Cartilage and Bone Flashcards
1
Q
Cartilage
A
- Specialized connective tissue
- Has a semi-rigid extracellular matrix that is highly hydrated and has viscoelastic properties
- Predominantly avascular
- Has a capacity for continued interstitial and appositional growth
2
Q
Functions of Cartilage
A
- Found in areas that require soft tissue support along with flexibility
- Trachea
- Larynx
- Eustachian tube
- External ear
- Nose
- Found in areas where needed as a developmental precursor for much of the skeleton
- Bones that undergo endochondrial ossification
- Found on joint surfaces, particularly in synovial joints ⇒ articular cartilage
- Enhances movement
- Cushions surfaces transmitting mechanical stress
- Acts as a shock absorber
3
Q
Types of Cartilage
A
- Hyaline Cartilage
- Most common
- Type II collagen
- Elastic Cartilage
- Type II collagen and elastic fibers
- Fibrocartilage
- Type I collagen

4
Q
Perichondrium
A
- Dense fibrous CT that surrounds hyaline and elastic cartilage structures except within joint capsules
- Fibrocartilage has no perichondrium
- Functions in the growth and maintenance of cartilage
- Rich in Type I collagen fibers
- Houses the vascular supply to cartilage tissue
- In actively growing cartilage the perichondrium appears as a two layered structure
- Outer layer
- Fibrous
- Poor in cells
- Comprised primarily of fibroblasts and Type I collagen
- Inner layer
- Cellular
- Composed of chondroblasts and chondrogenic cells
- Outer layer
- Chondroblasts associated with the perichondrium capable of producing new cartilage matrix through appositional growth

5
Q
Chondrogenic Cells
A
- Derived from mesenchymal cells
- Can differentiate into chondroblasts
- Found within the inner cellular layer of the perichondrium

6
Q
Chondroblasts
A
- Found within the inner layer of perichondrium
- Responsible for secreting cartilage matrix at the surface of the cartilage
- When they become completely surrounded by matrix they are known as chondrocytes

7
Q
Chondrocytes
A
- Cells occupy spaces called lacunae
- With mitotic division tend to occur in groups of up to 8 cells called isogenous groups
- Active chondrocytes by LM basophillic with perinuclear clear staining area representing the golgi zone
- Mature active chondrocytes have the typical characteristics of a secretory cell
- As cell ages become heterochromatic, lipid vacuoles accumulate, increased glycogen stores.

8
Q
Cartilage Extracellular Matrix
A
- Includes fibers, proteoglycans with sulfated GAGs, and adhesive glycoproteins
- Forms a semi-firm gel
- Basophillic and PAS + due to sulfated GAGs
- Territorial marix
- Directly surrounds chondrocytes
- Higher concentration of sulfated GAGs and less water
- More basophillic
- Interterritorial matrix
- Lighter staining
- GAGs more dispersed
- Fibers
- Varys depending on cartilage type
- Collagen forms ~ 50% dry weight of cartilage
- Ground substance
- Consists of sulfated GAGs for proteoglycans
- Proteoglycans bound to hyaluronan core via link proteins to form aggrecan aggregates
- Matrix is 60-80% water by weight because negatively charged GAGs attract water
- Gives cartilage its resilience and compressive resistance

