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What to mesenchymal stem cells in bone differentiate into?
Osteoprogenitors
What do osteoprogenitors differentiate into?
Osteoblasts
What do osteoblaststurn into?
Osteocytes
What do hematopoietic stem cells in bone differentiate into?
Osteoclasts
What attaches bone to periosteum but does not cover the articular surface?
Sharpey's Fibers
What are the two types of ossifications?
Intramembranous and endochondral
Embryonic skeleton consists of _____ and _____, which are replaced by _____
Fibrous Membranes, Hyaline Cartilage, and Bone Matrix
Which ossification begins in the uterus as well as forms the clavicle, cranium, sternum, scapulae, ribs, and flat bones?
Intramembranous
Which ossification is involved in the replacement of cartilage with bone and forms long and short bones
Endochondral
In intramembranous ossification, _____ group up, form different _____. MSCs then differentiate into _____ and form _____. Formation of _____ occurs, then a random network of _____ or _____ forms. Blood transports _____ cells and fills trabecular bone area. Mesenchyme is replaced by _____ and a thin layer of compact bone.
Mesenchymal stem cells (MSCs), ossification centers, osteoblasts, organic matrix (osteoid), osteocytes, bone spicules, trabeculae, marrow cells, periosteum
What is bone growth that occurs within an area of hyaline cartilage?
Endochondral ossification
Which parts of long bones are formed by the primary center of ossification which starts in the middle of the hyaline cartilage?
Diaphysis and medullary cavity
What are the four steps in the formation of the primary center of ossification?
1. Bone collar formation 2. Enlargement, calcification, and cavitation 3. Periosteal bud invasion 4. Diaphysis elongation
What are the key differences in the events of the secondary center of ossification and the first?
1. No bony collar formation 2. Osteoprogenitors invade epiphyseal cartilage and differentiate into osteoblasts 3. Osteoclasts resorb spongy bone and produce cavities
What does hyaline cartilage covering the epiphyses on the end of a long bone become?
Articular cartilage
Articular cartilage does not contribute to bone growth in _____
Length
The epiphyseal plate is the site of what?
Bone elongation
What lengthens long bones?
Growth of cartilage in the epiphyseal plate
What type of growth is lengthening of bones?
Interstitial
Resting zone in growth plate
Zone 1: Reserve Cartilage
What type of growth is the increase in width of a bone?
Appositional
How is the width of bone increased?
Deposition of bone in the periosteal region
Matrix production and division occurs here, resulting in longitudinal growth
Zone 2: Proliferation
Cell size increases here; glycogen and lipids are contained here; secretion of alkaline phosphatase
Zone 3: Maturation and Hypertrophy
Matrix calcification occurs here; traditionally cells here are metabolically very inactive; increasing vacuolation indicated death by hypoxia
Zone 4: Calcification
Transition from cartilage to bone occurs here
Zone 5: Ossification
_____ at the top of stacks divide quickly by mitosis
Chondroblasts
The bone grows in _____ when the rate of mitosis at the zone of _____ equals the rate of ossification in the zone of _____
Length, Proliferation, Ossification
As adolescence draws to an end, _____ divide less often and long bones stop lengthening when the _____ and _____ fuse
Chondroblasts, Diaphysis, Epiphysis
_____ growth occurs in the diaphysis
Appositional
What bone type is newly formed bone matrix containing only organic matrix?
Osteoid
What is bone type is immature, incompletely mineralized, randomly and rapidly organized, and seen in Paget's Disease?
Woven bone
What bone type is mineralized bone?
Mature lamellar none
Hematoma formation is what stage of bone fracture healing?
1st
Soft callous formation is what stage of bone fracture healing?
2nd
Hard callous formation is what stage of bone fracture healing?
3rd
Bone remodeling is what stage of bone fracture healing?
4th
_____ collagen is produced early in fracture healing, and then followed by _____ collagen formation and calcification
Type II, Type I
Matrix vesicles are produced by _____ in osteoblasts
Mitochondria
What inhibits the calcification process by binding to the surface of calcium PO4 ions and blocking further crystal growth of CaPO4 ions?
Pyrophosphate inhibitors
What is an initial biomarker for bone formation by osteoblasts?
Expression of alkaline phosphatase
Tissue nonspecific ______________ increases phosphate concentration by cleaving PP-I, which is essential for regulating bone mineralization
Alkaline Phosphatase
Organic phosphates and calcium form _____ by the crystallization process.
CaPO4 (Hydroxyapatite)
What are the regulatory factor(s) that control the differentiation of osteoblasts?
RUNX2 (cbfa1), BMPs, TGFbeta
What are the regulatory factor(s) that control differentiation of osteoclasts?
mCSF1, RANKL, TNFalpha
What are the regulatory factor(s) that inhibits differentiation of osteoclasts?
Osteoprotegerin
What are the regulatory factor(s) that increases apoptosis of osteoblasts and osteocytes, which leads to increased bone resorption
Steroids (Glucocorticoids)
What are the regulatory factor(s) that stimulates osteoblasts to secrete osteoclast differentiation/stimulation factor, which increases osteoclast function. This activity leads to the liberation of calcium into the blood.
PTH
What are the regulatory factor(s) that inhibits bone resorption by osteoclasts
Calcitonin