MSS09 Flashcards

1
Q

What are the major cell types of bone? What are their functions?

A

Osteoblast: synthesize the organic components of bone matrix. Produce OPG
Osteocytes: terminal differentiation of osteoblast
Osteoclast: degrade bone marrow matrix protein

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2
Q

what does alizarin/alcian red stain identify?

A

Calcium stains red. Cartilage stains blue

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3
Q

What drives terminal differentation of osteoclasts?

A

M-CSF and RANKL (produced by osteoblasts). Osteoblasts also produce osteoprotegerin (which inhibit osteoblast differentiation by binding RANK)

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4
Q

What stimulates osteoclast activity? Inhibits?

A

PTH and vitamin D. Calcitonin inhibits it.

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5
Q

What histochemical stain can be used to identify osteocytes?

A

DMP1 (dental matrix protein) and SOST( Sclerostin)

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6
Q

What histochmical stains can be used to identify osteoblasts?

A

alkaline phosphatase and osteoclacin

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7
Q

Expression of what molecule regulates commitment to the osteoblast lineage?

A

RunX2 (cbfa-1) and osterix (SP7)

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8
Q

What is the difference between cortical and trabecular bone?

A

Cortical bone (85% of bone): function is primarily structure. Organized in osteons
Trabecular ( 15%): function is metabolic– high surface area for mineral homeostasis

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9
Q

What is the bone remodeling cycle? Similarities and differences in cortical and trabecular bone?

A

Trabecular bone is more actively remodeled than cortical bone.
Bone resorption and bone formation are coupled.
Bone resorption is rapid (~2 weeks), bone formation is slow (4-6 mon for full mineralization)
Remodeling of trabecular bone allows buffering of calcium and phosphate content ( mineral homeostasis)

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10
Q

What is the difference beween modeling and remodeling?

A

Bone growth in radial size and shape change. Mediated by physiological respones to mechanical loading. At level of whole bone: strain is primary stimulus to modeling. At level of cell: shear stress is critical stimulus. Connections among osteocytes allow bone to growth to be directed to sites with greatest strain.

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11
Q

How does a fracture heal?

A

hematoma forms at fracture size–> Stem cells form soft callus–> blood vessels invade–> bone replaces cartilage ( hard callus)–> remodeling to form lamellar bone and modeling occurs to reduce bulge.

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12
Q

What are the different processes of bone formation?

A

Intramembranous bone: formed by formation of osteoblasts from mesenchymal stem cells within periosteum. (Bones of skull and ribs)
Endochondral bone: replace cartilage model. Bones grow in length by proliferation of chondrocytes within growth plate. (long bones0

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13
Q

What are the different zones at a growth plate?

A
  1. Proliferative zone: chondrocyte division
  2. Zone of hypertrophy and calcification
  3. Ossification and resoprtin: blood vessels invade zone of calcified cartilage.
    Calcified cartilage is resorbed by chondroclasts and replaced with osteoblasts
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14
Q

What is the primary component of bone ECM?

A

Type I collagen

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15
Q

How does the structure of bone provide toughness?

A

Interface between lamellae and between osteons (cement lines) can absorb and dissipate force. Transverse cracks are less about to propagate than longitudinal cracks.

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16
Q

What is the defect in osteogenesis imperfecta?

A

Mutation in type I collagen (osteoblast disease)

17
Q

What is the contributes to osteomalacia?

A

inadequate mineralization of bone matrix, can be d/t malabsorptive disorders, vit D disficiency, low Ca diet.
Rickets (bowed legs)

18
Q

Scleroteosis/ Van buchem’s disease

A

Skeletal mass is abnormally high d/t mutations in sclerostin. Bones think they are being loaded when they are not. (osteocyte disease)

19
Q

Osteopetrosis

A

remodeling deficiency. Oscteoclast disease. Marrow space is not formed and hematopoiesis is impaired.

20
Q

Paget’s disease

A

focally excessive and disorganized bone remodeling. Can result in pain, nerve entrapment, weakening of affected areas.