 Permittivity of the solution
c(r) Ion concentration at r
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Diffusivity definition

A

A measure of how easily a solute diffuses through a medium - diffusion coefficient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Diffusivity equation

A

⟨ 𝑥^2⟩ =2𝑑𝐷t
𝑑 Number of dimensions
𝐷 Diffusivity
𝑡 Time

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Stokes-Einstein equation -diffusivity

A
𝐷 = 𝑘𝑇/6𝜋𝜇𝑅
𝐷 Diffusivity
𝑘 Boltzmann’s constant
𝑇 Temperature
𝜇 Fluid viscosity
𝑅 Radius of sphere
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
what scenario does the Stokes-Einstein equation consider
Stokes-Einstein equation considers a spherical particle with a no-slip boundary condition
26
Hydrodynamic radius /Stokes radius
the radius of the molecule as the radius of a | sphere with the same diffusivity
27
Factors affecting | diffusivity
* Steric exclusion * Hydrodynamic drag * Tortuosity
28
Steric exclusion
when a solute molecule in water has a relatively larger hydrodynamic radius than water leading to a deficiency of the solute molecule in the vicinity of a second solute molecule
29
Hydrodynamic drag
Fluid drag opposes solute movement | More drag as solute radius increases
30
Tortuosity equation
𝜏 =𝑙′/𝑙 𝜏 Tortuosity 𝑙 Linear distance 𝑙′ Path length
31
Reptation
large molecules wiggle through holes
32
Fick’s first law - diffusion
𝐽 =−𝐷(𝑑𝑐/𝑑𝑥) J Diffusion flux (amount per unit area per unit time) 𝐷 Diffusivity 𝑑𝑐/𝑑𝑥 Concentration gradient
33
Steric partition coefficient
Steric partition coefficient reduces diffusivity and also concentration 𝐶 =𝐾𝐶_0
34
Fick’s second law - diffuision
``` 𝜕𝑐/𝜕𝑡 =𝐷𝜕^2𝑐/𝜕𝑥^2 c Concentration 𝑡 Time 𝑥 Distance 𝐷 Diffusivity ```
35
what does Fick’s first law describe
there is an area of high and an area of low concentration these do not change the flux of solute is constant - calculates the flux
36
what does Fick’s second law describe
Solute spreads out from source | Concentration changes as a function of time and distance
37
What causes fluid flow
mechanical or osmotic pressure
38
Darcy’s law - volume flow ratw
``` 𝑄 =−𝐴𝜅/𝜇 𝑑𝑃/𝑑𝑥 𝑞 =−𝜅/𝜇 𝑑𝑃/𝑑𝑥 𝑄 Volume flow rate 𝑞 Volume flow rate per unit area 𝐴 Cross-sectional area 𝜿 Intrinsic hydraulic conductivity 𝜇 Fluid viscosity 𝑑𝑃/𝑑𝑥 Pressure gradient ```
39
what does Darcy’s law describe
describes the flow of a fluid through a porous medium
40
what is Hydraulic conductivity
Describes how easily water can flow through a porous medium
41
what affects Hydraulic conductivity
* size of pores * spatial distribution * connectivity
42
Poiseuille equation - Flow along pipe of circular cross section
``` Flow along pipe of circular cross section 𝑄 =−𝜋𝑟^4/8𝜇 𝑑𝑃/𝑑𝑥 𝑄 Volume flow rate 𝒓 Pipe radius 𝜇 Fluid viscosity 𝑑𝑃/𝑑𝑥 Pressure gradient ```
43
Carman-Kozeny equation - hydraulic conductivity
``` 𝜅 =𝜀𝑟^2/𝐺 𝜅 Hydraulic conductivity 𝜺 Fractional void volume 𝑟 Mean hydraulic radius of tubes 𝐺 Kozeny factor ```
44
what does the Kozeny factor depend on
``` depends on channel shape and tortuosity • straight tubes, G = 2 • random orientation, G = 3 – 5 • but also depends on ε • G → 100 as ε→ 1 ```
45
Poroelasticity
Theory that describes the behaviour of a poroelastic material • porous elastic solid • filled with viscous fluid • interaction between fluid flow and solid deformation
46
Terzaghi’s theory of effective stress
``` Load shared between solid and fluid 𝜎 =𝜎∗ +𝑝 𝜎∗ Effective stress 𝑝 Pore pressure 𝜎 Total stress ```
47
what happens in terms of the Terzaghi equation at a sealed boundary
all components are constant
48
what happens in tersm of the Terzaghi equation at a free draining boundary
total stress constant effective stress increases pore pressure decreases
49
what happens to hydraulic concutivity with increaed strain
it decreases
50
Viscoelasticity
A viscoelastic material has both an elastic and a viscous component to its response
51
Elastic behaviour
