Biochemistry of Bone Formation Flashcards

1
Q

What are the two types of bone formation?

A

endochondral and intramembranous

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

What are the four phases of skeletal development?

A
  1. migration of preskeletal cells to sites of future skeletogenesis
  2. interaction of these cells with epithelial cells
  3. interaction leads to mesenchymal condensation
  4. followed by differentiation to chondroblasts or osteoblasts
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Characteristics of endochondral bone formation:

A

-indirect
-mesenchyme forms cartilage template first, which is later replaced by bone

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

Where does endochondral bone formation occur?

A

in most bones of the skeleton
-bones that bear weight and have joints

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

What type of bone formation occurs during fracture repair?

A

endochondral bone formation

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

Characteristics of intramembranous bone formation:

A

-direct
-transformation of mesenchyme cells to osteoblasts (no cartilage intermediate)

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

Where does intramembranous bone formation occur?

A

cranial vault, some facial bones, parts of the mandible and clavicle

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

What attracts blood vessels to invade during endochondral bone formation?

A

chondrocytes release VEGF

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

When does growth plate fusion usually occur?

A

around age 14-20 in humans

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

When do secondary ossification centers appear?

A

around the time of birth

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

What do osteocytes made by mesenchymal cells do?

A

deposit osteoid (unmineralized) bone matrix

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What happens to the osteoid matrix?

A

calcifies/osteoblasts become arranged along calcified region of thematrix

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

What do the osteoblasts that get trapped in the bone matrix become?

A

osteocytes

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

What is the first type of bone produced?

A

woven bone (primary bone)

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

When is woven bone made?

A

when osteoblasts need to form bone rapidly
-embryonic development
-fracture healing
-disease states

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

What replaces woven bone?

A

lamellar bone

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

Characteristics of woven bone:

A

-disorganized
-randomly oriented collagen fibrils
-increases cell density
-reduced mineral content

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

Characteristics of lamellar bone:

A

-highly organized
-concentrically arranged around a central canal containing blood vessels and nerves
-parallel oriented collagen fibers
-mechanically stronger

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

What are the two types of secondary bone?

A

compact and cancellous bone

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

What is compact bone?

A

cortical/haversian

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

What is cancellous bone?

A

spongy/trabecular

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the three types of bone cells?

A

-osteoclasts
-osteoblasts
-osteocytes

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

What are osteoblasts derived from?

A

mesenchymal stem cells

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

What do osteoblasts look like?

A

plump, cuboidal cells located on bone forming surfaces

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
What do osteoblasts make a lot of?
extracellular matrix proteins (collagen type I)
26
What is the lifespan of osteoblasts?
weeks
27
What are transcription factors for osteoblasts?
Runx2 Osterix
28
What enzymes are associated with osteoblasts?
alkaline phosphatase
29
What extracellular matrix proteins are associated with osteoblasts?
-type I collagen -osteopontin -osteocalcin -bone sialoprotien (BSP)
30
What does a heterozygous mutation of RUNX2 case?
cleidocranial dysplasia
31
Symptoms of cleidocranial dysplasia:
-autosomal dominant -haploinsufficiency of RUNX2 -delayed ossification of midline structures of bone -clavicles partly or completely missing -late closing of fontanelle -supernumerary teeth -protruding mandible
32
Osterix controls expression of waht osteoblast genes?
-type I collagen -osteocalcin -osteoporin
33
What does human mutation in osterix associated with?
osteogenesis imperfecta type XII
34
What are BMPs associated with?
-skeletal development -differentiation from early osteoprogenitors -in fracture healing
35
What is fibrodysplasia ossificans progressiva?
causes bone to form in the wrong places -extra skeletal sites -bones form in response to tissue -mutations in BMP type I receptor
36
What is being researched as a treatment for fibrodysplasia ossificans progressiva?
antibodies against activin A and kinase inhibitors selective for mutation receptors
37
Activating mutations of Lrp5 cause:
high bone mass
38
inactivating mutations in Lrp5 cause:
low bone mass
39
What initiates the first phase of mineralization?
matrix vesicle mediated mechanism
40
What does the second phase of mineralization involve?
propagation of mineralization on collagen fibers
41
What is the matrix vesicle?
extracellular membrane bound vesicles produced by osteoblasts 30-1000nm in diameter
42
what is inside the matrix vesicle membrane?
calcium and phosphate transporters and enzymes that generate phosphate
43
What are the stages of MV mineralization?
-amorphous mineral on MV membrane -HA crystal growth inside MV -mineral crystals disrupt MV membrane
44
What is alkaline phosphatase?
enzyme highly expressed in osteoblasts/odontoblasts
45
What does alkaline phosphatase do?
hydrolyze pyrophosphate increasing phosphate concentration -promote mineralization
46
Mutations in alkaline phosphatase genes are associated with?
hypophosphatasia
47
What is hypophosphatasia?
rare heritable rickets/osteomalacia -reduced activity of alkaline phosphatase -impair mineralization -varying severity
48
TNSALP mutations associated with:
hypophophatasia
48
PHOSPHO1 deletion causes:
impaired mineralization
49
ENPP1 mutations associated with:
syndrome of spontaneous infantile arterial and periarticular calcification
50
Characteristics of osteocytes:
-terminally differentiated osteoblasts -embedded in bone matrix -90% of all bone cell s -long dendritic processes -lifespan of decades
51
Transcription factors associated with osteocytes:
Mef2c
52
Early osteocyte markers:
-E11/gp38/podoplanin -DMP1 -MEPE -PHEX
53
Last osteocyte marker:
SOST
54
Potential functions of osteocytes:
-mechanosensors -control bone resorption and bone formation -regulate mineralization -regulate mineral homeostasis (calcium and phosphorus)
55
What is sclerostin (SOST)
negative regulator of bone formation -antagonize Wnt/beta-catenin signaling
56
Where is SOST expressed?
mature osteocytes, cementocytes, and odontoblasts
57
Deletion of SOST in humans causes:
Sclereosteosis/ Van Buchems
58
What are side effects of sclerosteosis/Van Buchems?
increase bone mass, especially obvious in craniofacial skeleton
59
How do osteocytes play an endocrine role?
regulate phosphate homeostasis