Bone Health Flashcards

1
Q

What are the 3 main components of bone = connective tissue?

A
  • Cells ( osteoclasts, osteoblasts, osteocytes)
  • Protein fibres
  • Ground substance: Viscous fluid with proteoglycans cross linked by protein fibres
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2
Q

What are the 3 main protein fibres?

A

Collagenous = bundles of collagen fibrils to strengthen the tissue
Reticular - join connective tissue to other tissues
Elastic - made of elastin fibres for stretch

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3
Q

What are the main functions of bone?

A

1: Mechanical - protection, rigid stability of the limbs, act as levers
2: Mineral storage - storage of minerals e.g Ca2+ and phosphate, bone marrow for haematopoesis

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4
Q

What are the 2 main types of bone?

A

Cortical hard bone = mechanical functions

Cancellous spongy bone = lattice of trabeculae, large SA so is very metabolically active

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5
Q

What is appositional growth?

A

How bone grows by osteoblast activity

It is the deposition of new matrix on the exisiting surface

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6
Q

What are the 2 main types of bone formation?

A

Intramembranous ossification: From fibrous membranes

Endochondral ossification: From hyaline cartilage

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7
Q

Describe the process of intra membranous ossification

A
  • Osteoblasts can form ossification centres
  • Osteoblasts can secrete ECM, Ca2+ to harden the matrix
  • Osteoid forms along with the periosteum
  • Osteoid forms around blood vessels to create spongy bone
  • Spongy bone crowds the blood vessels to condense into red marrow
  • Spongy bone is remodelled to be covered by a thin layer of cortical bone
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8
Q

Describe the process of endochondral ossification

A
  • Mesenchymal stem cells -> chondrocytes
  • Perichondrium forms
  • Perichondrium becomes infiltrated with blood vessels, cells and osteoblasts
  • Osteoblasts can convert the perichondrium -> periosteum
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9
Q

What blood vessels supply the bone?

A

Nutrient arteries
Periosteal arteries
Metaphyseal arteries
Perforating arteries, anastamose with branches of the nutrient arteries to supplY the marrow space

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10
Q

What are Haversian canals?

What are Volkman canals?

A

Central canals of the bone lying parallel to the bone axis, they contains lymphatics, nerves and vasculature
Volkman canals connect the haversian canals and are perpendicular to the bone axis.

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11
Q

Where are osteoblasts and osteocytes derived from?

What other cells do they give rise to?

A
Osteoprogenitor cells ( mesenchymal stem cells) 
Myoblasts, fibroblasts, adipocytes
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12
Q

What are osteocytes?

A

Major cells of the bones

They are supportive cells that maintain the bone matrix

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13
Q

What are the main functions of osteoblasts?

A
  • Form the organic matrix by depositing ECM, collagen and special proteins ( osteoclastin and osteonectin)
  • Mineralisation via deposition of hydroxypatite between the collagen fibrils
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14
Q

Describe mineralisation

A
  • Osteoblasts remove ions e.g Ca2+ and phosphate from the mitochondria and cytoplsm and release these onto the organic matrix
  • They have vesicles to concentrate the ions until hydroxyapatite forms
  • The crystals have nucleation sites allowing for more apatite crystals to form
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15
Q

What are the main components of the organic matrix?

A

88% Type 1 collagen
10% proteins : Osteocalcin + osteonectin
1-2% : Glycosaminoglycans and lipids

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16
Q

What do osteoblasts secrete to prevent RANK + RANKL activation?

A

Osteoprotegerin

17
Q

What are the 3 main factors needed for osteoclast activity?

A

RANK
RANKL
Macrophage colony stimulating factor
RANK + RANKL -> NKFB singalling

18
Q

How does osteoclastogenesis occur?

A
  • Cell attaches to the bone via integrins
  • Extracellular compartment is isolated between the bone and ruffled membrane
  • Proton pump acidifies acompartment to pH 4.5
  • Releases bone minerals as lysosomes degrade the bone
19
Q

What is protected from osteoclastic activity?

A

Non mineralised bone = osteoid