``` • Apply a force • Material deforms • Remove force • Material reforms to original shape • Energy stored in material and then returned ```
52
Viscous behaviour
``` • Apply a force • Material flows • Remove force • Material remains ‘deformed’ • Energy dissipated and not returned ```
53
Hysteresis
``` • Strain increased then decreased • Stress differs between loading and unloading • Energy lost ```
54
Creep
* Constant stress applied | * Strain increases over time
55
Stress relaxation
* Constant strain applied | * Stress reduces over time
56
Spring equation
𝜎 =𝐸𝜖
57
Dashpot equation
𝜎 =𝜂 𝑑𝜖/𝑑𝑡 | 𝜂 - viscosity
58
Maxwell model - overview
Spring and dashpot in series Stress equal in both components Total strain equals sum of components
59
Elastic behaviour for sinusoidally varying stress
Elastic behaviour • Strain in phase with applied stress • Peak stress at peak strain
60
Viscoelastic behaviour for sinusoidally varying stress
* Strain lags stress by p/2 | * Peak stress at peak strain rate
61
Storage modulus
``` elastic behaviour (energy stored) 𝐸′ =𝐸∗cos𝛿 ```
62
Loss modulus
``` viscous behaviour (energy dissipated) 𝐸′′ =𝐸∗sin𝛿 ```
63
what does the loss factor depend on
temperature hydration frequency
64
The stress experienced by the solid part of the material in Terzaghi's theory
Effective stress
65
collagen types and uses
Collagen I – tendon, skin, blood vessels, bone • Collagen II – cartilage • Collagen III – co-distributed with type I • Collagen IV – basement membranes
66
Organisation of collagen
``` Microfibrils- • Collagen molecules • Tropocollagen • Three polypeptide chain Fibrils- cross-linked in staggered arrangement ```
67
Collagen IV in basal lamina
Basal lamina is part of the basement membrane which is alayer of ECM that separates and anchors epithelium to connective tissue the Collagen IV forms sheets
68
what is Elastin
Elastin • Elastic fibres • elastin core (90 % of the fibre) • sheath of microfibrils (fibrillin)
69
Formation and assembly of elastin
made in endoplasmic reticulum sent to golgi body transported to membrane sent to ecm hydophobic so clumps together
70
what does a polymer tend towads in terms of entropy
tends to high entropy state to minimise distance between end (relaxed polymer)
71
Entropic restoring force
Stretching elastic fibres -> Reduces number of microstates -> Reduces entropy ->Generates restoring force
72
Fibre composite
one of the materials is in the form of discontinuous fibres embedded in a matrix
73
Fracture toughness of Fibre composite
A tough material can absorb a lot of energy without breaking | Fibres deflect the crack and energy used to debond the fibres from the matrix
74
what are Fibre composite properties are dependent on
* quantity of fibres * orientation of fibres * Interface between fibre and matrix * Shape of fibre ends * Fibre length
75
Rule of mixture models (fibre composites)
• assume that fibres are aligned, continuous, and attached perfectly to matrix • composite properties dependent only on fibre properties, matrix properties, and volume fraction
76
continous vs short fibre in fibre composite
continous + σ= εE along whole length of fibre Short fibre: • ε applied to composite, only matrix experiences ε
77
What type of cells manufacture collagen
fibroblasts
78
The efficiency of fibre reinforcement depends on fibre orientation. Which relationship correctly relates the efficiency to the angle the fibres make with the applied load
cos^4
79
Lipid bilayer description
* Double layer of lipid molecules * held together by noncovalent bonds * ~ few nm thick * lipids are amphiphilic with Hydrophilic polar end and Hydrophobic non-polar end
80
in a cell the membrane =
walls
81
in a cell the cytoskelleton =
framework
82
in a cell the mitochondria =
engines
83
in a cell the nucleus =
control center
84
in a cell the Endoplasmic reticulum =
factories
85
in a cell the Golgi apparatus =
packaging plant
86
in a cell the Lysosomes =
waste disposal
87
how do we know the lipid layer is two molecules thick
