What happens to yellow bone marrow in anemia?
converted to _____ _____ _____ for increase production of _____ _____ _____
red bone marrow
red blood cells
Endochondral ossification sequence of events
1) Formation of _____ _____ _____
hyaline cartilage model
Endochondral ossification sequence of events
2) _____ _____ forms
Bone collar
Endochondral ossification sequence of events
3) _____ hypertrophy, _____ and _____ in bone collar area
Cartilage, degeneration, calcification
Endochondral ossification sequence of events
4) Osteogenic bud of _____ _____
blood vessels
Endochondral ossification sequence of events:
5) _____ differentiate and secrete bone matrix
Osteoblasts
Endochondral ossification sequence of events:
6) _____ ossification center expands to whole _____
Primary, diaphysis
Endochondral ossification sequence of events:
7) After birth _____ ossification centers form in _____
secondary, epiphyses
Fracture repair steps
1) ____ ____
Blood clot
Fracture repair steps
2) ____ proliferation
CT
Fracture repair steps
3) ____ ____ forms in ____
Hyaline cartilage, CT
Fracture repair steps
4) ____ bone forms by endochondral and intramembranous formation
Primary
Fracture repair steps
5) ____ ____ (dense CT and cartilage) temporarily unites fracture
Bone callus
Fracture repair steps
6) ____ cells from ____ divide and become ____ which deposit new bone
Osteoprogenitor, periosteum, osteoblasts
Fracture repair steps
7) ____ occurs with healing
Remodeling
What is the embryonic precursor to long bones? ____
Cartilage
Embryonic precursor to flat bone? ____ ____
membranous sheaths
bone replaces cartilage in which type of ossification?
____ ____
endochondral ossification
bone forms between membranous sheaths in which kind of ossification? ____ ____
intramembranous ossification
3 types of cartilage?
_______ , _______ and _______
Hyaline, Elastic and Fibrocartilage
Most abundant cartilage type? _______ _______
Hyaline cartilage
Color of hyaline cartilage? ____ and ____
glassy and blue
Locations of Hyaline Cartilage in body?
1) _____ _____ for _____ _____
2) _____ ends of _____ bones
3) _____
4)_____ ends of _____
1) temporary skeleton for long bones
2) articular ends of long bones
3) trachea
4)ventral ends of ribs
Osteoarthritis is a ________ joint disease characterized by ________ ________ ________, ________ ________, and destruction of ________ ________.
degenerative, chronic joint pain, joint deformity, articular cartilage
In osteoarthritis there is a decrease in production of ______ and ______ ______ collagen
proteoglycan and type 2 collagen
Where in the cartilage is type 2 collagen located? ______
ECM
What makes up 60-80% of hyaline cartilage weight?
_____ _____ most of which is bound to aggrecan-hyaluronan aggregates
intercellular water
groups of chondrocytes that produce matrix material are _____ _____ in _____ _____.
Isogenous groups in hyaline cartilage
The matrix of hyaline cartilage is which color
____ (____ /____ )
Basophilic (purple/blue)
In hyaline cartilage, the __________ (also called __________) matrix is the area of strongest __________ immediately surrounding the __________.
capsular, pericapsular, basophilia, chondrocytes
basophilic area immediately around chondrocytes: __________ __________ in _________ ___________
Territorial matrix in hyaline cartilage
surrounds the territorial matrix and occupies the space between groups of chondrocytes: __________ __________ in _________ ___________
Interteritorial matrix in hyaline cartilage
Why is the fibrous layer in hyaline cartilage eosinophilic? ___________ ___________ ___________
type 1 collagen
Appositional growth: differentiation of chondroblasts from the ___________
perichondrium
Mitosis of chondrocytes within cartilage forming isogenous groups that secrete matrix is what type of growth? ___________ ___________
interstitial growth
interstitial growth: Due to growth of ___________ ___________
epiphyseal plate
What is 1?
Chondrocytes
What is 2?
FCh
What is 3?
Fibroblasts
What is 4?
perichondrium
What is 1?
articular cartilage
What is 2?
bone
What is 3?
epiphyseal plate
What is 4?
marrow
What is 5?
bone
Location of Elastic cartilage in body: ____, ____, ____
Ear, Epiglottis and Larynx (Think EEL)
Cell spaces where chondrocytes stay?
____ in ____
Lacunae in cartilage
Elastic cartilage is stained with orcein or resorcein-fuschsin so it appears _______ than hyaline usually
darker
What's in elastic cartilage ECM?
