Bone Formation Flashcards

1
Q

Intramembranous ossification

A

Bone is formed from clusters of mesenchymal cells; responsible for the formation of most flat bones, the mandible, and the clavicle; takes place in highly vascularized tissue.

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2
Q

Endochondral ossification

A

Bone is deposited on a preexisting cartilage matrix; responsible for formation of long and short bones (limbs)
*Growth of hyaline cartilage model occurs by both appositional and interstitial growth

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3
Q

Function of proteoglycans in bone matrix

A

Bind growth factors like TGFb, BMP, and Ihh

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4
Q

Function of glycoproteins in bone matrix

A

Important for holding things together and for the mineralization process

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5
Q

Steps of intramembranous ossification

A
  1. Mesenchymal cells migrate and cluster in locations where bone is meant to form
  2. Clustered mesenchymal cells differentiate into osteoprogenitor cells
  3. Osteoprogenitor cells differentiate into osteoblasts, which secrete components of the bone matrix (type I collagen to make osteoid), facilitate mineralization of the matrix (osteocalcin and alkaline phosphatase), and secrete glycoproteins (osteonectin) to bind matrix components to minerals.
  4. Osteoblasts surround w/ matrix –> osteocytes
  5. Osteoblasts congregate on edges of spicules to make trabecular network
  6. If spongy bone then remaining mesenchyme among trabeculae gives rise to the bone marrow cells. If compact bone then the trabeculae thicken until they obliterate the intervening vascular spaces.

Immature bone remodeled into mature.

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6
Q

Fontanelles

A

Soft spots on babies’ skulls where bone has not formed yet

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7
Q

Steps of endochondral ossification

A
  1. Formation of cartilage model; perichondrial cells in the midregion of the cartilage model stop producing chondroblasts
  2. Growth of the cartilage model (appositional at edge and interstitial at middle)
  3. Formation of bone collar when perichondrial cells produce osteoblasts, which secrete osteoid.
  4. Chondrocytes hypertrophy
  5. Hypertrophic cells secrete type X collagen (mineralization of matrix), alkaline phosphatase (enzyme for mineral deposition), VEGF (stimulates vascular invasion)
  6. Death of chondrocytes and disintegration of matrix by matrix metalloproteases. Remnants of calcified cartilage at end of cavity = epiphyseal cartilage.
  7. Blood vessels from periosteum invade cavity, bringing HSCs that will form cells of bone marrow.
  8. Osteoprogenitor cells migrate from periosteum, differentiate into osteoblasts, and start secreting osteoid to form mixed spicules, which are eventually removed by osteoclasts and replaced by bone.
  9. Secondary ossification centers form in epiphysis.
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8
Q

Zones of epiphyseal plate

A
  1. Zone of reserve (resting zone)
  2. Zone of proliferation
  3. Zone of hypertrophy
  4. Zone of calcification
  5. Zone of ossification
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9
Q

Resting zone

A

Of epiphyseal plate; typical hyaline cartilage

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10
Q

Zone of proliferation

A

Of epiphyseal plate; chondrocytes divide rapidly and form columns of cells

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11
Q

Zone of hypertrophy

A

Of epiphyseal plate; large chondrocytes whose cytoplasm has accumulated glycogen; narrow areas of matrix between lacunae; cells secrete type X collagen, alkaline phosphatase, and VEGF

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12
Q

Zone of calcification

A

Of epiphyseal plate; matrix becomes calcified; chondrocytes die via apoptosis

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13
Q

Zone of ossification

A

Of epiphyseal plate; osteoprogenitor cells invading and differentiating into osteoblasts, which secrete bone matrix onto the calcified cartilage matrix.

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14
Q

Epiphyseal plate stimulated by what hormone?

A

Somatotropin; released by anterior pituitary. Bone grows until epiphyseal closure. Upon closure forms epiphyseal line.

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15
Q

Increases in bone width

A

Appositional growth; due to expansion of marrow cavity. Bone produced by osteoprogenitor cells in the periosteum on the external surface. Bone removed from the internal surface, causing cavity to grow.
***Intramembranous ossification

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16
Q

Bone remodeling

A

Selective bone resorption/deposition

17
Q

Osteoporosis

A

Rate of resorption exceeds deposition

18
Q

Damaged bone takes ____wks to repair itself

A

6-12

19
Q

PTH (parathyroid hormone)

A
  • Secreted from parathyroid glands
  • triggers increase in blood calcium by binding to receptors on active osteoblasts to stop them from producing bone. The osteoblasts then secrete an osteoclast-stimulating factor
  • increases bone resorption and release of calcium into the blood stream
  • increases absorption of calcium by the GI tract
  • reduces Ca excretion by the kidneys
20
Q

Calcitonin

A
  • secreted by thyroid gland
  • decreases blood Ca levels
  • acts directly on osteoclasts to inhibit their resorptive activity
21
Q

Deficiency of calcium

A

Weak bones
“Rickets” in children
“Osteomalacia” in adults
Matrix does not completely calcify

22
Q

Vitamin D is necessary for…

A

…absorption of Ca by the GI tract