WEEK 4: Tissues and Bones Flashcards

1
Q

What are tissues

A
  • collections of specialized cells and cell products that perform specific functions
  • tissues in combination form organs, such as the heart or liver
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is histology

A

Study of tissues

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What are 4 types of tissues

A
  • Epithelial
  • Connective
  • Muscle
  • Nervous
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is Epithelial tissue and examples

A
  • covers exposed surfaces
  • lines internal passageways
  • forms glands
    includes:
    ->epithelia: layers of cells covering internal or external surfaces
    ->glands: structures that produce fluid secretions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What is the 4 functions of epithelial tissue

A
  • Provide physical protection
  • Control permeability
    -Provide sensation
  • Produce specialized secretions
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

The 5 characterisitcs of epithelial tissue

A
  • polarity (apical and basal surfaces)
    -> On apical surface: microvilli increase absorption or secretion
    cilia on a ciliated epithelium move fluids
  • cellularity (cell junctions)
  • attachment (basement membrane)
  • avascularity (avascular)
  • regeneration
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

The 3 specilisations of epithelial cells

A
  • Move fluids over the epithelium (protection)
    -Move fluids through the epithelium (permeability)
  • Produce secretions (protection and messaging)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What 3 things maintain the integirty of epithelia

A
  • Intercellular connections
  • Attachment to the basement membrane
    -Epithelial maintenance and repair
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What do intercellular connections do

A
  • support and communication
    -> cell adhesion molecules (CAMS)
    -> transmembrane proteins
  • proteoglycans act as intercellular cement
    -> contain glycosaminoglycans such as hyaluronan (hyaluronic acid)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What are cell functions and the 3 typrs

A
  • Form bonds with other cells or extracellular material
  • Gap junctions
  • Tight junctions
  • Desmosomes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What are gap junctions?

A
  • allow rapid communication
  • cells held together by interlocking transmembrane proteins (connexons)
  • allow small molecules & ions to pass(diffusion)
  • coordinate contractions in heart muscle
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What are Tight junctions

A
  • between two plasma membranes
  • adhesion belt attaches to terminal web
  • prevent passage of water and solutes
  • keep enzymes, acids, and wastes in lumen of digestive tract
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

How are desosomes formed, and the 2 types and their functions

A
  • CAMS and proteoglycans link opposing plasma membranes
  • spot desmosomes
    ->tie cells together
    ->allow bending and twisting
  • hemidesmosomes
    -> attach cells to the basement membrane
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

The 2 lamina attached to the basement membrane

A
  • basal lamina
    ->closest to the epithelium
  • reticular lamina
    ->deeper portion of basement membrane provides strength
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

How is the epithelila maintained and repaired

A
  • epithelial cells replaced by continual division of stem cells
  • located near basement membrane
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are the classifications of epithelia based on? (2)

A

Shape and layers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

The 3 classifications of epithelia based on shape?

A
  • squamous—thin and flat
  • cuboidal—square shaped
  • columnar—tall, slender rectangles
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

The 2 classifications of epithelia based on layers?

A
  • simple epithelium—single layer of cells
  • stratified epithelium—several layers of cells
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What are the 2 types of squamous epithelia

A

simple squamous epithelia
Stratified squamous epithelia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

What is simple squamous epithelia

A
  • reduces friction
  • performs absorption and secretion
  • controls vessel permeability
  • mesothelium
  • > lines body cavities
  • endothelium
  • > forms inner lining of heart and blood vessels, portions of kidney tubules
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What is Stratified squamous epithelia

A
  • protect against mechanical stresses
  • keratin adds strength and water resistance
  • found in surface of skin, lining of mouth, throat, esophagus, rectum
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What are the 2 types of cuboidal epithelia

A
  • simple cuboidal epithelia
  • Stratified cuboidal epithelia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is simple cuboidal epithelia, where is it found in and funcitons

A
  • secretion and absorption
  • ## found in glands and portions of kidney tubules
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What is Stratified cuboidal epithelia, where is it found in and functions

A
  • relatively rare
  • ducts of sweat glands and mammary glands
  • protects, secretion and absroption
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What is transitional epithelia, function and found in

A
  • tolerate repeated cycles of stretching without damage
  • appearance changes as stretching occurs
  • found in urinary bladder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What are the 3 types of collumnar epithelia