_______ _______ and _______ _______ _______ fibrils
elastic fibers and collagen type 2 fibrils
Key locations of fibrocartilage include the ________ ________, ________ ________, ________ ________ of the SC and temporomandibular joints, and the ________ of the ________.
intervertebral disc, pubic symphysis, articular disc, meniscus, knee
Which cartilage is a hybrid between dense connective tissue and cartilage? ________
Fibrocartilage
In fibrocartilage, ________ are dispersed among the ________ fibers in a ________ ________ fashion.
chondrocytes, collagen, single line
The extracellular matrix of fibrocartilage contains __________ type __________, __________ type __________, __________, multiadhesive __________, and __________.
collagen, I, collagen, II, GAGs, glycoproteins, proteoglycans,
Which of the cartilage types has a perichondrium?
__________ __________ and __________ __________
hyaline cartilage and elastic cartilage
Intervertebral disk contains type 1 and type 2 collagen. What percentage of each?
50/50
What functions to secrete the ECM? _____
osteoblasts
uncalcified matrix that is clear region between cells that becomes clacified bone: _____
Osteoid
mature bone maintaining cells trapped in lacunae: _____
Osteocytes
what reabsorbs bone? _____
Osteoclasts
What kind of tissue is bone? _____ _____ _____
specialized connective tissue
Vitamin K deficiency can cause weak __________ due to dysfunction of __________, a __________ binding protein in bone.
bones, osteocalcin, calcium
Bone mineralization mainly occurs through the deposition of ___ ___ within the ___ ___ ___.
hydroxyapatite crystals
collagenous extracellular matrix
The ___ is a sheath of dense fibrous connective tissue covering the ___ surface of bone, carrying ___ and ___.
periosteum, outer, vessels, nerves
source of pain from a bone fracture comes from __________ nerves
periosteal
______ ______→ Dense bone that forms the outside of bone
Compact bone
______ ______→ Forms the trabeculae form inside of bone
Spongy bone
Mature bone is organized into structural units called ___, also known as ___ ___, which provide ___ and house ___ ___.
osteons, Haversian systems, strength, blood supply
The central canals of osteons, called ___ ___, contain blood vessels and nerves and are connected to each other by ___ ___ ___.
Haversian canals, transverse Volkmann's canals
growth in width: _____ _____
appositional growth
growth in length: _____ _____
interstitial growth
The ___ ___ ___ form a layer beneath the periosteum, encircling the outer surface of compact bone, while the ___ ___ ___ line the inner surface beneath the endosteum.
outer circumferential lamellae, inner circumferential lamellae
The periosteum has two layers: an outer ___ layer of dense connective tissue and an inner ___ layer containing osteoprogenitor cells.
fibrous
osteogenic
Direction of collagen fibers of periosteum: ___ to the ___ of ___
parallel, surface, bone
What kind of section is this?
ground section
The extracellular matrix of bone is primarily composed of ___ ___ collagen with smaller amounts of ___ ___ collagen, along with proteoglycans, glycoproteins, and growth factors.
type 1, type V
___ are mature bone cells that sit within ___ and help maintain ___ ___.
osteocytes, lacunae, bone tissue
Spaces called ___, located between ___ ___, house osteocytes that maintain bone tissue.
lacunae, concentric lamellae
_____ extending _____ processes into _____
Osteocytes, cytoplasmic, canaliculi
The central canals of osteons contain ___ ___ and ___
blood vessels, nerves
What is this?
mature bone
What is this?
Immature bone (woven)
Primary (__________) bone in adults is found in __________ sockets, near __________ of the flat bones of the __________, and at the __________ of some tendons.
woven, tooth, sutures, skull, insertions
chondrocytes hypertrophy and die, the matrix calcifies: _______
Degeneration
What type of cartilage is the cartilage bone model of the fetus?
______ ______
hyaline cartilage
Immature bone is typically found in the skeleton of a ___ ___ and is later replaced by ___ ___ bone.
developing fetus, mature lamellar
The ___ is a thin membrane lining the marrow cavity and is mainly composed of ___ cells that can differentiate into osteoblasts.
endosteum, osteoprogenitor
Osteoclasts secrete __________ and __________ to dissolve the __________ matrix during bone remodeling.
H+, Cl-, inorganic
What do osteoclasts secrete to degrade organic matrix?
__________ __________
lysosomal enzymes
Which bone cell is important in inflammation? __________
osteoclasts
progressive loss of bone density: __________
Osteoporosis
Primary osteoporosis: There is a rapid loss of bone density after ______.
Primary, menopause
______ osteoporosis: ______ therapy can cause bone loss and osteoporosis.
Secondary, Corticosteroid
Prevention and treatment of osteoporosis include __________ __________ exercise, adequate__________ __________ and __________ intake throughout life, and sufficient __________ __________ intake.
weight bearing, vitamin D, calcium, vitamin K
Parathyroid hormone (PTH) raises serum __________ levels when they are low.
