Cartilage Flashcards
How does cartilage change at different depths?
- material properties change as determined by biochemical nature and ECM content + organisation
What is the ECM made up of?
COLLAGEN
PROTEOGLYCANS
OTHER MATRIX PROPERTIES = FN, link protein, bioglycan, decorin, hyalluronan
What are the types of collagen?
2,5,6,9,10,11
What are the types of proteoglycan
Aggregan
Versican
Lubrican
What are the roles of the ECM?
- maintain mechanical properties of tissue
- sequesters growth factors and proteinases to specific compartments
- interacts with chondrocytes which regulate cell activity
How does ECM maintain mechanical properties of tissue?
- type 2 collagen helps withstand tensile + shear forces
- proteoglycan = solute flow + tissue deformation
- water
Define territorial and interterritorial
Territorial = matrix closest to the chondrocyte Interterritorial = matrix between chondrocytes
What is the diameter of chondrocytes?
10 um (micrometers)
What is mechanical loading?
- biochemical and mechanical signals
- regulates ECM production and/or breakdown
- maintains health of tissue
Anabolic cell molecules?
- GF
- anti-inflammatory cytokines
- TIMPs
Catabolic cell molecules?
- cytokines
- MMPs
- signaling mediators
What type of articular cartilage injuries occur in young and active population?
- sporting and work related
- road traffic accidents
Non pharmalogical therapies for OA
FOR MILD SYMPTOMS
- patient education
- physical/occupational therapy
- exercise and lifestyle
Therapeutic approached therapies for OA
- NSAIDs
- Rofecoxib
- celecoxib (Pfizer)
- Lumiracoxib
Disease modifying agents for OA
- nutraceuticals (glucosamine)
- DMOADs (cytokines, MMPs)
- licofelone, COX
How to use autologous cell implantation?
- health cartilage
- isolate cells and expand
- inject cells under periosteal graft
How to do cartilage repair?
- remove biopsy
- isolate chondrocytes
- expand in monolayer culture
- bank cells for future use
- seed in scaffold
- biochemical factors (in vitro formation of neo-tissue)
- implant functional device
Define mechanotransduction
activation of cell signalling
apply mechanical load to improve response of system/alter pathways and cell response
Physical effects at different levels
TISSUE -> interstitial fluid flow, hydrostatic pressure, osmotic, pH
CELLULAR = volume, deformation
INTRACELLULAR = nucleus + cytoskeleton deformation, second messemger pathways, signalling
MOLECULER = gene, protein expression