bonetissue ppt
TRANSCRIPT
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Skeletal System
� Functions:3. Movement
� Skeletal muscles use the bones as levers tomove the body.
4. Reservoir for minerals and adipose tissue
� 99% of the body¶s calcium is stored in bone.
� 85% of the body¶s phosphorous is stored inbone.
� Adipose tissue is found in the marrow of certain bones.
± What is really being stored in this case? (hint ±
it starts with an E )
5. Hematopoiesis
� A.k.a. blood cell formation.
� All blood cells are made in the marrow of certain bones.
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Bone Classification� There are 206 named bones inthe human body.
� Each belongs to one of 2 largegroups:
± Axial skeleton
� Forms long axis of the body.
� Includes the bones of the skull,
vertebral column, and rib cage.� These bones are involved in
protection, support, andcarrying other body parts.
± Appendicular skeleton
� Bones of upper & lower limbsand the girdles (shoulder bonesand hip bones) that attach themto the axial skeleton.
� Involved in locomotion andmanipulation of the
environment.
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Bone Classification
� 4 types of bones:1. Long Bones
� Much longer than they are wide.
� All bones of the limbs except for the patella (kneecap),
and the bones of the wrist andankle.
� Consists of a shaft plus 2expanded ends.
� Your finger bones are long boneseven though they¶re
very short ± how can this be?
2. Short Bones
� Roughly cube shaped.
� Bones of the wrist and the ankle.
Femur
Carpal Bones
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Bone Structure
� Bones are organs. Thus, they¶re composed of multiple tissue types. Bones are composed of:
± Bone tissue (a.k.a. osseous tissue).
± Fibrous connective tissue.± Cartilage.
± Vascular tissue.
± Lymphatic tissue.
± Adipose tissue.± Nervous tissue.
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Note the gross differences between the spongy bone and the
compact bone in the above photo.
Do you see the trabeculae?
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Compare compact and spongy bone as viewed with the light microscope
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Bone Structure
� Bone tissue is a type of connective tissue, so it mustconsist of cells plus asignificant amount of extracellular matrix.
� Bone cells:1. Osteoblasts
� Bone-building cells.
� Synthesize and secretecollagen fibers and other
organic components of bone matrix.
� Initiate the process of calcification.
� Found in both theperiosteum and theendosteum
The blue arrows indicate the
osteoblasts. The yellow arrows indicate
the bone matrix they¶ve just secreted.
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Bone Structure
2. Osteocytes� Mature bone cells.
� Osteoblasts that havebecome trapped by the
secretion of matrix.� No longer secrete
matrix.
� Responsible for maintaining the bone
tissue.
Yellow arrows indicate
osteocytes ± noticehow they are
surrounded by the
pinkish bone matrix.
Blue arrow shows an
osteoblast in the
process of becoming an
osteocyte.
On the right, notice how the osteocyte
is ³trapped´ within the pink matrix
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3. Osteoclasts± Huge cells derived from the fusion of as many as 50 monocytes (a type of white blood cell).
± Cells that digest bone matrix ± this process is called bone resorption and ispart of normal bone growth, development, maintenance, and repair.
± Concentrated in the endosteum.
± On the side of the cell that faces the bone surface, the PM is deeply foldedinto a ruffled border. Here, the osteoclast secretes digestive enzymes (howmight this occur ?) to digest the bone matrix. It also pumps out hydrogen ions(how might this occur ?) to create an acid environment that eats away at thematrix. What advantage might a ruffled border confer?
± Why do we want a cell that eats away at bone? (Hint: bone is a verydynamic tissue.)
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�Here, we see a cartoon showing all 3 cell types. Osteoblasts and osteoclasts are indicated.
�Note the size of the osteoclast (compare it to the osteoblast), and note the ruffled border.
�Why is there a depression underneath the osteoclast?
�What is the name of the third cell type shown here?
�What do you think the tan material represents?
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Bone Structure
� Bone Matrix:
± Consists of organic and inorganic
components.
± 1/3 organic and 2/3 inorganic by
weight.
� Organic component consists of several
materials that are secreted by the
osteoblasts:± Collagen fibers and other organic materials
» These (particularly the collagen) provide
the bone with resilience and the ability
to resist stretching and twisting.
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� Inorganic componentof bone matrix± Consists mainly of 2
salts: calciumphosphate and calciumhydroxide. These 2salts interact to form acompound calledhydroxyapatite.
± Bone also containssmaller amounts of
magnesium, fluoride,and sodium.
± These minerals givebone its characteristichardness and theability to resistcompression.
