Block IV: Bone formation Flashcards

1
Q

what initiates bone formation?

A

condensation of mesenchymal cells during 8th week

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2
Q

into what does messenchymal cells differentiate into?

A

osteoprogenitor cells and express CBFA1 transcription factor

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3
Q

osteoprogenitor cell differentiates into?

A

osteoblast, produce matrix and becomes osteocytes

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4
Q

Where does intramembranous ossification occur?

A

in the development of flat bones in the head, in the periosteum during bone remodeling, and plays a role in fracture repair

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5
Q

identify

A

In this relatively early stage of
development, the mandible consists
of bone spicules of various sizes
and shapes. The bone spicules
interconnect with each other and
form trabeculae, providing the
general shape of the developing
bone

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6
Q

Explain endochondral ossification starts with a shape of?

A
  1. A hyaline cartilage model with the general shape of the bone is formed
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7
Q

when does endochondral ossification start, induced by and first sign?

A
  1. Starts in 12th week of gestation. Influenced by fibroblastic growth factor (FGFs) and bone morphogenic proteins (BMPs).
  2. The first sign of ossification is the appearance of the bony collar around the cartilage model.
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8
Q

What do chondrocytes in midregion synthesize?

A
  1. The chondrocytes in the midregion become hypertrophic and synthesize alkaline phosphatase
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9
Q

Cartilage matrix undergoes?

A

5.The cartilage matrix undergoes calcification. This calcification of the matrix inhibits diffusion of nutrients and the chondrocytes die.

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10
Q

Where do messenchymal cells migrate to?

A
  1. Mesenchymal stem cells migrate into the cavity along with blood vessels and osteoprogenitor cells that become osteoblast.
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11
Q

What is the primary ossification center?

A

This first site when bone begins to form in the dyaphysis of a long bone

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12
Q

Whne does second ossification center occur?

A

Shortly after birth in the proximal epiphysis

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13
Q

What is the epiphyseal plate?

A

the Hyaline cartilage that persists between the two epiphyses and continues interstitial growth; the growth in length of long bones depends on epiphyseal plates

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14
Q

does calcified cartilage become bone?

A

no; is replaced by bone

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15
Q

What are the zones of the epiphyseal plate?

A
  1. Zone of reserve cartilage (resting or quiescent) chondrocytes quiescent, no cellular proliferation or matrix production
  2. Zone of proliferation chondrocytes undergo division by mitosis and produce collagen types II and XI, cells become organized into columns
  3. Zone of hypertrophy (maturation) chondrocytes enlarge (hypertrophy), store glycogen, secrete collagen type II, X. Secrete VEGF that stimulate vascular invasion.
  4. Zone of calcified cartilage matrix calcifies and cells die. Chondrocytes undergo apoptosis
  5. Zone of resorption vessels invade and bring in osteogenic cells, bone deposition begins > ossification zone (zone of mixed spicules) bone
    deposited on dead cartilage then remodeled
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16
Q

identify

A

zones of epiphyseal plate

17
Q

identify

A

Intramembranous Ossification (bony spicule)

18
Q

identify

A

Endochondral Ossification (mixed spicule)

19
Q

identify

A
20
Q

identify

A
21
Q

AGE OF EPIPHYSEAL CLOSURE OF MAJOR POSTCRANIAL
EPIPHYSES IN HUMANS

A

girls will have it sooner than boys; Sequence of fusion around joints: elbow, hip, ankle, knee, wrist, shoulder

22
Q

identify

A

Compact adult bone contains Haversian system of varying age
and size. Bone Remodeling is a continuous process.

Microradiograph of the cross section of a bone. This 200-μm-thick cross section of bone from a healthy
19-year-old male shows various degrees of mineralization in different osteons. Mature compact bone is
actively replacing immature bone, which is seen on the periosteal. Very light areas represent the highly
mineralized tissue that deflects the X-rays and prevents them from striking the photographic film.
Conversely, dark areas contain less mineral and, thus, are less effective in deflecting the X-rays

23
Q

What happens as initial response to injury, in a fractured long bone repair?

A

the injury produces a fracture hematoma that surrounds the ends of
the fractured bone. The ends of bone fragments undergo necrosis

24
Q

What cells infiltrate as response of injury in repair?

A

Infiltration of
neutrophils and macrophages, activation of
fibroblasts, and proliferation of capillaries.

25
Q

what fills the gap at the fracture site and what does it produce?

A

Fibrocartilage fills the gap at the fracture
site producing a soft callus. This stabilizes
and binds together the fractured ends of the
bone.

26
Q

What begins to deposit new bone?

A

The osteoprogenitor cells from the
periosteum differentiate into osteoblasts and
begin to deposit new bone on the outer surface
of the callus (intramembranous process.

27
Q

how is the cartilage replaced by bone in repair?

A

The cartilage in the soft callus calcifies and it is gradually replaced by bone as in endochondral ossification. Newly deposited
woven bone forms a bony hard callus

28
Q

What does bone remodeling of the hard callus does?

A

Bone remodeling of the hard callus transforms
woven bone into the lamellar mature structure
with a central bone marrow cavity

29
Q

what is the hard callus replaced by?

A

Hard callus
is gradually replaced by the action of
osteoclasts and osteoblasts that restores
bone to its original

30
Q

identify

A

3-week-old bone fracture, stained with H&E, shows the fibrocartilage of the soft callus. (Fractured long bone undergoing repair)

31
Q

identify

A

Higher magnification of the callus from the area indicated shows osteoblasts lining bone trabeculae (Fractured long bone undergoing repair)

32
Q

identify

A

Higher magnification of the callus shows site by the periosteum. It will be removed by osteoclast activity

33
Q

exaplain Pituitary growth hormone (GH or somatropin) effect on growth

A

stimulates growth of the epiphyseal plate
- during development, over secretion results in gigantism
- during development. lack of hormone > pituitary dwarfism
- in adult over secretion > acromegaly

34
Q

exaplain thyroid hormone effect on growth

A

Absence during development > failure of bone and
cartilage growth > dwarfism (congenital hypothyroidism)

35
Q

exaplain cortisone effect on growth

A

inhibits cartilage growth (causes early epiphyseal fusion

36
Q

explain calcium deficiency in growth

A

(may be deficiency of calcium or vitamin D)
- during growth > rickets
- in adult > osteomalacia

37
Q

Explain vitamin A effects on growth

A
  • deficiency > suppresses endochondral bone growth
  • excess > fragility and fracture of long bones
38
Q

explain vitamin C effect on growth

A

necessary for collagen synthesis
- deficiency > scurvy (bone matrix does not calcify)