Quiz 3 Flashcards
describe the vascularation of cartilage
avascular
what three things does cartilage lack?
1.AVASCULAR
2.Lacks sensation
3.Lacks lymphatic vessels
what is the primary tissue in the fetal skeleton and growing bones
cartilage
camarativly what is the water content of cartilage
↑ Intracellular water
content to bear
mechanical stress
Chondroblasts
Cells that produce cartilage matrix
Chondrocytes
Mature cartilage cells that reside in lacunae
Perichondrium
Dense sheet-like connective tissue surrounding cartilage
lacunae
provide a home for a cell in bone and cartilage,the cell are osteocytes in bone and chondrocytes in cartilage
what are the two ways carilage grow?
appositional and interstital
Appositional cartilage growth
new cartilage forms at the surface of existing cartilage
define Interstitial growth cartilage growth
- new cell forms within an existing cartilage mass by
mitotic
-make isogenous groups
Territorial matrix
surrounds isogenous groups
Interterritorial matrix
found in the space between groups of chondrocytes (identify in lab)
what is in the extracellular matrix of cartilage?
collagen(type II)
proteoglycans
multiadhesive glycoproteins
What causes the staining to vary between the territorial and interterritorial matrices?
The matrix directlyaround them
has alot of glycosaminoglycans. Stains darker b/c flycosaminoglycans have high negative charges which attracts Na and water
what happens to water and flexability when you decrease GAGs in cartilage?
↓ GAGS
↓ water
↓ flexibility
what percent of intercellular water is bound tightly to aggrecan in cartilage?
60% to 80% of the net weight of cartilage
how is cartilages consisitancy good for its fuction?
-The firm consistency of the cartilage ECM allows the tissue to accommodate mechanical stress
- The high water content makes cartilage a very effective shock absorber
-It also facilitates smooth gliding motions in joint cavities
how does the cartilage get nurtients if its avasculature
-The perichondrium is highly vascularized
-Cartilage is surrounding by connective tissue which is highly vascularized the nutrients from perichondrium diffuse and nurish cartilage
how does vascularization affect healing in cartilagee?
Very poor ability to heal
Osteoarthritis
*degenerative joint disease
* Pathogenesis usually unknown
* Related to aging and trauma
* Decrease proteoglycan content
* Type II collagen production inhibited
* Superficial layer affected first and may eventually extend to the bone
which catilage does not have a perichondrium?
articular cartilage and fibrocartilag
label
properties of hyaline cartilage
- Flexible but resilient
- Respiratory system (larynx, trachea, bronchi), costal cartilage, nose, articular cartilage, epiphyseal plate, fetal skeleton
- template cartilage
properties of elastic cartilage
-Contains elastic fibers
-Provides flexibility
-Epiglottis and external ear
-add on to hyline
properties of fibrocartilage
*Contains thick collagen fibers
* Shock absorber
* Intervertebral discs, menisci of knee and jaw, pubic symphysis
*add on the hyline
what type of collage in is hyaline?
Type II collagen
what type of cartilage is this?
Hyaline
what type of cartilage is this and what is the stain?
elastic
ver hoff stain
what type of cartilage is this?
fibrocartilage
what type of collagen is in fibrocartilage?
both type I and type II
what is the Chondrocyte arrangement in Fibro-cartilage
Parallel rows
Organic component of extracellular matrix in bone
is called osteoid and
contains Type I collagen and other proteins
inorganic component of extracellular matrix in bone
is called hydroxyapatite gets added to organic commponent and stregthens it
how is the blood supply and innervation in bone?