Three-dimensional array of
collagen molecules. The rod-
shaped molecules lie in a
staggered arrangement which
acts as a template for bone
mineralization. Bone mineral is
laid down in the gaps.
Note collagen fibers in longitudinal & cross section
and how they occupy space btwn the black bone cells.
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This bone:
a. Has been demineralized
b. Has had its organic component removed
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Long Bone Structure
� Shaft plus 2 expanded ends.
� Shaft is known as the diaphysis.
± Consists of a thick collar of compactbone surrounding a central marrowcavity
� In adults, the marrow cavity containsfat - yellow bone marrow.
� Expanded ends are epiphyses
± Thin layer of compact bone coveringan interior of spongy bone.
± Joint surface of each epiphysis iscovered w/ a type of hyaline cartilageknown as articular cartilage. Itcushions the bone ends and reducesfriction during movement.
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Long Bone
Structure
� The external surface of the entirebone except for the joint surfaces of the epiphyses is covered by adouble-layered membrane known asthe periosteum.
± Outer fibrous layer is dense irregular connective tissue.
± Inner cellular layer containsosteoprogenitor cells and osteoblasts.
± Periosteum is richly supplied with
nerve fibers, lymphatic vessels andblood vessels.
� These enter the bone of the shaft via anutrient foramen.
± Periosteum is connected to the bonematrix via strong strands of collagen.
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Long Bone
Structure
� Internal bone surfaces are covered with a delicate
connective tissue membrane known as the
endosteum.
± Covers the trabeculae of spongy bone in the marrowcavities and lines the canals that pass through compact
bone.
± Contains both osteoblasts and osteoclasts.
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Structure of Short, Irregular, and
Flat Bones� Thin plates of periosteum-covered
compact bone on the outside andendosteum-covered spongy bonewithin.
� Have no diaphysis or epiphysisbecause they are not cylindrical.
� Contain bone marrow betweentheir trabeculae, but no marrowcavity.
� In flat bones, the internal spongybone layer is known as the diploë,and the whole arrangementresembles a stiffened sandwich.
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Bone Marrow
� Bone marrow is a general term for thesoft tissue occupying the medullarycavity of a long bone, the spaces amidthe trabeculae of spongy bone, and thelarger haversian canals.
� There are 2 main types: red & yellow.
� Red bone marrow = blood cellforming tissue = hematopoietic tissue
� Red bone marrow looks like blood but
with a thicker consistency.� It consists of a delicate mesh of reticular
tissue saturated with immature red bloodcells and scattered adipocytes.
Notice the red marrow
and the compact bone
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Distribution of
Marrow
� In a child, the medullarycavity of nearly every bone isfilled with red bone marrow.
� In young to middle-agedadults, the shafts of the long
bones are filled with fattyyellow bone marrow.
± Yellow marrow no longer produces blood, although inthe event of severe or chronicanemia, it can transform back
into red marrow� In adults, red marrow is
limited to the axial skeleton,pectoral girdle, pelvic girdle,and proximal heads of the
humerus and the femur.
Note the compact bone on the
bottom and marrow on the bottom.
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Microscopic
Structure of
Compact Bone
� Consists of multiple
cylindrical structuralunits known asosteons or haversiansystems.
� Imagine these osteons
as weight-bearingpillars that arearranged parallel toone another along thelong axis of a
compact bone.
The diagram below represents a long
bone shaft in cross-section. Each
yellow circle represents an osteon. The
blue represents additional matrix filling
in the space btwn osteons. The white in
the middle is the marrow cavity.
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Osteons
� Each osteon consists of a singlecentral canal, known as ahaversian canal, surrounded byconcentric layers of calcifiedbone matrix.
± Haversian canals allow the passageof blood vessels, lymphatic vessels,and nerve fibers.
± Each of the concentric matrix³tubes´ that surrounds a haversian
canal is known as a lamella.± All the collagen fibers in a particular lamella run in a single direction,while collagen fibers in adjacentlamellae will run in the oppositedirection. This allows bone to better
withstand twisting forces.
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Running perpendicular to the haversian canals are Volkmann¶s canals.They connect the blood and nerve supply in the periosteum to those inthe haversian canals and the medullary cavity.
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Osteons
� Lying in between intact
osteons are incomplete
lamellae called
interstitial lamellae.
These fill the gapsbetween osteons or are
remnants of bone
remodeling.
� There are also circumferential lamellae that extend around the
circumference of the shaft. There are inner circumferential
lamellae surrounding the endosteum and outer circumferential
lamellae just inside the periosteum.
