Cartilage Flashcards

1
Q

Cartilage Properties

  • Special class of CT deposited by ______
  • ______ unlike bone and other CT, which makes the tissue rely on simple ______ to obtain nutrients
  • _______ ECM that conducts nutrients and water allowing for diffusion
  • Flexible but weight-bearing making it resistant to _______.
  • Rich in ________ Collagen and high [______] that absorb water causing them to expand and resist _______
  • Elastic, with a high [____], and resilient
  • Resistant to _______ force, very important with _______ Cartilage
  • Low friction in Articular joints makes them _______
  • _______ regenerative capacity due to being _______. Chondrocytes are post-______ so they can no longer ______
  • Can be calcified functionally by ______ ______, or pathologically. High calcification of the ____ inhibits the diffusion resulting in loss of function
A
  • Chondrocytes
  • Avascular; diffusion
  • Permeable
  • Compression
  • Type II; [proteoglycan], compression
  • [Elastin]
  • Shear; Articular
  • Slippery
  • Poor; avascular
  • Mitotic; divide
  • Calcium Carbonate; ECM
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2
Q

Composition of Cartilage

  • Cells are ______
  • Fibers: Hyaline (______ Collagen), Elastic (_____ Collagen & ______), & Fibrocartilage (______ Collagen)
  • ECM is composed of _______ & _______
A
  • Chondrocytes
  • Type II; Type II and Elastin; Type I
  • Glycosaminoglycans & Proteoglycans
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3
Q
  • _______: Progenitors of chondrocytes that are capable of undergoing ______
  • Line the border between the ______ & the matrix
  • Secrete _______ Collagen and other _____ components
A
  • Chondroblasts; mitosis
  • Perichondrium
  • Type II; ECM
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4
Q
  • _______: Mature cartilage cells completely embedded in the ECM deposited, that can divide _ or _ times and do NOT give rise to other _____.
  • Reside in a _____
  • ____ _____: Clear/white masses within cells and are chondrocytes _______ form of ______. ______ can also be used too.
  • Prominent ______ ______, means that they’re active in producing ______ and the Golgi will often be seen with ______ ______
  • Synthetically very _____ and secrete ______
A
  • Chondrocytes; 2 or 3; cells
  • Lipid droplets; primary; energy; glycogen
  • Rough ER; proteins; secretory vesicles
  • Active; matrix
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5
Q

Cartilage Collagen Fibrils

  • ________ Collagen: Major fibril-forming collagen in cartilage and is the most ______. Forms fibrils similar to Type I Collagen in CT, but with a smaller _______.
  • ________ Collagen: Minor fibril-forming collagen that is associated to the ______ of ______ Collagen fibrils, and is the determinant of the _________ of the fibrils. The higher the amount of ______ Collagen, the ______ the collagen fibril and vice versa.
  • ________ Collagen: Fibril-associated collagen on the fibril surface and induces a _____ in the structure of the fibril allowing it to______ with other molecules like ________ Sulfate. Not a part of the _______ ________ structure.
A
  • Type II; abundant; diameter
  • Type XI; surface; Type II; diameter, Type XI, smaller
  • Type IX; kink; interact; Chondroitin; triple helical
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6
Q

Cartilage ECM Composition

  • Proteoglycans: ______ & ______. All will be polar, _____, & have a high affinity for _____ due to the high [____]
  • Non-collagenous Proteins: ______ ____ _____ _____ (___), & ______
  • ______ ______
A
  • Aggrecan; Perlecan; acidic; water; [Glycosaminoglycans]
  • Cartilage Oligomeric Matrix Proteins (COMP); Matrilins
  • Growth Factors
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7
Q

Aggregating Proteoglycans

  • Complexes with a _______ acid core.
  • ______: Core protein composed of _______ & ______ sulfates
  • _____ ______: Connects the _____ Core Protein and the ______ Acid Core
A
  • Hyaluronic
  • Aggrecan; Chondroitin & Keratan
  • Link Protein; Aggrecan; Hyaluronic
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8
Q