Gorter & Grendel, 1925 - extracted lipids from red blood cells and found a surface area to no of lipds to be ~2
88
in what ways is the bilayer fluid
lateral diffusion , flip flop, flexion of tails, torsion
89
what does the fluidity of the lipid bilayer depend on
* length of fatty acid chains * kinks in fatty acid chains * cholesterol * protein concentration
90
impact of cholesterol on phospholipids (fluidity)
reduce fluidity by stiffening regions between phospholipids | increase fluidity by reducing packing between phospholipids
91
Surface tension measurement using a Wilhelmy plate
``` 𝛾 = 𝐹/𝐿cos𝜃 𝛾 Surface tension 𝐹 Measured force 𝐿 Wetted length (2d + 2w) 𝜃 Contact angle ```
92
what is Surface pressure as a function of area trend for lipids
falls off with increased area
93
Membrane protein functions (6)
inter cellular joinings, emzyme activity, transport, cell cell recognition, anchorage, signal transduction
94
Integrins - definition
Integrins are a large family of cell adhesion proteins
95
intergrins functions
* relay signals about matrix * cell migration * matrix assembly
96
Glycocalyx - definition
Layer on the external surface of cells - sugat coat
97
Glycocalyx functionss
* barrier | * mechanical sensor
98
Passive transport - def and 2 mechanisms
``` Molecules transported down electrochemical gradient • No energy required 2 mechanisms • simple diffusion • facilitated diffusion ```
99
Fick’s law for simple (passive) difusion
``` Small non-polar molecules diffuse across cell membrane Q=−ADdc/dx Q Diffusion flux (amount per unit time) 𝐴 Membrane area 𝐷 Diffusivity 𝑑𝑐/𝑑𝑥 Concentration gradient ```
100
Channel proteins
Allows solutes to cross without touching the membrane | Can be always open or gated
101
Carrier proteins
Specific to solute but doesn’t always need solute to change state Allows solutes to cross without touching the membrane Transition occurs randomly and is reversible
102
Active transport
``` Active transport • Molecules transported against electrochemical concentration gradient • Energy is required to perform the transport • Protein pumps ```
103
Vesicle transport
Vesicles are formed from small sections of membrane • They transport substances • within a cell (between organelles) • in and out of the cell
104
what is the cytoskeleton made of
microtubules, actin filaments, and intermediate filaments
105
what is an actin filament
Actin filaments (F-actin) are linear polymer chains of globular actin (G-actin) they shrink and grow by attachment and detachment at ends Minus end is pointed Plus end is barbed
106
Polymerisation (more complicated) description
G-actin in two different forms (rates not identical) | Rate constants higher at the plus end
107
Treadmilling of polymer
Number of monomers in the filament is constant Filament ‘moves’
108
what is a Microtubule
Microtubules are tubular polymers of globular tubulin Similar to actin • has a ‘plus’ and ‘minus’ end • can grow and shrink
109
what is a Intermediate filament
* Intertwined fibrous proteins forming protofilament | * 8 protofilaments arranged to form filament
110
Cytoskeleton functions
``` Actin filaments • cell shape • cell movement Microtubules • organelle organisation • cell division • transport within the cell Intermediate filaments • mechanical strength ```
111
Cell migration description
* Protrusion at front -polymerisation of actin pushes on membrane * Attachment to surface atfront * Retraction at rear as cell moves * De-attachment fromsurface at rear- actin forms part of contractile assembly to pull cell
112
micro tubules during cell division
all connected to one point in cell and pull chromosomes apart
113
Persistence length def
the length of a polymer under wich it acts like a stiff rod
114
Persistence length equation
``` ξ= 𝐸𝐼/𝑘𝐵𝑇 ξ Persistence length 𝐸𝐼 Bending stiffness 𝑘𝐵 Boltzmann’s constant 𝑇 Temperature ```
115
Order the cytoskeleton components by their diameter from smallest at the top to largest at the bottom.
