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Extracellular Matrix of Bone
has inorganic matrix and organic matrix

Inorganic Matrix
About 65% of bones total weight
Consists mostly of calcium salts and phosphorus as part of a large mineral called Hydroxyapatite Crystals which gives bone its strength and ability to resist compression
Bicarbonate 3(HCO ,) potassium, magnesium, and sodium salts are also in the inorganic matrix

Organic Matrix (Osteiod)
About 35% of bones total weight
Consists of protein fibers (mostly collagen), proteoglycans, glycosaminoglycans, glycoproteins, and bone-specific proteins such as Osteocalcin
Collagen helps bone resist torsion (twisting) and tensile (pulling or stretching) forces and aligns with hydroxyapatite crystals to enhance bone hardness
Osteocalcin binds to calcium ions and hydroxyapatite crystals to organize bone’s inorganic matrix
Glycosaminoglycans and proteoglycans draw water out of the blood vessels and cells to help the ECM resist compression
Glycoproteins bind to both hydroxyapatite crystals and bone cells to bind them together

Bone Cells
osteoblasts, osteocytes, osteoclasts
Osteoblasts
bone builders, mature into osteocytes
derived from osteogenic cells
Cuboidal to columnar cells in the inner periosteum and endosteum that perform the process of Bone Deposition, by secreting organic matrix and assisting in formation of the inorganic matrix

Osteocytes
mature osteoblasts
maintain bone
surround themselves with matrix and become trapped in a cavity called a Lacuna
They secrete chemicals to maintain the ECM; Recruit osteoblasts to build areas of bone under tension

Osteoclasts
break down bone (releases calcium when the body needs it, and for maintaining blood calcium levels)
Large, multinucleated cells with Ruffled Borders
Derived from fusion of cells formed in the bone marrow
Reside in internal or external surfaces of bone
Responsible for process of Bone Resorption, which is breaking down bone ECM
-Secrete hydrogen ions that dissolve the inorganic matrix
-Secrete enzymes that break down organic matrix
Minerals, amino acids, and sugars released from bone enter the osteoclast for delivery to the blood

Osteopetrosis
aka Marble Bone Disease
occurs when defective osteoclasts do not properly degrade bone
Bone mass increases, but the bone is weak and brittle and appears stonelike (petra = “rock”
there is infantile osteopetrosis and adult osteopetrosis
Infantile Osteopetrosis
Predominantly inherited, more severe form
Skull openings fail to enlarge trapping nerves resulting in blindness and deafness
Medullary cavities in all bones fail to enlarge, decreases red bone marrow which can prove fatal
Drugs are used to stimulate osteoclasts and bone marrow
Adult Osteopetrosis
Inherited
Symptoms include bone pain, recurrent fractures, nerve trapping, and joint pain