A
  • simple columnar epithelia
  • pseudostratified columnar epithelia
  • stratified columnar epithelia
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Functions and where its found: simple columnar epithelia

A

->absorption and secretion, protection
->found in lining of stomach, small intestine, large intestine, gall bladders, uterine tubes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

Functions and where its found: pseudostratified columnar epithelia

A

->typically have cilia
->protein, secretion, move mucus w cillia
->found in lining of nasal cavity, trachea, bronchi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

Functions and where its found: stratified columnar epithelia

A

->relatively rare
->provide protection in pharynx, anus, urethra, epiglottis, mammary glands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

What are glandular epithelia, and 2 types of glands=functions

A
  • glands are collections of epithelial cells that produce secretions
  • Endocrine glands: release hormones that enter bloodstream
    ->no ducts
  • Exocrine glands: produce exocrine secretions
    -> discharge secretions through ducts onto epithelial surfaces
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
31
Q

What 2 types of glands make up gland structure

A

unicellular glands
multicellular glands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
32
Q

What is unicellular glands, found in, functions

A
  • goblet cells are unicellular exocrine glands
    ->found in epithelia of intestines
    ->secrete mucin, which mixes with water to form mucus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
33
Q

What 3 things are multicellular exocrine glands classified by

A
  • Structure of the duct
  • Shape of secretory portion of the gland
  • Relationship between ducts and glandular areas
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
34
Q

What 2 things can mutliceullular gands duct structure be classified by

A
  • simple (undivided)
  • compound (divided)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
35
Q

What 2 things can mutliceullular gands shape of secretor portion of gland be classified by

A
  • tubular (tube shaped)
  • alveolar or acinar (blind pockets)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
36
Q

What 1 thing can mutliceullular glands relationships between ducts+glandular areas be classified by

A

branched (several secretory areas sharing one duct)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
37
Q

What are the 5 simple exocrine glands, example for each

A
  1. Simple tubular
    - eg intestinal glands
  2. simple coiled subular
    - eg merocrine sweat glands
  3. simple branched tubular
    e.g gastric/mucous glands
  4. simple alveolar
    eg. not found in adults
  5. simple branched alveolar
    eg. sebaceous glands
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
38
Q

What are the 3 compound glands, example for each

A
  1. compound tubular
    e.g mucous glands, testes
  2. compound alveolar
    e.g mammary glands
  3. compound tubulo-alveolar
    e.g salivary glands, glands of respiratory passages, pancreas
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
39
Q

What the 3 methods of secretion, released by, example

A
  • Merocrine - released by secretory vesicles (exocytosis)
    ->example: merocrine sweat glands, salivary glands
  • Apocrine - released by shedding cytoplasm
    ->example: mammary glands
  • Holocrine - released by cells bursting, killing gland cells
    gland cells replaced by stem cells
    ->example: sebaceous glands on hair follicles
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
40
Q

3 Types of secretions produced by exocrine glands

A

-serous glands=watery secretions
- mucous glands=secrete mucins
- mixed exocrine glands= both serous and mucous

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
41
Q

What are the 3 components of connective tissues

A
  • Specialized cells
  • Extracellular protein fibers
  • Fluid called ground substance
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
42
Q

What does the matrix consist of

A
  • extracellular components of connective tissue (fibers and ground substance)
  • majority of tissue volume
  • determines specialized function
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
43
Q

What are the 6 functions of connective tissue

A
  • establishing a structural framework for the body
  • transporting fluids and dissolved materials
  • protecting delicate organs
  • supporting, surrounding & interconnecting other types of tissue
  • storing energy reserves, especially triglycerides
  • defending the body from invading microorganisms
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
44
Q

What are the 3 categories of connective tissue and their function

A
  • Connective tissue proper
    ->connect and protect
  • Fluid connective tissues [blood and lymph]
    ->transport

​- Supporting connective tissues
->structural strength

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
45
Q

What is loose connective tissue + example

A

more ground substance, fewer fibers
- fill spaces between organs, cushion cells, and support epithelia
example: fat (adipose tissue)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
46
Q

What is dense connective tissue + example

A

more fibers, less ground substance
- also called collagenous tissues
contain many collagen fibers
example: tendons

