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Anatomy of cartilage etc
Lecture
28
Pharmacology
Professional
08/22/2012

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Cards

Term
What are the major functions of connective tissue?
Definition
Exists as
- Ground substance - water + GAGs
- Fibers - collagen
- Cells
Term
What are some different types of connective tissue?
Definition
- Loose - acts as a filler
- Dense - gives tensile strength. Both come from fibroblasts
- Cartilage - from chondrocytes, cushions and supports
- bone and blood
Term
What are componeHnts of ground substance?
Definition
water (mostly) + proteoglycans: Protein core + glucosamine/chondroitin/hyaluronic acid (GAGs). PGs form aggregates attached to a hyaluronic core
- Adhesion molecules - fibronectin, laminin
Term
What is a Aggrecan?
Definition
A type of ground substance in cartilage with a high concentration of chondroitin bound to hyaluronic acid
Term
What are fibers?
Definition
Able to withstand trauma, primarily collagen and elastin
Type 1 collagen in bone, Type 2 in joints
Term
What type of cells are in connective tissue?
Definition
- Loose and dense CT - fibroblasts (immature) and fibrocyte (mature)
- Cartilage - chondroblasts and chondrocytes
- Bone - Osteoblasts and osteocytes
Term
What are the kinds of cartilage?
What are characteristics of cartilage?
Definition
- Hyaline - covers ends of bones, allows free movement
- Elastic - many elastic fibers - ear, trachea
- Fibrocartilage - in between discs in vertebrae
- all cartilage is avascular, without nerves and lymphatic drainage.
Term
How does synthesis of cartilage occur?
Definition
- MMP inhibitor and PAI are actively produced, inhibiting metalloproteanases and plasmin. Collagen, PGs, and adhesion molecules can grow cartilage.
Term
How does degredation of cartilage occur?
Definition
MMP inhibitor and PAI are NOT produced, so proteases are produced instead. Plasmin is produced, which then activates MMPs. Plasmin, MMPs, and Aggrecanases break down PGs.
Term
What are the functions of bones?
Definition
- Support - anchor for tendons
- Protect organs
- Movement
- Store Calcium and Phos
- form blood cells.
Term
What are the axial and appendicular skeleton?
Definition
Axial - Skull, ribs, vertebrae
Appendicular - everything else
Term
What is the structure of a long bone?
Definition
80% compact bone - type 1 collagen
20% trabecular bone - bone marrow
Term
Where is red marrow found?
Definition
In flat bones - sternum, hips
In the epiphysis of long bones
Term
What is the structure of compact bone?
Definition
Organic - osteoblast/clasts/cytes. Type 1 collagen
Inorganic - mineral salts made from calcium
Lamellae - contain mature osteocytes
Haversian/central canals - arteries/veins/nerves
Term
What are the functions of cells within the bone?
Definition
- Osteoblasts - bone deposition, combine Ca2+ and Phos to form hydroxyapatite crystals within collagen
- Osteoclasts - bone resorption usually due to D3 and PTH signalling
- Osteocytes - most abundant, trappen within lacunae
Term
What 3 molecules promote/are involved in bone resorption?
Definition
- RANK - receptor activator for NFkB (inflammatory)
- RANKL - ligand for RANK
- OPG - binds to and inactivates RANKL - stops bone resorption
RANK + RANKL = osteoclasts. RANKL upregulated by TNF and IL-1
Term
What effects do PTH and D3 have on bones?
Definition
- PTH - turns osteoblasts into osteoclasts, increased expression of RANKL, decreased OPG --> increased bone resorption
- D3 - Active D3 increases circulating calcium, absorption of calcium, and reabsorption of calcium. Bone reabsorption. No active D3 --> extra PTH
Term
What is necessary for osteoclast action on bone?
Definition
Integrins act as adhesion molecules, are necessary and can be interfered with.

RANKL/RANK lead to activation.
Term
On the anterior view of the skull, what are the major bones?
Definition
Biggest - Frontal
To the left - Parietal. Beneath the parietal is the temporal. Nasal on top of the nose. Jaw = mandible. Zygomatic in between frontal and temporal bones.
Term
On the posterior view of the skull, what are the major bones?
Definition
Top - parietal bones
Bottom -occipital bone
Term
What does a herniated disk look like?
Definition
In a herniated disc, the annulus (outside) of the cartilage has broken or worn away, and the nucleus is now compressing the nerve.
Term
what sign in the arm is seen in arthritis?
Definition
Ulnar deviation
Term
What is the meniscus of the knee made of?
Definition
Cartilage!
Term
Where is the calcaneus and what does it do?
Definition
On the heel, connects the achilles tendon
Term
What are the different kinds of joints?
Definition
- Fibrous - synarthrosis, no cartilage and lacks mobility. Skull
- Cartilagenous joints - amphiarthrosis - joined by cartilage, lack cavity and mobility. Vertebrae
- Synovial - diarthrosis - cartilage, separate space containing fluid, freely movable.
Term
What cells make up the synovium?
Definition
Type A macrophage-like cell (1/3) engulfs material. Produces prostaglandins, cytokines, and growth factors.
Type B cells - fibroblast-like (2/3)
Fluid in the synovium nourishes cartilage, contains hyaluronic acid
Term
What is a bursa?
Definition
A sack of fluid found between the bone and the tendon, lubricates the area.
Term
What causes joint pain?
Definition
Nerves ennervate all parts of the joint except cartilage. Pain is associated w/ inflammation - release of mediators makes nerves more sensitive to painful stimuli
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