Bone is richly vascularized and innervated
* Blood vessels and nerves enter through nutrient foramina
periosteum
bone
-outer sheet of connective tissue
-outer fibrous layer of dense connective tissue
o Inner cellular layer with cells (osteoblasts, bone lining cells, osteoprogenitor cells)
endosteum
Bone cavities are covered by endosteum
One layer of cells lines the cavity
macroscopic classifications of bone
Compact/cortical bone: Thicker
Spongy/trabecular/cancellousbone
microscopic classifications of bone
woven bone: no nice rings
lamellar bone: looks like a tree truck
interstitial lamellae
Between the osteons are remnants of previous concentric lamellae
Outer circumferential lamellae
outer surface of the shaft of a long bone
Inner circumferential lamellae
inner circumference of the shaft of a long bone
Haversian (central) canals
small canals containing blood vessels and nerves travel which lamellae are organized concentrically around
Volkmann’s (perforating) canals
small canals containing blood vessels and and nerves that travel between osteons, run at right angles to the long axis of the osteon
Trabeculae
crisscrossing beams and plates of spongy bone
Compact/cortical bone structure
Lined by periosteum and endosteum
Composed of lamellae organized in
osteons
Spongy/cancellous/trabecular
bone structure
Lined by endosteum
Composed of lamellae organized in
trabeculae
Woven Bone structure
- More cells, randomly arranged
- Interlacing arrangement of collagen fibers
- More ground substance
(stains more basophilic)o - immature
- no lamellae
lamellar bone structure
*Less ground substance (stains intensely eosinophilic)
* Less cells, organized in circular fashion in lamellae
* Incompactbone:composed of cylindrical units called osteons
* Long axis of osteon parallel to long axis of bone
* In trabecular bone: composed of trabeculae
how long does it take to put down woven bone?
Woven bone is deposited rapidly.
what type of bone is this
Woven Bone
What type of bone is this?
lamellar bone
Tendon
Fibrous connective tissue sheath that attaches muscle to bone and other structures, functions to move bone or structure
Ligament
Attaches bone to bone and functions
to stabilize
Joint
Site where two skeletal components come together. Two general categories:
o Synovial- skeletal elements separated by cavity
o Solid- no cavity, skeletal components held together by connective tissue
what type of joint is this?
synovial joint
what are the three components of a synovial joint?
Articular cartilaage, articular capsule, joint cavity
where is Articular cartilage located?
at the ends of epiphyses
where is synovial fluid located in a synovial joint?
in the joint cavity
what are the two layers of the articular capsule?
-Fibrous layer continuous with a ligament Type/ inserting into the periosteum of both bones
-Synovial membrane lining the capsule and producing synovial fluid
how do synovial joints get nutrients?
- Articular surfaces of synovial joints lack a perichondrium
- Synovial fluid lubricates the joint and supplies nutrients and oxygen to the articular cartilage
what are they key charcteristics of the fibrous layer of the articular capsule?
o Dense connective tissue
o Surrounds and stabilizes joint
o Parts may become thickened to form ligaments that further stabilize the joint
what are they key charcteristics of the synovial membrane layer of the articular capsule?
o Attaches to the margins of joint surfaces at the interface of cartilage and bone to enclose cavity
o Highly vascular
o Produces synovial fluid that lubricates the articulating surfaces and nourish the cells of the joint cavity
what two cell types (synoviocytes) are found in the synovial membrane?
Type A cells and Type B cells
what are type A cells in the Synovial Membrane?
o Macrophage-like cells
o Derived from blood monocytes to monitor the synovial fluid
o ~25% of the cells lining the synovium
what are type B cells in the synovial membrane?
o Fibroblastic synovial cells
o Produce hyaluronan and proteoglycans o Transported along with water into the
joint cavity to form the synovial fluid o Majority cell lining the synovium
what is the organic component of bone?
osteoid and contains Type I collagen and other proteins
what is the inorganic component of bone?
hydroxyapatite and contains calcium phosphate and calcium carbonate
which bone cells are derived from mesenchymal stem cells?
The osteoprogenitor cell, osteoblast, osteocyte, and bone lining cell
which bone cell originate from the hematopoietic stem cell?
The osteoclast
what is the structure, funtion, and location of the Osteoprogenitor Cells?
Structure:
* Squamous shaped cells (not responsible for identifying in lab)
waiting
Function:
* Derived from mesenchymal stem cells
osteoblasts
* Osteoprogenitor cells are responsive to stimuli - they then differentiate into bone-forming cells called osteoblasts
* Retain their ability to undergo mitotic division
Location:
* Found in the cellular periosteum and endosteum
what cells are these?
osteoblasts
what is the structure of osteoblasts?
o Cuboidal shaped cell in single sheet along surface of bone o (Bound to the bone surface via integrins)
o (Joined to neighboring cells via adhering and gap junctions)
what is the fuction of osteoblasts?
o Differentiated cell that secretes the organic bone matrix
o Capable of cell division
o Secrete type I collagen and bone matrix proteins which form unmineralized bone/osteoid
where are osteoblasts located?
Exclusively at the surface of where bone is actively being laid down
chemically how is the bone laid down?