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
47
Q

What are the 9 cells of connective tissue proper

A
  • Fibroblasts
  • Fibrocytes
  • Adipocytes
  • Mesenchymal cells
  • Melanocytes
  • Macrophages
  • Mast cells
  • Lymphocytes
  • Microphages
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
48
Q

What are fibroblasts and what do they secrete

A

the most abundant cell type
- secrete proteins and hyaluronan (cellular cement)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
49
Q

What are fibrocytes and function

A

second most abundant type - maintain connective tissue fibers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
50
Q

What are adipocytes

A

fat cells - each cell stores a single, large fat droplet

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
51
Q

What are Mesenchymal cells function

A

stem cells that respond to injury or infection

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
52
Q

What are melanocytes function

A

synthesize and store the brown pigment melanin

53
Q

What are macrophages and function

A
  • large phagocytic cells of the immune system
  • engulf pathogens and damaged cells
  • fixed macrophages stay in tissue
  • free macrophages migrate
54
Q

What are mast cells and function

A
  • stimulate inflammation after injury or infection
    -> release histamine and heparin
  • basophils are leukocytes that also contain histamine and heparin
55
Q

What are 3 connective tissue fibres

A
  • Collagen fibers
  • Reticular fibers
  • Elastic fibers
56
Q

What are the 5 characterisitcs collagen fibers

A
  • most common fibers in connective tissue proper
  • long, straight, and unbranched
  • strong and flexible
  • resist force in one direction
  • abundant in tendons and ligaments
57
Q

What are the 3 characterisitcs reticular fibers and example

A
  • form a network of interwoven fibers (stroma)
  • strong and flexible - resist forces in many directions
  • stabilize functional cells (parenchyma) and structures
  • example: sheaths around organs
58
Q

What are the 2 characterisitcs elastic fibers and example

A
  • contain elastin
  • branched and wavy - return to original length after stretching
  • example: elastic ligaments of vertebrae
59
Q

What is a ground substance and their function

A
  • is clear, colorless, and viscous
  • fills spaces between cells and slows pathogen movement
60
Q

What are the 3 types of loose connective tissue in adults

A

Areolar tissue
Adipose tissue
Reticular tissue

61
Q

What are areolar tissue, functions and example

A
  • least specialized, open framework, viscous ground substanceelastic fibers
  • holds capillary beds
  • cushions organs
  • provides support support/permits independent movement
  • phagocytic cells defend
  • example: under skin (subcutaneous layer)
62
Q

What is adipose tissue, found in, functions

A
  • contains many adipocytes (fat cells)
  • cells do not divide
  • expand to store fat & shrink as fats are released
  • found deep in skin, padding around eyes/kidneys
  • provides padding+cushions shocks
  • insulates+stores energy
63
Q

What is reticular tissue, found in, functions

A
  • provides supporting framework
  • forms a complex, three-dimensional stroma
  • support functional cells of organs
  • found in liver, kidney, spleen, lymph nodes, bone marrow
64
Q

What are the three types of dense connective tissue

A

dense regular
dense irregular
elastic

65
Q

What is dense regular tissue, found in, functions

A
  • tightly packed, parallel collagen fibers
  • tendons attach muscles to bone
  • ligaments connect one bone to another
  • aponeuroses are tendinous sheets that attach a broad, flat muscle to another structure
  • found between tendons, liagament, aponeruoses
  • provides firm attachment
  • conduts pull of muscle
  • reduces friction between muscles
  • stabilises position of bone
66
Q

What is dense irregular tissue, found in, functions

A
  • interwoven network of collagen fibers
    ->provides strength to dermis
    -> helps prevent overexapnsion of organs(univary bladder)
    ->forms sheath around cartilages (perichondrium) and bones (periosteum)
    ->forms capsules around some organs (e.g., liver, kidneys, and spleen)
67
Q

What is elastic tissue, found in, functions

A
  • made of elastic fibers
  • stabilises position of vertebrae/penis
  • cushions shocks
  • permits expansion+contraction of organs
  • example: elastic ligaments of spinal vertebrae
68
Q

What 3 things does the cardiovasucalr system consist of

A
  • a pump (the heart)
  • series of conducting hoses (blood vessels)
  • contains the fluid connective tissue blood
69
Q

What is blood

A
  • specialized connective tissue
  • contains cells suspended in a fluid matrix
70
Q