Non-Aggregating Proteoglycans

  • Interact with _______ fibrils
  • _____ & ______ contain Dermatan Sulfate
  • _____ & ______ contain Keratan Sulfate
  • _______: An HS proteoglycan usually present in basement membranes
A
  • Collagen
  • Decorin & Biglycan
  • Fibromodulin & Lumican
  • Perlecan
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9
Q

Cartilage Organization
-Cartilage is typically surrounded by a ______ layer of _____.
-_______ _______ ________: Outer layer
-_______ _______ ________: Inner layer
-Large component of cartilage is the ____
-_____ _____: The regions more densely stained are closer to _______, they are richer in _______ and contain fewer _______
_____ _____: The regions less densely stained and are further from _______, they are richer in _______ and contains less _______

A
  • Double; Perichondrium
  • Fibrous Layer of Perichondrium
  • Chondrogenic Layer of Perichondrium
  • ECM
  • Territorial Matrices; lacunae; collagen; proteoglycans
  • Interterritorial Matrices; lacunae; proteoglycans; collagen
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10
Q

-Cells that share the same lacunae are derived from the same ______. Will form ______ ______ of multiple ______ in the same lacunae

A

-Chondroblast; Isogenous Groups; Chondrocytes

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11
Q

Cartilage Development and Chondrocyte Differentiation

  • Takes place during _______ development
  • Tissues to be converted to cartilage are composed of ______ Skeletogenic _________ Cells at day ____, forming a future limb ____.
  • _______ _______: Limb digits are present after stimulation of limb buds by ____ and ____ signaling
  • ____ _______: Formed from stimulated pre-chondrocytes by ____, ____/____ that have begun to condense, and will begin to form cartilage as the ________ secrete their matrix
  • ____ ____: Stain used to identify cartilage
  • ________ _______: Form the perichondrium and are ______ precursor cells
A
  • Embryonic
  • Pluripotent; Mesenchymal; E10.5
  • Condensed Prechondrocytes; Tgfβ & Wnt
  • Early Chondrocytes; Sox9; Sox5/Sox6; Chondrocytes
  • Alcian Blue
  • Perichondrial Fibroblasts; Osteogenic
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12
Q

Perichondrium
-Surrounds most cartilage except for _______ cartilage and _______
-Source of _____ of the cartilage
2 Layers:
1) ______/_____: Outer layer of the perichondrium where cells are able to divide and give rise to cells of the _____ ______ Layer. _____ fibrogenic cells that are transitional between CT & cartilage. Contains _____ ____.
2) ______ _____: Inner layer that produces the Chondroblast precursors. One Chondroblast daughter cells stays within the layer, and the other goes into the ______ to become a chondrocyte

A
  • Articular; Fibrocartilage
    1) Fibrous/Fibrogenic Layer; Inner Chondrogenic; Spindly; blood vessels
    2) Chondrogenic Layer; lacunae
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13
Q

Cartilage Growth: Appositional vs Interstitial Growth

  • ______ ______: Peripheral mitosis and differentiation of ________. Mediated by the Chondrogenic Layer of the ________ and new layers of Chondroblast that secrete _______ resulting in peripheral growth and _____ of the tissue. Regulated by theTF _____
  • ______ ______: Mitosis of ______ and deposition of new matrix results in the formation of isogenous groups, where cells are more ______ and produce more matrix. Very important in _______ ossification.
A
  • Appositional Growth; fibroblasts; Perichondrium; ECM; Widening; Sox9
  • Interstitial Growth; Chondrocytes; active; Endochondral
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14
Q
  • ______ _______: Mutation in Sox9 TF that controls the expression the the ______ Collagen and ______ genes;
  • Autosomal ________ inheritance
  • Defective __________ cells remain in the Perichondrium and do not differentiate into ________, compromising osteogenesis
  • Phenotype: _____ & angulation of the bones, ______ of the pelvic and scapular bones, abnormalities in the _______ column, _______ in the number of ribs, and _________ abnormalities
A
  • Campomelic Dysplasia; Type II; Aggrecan
  • Dominant
  • Chondrogenic; Osteocytes
  • Bowing; Hypoplasia; vertebral; decrease; craniofacial
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15
Q