-Osteoblasts release matrix vesicles containing alkaline phosphatase and other enzymes that help concentrate local PO43− ions
-High Ca2+ and PO4− ion concentrations cause calcified nanocrystals to form in and around the matrix vesicles
-These crystals grow and mineralize further with formation of small growing masses of calcium hydroxyapatite [Ca10(PO4)6(OH)2] that surround the collagen fibers and all other macromolecules
-Eventually, the masses of hydroxyapatite merge as a confluent solid bony matrix
what cells are the dots in the bone?
ostocytes
how do osteocytes form and what do they form from?
-As osteoblasts secrete the products required for bone formation, they become surround by the bone matrix
- Once surrounded by the matrix, the osteoblast becomes an osteocyte
what is the struture of an osteocyte?
o Round-ish/flattened cell residing in a lacuna and
surrounded by bone matrix
o Canaliculi often visible in ground bone sections
what is the fuction of an osteocyte?
-Responsible for maintaining the matrix of bone
-Respond to mechanical stimuli
what are canaliculi and what is their role?
-Each osteocyte occupies a lacuna and extends a cytoplasmic processes through canaliculi (small canal ) to contact the processes of other osteocytes and bone cells
-The dendritic processes of the osteocytes in the
Canaliculi with osteocyte process
canaliculi allows for nutrients from blood
vessels to diffuse and pass from cell to cell
what kind of cell is this
osteocyte
what type of cell is this?
Bone Lining Cells
what is the structure and location of a bone lining cell?
Structure:
o Flat, squamous-looking cells
Location:
o Surface of bone
what is the fuction of a bone lining cell?
o Derived from osteoblasts that are not actively producing bone
o Incapable of mitotic division, but may be able to differentiate into osteoid secreting cells as needed
o Communicates via gap junctions with osteoblasts and osteocytes
what kind of cell is A and what kind of cell is B?
A. osteoclast
B. osteoblast
what is the structure and location of osteoclasts?
Structure:
-Large, multinucleated cell that has a “polarity”
Location:
-Found at the surface of bone where bone is actively beingremoved/reabsorbed
what is the function of osteoclasts?
Break down bone
and control circulating Ca levels
what region of the cell is the arrow pointing to?
Shallow bays known as resorption bays/lacunae or Howship’s lacunae represent cellular activity
what is a ruffled border is osteoclasts?
Numerous plasma membrane infoldings to increase surface area for exocytosis of hydrolytic enzymes and secretion of protons
what is the sealing/clear zone in osteoclasts?
Actin filaments and extracellular adhesion molecules tightly bind the cell to the bone surface and provide a tight seal between the plasma membrane and prevent leakage
what is the Basolateral zone in osteoclasts?
-Functions in exocytosis of digested material
-Transport vesicles with degraded bone material that was endocytosed at ruffled border fuse and release contents
phsiologically what happens during bone resorption?
- ↑ osteoclast activity
- PTH produced when circulating Ca2+ is low
- PTH stimulates osteoblasts and osteocytes to secrete RANKL
- RANKL binds to RANK on osteoclast precursors
- Osteoclast activity activated and increase in
circulating Ca2+
phsiologically what happens during bone formation?
- ↓ osteoclast activity
- Osteoblasts secrete osteoprotegrin (OPG)
- OPG binds RANKL (prevents RANK/RANKL binding)
- Osteoclast activity inhibited and decrease in circulating Ca2+
what is osteomalacia?
- Lack of mineralization of bone results in low bone density
- Caused by vitamin D or calcium deficiency
- Called Rickets in children
- Soft bones, bowed legs
*decreased osteoblast activity
what is osteopetrosis?
- Osteoclasts cannot digest/resorb bone minerals
- ↓ Osteoclast activityy
- Osteoblasts continue to build bone
- Results in hyper-mineralization of bone and abnormally high bone density
- Bones are brittle
- Skull foramina close off, pinching nerves
what is Osteoporosis?
- Excessive bone resorption
- Aged and post-menopause
*increased osteoclast activity
what are the steps in bone remodelling?
Steps:
1. Osteoclasts tunnel into existing bone matrix (the canal diameter determines the diameter of the osteon) (cutting cone)
2. Osteoprogenitor cells invade the newly formed tunnel and line the surface
3. Osteoblasts fill the canal by depositing the bone matrix (osteoid) in lamellae (closing cone)
4. Some cells get trapped in lacunae (osteocytes)
5. Lamellae are added from the periphery inward,
narrowing the diameter of the osteon
6. Osteoblasts differentiate to bone lining cells, osteoclasts undergo apoptosis
The bone-remodeling unit consists of:
o Cutting cone (resorption tunnel)
o Closing cone
what are the two processes for bone development?