Actin filaments Intermediate fibres micro tubules
116
Fluctuation | spectroscopy description
Contour of cell determined Analysed using Fourier series • mean square amplitude for each mode
117
Micropipette aspiration description
• Micropipette (1 – 10 mico m ø) brought into contact with membrane • Negative pressure applied • Cell sucked into micropipette (observed with microscope) • Length measured as function of pressure
118
Liquid drop model and Laplace pressure equation
``` ∆𝑃 =𝑃𝑖𝑛 −𝑃𝑜𝑢𝑡 =2𝛾/𝑅 ∆𝑃 Pressure difference 𝛾 Surface tension 𝑅 Radius 𝛾=RcRcap(Pp-Pa)/2(Rcap-Rc) ```
119
Optical tweezers
Light beam with higher intensity at centre | F=-kx
120
Atomic Force Microscope (AFM)
Tip interacts with sample Attractive/repulsive forces cause cantilever to bend Bending monitored by reflected laser light Properties of the cell determined from the force and the deflection tapping mode gentler for cells
121
Mechanotransduction definition
Cells sense physical forces and translate them into biochemical or biological responses External stimulus -> internal response
122
Mechanotransduction Process
Receive stimulus Transmit stimulus Respond to stimulus
123
3 Receptors of Mechanotransduction
Stretch activated ion channels intergrins enzyme linked cell surface receptors
124
Stretch activated ion channels description - mechanotransduction
Membrane stretching pulls the channel open somtimes the channel is teathered to the cytoskelenton somtimes attached to a mechano supportive protein
125
Integrin def
transmembrane receptors that facilitate cell-cell and cell-extracellular matrix adhesion
126
2 methods of Mechanotransduction
cytoskeleton, biochemical messenger
127
Mechanotransduction response from cell
cytoskeleton -> DNA to RNA -> endoplasmic reticulum ->gogli ->protein->target
128
Three types of cartilage
* hyaline * fibrocartilage * elastic
129
Articular cartilage desctription
* Type of hyaline cartilage * Located within synovial joints * Covers articular surfaces * ~ a few mm thick
130
Collagen fibril arrangement for cartilage
Parallel fibres Resist shear forces at surface Perpendicular fibres Tether cartilage to bone
131
Cell nutrition and waste products for cartilage
Avascular (no blood supply) • Cells receive nutrients and get rid of waste products via • capillaries in underlying bone • surrounding synovial fluid Mechanisms • diffusion • convective transport from fluid movement
132
Mechanical functions of cartilage
* Supports and distributes load | * Provides low friction surface
133
cartilage components
Collagen fibrils and Proteoglycan gel
134
osteoarthritis
most common form of arthritis, It occurs when the protective cartilage that cushions the ends of the bones wears down over time initial roughening → complete loss of cartilage -primary -secondary (triggered by injury)
135
cartilage degradation with reference to changes in the extracellular matrix and cells
``` Changes in the ECM • Collagen and proteoglycans degraded • split into smaller units • Collagen • reduced ability to reinforce matrix • Proteoglycans • increased ability to leave the matrix ```
136
Boundary layer lubrication
Proteoglycans coat the cartilage surface | They form a mucous, slippery boundary layer
137
Hydrodynamic lubrication
* Surfaces moving past each other * Fluid dragged between them * Pressure generated
138
State the function of tendons and ligaments in the musculoskeletal system
``` Tendon • connects muscle to bone • transfers forces from muscles Ligament • connects bone to bone • limits/controls movement ```
139
functional requirements of tendons and ligaments
Tendons need to be stiff for effective force transfer Tendons need to be flexible to wrap around joints Ligaments need to be stiff to limit movement whilst still allowing some motion Strong-doesn’t break (tendon and ligament) Flexible-accommodate joint angles and motion (tendon and ligament)
140
composition and structure of tendons and ligaments
water, collagen and elastin | Structure - collagen - fibril - fibre - fasicle - tendon/ligament
141
Fibril structure
Fibril 10-100 nm Staggered arrangement of cross-linked molecules with D period ~ 67 nm
142
Fibre structure
is crimped
143
Fascicle and tendon structure
* ECM within and around fascicles * space for cells and blood vessels * lubrication for sliding of fascicles
144
Toe region for collagen in tendons/ligaments
Toe region • Collagen fibre crimp stretches out • Collagen fibres align
145