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� Spider-shapedosteocytes occupy smallcavities known aslacunae at the junctionsof the lamellae. Hairlikecanals called canaliculiconnect the lacunae to
each other and to thecentral canal.
� Canaliculi allow theosteocytes to exchange
nutrients, wastes, andchemical signals to eachother via intercellular connections known asgap junctions.
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Here, we have a close up and a far away view of compact bone. You
should be able to identify haversian
canals, concentric lamellae,
interstitial lamellae, lacunae, and
canaliculi.
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Microscopic
Structure of Spongy
Bone� Appears poorly organized
compared to compact bone.
� Lacks osteons.
� Trabeculae align along
positions of stress andexhibit extensive cross-bracing.
� Trabeculae are a few celllayers thick and contain
irregularly arrangedlamellae and osteocytesinterconnected by canaliculi.
� N o haversian or Volkmann¶s canals are
necessary. Why?
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Bone Development
� Osteogenesis (a.k.a.ossification) is theprocess of bone tissueformation.
� In embryos this leads to
the formation of thebony skeleton.
� In children and youngadults, ossificationoccurs as part of bone
growth.� In adults, it occurs as
part of bone remodelingand bone repair.
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Formation of the Bony Skeleton
� Before week 8, the humanembryonic skeleton is made of fibrous membranes and hyalinecartilage.
� After week 8, bone tissue
begins to replace the fibrousmembranes and hyalinecartilage.± The development of bone from a
fibrous membrane is called
intramembranous ossification.Why?
± The replacement of hyalinecartilage with bone is known asendochondral ossification. Why?
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Intramembranous Ossification� Some bones of the skull (frontal, parietal, temporal, and occipital
bones), the facial bones, the clavicles, the pelvis, the scapulae, andpart of the mandible are formed by intramembranous ossification
� Prior to ossification, these structures exist as fibrous membranesmade of embryonic connective tissue known as mesenchyme.
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� Mesenchymal cells firstcluster together and startto secrete the organic
components of bonematrix which thenbecomes mineralizedthrough the crystallizationof calcium salts. Ascalcification occurs, the
mesenchymal cellsdifferentiate intoosteoblasts.
� The location in the tissuewhere ossification begins
is known as anossification center .
� Some osteoblasts aretrapped w/i bony pockets.These cells differentiateinto osteocytes.
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� The developing bone grows outward from the ossification center in small struts called spicules.
� Mesenchymal cell divisions provide additional osteoblasts.
� The osteoblasts require a reliable source of oxygen and nutrients.
Blood vessels trapped among the spicules meet these demandsand additional vessels branch into the area. These vessels willeventually become entrapped within the growing bone.
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� Initially, the intramembranous bone consists only of
spongy bone. Subsequent remodeling around trapped
blood vessels can produce osteons typical of compact
bone.
� As the rate of growth slows, the connective tissue aroundthe bone becomes organized into the fibrous layer of the
periosteum. Osteoblasts close to the bone surface become
the inner cellular layer of the periosteum.
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Endochondral Ossification
� Begins with the formation of a hyaline cartilage model whichwill later be replaced by bone.
� Most bones in the body develop via this model.
� More complicated than intramembranous because the hyaline
cartilage must be broken down as ossification proceeds.� We¶ll follow limb bone development as an example.
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Endochondral Ossification ± Step 1
� Chondrocytes near the center
of the shaft of the hyaline
cartilage model increase
greatly in size. As these cells
enlarge, their lacunae expand,and the matrix is reduced to a
series of thin struts. These
struts soon begin to calcify.
� The enlarged chondrocytes
are now deprived of nutrients
(diffusion cannot occur
through calcified cartilage)
and they soon die and
disintegrate.
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Endochondral Ossification ± Step 2
� Blood vessels grow into the perichondrium surrounding the shaftof the cartilage. The cells of the inner layer of the
perichondrium in this region then differentiate into osteoblasts.
� The perichondrium is now a periosteum and the inner osteogenic
layer soon produces a thin layer of bone around the shaft of thecartilage. This bony collar provides support.
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Endochondral Ossification ± Step 3
� Blood supply to the periosteum, andcapillaries and fibroblasts migrate intothe heart of the cartilage, invading thespaces left by the disintegratingchondrocytes.
� The calcified cartilaginous matrixbreaks down; the fibroblastsdifferentiate into osteoblasts that replaceit with spongy bone.
� Bone development begins at this
primary center of ossification andspreads toward both ends of thecartilaginous model.
� While the diameter is small, the entirediaphysis is filled with spongy bone.
