24 - Development of Skeletal Tissue, Spine, Ribs, and Sternum Flashcards

1
Q

What are the two forms of skeletal tissue?

A

Bone and cartilage

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2
Q

What is the mesenchyme of the trunk and head derived from?

A

Trunk: paraxial mesoderm and somatic mesoderm.

Head: neural crest ectomesenchyme and head mesoderm.

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3
Q

What are the master genes for bone and cartilage formation?

A

Bone: RunX2 [CBFA1) osteoblast specific transcription factor

Cartilage: Sox9 is a chondroblast-specific transcription factor

These activate the expression of other genes that are activated in only bone or cartilage forming cells. These are not involved in patterning of skeletal elements.

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4
Q

What occurs if an ambryo is homozygous for runX2/CBFA?

A

Null mutant with no bones.

Skull is fibrous CT.

Skeleton is calcified cartilagenous skeletol with short limbs.

Fatal.

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5
Q

What is the initial step of developing supporting tissue? What else is involved in this process?

A

Initial step: condensation of preskeletal mesenchyme.

Epithelial mesenchyme interactions are involved:

  • AER/mesenchyme forms the limb
  • Neural tube/mesenchyme formsthe skull/vertebrae
  • Notochord/mesenchyme forms the skull vertebrae
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6
Q

What occurs when the skeletal tissue forming mesenchyme preskeletal condenstation expresses sox9?

A

It becomes cartilage

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7
Q

How does skeletal tissue forming mesenchyme preskeletal condenstation become tissue that performs endochondrial ossification?

A

The preskeletal condensation expresses Sox9 and becomes cartilage model of bone.

That expresses to Ihh and VegF, which causes bone to replace the cartilage.

That expresses RunX2 causing endochondrial ossification.

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8
Q

How does skeletal tissue forming mesenchyme preskeletal condenstation become tissue that performs intramembranous ossification?

A

Mesenchyme cells express RunX2 and begin to form bone.

This type of ossification is seen in the flat bones of the skull and face.

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9
Q

What happens in your body when you have low serum Ca2+?

A

Calcium sensing receptors cause the parathyroid to release PTH.

PTH causes the kidney to make 1,25 (OH)2 D3 causing an increase in intestinal Ca absorption, and increased Ca2+ resorption in the kidneys, and increased bone Ca2+ mobilization.

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10
Q
A
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11
Q

What are ossification centers?

A

Areas in the sksletal primordium where ossification begins.

Can be used as a measures of skeletal maturation and development.

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12
Q

Where are the primary and secondary ossification centers? When do they occur during development?

A

Primary: initiatial center to appear; located at the shaft of long bone or center of flat bone. Appear around 7 weeks.

Secondary: Appear in perinatal, postnatal, or postpubertal period; ends of long bonds (epiphysis), heads of ribs. Close in 20-30s. Hormonal control of maturation (estrogenand thyroid hormone).

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13
Q

What is bone age?

A

The amount of epiphyseal cartilage retained - comparison of bone and chronological age is a measure of skeletal growth and maturation.

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14
Q

What are chracteristics of generalized skeletal tissue displasias?

A
  • May affect all or part of skeleton
  • Often affect growth andmay result in short or tall stature
  • Often a component of the ECM is defeftive
  • Often recognized genetic component
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15
Q

What is mucopolysaccharidoses?

A

Defect in synthesis, storage, or transport of a particular lysosomal enzyme; results in accumulation of substrate.

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16
Q

What is marfans syndrome?

A

Alteration of fibrillin production

17
Q

How can increased or decreased growth hormone impact skeletal growth?

A

Increased: gigantism

Decreased: pituitary infantilism (type of dwarfism).

18
Q

What can increased thyroid hormone lead to?

A

Cretinism (type of dwarfism).

19
Q

What condition is associated with a mutation in the gene encoding fibroblast growth factor receptor 3 (FGFR3)?

A

Achondroplasia: failure of endochondral ossification

20
Q

In the trunk, what do the paraxial and somatic mesoderm form?

A

Paraxial mesoderm: vertebral colum and ribs

Somatic mesoderm: sternum and limb skeleton

21
Q

What are vertebrae derived from?

A

Scleratome cells

22
Q

How do scleratomes form vertebrae?

A
  1. They organize into cranial and caudal subdividions with loose and dense areas of sclerotome divided by non-ebner’s fissures.
  2. Re-segmentation occurs so loose area of one sclerotome unites with a dense area of another to form vertebral precursor.
  3. Muscles attach to multiple tissues so the muscle can act on adjacent vertebra
23
Q

How is scleratome tissue arranged?

A

It has specific regions (central, ventral, dorsal, lateral, etc) that will become particular locations on the vertebrae.

24
Q

What do the cells of the cranial (anterior) half of the scleratome contribute to?

A

Vertebral body, small parts of the neural arch and distal rib (in thoracic region).

25
Q

What do the cells of the caudal (posterior) half of the scleratome contribute to?

A

Vertebral body, transverse processes, most of the neural arch and proximal part and main part of distal rib (in thoracic region).

26
Q

Describe the patterning of forming vertabrae?

A

Axial patterning (cranial-caudal axis) influences the type of vertebrae that are formed.

This is thought to be controlled by the hox genes and retinoic acid expressed in this axis.

  • ie the pattern of signals you get determines what type of vertebrae is formed
27
Q

How do forming vertebrae ossify?

A

There are 3-4 primary centers (by week 8): 2 at the centrum and one at each arach.

Closure of the neurocentral junction is at 3-6 years.

Secondary centers for at puberty.

28
Q

What are two problems of abnormal regionalization that can occur in the development of the vertebral column?

A

Abnormal regionalization due to fusion: Klippel-Fiel sequence

Abnormal regionalization due to change in number: Lumbarization (loss of sacral vertebrae-more severe) or sacralizaton (fusion of vertebrae)

29
Q

What is dysraphism? What two diseases can be seen?

A

Open vertebral column due to failure of fusion of the spinous process.

Rachischisis: spine division - extensive opening with CNS involvement

Spinfa bifida: variation in length of opening

30
Q

What role does folic acid play in development?

A

Folate functons as a coenzyme that helps with the closure of the neural tube. Taking folate prevents neural tube defects.

Without folate: anenecphalopathy (portiong of skull absent) and spina bifida may occur

31
Q

What are the two types of abnormal vertebrae formations? What is the worest case scenario when someone has scoliosis?

A

Hemi-vertebrae and block vertebrae (fused)

Worse case: hemivertabrea on one side and a fusion on the contralateral side. Very unstable.

32
Q

What are two congenital defects that result in vertebral asymmatry?

A

Congenital kyphosis and congenital lordosis.

33
Q

Describe the formation of the ribs?

A

Lateral extension of costal process in the thoracic region.

34
Q

How does the sternum form?

A

Sternal bands fuse to become cartilage sternum, which ossifies to become an ossified sternum.

35
Q

What are two things that can occur with abnormal development of the ribs?

A

Presence of an accessory rib, which may interfere with the brachial plexus.

Abnormal rib: ie fused or forked

36
Q

What are two potential developmental defects of the sternum?

A

Pectus excavatum (hollow)

Pectum carinatum (keep-shaped)

37
Q

The vertebrae and ribs form from ______ ______, and the sternum forms from _______ ______.

A

Vertebrae and ribs: paraxial mesoderm

Sternum: somatic mesoderm

38
Q

Primary ossification centers form in the vertebrae, ribs, and sternum during ________, while secondary centers form in the vertebrae during ______.

A

Primary: fetal life

Secondary: puberty