Linear region for collagen in tendons/ligaments
* Collagen fibres un-crimped and aligned * Fully supporting load in tissue * Young’s modulus from this region
146
Bone functions
``` Mechanical • support • protection • movement Storage • minerals Production • blood cells ```
147
Bone types
``` Cortical bone (also called compact or dense bone) Cancellous bone(also called trabecular or spongy bone) ```
148
Bone structure - cortical bone
osteon and lamella mineralised collagen fibres collagen/ mineral composite crystal latice
149
Bone structure - tribecular bone
trabecular packet and lamella mineralised collagen fibres collagen/ mineral composite alpha chains
150
Wolff’s law
Bone adapts in response to mechanical stress
151
function of the osteoblasts in bone remodelling
build bone -synthesize bone matrix and coordinate the mineralization of the skeleton
152
function of the osteoclast in bone remodelling
removes/ breaks down old bone by excreeting acid and enzmes, calcium traveles through the cell and is released, degraded matrix is removed by vesicle transport, adhesion proteins seal cell to bone matrix, ruffled border provides a large surface area
153
function of the osteocytes in bone remodelling
orchestrates bone remodelling, are embedded in bone matrix and recieves info from strain in solid matrix and sheer stress from fluid flow
154
characteristics of osteoporosis
Condition involving reduction in bone tissue | • More resorption than building
155
Muscle structure
myofibril singular muscle fibre (cell) fascicle (bound in connective tissue) muscle (nerves and blood vessels throughout
156
myofibril
2 interdigitating strucures - actin (thin) filaments and myosin (thick) filaments
157
sliding filament theory
describes the mechanism that allows muscles to contract. According to this theory, myosin (a motor protein) binds to actin. The myosin then alters its configuration, resulting in a "stroke" that pulls on the actin filament and causes it to slide across the myosin filament
158
Cross-bridge cycling - sliding filament theory
Cross-bridge formation Power stroke Cross-bridge detachment Reactivation of myosin head
159
Muscle force equation
𝐹 =𝐴×𝑇 𝐴 Cross-sectional area 𝑇 Specific tension of muscle (can also use Physiological cross-sectional area)
160
Physiological cross-sectional area equation
𝑃𝐶𝑆𝐴=𝑉𝑚/𝐿𝑓 𝑉𝑚 Muscle volume 𝐿𝑓 Muscle fibre length
161
Muscle force fibre angle equation
𝐹𝑚𝑢𝑠𝑐𝑙𝑒 =𝐹𝑓𝑖𝑏𝑟𝑒𝑠 cos𝜃 𝐹𝑚𝑢𝑠𝑐𝑙𝑒 Force muscle is able to apply along mechanical axis 𝜃 Angle of fibres with respect to mechanical axis
162
Cardiovascular system Primary function
transport system for oxygen, nutrients, waste products
163
Blood vessel types
``` Artery • wide and long • few in number Capillary • narrow and short • many in number ```
164
Blood Vessel structure
``` Tunica externa Tunica media (larger for arteries) Tunica intima ```
165
Tunica externa
* Loose network of collagen | * Tethers vessel to surrounding tissue
166
Tunica media
• Smooth muscle cells plus collagen and elastic fibres • Elasticity and strength (and contractility in smaller vessels) less in veins as arteries need it to move blood along
167
Tunica intima
• Endothelial cells on a layer of connective tissue • Physical and chemical barrier Basement membrane after it
168
glycocalax of endothelial cells
endothelial cells have a very thick glycocalax
169
Capillary structure
Glycocalyx -inner Endothelial layer Basement membrane -outer
170
oedema + causes
``` fluid retention Oedema is usually caused by standing or sitting in the same position for too long eating too much salty food being overweight being pregnant aking certain medicines Oedema can also be caused by: an injury problems with your kidneys, liver or heart a blood clot an infection ```
171
shape of a blood cell and explain how it can travel along very small capillaries
Biconcave disc | deformes to Slipper and then parachute to fit
172
key difference in the cytoskeleton of the blood cell compared to other cells
have spectrin filaments connectedby actin to membrane proteins
173
key points of the Human Tissue Act 2004
regulates the removal, storage and use of human tissue
174
what can we use to Repair and replace
We can use tissue from • patient’s own body • another human • another species
175
Problems with Repair and replace
Compatibility of tissue or artificial material used for repair or replacement
176
Stress shielding problem
Implant is stiffer than bone | leads to the reduction in bone density