Chapter 60 - Bone and Joint Biology Flashcards

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1
Q

collagen types found in bone

A

90% type I collagen
5% type III and IV

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2
Q

what i the primary extracellular matrix protein found in bone?

A

Type I collagen

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3
Q

what is the progenitor cell for osteoblasts

A

mesenchymal stem cells

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4
Q

what receptors do osteoblasts have on them?

A

PTH receptors

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5
Q

what substance do osteoblasts secrete?

A

type I collagen

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6
Q

what are marker proteins for osteoblasts?

A

alkaline phosphatase, osteocalcin, osteonectin, osteopontin

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7
Q

osteocyte role

A

support/maintainbone

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8
Q

signalling between osteocytes is mediated via

A

gap junctions

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9
Q

osteocyte role in bone remodeling

A

secrete RANK-L
load sensing, mechanosensing cells

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10
Q

how do osteocytes regulate bone formation

A

secrete sclerostin which acts on the Wnt pathway by binding LRP5/6 receptors on osteoblasts

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11
Q

progenitor cell for osteoclasts?

A

monocyte/macrophages (hematopoietic cells)

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12
Q

what are the repair stages of bone?

A
  1. inflammatory - macrophages infiltrate fracture site
    - PDGF, TGFb, IL1, IL6, PGE2, TNFa released locally
  2. early post fracture period
    - periosteal pre-osteoblasts and local osteoblasts form new bone
    - MSCs and fibroblasts proliferate
    - BMPs and TGFs expressed
  3. Fracture hematoma maturation
    - neovascularization, MSC differentiation, cartilage formation (endochondral ossification)
  4. Conversion of hypertrophic cartilage to bone
    Collagen I, V, XI
    osteocalcin
    BMP, TGFB, IGF
  5. Remodeling
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13
Q

synovial fluid composition

A

ultrafiltrate of plasma, low albumin concentration, high concentration of hyaluronic acid and lubricin

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14
Q

marker proteins for osteoclasts

A

tartrate resistant acid phosphatase (TRAP)
calcitonin receptor
cathepsin K

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15
Q

motion at a fracture site promotes what kind of secondary bone healing ossification?

A

endochondral ossification - callous formation - cartilage precursor

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16
Q

stability at a fracture site promotes what kind of secondary bone healing

A

intramembranous ossification

17
Q

absolute stability at a fracture site promotes what kind of bone healing?

A

primary bone healing - cutting cones and haversian remodeling