What is the 5 functions of blood

A
  • transporting dissolved gases, nutrients, hormones, and metabolic wastes
  • regulating pH, ion composition of interstitial fluids
  • restricting fluid losses at injury sites
  • defending against toxins and pathogens
  • stabilizing body temperature
71
Q

What is blood components

A
  • Plasma :fluid
    -Formed elements : cells and cell fragments
72
Q

What is fractionation

A

process of separating whole blood into plasma and formed elements

73
Q

What is plasma

A
  • makes up ± 55% of blood volume
  • more than 90% of plasma is water
    also contains dissolved plasma proteins & other solutes
  • similar in composition to interstitial fluid
    -> because water, ions, and small solutes are exchanged across capillary walls
74
Q

The 3 types of formed elements found in blood

A
  • Red blood cells
  • White blood cells
  • Cell fragments (platelets)
75
Q

What is hemopoiesis

A
  • Process of producing formed elements
76
Q

What are platelets

A

small, membrane bound cell fragments that contain enzymes + other substances important for clotting

77
Q

What are red blood cells

A
  • also called erythrocytes
  • make up 99.9% of formed elements
  • contain hemoglobin
    ->red pigment that gives whole blood its color
    ->binds and transports oxygen and carbon dioxide
78
Q

Describe structure of rbcs

A
  • small, highly specialized cells
  • biconcave discs
    -> thin central region and thicker outer margin
79
Q

What are mature rbcs

A
  • anucleate (lack nuclei)
  • lack mitochondria and ribosomes
  • unable to divide, synthesize proteins, or repair damage
  • live ± 120 days
80
Q

What are surface antigens

A
  • substances on plasma membranes that identify cells to immune system
  • normal cells are ignored and foreign cells are attacked
81
Q

What is blood type

A

-determined by presence or absence of surface antigens on RBCs: A, B, and Rh (or D)

82
Q

What are the 4 blood types

A
  • Type A (surface antigen A)
  • Type B (surface antigen B)
  • Type AB (antigens A and B)
  • Type O (neither A nor B)
83
Q

What is Rh blood group

A
  • based on presence or absence of Rh antigen
  • Rh positive (Rh+)
    ->Rh surface antigen is present (e.g., Type O+)
  • Rh negative (Rh−)
    -> Rh antigen is absent (e.g., Type O−)
84
Q

What are Agglutinogens

A
  • surface antigens on RBCs
  • screened by immune system
85
Q

What are Agglutinins

A

-antibodies in plasma
-attack antigens on foreign RBCs
->causing agglutination (clumping) of foreign cells

86
Q

The 4 types of agglutinis

A

-Type A blood has Anti-B antibodies
-Type B blood has Anti-A antibodies
- Type O blood has Both anti-A and anti-B antibodies
- Type AB blood has Neither anti-A nor anti-B antibodies
- Only sensitized Rh−blood has anti-Rh antibodies

87
Q

What is a Cross-reaction (transfusion reaction)

A
  • may occur in transfusion of blood or plasma from one person to another
  • occurs if donor and recipient blood types are not compatible
  • Plasma antibody meets its specific surface antigen
    ->RBCs agglutinate and may hemolyze
88
Q

What is compatability testing

A
  • performed in advance of transfusions
  • cross-match testing
    -> reveals cross-reactions between donor’s RBCs and recipient’s plasma
  • Type O− is the universal donor
    -> but cross-reactions can still occur because at least 48 surface antigens exist besides A and B
89
Q

What are white blood cells

A

-also called leukocytes
-have nuclei and other organelles
-lack hemoglobin
- a small fraction of WBCs circulate in blood
- all can migrate out of bloodstream
- all are capable of amoeboid movement
-all are attracted to specific chemical stimuli
->positive chemotaxis
- some are phagocytic

90
Q

What are the wbc 3 functions

A
  • defending body against pathogens
  • removing toxins and wastes
  • attacking abnormal or damaged cells
91
Q

Where are most wbc found in

A
  • connective tissue proper, in organs of lymphatic system
91
Q

What are the 5 types of wbcs

A

Neutrophils
Eosinophils
Basophils
Monocytes
Lymphocytes

92
Q

What are platelets (thrombocytes)

A
  • cell fragments involved in clotting system
  • circulate for 9–12 days
  • removed by phagocytes, mainly in spleen
  • 150,000 to 500,000 per microliter of blood
  • one-third of platelets in body are stored in vascular organs like the spleen
    -> mobilized during a circulatory crisis
93
Q

