Bone Metabolism W4 Flashcards

1
Q

Structure of a cortical bone

A

Also called compact bone is the dense outer layer of bone that provides strength and support. Contains:
- osteons
- Haversian Canal
- lamellae
- volkmans canals
- lacunae
- canaliculi
- periosteum
- endosteum

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2
Q
  • osteons
A

fundamental structural unit of cortical bone.

Each osteon is a cylindrical structure running parallel to the bone’s long axis.
Contains concentric layers (lamellae) of bone matrix surrounding a central canal.

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3
Q
  • Haversian Canal
A

Located at the center of each osteon.
Contains blood vessels, nerves, and lymphatic vessels that nourish the bone.

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4
Q
  • lamellae
A

Concentric lamellae: Surround the Haversian canal in rings.
Interstitial lamellae: Found between osteons, remnants of older osteons.
Circumferential lamellae: Found at the outer and inner surfaces of the bone, reinforcing its structure.

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5
Q
  • volkmans canals
A

Run perpendicular to Haversian canals.
Connect blood vessels and nerves between adjacent osteons and the bone surface.

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6
Q
  • lacunae
A

Small spaces between lamellae that house osteocytes (bone cells).

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7
Q
  • canaliculi
A

Tiny channels connecting lacunae.
Allow communication and nutrient exchange between osteocytes.

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8
Q
  • periosteum
A

A tough outer membrane covering the bone, except at joint surfaces.
Contains blood vessels, nerves, and osteogenic cells (for bone growth and repair).

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9
Q
  • endosteum
A

A thin membrane lining the inner surface of the bone (medullary cavity).
Contains bone-forming and bone-resorbing cells.

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10
Q

Cells of the bone

A

Osteoblast
Osteoclast
Osteocyte
Osteocytic-osteoblastic bone marrow
Bone fluid
Mineralised bone

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11
Q

The majority of the bone comprises….

A

hydroxyapatite
crystals ( Ca10(PO4)6(OH)2) which precipitates
around the collagen extracellular matrix (the osteoid)
in the bone

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12
Q

Bone turnover

A

Osteoclasts dissolve the bone -> Osteoclast dies or migrates -> Osteoblasts fill the cavity

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13
Q

Osteoclast numbers are controlled by…

A

Factors from the osteoblast :
- RANKL
- Osteoprotegerin

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14
Q
  • RANKL
A

increases osteoclast differentiation and decreases
osteoclast apoptosis, increasing their number and
promoting bone resorption over the long-term

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15
Q

Osteoprotegerin

A

is a “decoy” receptor for RANKL.
It therefore decreases osteoclast number and promotes
bone deposition over the long-term

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16
Q

The balance of RANKL and OPG are importantly…

A

Determinate of bone density

17
Q

Oestrogen and OPG

A

Oestrogen stimulates production of OPG and promotes apoptosis of osteoclasts and increases the number of osteoblasts