Intramembranous ossification and Endochondral ossification
what is intramembranous ossification?
Osteoblasts differentiate directly from mesenchyme and begin secreting osteoid
what is endochondral ossification?
A preexisting matrix of hyaline cartilage is eroded and invaded by osteoblasts, which then begin osteoid production
what are the steps of intramembranous ossification?
Steps:
a) Ossification centers form within a condense sheet of mesenchyme, which will become the future periosteum. Here, osteoprogenitor cells arise and proliferate around a network of developing capillaries
b) Secreted osteoid traps osteoblasts, which become osteocytes. Osteoid becomes mineralized and forms woven bone
c) Neighboring ossification centers fuse. Trabecular matrix and periosteum form
d) Compact bone develops superficial to trabecular bone
e) Mesenchymal regions that do not undergo ossification give rise to the endosteum and the periosteum of the new bone.
what process is taking place?
Intramembranous Ossification
what kind of bone does endochondral ossification form?
Forms most bones in body, including long bones
what is the long bone anatomy?
- Diaphysis: long shaft
- Epiphysis: end of bone
- Metaphysis: what connects the 2
what is interstitial growth in bones?
-increase in length
-Growth at growth plates happens in development
what is appositional growth?
of bone
getting thicker
what are the steps of enochondral ossification?
- Fetal hyaline cartilage model develops
- Cartilage calcifies and periosteal bone collar forms around diaphysis
- Primary ossification center forms in the diaphysis
- Secondary ossification centers form in epiphyses
- Bone replaces cartilage, except the articular cartilage and epiphyseal plates
- Epiphyseal plates ossify and form epiphyseal lines
what phase of bone development is this and what are the charateristics?
Zone of Resting/Reserve Cartilage: typical hyaline cartilage with chondrocytes
what phase of bone development is this and what are the charateristics?
Zone of proliferation: chondrocytes divide rapidly and form colums of cells parallel to the long axis of bone; cells produce collagen fiber and cartilage matrix
what phase of bone development is this and what are the charateristics?
zone of maturation and hypertrophy: elarged, swollen cells producing type I and X collagen
what phase of bone development is this and what are the charateristics?
Zone of degeneration: loss of chondrocyte, calcification of cartilage matrix, turning into a scaffold
what phase of bone development is this and what are the charateristics?
Zone of ossification: bone tissue appears, osteoblasts lay doen primary bone on the calcified cartilage matrix, the cartilage is resorbed leaving only the primary bone
what kind of bone formation is this?
Endochondral Ossification
what are the steps of Bone Fracture Repair
o Hemorrhage: neutrophils are the first cells to arrive, then macrophages
o Fibroblasts and capillaries proliferate into to site of the injury and form new loose connective tissue and cartilage (procallus formation)
o The procallus helps to stabilize the fractured bone
o The procallus is invaded by regenerating blood vessels and proliferating osteoblasts 1-Empalate for bone repair
o Woven bone is laid down and replaces fibrocartilaginous tissue, becoming hard, bony callus
o Woven bone is replaced with lamellar bone and osteoclasts remove any remnant of the callus restoring the shape of the bone
what is osteoprotegrin(OPG)
a protien that osteoblasts secrete which binds RANKL and has the effect of protecting bone from resorption because OPG-bound RANKL can no longer bind RANK receptor
epiphyseal line
the location of the closed growth plate
sesamoid bone
bones within tendons
fibrodysplasia ossificans progressiva
disease in which extra-skeletal bone forms from damaged soft tissue during its repair
the epidermis forms from what?
ectoderm
the dermis from from what?
mesenchyme
what is the major cell off the integument?
Keratinocyte
Periderm
skin
has important developmental function in fetus but is slophed off before birth
when do the Dermis/hypodermis differentiate?
Differentiation after 1st trimester
what three layers in the epidermis are present during the first trimester?
periderm
intermediate layer
basal layer
Desquamation
shedding of skin cells
Cornification
final stage of keratinization and programmed cell death
what layer of the epidermis does cell divistion take place?
basal layer
what are the Major functions of keratinocytes?
