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Unit 2: SXS > Week 4 > Flashcards

Week 4 Flashcards

1
Q

Cartilage

-what is it?

A

form of supportive connective tissue with extra cellular matrix that has high concentration of GAG’s and proteoglycans interacting with collagen and elastic fibers

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2
Q

Cartilage ECM

  • function
  • components
A
  • firm consistency
  • allows for tissue to bear mechanical stress without permanent distortion; supportive framework of soft tissue (ears, nose) & cushioning sliding regions for bone movement
  • collagen (type II); glycoprotein (chondronectin); proteoglycan (contains GAGS-most common is aggrecan)
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3
Q

Chondrocytes

  • function
  • location
A
  • synthesize and maintain ECM

- located in matrix cavities call lacunae

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4
Q

How do chondrocytes receive nutrients?

A

-From surrounding tissue, the nutrients will travel through ECM until they reach the chondrocyte

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5
Q

Perichondrium

  • what is it
  • what does it do
  • what lacks it
A
  • sheath of dense connective tissue surrounding cartilage
  • harbors blood supply and small neural component in cartilage
  • not in articular cartilage
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6
Q

3 types of cartilage

A

-Hyaline, Elastic, fibro

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7
Q

Hyaline

  • prevalence
  • where it is found?
  • special feature-embryo
A
  • most common
  • located in articular surfaces of movable joints, walls of larger respiratory passages (nose, larynx, trachea, bronchi), ventral ends of ribs (where they articulate with the sternum) and in the epiphyseal plates of long bones (makes possible longitudinal bone growth).
  • In the embryo, hyaline cartilage forms the temporary skeleton that is gradually replaced by bone.
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8
Q

Matrix of hyaline cartilage

-consists of?

A

-type II collagen, abundant aggrecan, and various other proteoglycans and GAGS

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9
Q

What does water bind to in hyaline cartilage?

A

-GAGS attached to proteoglycans

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10
Q

Chondronectin

-function

A

-allows for chondrocytes to adhere to ECM

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11
Q

Chondrocytes in hyaline cartilage

  • where
  • shape
  • form
  • metabolism
A
  • located at periphery
  • elliptical in shape with long axes
  • form isogenous aggregates: group of 2-8 cells that come from same chondrocyte: cells separate by producing collagen OR in lacunae
  • metabolism: anaerobic
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12
Q

Perichondrium in hyaline cartilage

A
  • surrounds all hyaline cartilage except in articular joints

- contains fibroblasts, mesenchymal cells, blood vessels and small nerves

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13
Q

Elastic cartilage

  • what is it
  • where is it
A
  • similar to hyaline but contains more elastin
  • More flexible: found in auricle of the ear, the walls of the external auditory canals, the auditory (Eustachian) tubes, the epiglottis, and the upper respiratory tract
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14
Q

Elastic cartilage matrix and cells

A
  • type II collagen and elastin
  • abundant aggrecan and various other proteoglycans and GAGS
  • -chondroblasts, chondrocytes, and fibroblasts in perichondrium; kept in lacunae or isogenous groups
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15
Q

Perichondrium of elastic cartilage

A
  • surrounds all hyaline cartilage except in articular joints

- contains fibroblasts, mesenchymal cells, blood vessels and small nerves

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16
Q

Fibrocartilage

  • what is it made out of
  • where is it found?
A
  • hyaline cartilage intermingled with dense connective tissue
  • found in IV discs and pubic symphysis
17
Q

Fibrocartilage chondrocytes

A
  • chondrocytes and fibroblasts

- occur singly and in aligned isogenous aggregates

18
Q

Fibrocartilage matrix

A

-collagen tupe I and II, aggrecan, very few proteoglycans

19
Q

Fibrocartilage perichondrium

A

-lacks perichondrium

20
Q

Chondrogenesis

-precursor and collagen types

A

-mesenchyme (collagen I, III, V) to chondroblasts (II,IX, XI) to chondrocytes (collagen X and calcification of matrix)

21
Q

Chondroblast

  • phase
  • stimulated by
  • location
  • nutrients/respiration
A
  • name of cell during rapid proliferation phase
  • Sox9
  • located on outside
  • glucose, anaerobic
22
Q

Chondrocyte

  • phase
  • stimulated by
  • special
  • location
  • nutrients/respiration
A
  • name of cell during hypertrophy-calcification
  • Runx2/Runx3
  • cells are then enclosed in lacunae by excreting ECM
  • located on inside
  • glucose, anaerobic
23
Q

Interstitial growth

  • how?
  • where?
A
  • Mitotic division of pre-exiting chondrocytes
  • Used in long bone growth
  • Used in articular cartilage since they do not have perichondrium
24
Q

Appositional growth

  • how?
  • time frame?
A
  • Chondroblast differentiation from mesenchymal cells in inner membrane of perichondrium
  • More important after birth
25
Q

Repair

  • how?
  • good or bad?
A
  • slow and often incomplete repair–except in young children
  • Dependent on cells from perichondrium to invade injured area and produce dense connective tissue making a scar
  • Poor capacity to repair/regenerate due to avascularity and low metabolic rate
26
Q

Interterritorial matrix

  • types of collagen
  • looks
A
  • surrounds chondroblasts in isogenous groups
  • collagen type II, IX, XI
  • lighter
27
Q

Territorial matrix

  • types of collagen
  • looks
A
  • surrounds chondrocytes
  • collagen type VI also has fibromodulin and matrilin 3
  • darker
28
Q

What happens to articular cartilage with shear stress?

A
  • chondrocytes become active, proliferate, form sluters increase matrix proteins and degradation enzymes
  • produce reactive oxygen species which cause oxidative damage to the matrix and chondrocyte apoptosis
29
Q

What are targets of matrix degradation enzymes?

A
  • type II collagen: MMP-13

- Aggrecan (ADAMST5)

30
Q

Treatment for cartilage repair improvement

A
  • anti-inflammatory therapy: biologics targetting inflammatory cytokines
  • chondrogenic agents: TGF, IGF, Insulin, PTHrP

Unit 2: SXS (5 decks)

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