What are the 3 functions of platelets

A
  • release important clotting chemicals
  • temporarily patch damaged vessel walls
  • reduce size of break in vessel wall
94
Q

What are 2 examples of supporting connective tissues

A

cartilage and bone

95
Q

What are cartillage

A
  • provides shock absorption and protection
  • matrix is a firm gel
    ->contains polysaccharide derivatives called chondroitin sulfates
  • cells in the matrix are chondrocytes
    ->in chambers called lacunae
96
Q

What makes up cartilage structure (2)

A

-avascular
->chondrocytes produce antiangiogenesis factor that discourages formation of blood vessels

  • perichondrium
    ->outer, fibrous layer (for support and protection)
    ->inner, cellular layer (for growth and maintenance)
97
Q

What are 3 types of cartillage

A
  • hyaline cartilage
  • elastic cartilage
    -fibrocartilage
98
Q

What is hyaline cartilage. functions and location

A
  • most common type
  • provides stiff/ somewhat flexible support
  • tough and flexible - reduces friction between bones
  • found in synovial joints, rib tips, sternum, and trachea
99
Q

What is elastic cartillage, functions and location

A
  • supportive but bends easily
  • found in external ear and epiglottis
100
Q

What is fibrocatillage, functions and location

A
  • very durable and tough
  • limits movement & prevents bone-to-bone contact
  • found around joints, between pubic bones, and between spinal vertebrae
101
Q

What is bone

A
  • for weight support
  • calcified (made rigid by calcium salts)
  • resists shattering (flexible collagen fibers)
102
Q

What is the periosteum

A
  • covers bone
  • fibrous (outer) and cellular (inner) layers
103
Q

What are the 4 principal bone cells

A
  • Osteogenic cells
  • Osteoblasts
  • Osteocytes
  • Osteoclasts
104
Q

What are osteogenic cells

A
  • stem cells that arise from embryonic mesenchyme
  • multiply continuously & give rise to most other bone cell types
105
Q

What are osteoblasts

A
  • bone-forming cells
  • form single layer under endosteum & periosteum & are non-mitotic
  • synthesise soft organic matter of matrix - hardens by mineral deposition
  • stress stimulates osteogenic cells to multiply & increase number of osteoblasts - reinforces bone
  • secrete hormone osteocalcin
106
Q

What are osteocytes

A
  • former osteoblasts - trapped in matrix they deposit
  • reside in lacunae - small cavities
  • lacunae connected by canaliculi
  • cytoplasmic processes extend into canaliculi & contact processes of other osteocytes
  • canaliculi allows change of materials w blood
  • gap junctions allow for passage of nutrients, wastes, signals
  • act as strain sensors - bone produces biochemical signals that regulate bone remodeling (shape & density changes that are adaptive)
107
Q

What are osteoclasts

A
  • bone-dissolving cells found on bone surface
  • large cells formed by fusion of several stem cells - multiple nuclei in each cell
  • ruffled border (large surface area) faces bone
  • often reside in resorption bays (pits in bone surface)
  • dissolving bone is part of bone remodeling
108
Q

What is bone structure made up of

A
  • 1/3 organic & 2/3 inorganic matter
  • Organic matter synthesized by osteoblasts
    ->collagen, carbohydrate–protein complexes [glycosaminoglycans, proteoglycans & glycoproteins
  • inorganic matter
    ->85% hydroxyapatite (crystallized calcium phosphate salt)
    ->10% calcium carbonate
    ->other minerals (fluoride, sodium, potassium, magnesium)
109
Q

What material is bone

A
  • composite material - combination of ceramic & a polymer
  • hydroxyapatite & other minerals are the ceramic & collagen (protein) the polymer
110
Q

What does the ceramic portion of bone allow

A
  • bone to support body weight without sagging
    -> rickets - caused by mineral deficiency resulting in soft, deformed bones
111
Q

What does the polymer of bone allow

A
  • gives some flexibility
  • osteogenesis imperfecta (brittle bone disease) results from defect in collagen deposition
112
Q

What is spongy bone

A
  • lattice of bone covered with endosteum
  • slivers of bone called spicules
  • thin plates of bone called trabeculae
    -> spaces filled with red bone marrow
  • few osteons & no central canals
    ->all osteocytes close to bone marrow
  • provides strength with minimal weight
    ->trabeculae develop along stress lines
113
Q