Hyaline Cartilage
-Is _______ like all other cartilage
-_______ matrix appears transparent
-Surrounded by _______, and _______ are very visible in the Chondrogenic Layer
-Chondrocytes have both _______ & ________ matrices
-ECM is composed of ________ Collagen and is rich in both _________ & _________
Locations:
-Temporary ________ skeleton
-_______ Cartilage
-Respiratory tract: _____, _____, ____, & ____
-Intercostal _______

A
  • Avascular
  • Clear
  • Perichondrium; Chondroblasts
  • Territorial & interterritorial
  • Type II; proteoglycans; glycosaminoglycans
  • Embryonic
  • Articular
  • Nose; larynx; trachea; bronchi
  • Intercostal cartilage
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16
Q

Articular Cartilage

  • Specialized hyaline cartilage that lacks ______
  • _____ ______: Contains synovial fluid that prevents the bone from touching & is encased by the Synovial _______
  • _____ ______ ______: Composed of the fibrous membrane, synovial membrane, and the synovial fluid within the synovial membrane
  • Smooth surface reduces _______, and is resistant to ______ & ______ forces
  • Lack of _____ allows for pain free movement, but also prevents the perception of _____ until something bad has gone wrong like with ______
  • Being ______ there is no bruising or blood clot formation, but this makes ______ after injury difficult
  • Nutrition and hydration from the _____ fluid
A
  • Perichondrium
  • Synovial Cavity; Membrane
  • Articular Joint Capsule
  • Friction; compressive & shear
  • Nerves; injury; arthritis
  • Avascular; Repair
  • Synovial
17
Q

Layers of Articular Cartilage

  • _____ _____ _____: Collagen-rich allowing for frictionless motion & contains few Chondrocytes, and the collagen fibrils are _____ to the surface of articulation
  • ____/_____ _____: Majority of the articular cartilage that is ____ rich in collagen since the fibers are less ____, but are still oriented _____ to the surface
  • ____/____ _______ ____: Resistant to compression since collagen fibers are deposited _____ to the surface, a difference from the other layers. Very rich in ______ making it the most resistant layer to compressive forces. May ____ forming a mineral connection to the bone
  • _______ can be found in every layer
A
  • Superficial Tangential Zone; parallel
  • Middle/Transitional Zone; less; dense; parallel
  • Deeper/Radial Proteoglycan-rich Zone; perpendicularly; proteoglycans; calcify
  • Chondrocytes
18
Q

Nutrition and Compression Cycle of Articular Cartilage

1) _______: Rich in proteoglycans that have a high _____ for water and begin to swell by absorbing water from the ____ ____, increasing collagen resistance
2) ________: Water is displaced back to the ______ _____, due to _____ swelling pressure of proteoglycans
3) ________: Water gets drawn back to restore equilibrium after compression and ______ get imported with it
- ________ damage to the ____ ____ will cause the cartilage cells to decay since they can’t get nutrients, and can be the result of _____ or destruction of the _____ ____

A

1) Resting; affinity; synovial fluid
2) Compression; synovial fluid; increased
3) Relaxation; nutrients
- Pathological; synovial fluid; inflammation; synovial membrane

19
Q
Elastic Cartilage
-Like other cartilage is \_\_\_\_\_\_
-Surrounded by \_\_\_\_\_\_\_\_
-Chondrocytes show \_\_\_\_\_\_ and \_\_\_\_\_\_\_ matrices
-ECM fibers consisting of both \_\_\_\_\_\_ collagen & \_\_\_\_
-Functions: \_\_\_\_\_ & \_\_\_\_\_
-Stains black with the \_\_\_\_\_\_ \_\_\_\_\_\_
Locations:
-External \_\_\_\_\_
-\_\_\_\_\_\_\_
-Auditory \_\_\_\_\_
-Bridge of the \_\_\_\_\_\_
A
  • Avascular
  • Perichondrium
  • Territorial; Interterritorial
  • Type II; Elastin
  • Flexibility; Pliability
  • Silver Stain
  • Ear
  • Epiglottis
  • Tube
  • Nose
20
Q