- Structural
- Protection-Barrier
- Antibacterial
- Vitamin D production
what structures in keratinocytes that contribute to the physical strength of the integument?
desmosomes, hemidesosomes, and keratin filaments(which anchor into desmosomes)
Pemphigus
-Mutation In desmosomes
-Skin that has lost structural Integrity
what are the roles of the upper layer of the epidermis?
form a passive barrier against dehydration, mechanical, chemical and pathogen insults
what granules are in the S.granulosum
Lamellar granules and Keratohyalin granules
which granules can you see in the S. granulosum with an H&E stain
Keratohyalin granules
Brick-and-mortar model of the
stratum corneum
keritin on inside
lipids on outside as mortor
Tonofilaments
bundling of Keratin filaments
what are the structural protiens of the stratum corneum?
Involucrin, Loricrin, small proline-rich protiens
Filaggrin
Filaggrin is a filament-associated protein that binds to keratin fibers in epithelial cells
Filaggrin gene mutations are assoaciated with what skin condition
eczema
what kind of molecules can cross the epidermal barrier and why is this useful?
moderately lipophilic small molecules
we can deliver drugs through the skin using skin patches
what are the major fuctions of vitamin D?
-Calcium absorption by GI tract
-Calcium re-absorption by kidney
-Bone resorption by osteoclasts
-maintain serum calcium levels
Why do ppl with darker skin feel the effect of vitamin D deffiency more
becuase people with darker skin have a tendency to produce ↓ vitamin C
Dietary sources of Vitamin D
-Milk enriched in vitamin D
-Oranges
-Salmon
how does UV light make vitamin D?
- UV light hydrolyzes 7D into previtamin D3
- VD3 goes through the blood vessels to the liver
- then in the kidneys it is activated into calcitriol which is active vitamin D
what is the role of Melanocytes?
provide protection against the damaging effects of UV radiation
How are melanin granules made?
tyrosine is converted to melanin by tyrosinase
what type of secretion do melanin granule do?
cytocrine secretion
a small peice of the cell is exchanged
why are the melanin granules not usually in melanocytes
the pigment is transported rapidly to keratiocytes and the granules cover the DNA to protect it from UV redation
what enzyme is missing in albinos?
tyrosinases
why do some people have darker skin colors?
In darker-skinned individuals, more mela-nin is produced,
melanosomes are larger and there is an increased rate of
transfer of melanin from melanocytes to keratinocytes.
a person w/ darker skin does not have ↑ melanocytes Just more efficient
what color is Eumelanin pigment
black to brown
what color is pheomelanin pigment?
yellow to reddish
What are the Three major steps are involved in tanning
- Photo-oxidation of melanin
- Re-distribution of melanin granules to upper layers
- Increased number of melanin granules
what are the resident
dendritic cells of the epidermis
Langerhans cells they play the role of macrophages
role of langerhans cells?
reside in the epidermis
Interact with T-cells to mount immune response
May also play a role in immune
tolerance
what are the hair growth phases
Anagen: active hair growth. Growth of the hair follicle and shaft; lasts 2-6 years
Catagen: reduced hair growth. Involution of the hair follicle; lasts 3 weeks
Telogen: resting phase; stays in involuted stage; lasts 2-4 months
what is important about the bulge of the hair follicle
Location of stem cells
Re-populate hair bulb after telogen phase
SC can migrate to epidermis for regeneration which can be helpful in burn situations
what happens in the matrix of the hair
Dividing epithelial cells
responsible for hair growth
how does the skin control of body temperature
-Activation of eccrine sweat glands
-Vasodilation of cutaneous blood vessels
-Arterio-venous anastomoses
what is the primary factor eliciting activation of eccrine sweat glands?
cholinergic innervation from the sympathetic nervous system
activating the Arterio-venous anastomoses does what to blood flow and temp
increases blood flow and dreases temp
Renault disease
characterized by dysfunctional regulation of blood flow in the extremities
Free nerve endings end in epidermis control what?
pain and temperature
Merkel cells in the stratum basale control what?
Light touch
Meissner corpuscle in dermal papilla control what
light touch and high frequency vibrations
Pacinian corpuscle in deep dermis control what
Deep pressure and vibration
Hair follicle mechanoreceptors control what?
hair movement
ruffini endings control what?
skin stretch
A severe burn that affects a relatively large portion of the integument will necessitate a skin graft. Which specific layer of the integument is critically involved in the renewal of the epidermis?
stratum basale