Schricker Flashcards
Calcium is important for
Clotting
Muscle contraction
Cardiovascular function
Primary regulators of serum calcium
Parathyroid hormone
Calcitonin
Vitamin D
Bone is a _____
Composite
Calcium reservoir
Composition of bone…Which is strong, which is tough?
Collagen - Tough but not strong
Hydroxyapatite - Strong but not tough (brittle)
Enamel matrix is _______
Percentage hydroxyapatite = ?
Amelogenin
90%
Dentin matrix is ______
Percentage hydroxyapatite = ?
Type I collagen
67%
Difference between bone and teeth
Bone can heal, enamel cannot (can remineralize)
Dentin has limited capacity to heal
Bone has lower mineral content
Bone is vascularized
Process of mineralization
- Crystallization initiates & ruptures vesicles with saturated solution of HA
- Osteoblasts excrete matrix proteins
- Pyrophosphate can block mineralization, but alkaline phosphatase degrades pyrophosphate
Factors that influence balance of building & resorbing bone
Serum calcium
Hormones
Cytokines
Signals that promote resorption
Parathyroid hormone Prostaglandin IL-1, IL-6, TNF Prolactin Corticosteroids Vitamin D
Signals that inhibit resorption
Calcium Estrogens Calcitonin Tumor growth factor-beta IL-17
Osteoblasts originate from
Mesenchymal stem cell -> Preosteoblast
Osteoclasts originate from
Hematopoietic stem cell -> Monocyte macrophage -> Preosteoclast
Osteoclast activation by
RANK receptors on osteoclast precursors recognize RANKL (RANK ligand)
Distribution of calcium
99% is contained in mineralized tissue
1% is circulated in a bound or ionic form