Fibrocartilage
-Like other cartilage is ______
-Lacks a _______ like articular cartilage
-Both ______ & _______ are aligned along stress lines, along with the matrix to further increase resistance to ________ forces
-ECM fibers are dense bundles of ______ Collagen like in bone. Histologically looks like dense ______ CT
-Functions: Resistance to ______, and ______ force
-Considered an intermediate between _______ cartilage and _____ CT
Locations:
-_______ _____ of the intervertebral discs
-_______ discs of the knees
-_______
-________ joints
-_______ symphysis

A
  • Avascular
  • Perichondrium
  • Chondrocytes & Fibroblasts; mechanical
  • Type I; Irregular
  • Compression; shear
  • Hyaline; Dense
  • Annulus Fibrosus
  • Articular
  • Mandible
  • Sternoclavicular
  • Pubic
21
Q

Intervertebral Discs

  • ____ _____: Hyaline Cartilage composing the inner most structure, rich in _______ that induce tissue expansion
  • _____ _____: Fibrocartilage that surrounds the entire structure of the intervertebral discs composed of ______ Collagen and resists expansion
  • Long bed stays or microgravity in space travel will ______ the discs
  • _______: Increased swelling of the _____ _____ causes expansion or protrusion of weakened a ______ ______. This can result in _____ _____ entrapment (pinched _____), typical of ______ pain.
  • _________: Chymopapain enzymes are injected into the ______ ______ to destroy Proteoglycans in an effort to reduce swelling, this allows the _____ _____ to return to a normal size.
A
  • Nucleus Pulposus; Proteoglycans
  • Annulus Fibrosus; Type I
  • Expand
  • Herniation; Nucleus Pulposus; Annulus Fibrosus; nerve entrapment; nerve; Sciatica
  • Chemonucleolysis; Nucleus Pulposus; Annulus Fibrosus
22
Q

Cartilage Changes with Age

  • ________ in older individuals are smaller with shorter _______ Sulfate chains than in younger individuals
  • ________ are less efficient in renewing the ECM, reducing the [______] and thus water content. This makes the cartilage _____ resistant to compressive forces
  • The ECM is more vulnerable to ________ in weight-bearing activities, especially the _________ discs. This is why _________ response to injury causes painful symptoms of _______
A
  • Proteoglycans; Chondroitin
  • Chondrocytes; [proteoglycan]; less
  • Injury; intervertebral; inflammatory; arthritis
23
Q

Cartilage Repair
-Very limited capacity for repair due to being______, especially ______ cartilage & ________
Methods of repairing cartilage:
1) ____ ___ ____ Formation: Caused by abrasion or drilling of the subchondral bone, just below the ______ cartilage, causing the bone to bleed. This causes _______ cells from the bone marrow to repair the bone and differentiate into cartilage cells to help repair the damage to the cartilage.
2) _____ _______: Chondrocytes/Bone marrow stem cells are injected and an artificial matrix is introduced to increase support.
3) _____ ______: Involves either ________ or _______ grafts where you cut a section of articular cartilage and bone from a joint and transplanting it to the damaged joint.
Limitations:
-Cell/tissue _____, phenotype _____, and chondral integration
-All the techniques are experimental except for ____ ____

A
  • Avascular; articular; fibrocartilage
    1) Induced blood clot formation; articular; Osteoprogenitor
    2) Cell Implantation
    3) Tissue Transplantation; Osteochondral or Periosteal
  • Availability; stability
  • Induced blood clot formation
24
Q
  • __________: Genetic diseases of cartilage
    1) Genetic mutations in the ______ macromolecules, like in the the ______ Collagen gene: _____
    2) Genetic mutations in the _____ macromolecules, such as _______ proteins or _______ _______. Commonly seen mutations in the ______ & ______ genes
A
  • Chondrodysplasias
    1) Matrix; Type II; COL2A1
    2) Cell’s; regulatory; transcription factors; FGFR3; Sox9