9
Q
Cartilage Histogenesis
A
- Most cartilage derived from the mesoderm
- Except cartilage of the branchial arches which is dervied from neural crest ectoderm
- Cartilage cells differentiate from mesenchyme into chondroblasts
- Mesenchyme surround the developing cartilage becomes the perichondrium
10
Q
Cartilage Nutrition
A
- Most cartilage is avascular
- Except very rapidly growing cartilage which may contain cartilage canals
- House branches of the perichondrial vessels
- Except very rapidly growing cartilage which may contain cartilage canals
- Nutrients diffuse through intervening matrix
- Limits the thickness of cartilage to a few mm
11
Q
Cartilage Growth
A
-
Appositional growth
- Growth that takes place on inner surface of perichondrium along a free surface
- Produces increase in size by adding material to the periphery
- Mesenchymal cells → chondrogenic cells → chondroblasts → chondrocytes once enclosed by matrix
-
Interstitial growth
- Growth due to mitosis of chondrocytes within the matrix
- Forms isogenous groups
- Chondrocytes within an isogenous group grow and secrete matrix thus moving apart from one another
- Results from expansion from within
- Great advantage for growth
- Adaptive reason for the retention of cartilage by the growing skeleton
- Important during periods of rapid growth as part of endochondrial ossification or at articular surfaces where perichondrium absent
- Growth due to mitosis of chondrocytes within the matrix
12
Q
Cartilage Degeneration
A
- Occurs in deep areas of thick cartilage because cells cannot get nutrients from diffusion
- Chondrocytes begin to atrophy and shrink
- Cartilage may calcify
- Process important as part of normal process of endochondrial bone formation
- Also occurs as cartilage ages ⇒ osteoarthritis
- Articular surfaces can become undulated
- Loss of protective articular cartilage will affect underlying bone causing chronic inflammation
13
Q
Cartilage Regeneration
A
- Very limited ability to regenerate
- Chondrogenic ability of perichondrium limited to active growth periods before adulthood
- Intra-cartilage division of chondrocytes too slow to repair damage
- Acute injuries during adulthood results in deposition of vascularized CT which eventually loses vascularity and persist as fibrous tissue
- Cartilage suited for transplantation without marked immune response
14
Q
Hyaline Cartilage
A
- Most common type
- Glassy non-fibrous matrix composed primarily of Type II Collagen
- Found in fetal and growing skeletons prior to ossification
- Persists at growth plates of immature long bones until skeletal maturity
- Remains cartilaginous in adults in:
- Articular surfaces of bones
- Reinforces/supports areas of respiratory tract
- Forms costal-sternal border

15
Q
Articular Cartilage
A
- Found on the articular surface of bones especially in synovial joints
- Specialized form of hyaline cartilage
- Has no perichondrium
- Cells and fibers are more regularly arranged
- Vertical rows deep
- Horizontal rows near surface

16
Q
Elastic Cartilage
A
- Most cellular type of cartilage with larger cells
- Matrix more opaque than hyaline
- Contains elastic fibers and Type II Collagen
- Has perichondrium
- Less susceptible to degeneration than hyaline
- Not susceptible to calcification as with hyaline
- Found:
- Eustachian tube
- External auditory canals
- Ear
- Epiglottis
- Cuneiform cartilages of larynx

17
Q
Fibrocartilage
A
- Matrix with numerous bundles of thick collagen fibers
- Mainly Type I collagen
- More fibrous and less cellular than other cartilage
- Always associated with and grading into dense CT
- No perichondrium
- Chondrocytes may be in isogenous clusters or single file in isogenous columns between fiber bundles
- More acidophillic d/t Type I fibers
- Greater tensile strength than hyaline
- Able to withstand repeated tension and friction
- Found in areas where tissue experiences compressive stresses in one direction and tensile stresses in another direction
- Annulus fibrosus of intervertebral discs
- Pubic symphysis
- Regions where tendons or ligaments attach to bone
- Joint menisci

18
Q
Bone
A
- Specialized connective tissue
- Extracellular matrix is mineralized
- Provides strength to resist tension and compression
- Serves as a store for calcium
19
Q
Bone
The Organ
A
- Consists of bone tissue and other associated tissues:
- Hemopoietic marrow
- Fat
- Blood vessels
- Nerves
- Cartilage
- CT of periosteum
- Etc
20
Q
Bone
The Tissue
A
- Specialized CT with mineralized matrix
-
Organic components:
- Cells
- Collagen
- provides flexibility and tensile strength
-
Inorganic components (mineralized):
- Provides rigidity and compressive strength
- Together makes the bone strong yet resilient
- Dynamic structure which responds via remodeling
- Can only grow appositionally
21
Q
Methods of
Bone Preperation
A
- Ground sections
- Preserve the inorganic (mineral) components
- Decalcified sections
- Preserve the organic components such as cells and collagen
22
Q
Functions of bone
A
- Structural functions
- Lever system to which muscles attach allowing for posture and movement
- Framework of support of soft tissues
- Protection of internal organs
- Metabolic functions
- Provides a location for marrow for hematopoiesis
- Storage/metabolism of minerals
- Calcium
- Phosphorus
23
Q
Classification of bones by shape
A
- Classified by bone shape
- Long bones
- Short bones
- Flat bones
- Irregular bones
- Sesamoid bones

24
Q
Parts of long bone
A
- Diaphysis
- The shaft
- Contains the marrow cavity
- Metaphysis
- Flared region between diaphysis and epiphysis
- Epiphysis
- Ends of the long bone

