Lecture 5: Tissues under load 3 Flashcards

1
Q

what is osteopenia?

A

when osteoclast activity starts to outpace osteoblast activity, and bone mineral density reduces

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2
Q

at what point does osteopenia develop into osteoperosis?

A

when bone mineral density reduces further and can effect normal function with increased fracture risk

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3
Q

what are the risks osteopenia and osteoporosis present?

A
  • brittle bones so increased risk of fracture
  • lower bone strength due to decreased mineral density so worse ability to withstand mechanical load
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4
Q

what influences the onset of osteopenia/osteoporosis?

A
  • age
  • sedentary lifestyle
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5
Q

what does osteoporosis look like in spongy bone

A
  • thinning of trabeculae
  • loss in connectivity of bone network
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6
Q

why do older people often hunch over?

A

because of osteoporosis causing wedge/compression fractures in the vertebrae

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7
Q

what are the risk factors that contribute to osteoporosis

A
  • aging
  • females
  • menopause (less estrogen to maintain bone density)
  • family history
  • low body weight
  • smoking and alcohol
  • low calcium and vitamin D
  • sedentary lifestyle
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8
Q

what is the most common treatment for osteoporosis?

A

Bisphosphonates which reduce osteoclast activity
- hormone replacement therapy also works - increases osteoblast activity

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9
Q

how does testosterone have an impact on osteoporosis?

A

less of it still means less bone maintenance, but not as big of an impact as estrogen

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10
Q

what is the most critical thing to cartilage health?

A

mechanical loading

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11
Q

what is articular cartilage?

A

a specialized form of hyaline cartilage found at the synovial joints which is stronger to manage mechanical loads.

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12
Q

true or false: articular cartilage is aneural and avascular

A

true

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13
Q

what does limited vascularity mean for articular cartilage?

A

limited to no ability to repair

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14
Q

what are the major components of articular cartilage ECM?

A

collagen type II, water and aggrecan
- only 5% chondrocytes, but up to 85% water

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15
Q

what are the features of articular cartilage?

A
  • glassy like surface
  • acts as a protective cushion for underlying bone
  • has to transition from gel like tissue to hard, ossified bone, with an intermediate of articular cartilage
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16
Q

what are the zones in articular cartilage?

A
  • superficial
  • middle
  • deep
  • calcified intermediate zone
  • subchondral bone
17
Q

what are the features of the superficial zone?

A

collagen fibres are aligned parallel to the joint space to resist shear and distribute weight across the surface

18
Q

how are the collagen fibres arranged in the middle zone and why?

A

at 90 degree angles to each other to resist compressive loads from different directions

19
Q

how are the collagen fibres arranged in the deep zone and why?

A

at a 90 degree angle to the subchondral bone, as they plug into the bone

20
Q

hypothetically, if a mechanical load was on a joint for long enough and all the water had dissipated, what would stop the tissue from flattening?

A

the negative charges between proteoglycans

21
Q

true or false: when water enters the cartilage when it is unloaded, it fills the layers evenly

A

false, it fills the top layer first

22
Q

where in the knee is osteoarthritis the worst?

A

in the medial aspect

23
Q

what is osteoarthritis?

A

the reduction of articular cartilage at a joint, but also effects ligaments, bone, and muscle.

24
Q

what are osteophytes?

A

painful bone spurs that abnormally grow in a joint that is effected by osteoarthritis

25
Q

how does osteoarthritis lead to a loss of proteoglycans?

A
  • top collagen layer reduces in size
  • inflammation occurs and signals for increased metalloproteases and aggrecanases
  • proteoglycan breakdown
26
Q

in osteoarthritis, the ECM is worn down both ___________ and ____________

A

mechanically and chemically

27
Q

can osteoarthritis be cured?

A

no, but it can be managed by:
- exercise
- weight management
- education
- non-steroidal anti-inflammatory drugs

28
Q

why do we need tissue engineering of bone?

A

when the gaps of a break dont line up

29
Q

what is post-traumatic osteoarthritis?

A

an injury or instability in a joint causes inflammation, which brings about aggrecanases and metalloproteases and causing softening of articular cartilage

30
Q

what is the normal osteoarthritis type?

A

primary osteoarthritis

31
Q

what is the first sign of osteoarthritis in the joint?

A

reduction of/damage to the superficial cartilage layer

32
Q

what are the two types of tissue engineering?

A

tissue replacement (restores mechanical funtion) and cell replacement (restores biochemical function)

33
Q

what are the three cell sources for tissue engineering?

A
  • autologous (self tissue)
  • allogenic (same species)
  • xenogenic (different species)
34
Q

what are the requirements of a scaffold

A
  • must be biodegradable and/or biocompatable
  • provides support for the initial growth phase e.g allow cells to attach
  • can apply mechanical loads
  • allow nutrient and waste delivery
35
Q

can scaffolds be 3D printed?

36
Q

why can’t we tissue engineer articular cartilage?

A
  • we cannot engineer tissue to withstand mechanical loads yet