05 cartilage and bone - WordPress.com · 2019-08-05 · Cartilage and Bone Lecture Objectives •...
Transcript of 05 cartilage and bone - WordPress.com · 2019-08-05 · Cartilage and Bone Lecture Objectives •...
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Cartilage and BoneKristine Krafts, M.D.
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Cartilage and Bone Lecture Objectives
• Describe the general functions of cartilage and bone.
• Compare the function and composition of the three types of cartilage.
• Describe the two methods of cartilage formation.
• Describe the cells and extracellular matrix of bone.
• Compare and contrast primary and secondary bone.
• Describe the two methods of bone formation.
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Cartilage and Bone Lecture Outline
Cartilage• Function and characteristics of cartilage• Composition of cartilage• Three types of cartilage• Formation of cartilage
Bone• Function and characteristics of bone• Composition of bone• Four types of bone• Formation of bone
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Cartilage and Bone Lecture Outline
Cartilage• Function and characteristics of cartilage
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Functions and Characteristics of Cartilage
• Cartilage is strong and sort of rigid but also flexible. It can withstand force but it can also bend.
• It’s made of cells (chondroblasts and chondrocytes) and extracellular matrix.
• Forms the supporting framework of some organs.
• Lines the surface of articulating bones.
• Forms the template for growth and development of long bones.
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Metabolic facts that will make you feel sorry for cartilage
• Bone is very metabolically active. Cartilage is not.
• Bone has a good blood supply. Cartilage does not.
• Bone usually heals well.Cartilage does not.
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Cartilage and Bone Lecture Outline
Cartilage• Function and characteristics of cartilage• Composition of cartilage
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Cartilage Cells
ChondroblastsPrecursor cells that
differentiate into chondrocytes.
Chondrocytes Mature cartilage cells
that lie in little artifactual lacunae.
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Cartilage Extracellular Matrix (ECM)
Cartilage ECM is composed of:• Fibers• Lots of GAGs and
proteoglycans
Nice choices! These substances make the ECM firm and resistant to mechanical forces.
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Composition of ECM in Cartilage
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Glycosaminoglycans (GAGs) are disaccharide chains.
Hyaluronic acid (really long, not bound to a core protein).
All the other GAGs (shorter, always bound to a core protein).
Proteoglycans have a protein core with a
bunch of attached GAGs. .
protein core.
GAGs
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Perichondrium
• Perichondrium covers the surface of elastic cartilage and non-articular hyaline cartilage.
• Dense connective tissue composed of fibroblasts and type I collagen fibers.
• Contains blood vessels.
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Cartilage is avascular. So what?
• Cartilage itself has no blood vessels or nerves in its extracellular matrix (bone is a different story).
• Nutrients must diffuse from perichrondrium through extracellular matrix to chondrocytes.
• This means metabolic activity is low, the width of cartilage is limited, and cartilage heals poorly.
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Cartilage and Bone Lecture Outline
Cartilage• Function and characteristics of cartilage• Composition of cartilage• Three types of cartilage
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The fibers of the extracellular matrix determine the type of cartilage.
Hyaline cartilage Elastic cartilage
Fibrocartilage
Type II collagen Type II collagenElastic fibers
Type I collagenType II collagen+⎯
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Hyaline Cartilage
• Most common type of cartilage in the body
• Type II collagen fibers give ECM a glassy appearance
• Supports large respiratory airways (trachea, bronchi)
• Lines bone surfaces in articulating joints
• Important part of the epiphyseal plate
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Hyaline cartilage
chondrocytes matrix
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Isogenous group
Hyaline cartilage
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Hyaline cartilage (trachea)
Perichondrium
Tracheal epithelium
Cartilage
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Hyaline cartilage (articular surface of bone)
No perichondrium!
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Hyaline cartilage (epiphyseal plate)
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Elastic Cartilage
• Resembles hyaline cartilage – but also has elastic fibers
• Great for places that need more flexible support
• External ear, auditory tubes, epiglottis
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Cartilage
Elastic cartilage (outer ear)
Stratifiedsquamousepithelium
(skin)
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Elastic fibers
Elastic cartilage
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Elastic fibers
Elastic cartilage (silver stain)
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Fibrocartilage
• Tons of type I collagen• ...and sometimes a little type II collagen
• Provides a super strong connection in places that are subject to pulling forces
• Pubic symphysis, intervertebral disks, attachments of tendons and ligaments
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Fibrocartilage
Type I collagen
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Isogenous group
Fibrocartilage
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The next slide is also fibrocartilage, but it would be criminal to mess it up with labels. Notice the type I collagen (pink) and hints of
type II collagen (glossy lavender).
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Same thing with the next two slides! Fibrocartilage, stained with a trichrome stain,
which colors collagen fibers a pretty blue.
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Cartilage and Bone Lecture Outline
Cartilage• Function and characteristics of cartilage• Composition of cartilage• Three types of cartilage• Formation of cartilage
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Two Methods of Cartilage Formation
Interstitial growth: growth from within cartilage. Chondrocytes divide and secrete matrix.
Appositional growth: growth along the outside of cartilage. Chondroblasts secrete matrix and differentiate into chondrocytes.
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Cartilage and Bone Lecture Outline
Cartilage• Function and characteristics of cartilage• Composition of cartilage• Three types of cartilage• Formation of cartilage
Bone• Function and characteristics of bone
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Functions of Bone
• Support and protection of soft tissues
• Attachment of muscles for movement
• Location of hematopoietic bone marrow where blood cells are produced
• Stores and releases calcium, phosphate and other ions
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Characteristics of Bone
• Bone is highly vascularized and very metabolically active.