25
Tissue Distribution
in
Bone
1. **Cancellous bone** (aka spongy bone, trabecular bone)
* Plates of bone organized into interconnected vertical and horizontal struts
* Marrow occupies the spaces in spongy bone
* Found primarily in:
* Flat bones of the skull
* Ends of long bones
* Inside other "spongy" bones such as vertebrae
2. **Compact bone** (aka cortical bone)
* Densely packed bone matrix
* Forms the outer cortex of all bones
* Found in abundance along the shafts of long bones

26
Periosteum
* Covers the exterior of a bone except at articular surfaces
* Continuous with CT of tendons and skeletal muscles
* Two layers
* Outer fibrous
* Inner cellular
* _Sharpey's fibers_ insert into the bone surface and connect the periosteum to the bone tissue
* Provides the vascular supply to the bone
* Serves as a source of osteoprogenitor cells

27
Endosteum
* Thin single cell layer of CT which covers the interior surfaces of bone
* Covers most internal surfaces of bone including Haversian canals, Volkmann's canals, and marrow cavity
* Contains osteoprogenitor cells

28
Sharpey's Fibers
* Bundles of collagen fibers that insert into bone tissue
* Prominent where tendons and ligaments insert on bone
* Also connect the periosteum to the bone tissue
29
Medullary Cavity
* Spaces of spongy bone filled with bone marrow
* Forms the inner portion of the bone
* Contains hemopoietic cells
* Bone marrow sinusoids provide a barrier between the hemopoietic compartment and the peripheral circulation
30
Bone
Vascular Supply
* Fairly extensive blood supply
* Nutrient arteries
* Long bones usually have a nutrient artery that penetrates the bony collar of the diaphysis and divides in the marrow cavity
* Branches then enter the Haversian canals
* Periosteal arteries enter the Haverisan canals from the outer surface of the bone
* Metaphyseal and epiphyseal arteries

31
Bone
Organic Matrix
* **Collagen**
* Major organic constituent of bone - about 90% of the organic matrix
* Type I collagen
* **Ground substance**
* About 10% of the organic matrix
* _Proteoglycans_
* GAG's
* Chondroitin sulfate
* Keratin sulfate
* _Glycoproteins_
* _Osteocalcin_
* binds to hydroxyapatite crystals
* _Osteonectin_
* binds calcium
* important in regulating mineralization
* _Osteopontin_
* binds to hydroxyapatite and other components for adhesion of cells to matrix
* _Sailoproteins_
* For cell adhesion to the matrix
32
Bone
Inorganic Matrix
* About 65% dry weight of bone
* Ca10(PO4)6(OH)2 crystals similar to hydroxyapatite
* Crystals deposited in the gaps between collagen fibers
* Calcification lags behind fiber formation
* New unmineralized bone called _osteoid_
33
Osteoprogenitor Cells
* Determined but not differentiated mesenchymal cells
* Derived from pluripotent stromal cells in bone marrow and other CT
* When activated, divide and produce osteoblasts
* Characteristics:
* Flattened cells
* Found in inner layer of periosteum or endosteal lining of bone
* Resembles young fibroblasts

34
Osteoblasts
* Cells that synthesize bone
* Secretes collagen and ground substance as unmineralized _osteoid_
* Secrete _matrix vesicles_ that contribute to the mineralization process
* Vesicles slowly accumulate mineral over time
* Forms a single layer of cells on surfaces of developing or remodeling bone
* Characteristics:
* Cuboidal
* Typical characteristics of protein-secreting cells
* Connected to each other by processes that end in gap junctions
* Once they become surrounded in matrix that they produce cells are considered osteocytes
* Quiescent osteoblasts that line the surfaces of a bone formation region after osteoid production is complete are called **bone lining cells**
* Has receptors for parathyroid hormone (PTH), Vit D3
* Important in regulation of osteoclast activity and calcium levels
* Has estrogen receptors
* Cell membranes rich in **alkaline phosphatase** ⇒ used as a marker enzyme

35
Osteocytes
* Mature, differentiated cells, derived from osteoblasts that have become buried in mineralized bone matrix
* Reside in _lacunae_
* Communicate with one another through cell processes joined by gap junctions
* Processes run through small fluid filled canals called _canaliculi_
* Functions:
* Involved in mineral homeostasis
* Can likely remove mineral from a limited region surrounding the lacuna via _osteogenic osteolysis_
* Have _mechano-sensory role_ in the stimulation of remodeling