Ca2+
PTH increases bone __________ to release calcium into the bloodstream.
resorption
Intermittent treatment with PTH is __________ to bone and used to treat __________.
anabolic, osteoporosis
Osteomalacia is caused by impaired __________ of the bone matrix due to __________ deficiency, leading to low __________ and __________ absorption in the gut.
mineralization, vitamin D, calcium, phosphorus
Rickets is a bone disorder in children caused by a deficiency in ___ or ___ ___, leading to ___ and ___ ___.
calcium, vitamin D, soft, deformed bones
Osteogenesis imperfecta is a genetic disorder of __________ __________ characterized by repeated __________, __________ skin, weak __________, and __________ sclera of the eye.
type 1 collagen, fractures, thin, tendons, blue
Calcium phosphate homeostasis is regulated by which 3 hormones?
__________ , __________ , __________
Parathyroid hormone, Calcitonin, Calcitriol (vitamin D)
Calcitonin __________ serum __________ levels by inhibiting __________ and is secreted by the __________ cells of the thyroid.
reduces, Ca2+, osteoclasts, parafollicular
Calcitriol (vitamin D) __________ serum __________ by increasing __________ absorption in the __________.
raises, Ca2+, calcium, gut
What is this?
Endosteum
Osteoprogenitor cells are capable of differentiating into an _____, _____, _____ and _____.
osteoblast, chondroblast, adipocyte and fibroblast
Osteoprogenitor cells are _____ and resemble _____
flat
fibroblast
Osteoprogenitor are found in the _____ layer of the periosteum, _____.
inner
Endosteum
What are these cells?
Osteoprogenitor cells
Osteoblasts secrete _____ _____ _____ and _____ _____ that forms the _____ _____ _____
Type 1 Collagen
ground substance
initial unmineralized bone
Osteoblasts must be on the _____ of the osteoid.
outside
If Osteoblasts are within they are _____
osteocytes
what is 1?
osteocytes
What is 2?
osteoblasts
Osteocytes are _____ _____ _____ that are enclosed by the _____ _____.
mature bone cells
bone matrix
Osteocytes occupy a _____ or a _____.
Osteocytes can look like _____ histologically
space
lacuna
spiders
What is this?
Osteocytes
Osteoclast are ____ ____ ____ ____ that originate from the ____ of the ____
large multinucleated acidophilic cells
monocytes, blood
What is 1, 2, 3?
bone, resorption bay, osteoclast
Intramembranous ossification refers to the process of bone development that occurs ___ ___ ___ ___.
without a cartilage precursor
Intramembranous ossification primarily occurs in ___ ___, the ___, and the ___.
flat bones, mandible, clavicle
In intramembranous ossification, ___ ___ aggregate and differentiate into ___, which are ___ ___.
mesenchymal cells, osteoblasts, bone-forming cells
During intramembranous ossification, osteoblasts secrete ___, which is the ___ ___ ___ portion of ___ ___.
osteoid, unmineralized organic portion, bone matrix
Once osteoid is secreted during intramembranous ossification, it becomes ___.
mineralized
What is 1?
mesenchyme
What is 2?
trabecula (bone spicule)
What is 3?
blood vessel
In Endochondral Ossification is when bone formation occurs due to a ____ ____ ____.
Hyaline cartilage precursor
In endochondral ossification, ___ ___ secrete an enzyme called ___ ___, which promotes matrix ___.
hypertrophic chondrocytes, alkaline phosphatase, calcification
elevated alkaline phosphatase in the blood indicates ___ or ___ disorders.
liver, bone
In endochondral ossification, calcification of the cartilage matrix inhibits the diffusion of ___, which results in the death of ___.
nutrients, chondrocytes
Scurvy is caused by a deficiency in ___ ___, which leads to defective ___ ___ and failure of ___ ___.
vitamin C, collagen synthesis, matrix calcification
What is 1?
zone of reserve cartilage
What is 2?
zone of proliferation
What is 3?
zone of hypertrophy
What is 4?
zone of calcified cartilage
What is 5?
zone of resorption
What is 1?
zone of reserve cartilage
What is 2?
zone of proliferation
What is 3?
zone of hypertrophy
What is 4?
zone of calcified cartilage
What is 5?
zone of resorption
What is 1?
osteoclasts
What is 2?
osteoblasts
What is 3?
bone
What is 4?
calcified cartilage
What is 5?
osteocyte
What is 6?
osteoid
Cortisone and hydrocortisone inhibit cartilage __________, __________, and __________ production, which can contribute to cartilage damage seen in __________ disease.
histogenesis, growth, matrix, Cushing’s
__________ __________ results from a deficiency of __________ __________ (somatotropin) during development, causing failure of __________ growth.
Pituitary dwarfism, growth hormone, bone
__________ results from excess __________ hormone during development, before __________ plate closure, causing abnormal bone __________.