What is Ossification

A

or osteogenesis - the formation of bone

114
Q

How does bone develop in human fetus, 2 ways

A
  • Intramembranous ossification [within membrane]
    ->produces flat bones of skull & clavicle in fetus
    ->thickens long bones throughout life
  • Endochondral ossification [within cartilage]
    ->all other bones
115
Q

What is bone remodelling

A
  • absorption & deposition
  • occurs throughout life - 10% of skeleton per year
    ->repairs microfractures, releases minerals into blood, reshapes bones in response to use & disuse
116
Q

What is Wolff’s law of bone

A
  • architecture of bone determined by mechanical stresses placed on it
  • remodeling is collaborative & precise action of osteoblasts & osteoclasts
  • bony processes grow larger in response to mechanical stress
117
Q

What is mature bone

A
  • a metabolically active organ
  • involved in own maintenance of growth & remodeling
  • exerts influence over body by exchanging minerals with tissue fluid
  • disturbance of calcium homeostasis in skeleton disrupts function of other organ systems
  • especially nervous & muscle tissue
118
Q

What is mineral deposition

A
  • Ca+, phosphate & other ions are taken from blood & deposited in bone
    -osteoblasts produce collagen fibers that spiral length of osteon
    -fibres become encrusted with minerals
    ->hydroxyapatite crystals
    ->first few crystals act as seed crystals that attract more Ca+ & phosphate from solution
119
Q

What is abnormal calcification

A

(ectopic ossification)
- formation of a calculus (calcified mass) in otherwise soft organ [lung, brain, eye, muscle, tendon or artery (arteriosclerosis)]

120
Q

Describe the process of mineral deposition/reasborption

A

-process of dissolving bone & releasing minerals into blood performed by osteoclasts at ruffled border
->H- pumps in membranes secrete H- into space between osteoclast & bone surface
->Cl- ions follow by electrical attraction
->hydrochloric acid (pH 4) dissolves bone minerals
->acid protease enzyme digests collagen

121
Q

What is hypocalcemia

A

deficiency in Ca+ in blood
- changes membrane potentials & causes overly excitable nervous system & tetany (muscle spasms)
->Vitamin D deficiency, diarrhoea, thyroid tumors, underactive parathyroid glands
->pregnancy & lactation increase risk of hypocalcemia

122
Q

What is hyperclycaemia

A
  • excessive Ca+ levels
  • makes ion channels less responsive & thus nerve & muscle are less excitable
  • can cause muscle weakness, slow reflexes, cardiac arrest
123
Q

How is calcium homeostasis regualted

A
  • Depends on balance between dietary intake, urinary & faecal losses, & exchanges between osseous tissue
  • Calcitriol, Calcitonin, Parathyroid hormone
124
Q

What is calcitriol

A
  • most active form of vitamin D
    skin uses UV radiation to produce D_3
    liver converts D3 to calcidiol
    kidney converts that to calcitriol
    raises blood Ca+ level – essential for bone deposition
  • increases Ca+ absorption by small intestine & Ca+ resorption from skeleton
  • stimulates osteoblasts to release chemical that stimulates production of osteoclasts
  • weak promoter of kidney reabsorption of Ca+ ions – fewer lost in urine
125
Q

What is calcitonin

A
  • secreted by cells of thyroid gland when blood Ca+ levels rise too high
  • lowers blood Ca+ concentration in two ways:
    ->inhibits osteoclasts thereby reducing bone resorption
    ->stimulates osteoblasts to deposit calcium into bone
  • important in children, weak effect in adults
  • osteoclasts more active in children due to faster remodeling
  • may inhibit bone loss in pregnant & lactating women
126
Q

What is the parathyroid hormone

A
  • from parathyroid glands [on posterior surface of thyroid gland]
    -released when blood Ca+ levels low
127
Q

How in 4 ways does the parathyroid hormone raise CA+ blood lvls

A
  • stimulates osteoblasts to secrete RANKL - increases osteoclast population & bone resorption
  • promotes Ca+ reabsorption by kidneys - less lost in urine
  • promotes final step of calcitriol synthesis in kidneys, enhancing calcium-raising effect of calcitriol
  • inhibits collagen synthesis by osteoblasts, inhibiting bone deposition