36
Osteoclasts
* Cells responsible for the resorption of bone
* Large, multinucleated cells
* Structural syncitium
* Derived from a common bone marrow precursor as monocytes
* Differentiate first into uninucleate osteoclast precursors
* Activated precursors fuse to produce mature multinucleated osteoclasts
* Create resorption bays called _Howship's Lacunae_ along the surface of bone being removed
* _Ruffled border_ formed by folds of the plasma membrane that increase cell surface area and represents the zone of contact with bone
* _Actin_ microfilaments in the _clear zone_ surrounding the ruffled border healp seal the cell to the bone surface
* Release of acid (H+) by the osteoclasts into the Howship's lacunae to dissolve the mineral crystals
* Organic matrix degraded by lysosomal enzymes ⇒ _collagenases_
* Activity indirectly stimulated by PTH through osteoblasts
* Activity directly inhibited by calcitonin

37
Hormonal Control of Bone
* Role of Parathyroid Hormone
* When [PTH] high, osteoblasts stimulate maturation of osteoclasts through release of _macrophage colony stimulating factor_ and expression of RANKL molecules on their own membrane
* Osteoclast precursors have RANK receptors which bind the RANKL stimulating them to differentiate and fuse with one another
* When [PTH] low, osteoblasts release _osteoprotegerin_
* This can bind RANKL to prevent it from stimulating differentiation of osteoclasts
* Role of Estrogen
* High [estrogen]:
* increases osteoblast production of osteoprotegerin.
* Binds more RANKL, decreasing production of osteoclasts
* Suppresses RANKL production
* Prolongs life of osteoblasts
* Post-menopausal women have decreased estrogen levels thus favoring bone loss leading to osteoporosis
38
Macroscopic Divisions of
Bone: The tissue
Cancellous vs compact bone
Differentiated based on the amount of space (porosity) of the bone.

39
Woven Bone
Applies to both cancellous and compact bone.
AKA immature bone
* A form of immature non-lamellar bone tissue
* First bone to appear during bone formation
* Eventually replaced by lamellar bone during the growth and remodeling process
* Found in areas of injury repair
* Characteristics:
* Deposited quickly during growth and fracture repair
* Randomly oriented collagen fibers and cells
* Highly cellular
* More porous & less dense than lamellar bone
* Not as strong as lamellar bone

40
Lamellar Bone
* Bone organized into layers of aligned collagen called lamellae
* Layers usually seperated from one another by a single layer of osteocytes
* Slow deposition due to highly organized structure
* Stronger material better able to resist biomechanical loads than woven bone
* Found in both cancellous and compact bone tissue types
* In cancellous bone
* lamellae will not form Haversian systems
* Instead form layers on the surface of the trabeculae that make up cancellous bone
* In compact bone
* Lamellae will either be circumferential or in Haverisan systems
**Circumferential Lamellar Bone**
* Organized into linear sheets that encircle the bone
* In adults primarily found as the outer circumferential lamellae and inner circumferential lamellae
* Encircles the bone just deep to the periosteum and just superficial to the endosteum respectively
**Haversian System**
(Secondary Osteons)
* Represents bone that has formed by the secondary remodeling process
* Forms much of the bone matrix in adult human compact bone
* As we age, more lamellar bone will remodel to form Haversian systems

41
Haversian System Structure
* Layers of lamellae arranged concentrically around a central Haversian canal
* _Haversian canal_
* Long tubular branching structures that run predominantly longitudinally through the bone
* Act as vascular channels which run longitudinally through the center of the osteon
* Contains blood vessels and nerves which supply the bone tissue
* _Volkmann's Canals_
* Obliquely oriented vascular canals linking the Haversian canals of neighboring osteons
* Allows blood to pass through a large network throughout the bone
* Some also connect with vessels in the marrow cavity or periosteum
* Cells within an osteon communicate with one another via cellular processes/gap juctions that run along the _canaliculi_
* Communication between osteons limited due to cement lines
* _Cement lines_
* Marks the outer edge of each Haversian system
* Represent reveral lines where osteoclasts stopped resorbing bone and osteoblasts started refilling the space
* Functionally seperates neighboring osteons since canaliculi *generally* do not cross cement lines
* _Interstitial lamellae_
* Remnants of old Haversian systems or circumferential lamellae
* Found between exsiting HAversian systems
* Formed as a result of the remodeling process
