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
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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
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3
Q

Types of Cartilage

A
  1. Hyaline Cartilage
    • Most common
    • Type II collagen
  2. Elastic Cartilage
    • Type II collagen and elastic fibers
  3. Fibrocartilage
    • Type I collagen
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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
  • Chondroblasts associated with the perichondrium capable of producing new cartilage matrix through appositional growth
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5
Q

Chondrogenic Cells

A
  • Derived from mesenchymal cells
  • Can differentiate into chondroblasts
  • Found within the inner cellular layer of the perichondrium
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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
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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.
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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
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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
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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
  • Nutrients diffuse through intervening matrix
    • Limits the thickness of cartilage to a few mm
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11
Q

Cartilage Growth

A
  1. 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
  2. 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
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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
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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
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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
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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
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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
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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
  1. Ground sections
    • Preserve the inorganic (mineral) components
  2. Decalcified sections
    • Preserve the organic components such as cells and collagen
22
Q

Functions of bone

A
  1. Structural functions
    • Lever system to which muscles attach allowing for posture and movement
    • Framework of support of soft tissues
    • Protection of internal organs
  2. 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
  1. Diaphysis
    • The shaft
    • Contains the marrow cavity
  2. Metaphysis
    • Flared region between diaphysis and epiphysis
  3. Epiphysis
    • Ends of the long bone
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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
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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
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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
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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
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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
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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
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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
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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
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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
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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.
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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
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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