Gigantism, growth, epiphyseal, lengthening
Excess growth hormone in adulthood leads to __________ of the bones since epiphyseal plates have already closed: __________
thickening, Acromegaly
____ ____ collagen is the predominant structural protein of bone
Type I
What is 1?
epiphysis
What is 2?
diaphysis
What is 3?
metaphysis
What is 4?
articular cartilage
What is 5?
epiphyseal line
What is 6?
marrow cavity
Hyaline cartilage model of bone forms in the embryo and is ______ by bone during development.
replaced
Cartilage is an ________, ________ connective tissue found in areas of ________ and ________.
avascular, specialized, weight‑bearing, movement
Cartilage is composed of ________ and a highly specialized ________ ________, rich in ________ proteins and ________ acid.
chondrocytes, extracellular matrix, glycosaminoglycan, hyaluronan
What is 1, 2, 3?
hyaline cartilage, elastic cartilage, fibrocartilage
Hyaline cartilage binds bones together in ________, creating ________ ________ surfaces for the ________.
synchondrosis, low friction, joints
In hyaline cartilage, ________ produce and maintain the ________ ________, ensuring ________ ________.
chondrocytes, extracellular matrix, structural integrity
Hyaline cartilage is surrounded by the ________, but at ________ surfaces, the ________ does not exist.
perichondrium, joint, perichondrium
Hyaline cartilage chondrocytes are relatively ________ cells with light cytoplasm due to storage of ________ and ________.
inactive, lipid, glycogen
The perichondrium of hyaline cartilage is composed of ________ connective tissue and serves as a source of new ________ ________.
dense, cartilage cells
The perichondrium is not present in ________ cartilage, allowing direct articulation at ________ surfaces.
articular, joint
What is 1?
dense ct
What is 2?
perichondrium
What is 3?
Growing Cartilage
What is 4?
isogenous group
What is 5?
interterritorial matrix
What is 6?
territorial matrix
What is 7?
Nuclei
What is 8?
interterritorial matrix
What is 9?
interterritorial matrix
What is 10?
nucleus
what is this?
hyaline
Elastic cartilage is distinguished by the presence of ________ fibers that create a dense network of ________, ________ fibers.
elastin, branching, anastomosing
Elastic cartilage is a ________ and ________ tissue, allowing it to withstand repeated ________.
resilient, pliable, deformation
what is this?
elastic cartilage
what is this?
elastic cartilage
Fibrocartilage lacks a surrounding ________, distinguishing it from ________ and ________ cartilage.
perichondrium, hyaline, elastic
Fibrocartilage functions as a ________ ________, especially in areas exposed to significant ________ and ________.
shock absorber, compression, stress
What is this?
fibrocartilage
The perichondrium features a ________ membrane on the surface that provides ________ and ________ support.
collagenous, structural, protective
The perichondrium carries ________ and ________, supplying nutrients to the ________ beneath.
vessels, nerves, cartilage
The outer ________ layer of the perichondrium is made of ________ connective tissue, giving mechanical ________.
fibrous, dense, strength
The inner ________ layer of the perichondrium contains ________ cells that act as a source of ________.
chondrogenic, mesenchymal, chondroblasts
In osteoarthritis, there is a decrease in ________ content, weakening the ________ of the cartilage.
proteoglycan, resilience
In osteoarthritis, ________ and ________ stimulate production of metalloproteinases and inhibit synthesis of ________ ________ ________.
IL‑1, TNF‑alpha, type 2 collagen
In intervertebral disc degeneration, ________ loses its ability to absorb ________, leading to ________ and stiffening.
fibrocartilage, water, thickening
Intervertebral disc degeneration involves proteolytic degradation of ________ aggregates in the ________ ________.
proteoglycan, extracellular matrix
Chondrosarcomas are ________ ________ ________ characterized by secretion of a ________ ________.
slow‑growing malignant tumors, cartilage matrix
Chondrosarcomas are the second most common ________‑producing tumors of bone after ________ (malignant bone‑forming tumors).
osteosarcomas
What is going on here?
Chondrosarcomas
Chondrosarcomas metastasize?
rarely
In chondrosarcoma histology, a small area of active ________ ________ may still be visible amidst tumor invasion.
bone marrow
Hyaline cartilage vs Elastic cartilage Histology!
Which one has chondrocytes more closely packed?
elastic
_______ _______ injections are used in the treatment of osteoarthritic joints. Chondroitin and glucosamine sulfate are sold as _______ _______.
hyaluronic acid
nutritional supplements.
____ ____ causes chronic elevation of PTH, hypercalcemia, and bone catabolism.
Parathyroid cancer
hypocalcemia can lead to ____. this may be may be caused by lack of ____ due to ____ ____
Tetany
PTH
thyroid surgery