• Bone remodels (turns over) constantly throughout life. Ideally, bone removal occurs at same rate as bone production.
• Inhibition of bone turnover leads to poor quality, unhealthy bone.
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Cartilage and Bone Lecture Outline
Cartilage• Function and characteristics of cartilage• Composition of cartilage• Three types of cartilage• Formation of cartilage
Bone• Function and characteristics of bone• Composition of bone
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Composition of Bone
Cells• Osteoblasts: produce bone matrix• Osteocytes: sit in lacunae• Osteoclasts: resorb bone
Extracellular matrix• Organic part: type I collagen and ground substance• Inorganic part: minerals (calcium and phosphate)
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OsteoblastOsteoclast
OsteocyteMesenchyme
Mineralizedmatrix
Osteoid
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Osteoblasts
• Found along edges of bone.• Make matrix!• First, produce organic part (type I collagen
and ground substance). This is called “osteoid” before it’s mineralized.
• Then, add the inorganic part (minerals).
• As osteoblasts become surrounded by matrix, they turn into osteocytes.
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Osteoblasts
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Osteocytes
• Sit in little lacunae (spaces) completely surrounded by matrix.
• Involved in maintenance of matrix (if osteocytes die, matrix dissolves).
• Otherwise, they don’t do much.
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Osteocytes
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Osteoclasts
• Gigantic multinucleated cells derived from monocytes.
• Sit on bone surface in little indentations called “Howship’s lacunae.”
• Chew up (resorb) bone.
• When active, have a “ruffled” cytoplasmic border next to the bone.
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Osteoclasts
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Osteoclasts destroy bone in a nasty little microenvironment filled with acid and collagenase. A nice protective zone surrounds and seals off the acidic microenvironment.
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Serum Calcium and Bone Resorption
When serum calcium is low, parathyroid hormone is released, which tells osteoblasts to make osteoclast stimulating factor. Osteoclasts then resorb bone, which increases serum calcium. Cool!
When serum calcium is high, calcitonin is released, which inhibits osteoclastic resorption of bone, leading to decreased serum calcium.
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Bone Matrix
Organic part• Type I collagen and ground substance• Called “osteoid” before it’s mineralizedInorganic part• 50% of dry weight of bone• Minerals (mostly calcium; some phosphate)
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Cartilage and Bone Lecture Outline
Cartilage• Function and characteristics of cartilage• Composition of cartilage• Three types of cartilage• Formation of cartilage
Bone• Function and characteristics of bone• Composition of bone• Four types of bone
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Four Types of Bone
Compact boneOuter surfaces of bones. Dense, solid structure.
Spongy boneInside bones. Open, loose structure.
Primary (immature, woven) boneFirst bone tissue formed during growth or repair. Irregular arrangement of collagen fibers.
Secondary (mature, lamellar) boneReplaces primary bone. Contains osteons with parallel arrangement of collagen fibers.
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Compact Bone and Spongy Bone
Compact bone
Spongybone
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Primary bone
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Secondary bone
Lamellae
Central canal
Osteocytes
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Osteon (Haversian system)
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Volkmann (perforating) canals connect osteons
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Periosteum and Endosteum
Periosteum lines the outer surface of compact bone.
• Two layers: outer dense connective tissue layer and inner layer of osteoprogenitor cells.
• Sharpey’s fibers are collagen fibers which tightly attach the periosteum to the bone matrix.
• Contains blood vessels for nutrition of bone.
• Contains osteoblasts for bone growth, repair and remodeling.
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Periosteumouter layer
inner layer
perforatingfibers
externallamellae
osteon
centralcanal
interstitiallamellae
trabeculae ofspongy bone
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Periosteum and Endosteum
Periosteum lines the outer surface of compact bone.
Endosteum lines the inner surface of compact bone.
• Also lines the surface of bony trabeculae of spongy bone, and the Haversian canals.
• Contains osteoblasts for bone growth, repair and remodeling.
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Endosteum
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Cartilage and Bone Lecture Outline
Cartilage• Function and characteristics of cartilage• Composition of cartilage• Three types of cartilage• Formation of cartilage
Bone• Function and characteristics of bone• Composition of bone• Four types of bone• Formation of bone
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Bone Development (Osteogenesis)
Intramembranous ossificationOccurs in flat bones.
Endochondral ossificationOccurs in long bones.
Bone can be formed in two ways:
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Intramembranous Ossification
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Intramembranous Ossification
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Intramembranous Ossification
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Intramembranous Ossification
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Endochondral Ossification
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Endochondral Ossification
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Endochondral Ossification
Epiphysis: the end of a long bone. Consists primarily of spongy bone, with a layer of compact bone on the outside.
Diaphysis: the shaft of a long bone. Consists of compact bone on the outside and a marrow cavity inside.
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Epiphyseal plate: super low-power view
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Zones of the epiphyseal plate
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Epiphyseal plate
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Epiphyseal plate: resting zone
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Epiphyseal plate: proliferative zone
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Epiphyseal plate: zone of hypertrophy
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Epiphyseal plate: zone of calcification
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Epiphyseal plate: zone of ossification
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Cartilage and Bone Lecture Outline
Cartilage• Function and characteristics of cartilage• Composition of cartilage• Three types of cartilage• Formation of cartilage
Bone• Function and characteristics of bone• Composition of bone• Four types of bone• Formation of bone