Notice the primary
ossification centers in the
thigh and forearm bones
of the above fetus.
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Endochondral Ossification ± Step 4
� The primary ossification center enlarges
proximally and distally, while osteoclasts break
down the newly formed spongy bone and open upa medullary cavity in the center of the shaft.
� As the osteoblasts move towards the epiphyses,
the epiphyseal cartilage is growing as well. T hus,
even though the shaft is getting longer, theepiphyses have yet to be transformed into bone.
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Endochondral Ossification ± Step 5
� Around birth, most long boneshave a bony diaphysis surroundingremnants of spongy bone, awidening medullary cavity, and 2cartilaginous epiphyses.
� At this time, capillaries andosteoblasts will migrate into theepiphyses and create secondaryossification centers. The epiphysiswill be transformed into spongybone. However, a smallcartilaginous plate, known as theepiphyseal plate, will remain atthe juncture between the epiphysisand the diaphysis.
Articular
cartilageEpiphyseal plate
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Growth in Bone
Length
� Epiphyseal cartilage(close to the epiphysis)of the epiphyseal platedivides to create more
cartilage, while thediaphyseal cartilage(close to the diaphysis)of the epiphyseal plate istransformed into bone.
This increases the lengthof the shaft.
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�As a result osteoblasts begin
producing bone faster than the rateof epiphyseal cartilage expansion.
Thus the bone grows while the
epiphyseal plate gets narrower and
narrower and ultimately
disappears. A remnant(epiphyseal line) is visible on X-
rays ( do you see them in the
adjacent femur, tibia, and fibula?)
At puberty, growth in bone length
is increased dramatically by the
combined activities of growth
hormone, thyroid hormone, andthe sex hormones.
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Growth in Bone Thickness
� Osteoblasts beneath the periosteum secrete bone
matrix on the external surface of the bone. This
obviously makes the bone thicker.
� At the same time, osteoclasts on the endosteumbreak down bone and thus widen the medullary
cavity.
� This results in an increase in shaft diameter even
though the actual amount of bone in the shaft isrelatively unchanged.
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Fractures
� Despite its mineral strength,bone may crack or even break
if subjected to extreme loads,
sudden impacts, or stresses
from unusual directions.
± The damage produced constitutes
a fracture.
� The proper healing of a
fracture depends on whether or
not, the blood supply andcellular components of the
periosteum and endosteum
survive.
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Fracture
Repair
� Step 1:
A. Immediately after the fracture,extensivebleeding occurs.Over a period of
several hours, alarge blood clot,or fracturehematoma,develops.
B. Bone cells at the
site becomedeprived of nutrients and die.The site becomesswollen, painful,and inflamed.
� Step 2:A. Granulation tissue is formed as the hematoma is
infiltrated by capillaries and macrophages, which begin
to clean up the debris.B. Some fibroblasts produce collagen fibers that span the
break , while others differentiate into chondroblasts andbegin secreting cartilage matrix.
C. Osteoblasts begin forming spongy bone.
D. This entire structure is known as a fibrocartilaginous
callus and it splints the broken bone.
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� Step 3:A. Bone trabeculae
increase in number and convert thefibrocartilaginous
callus into a bonycallus of spongybone. Typicallytakes about 6-8weeks for this tooccur.
Fracture
Repair
� Step 4:A. During the next several months, the bony callus is continually
remodeled.
B. Osteoclasts work to remove the temporary supportive structureswhile osteoblasts rebuild the compact bone and reconstruct thebone so it returns to its original shape/structure.
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Fracture Types
� Fractures are often classified according to the position of thebone ends after the break:
Open (compound) bone ends penetrate the skin.
Closed (simple) bone ends don¶t penetrate the skin.
Comminuted bone fragments into 3 or more pieces.Common in the elderly (brittle
bones).
Greenstick bone breaks incompletely. One side bent,one side broken. Common in
children whose bone contains morecollagen and are less mineralized.
Spiral ragged break caused by excessive twistingforces. Sports injury/Injury of abuse.
Impacted one bone fragment is driven into the
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What kind of fracture is this?It¶s kind of tough to tell, but
this is a _ _ _ _ _ _ fracture.
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Bone Remodeling
� Bone is adynamic tissue.
± What does that mean?
� Wolff¶s lawholds that bonewill grow or remodel inresponse to theforces or
demands placedon it. Examinethis with thebone on the left.
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Check out the
mechanism of
remodeling on the right!
Why might you suspect
someone whose been a
powerlifter for 15 years to
have heavy, massive
bones, especially at the
point of muscle insertion?
Astronauts tend to
experience bone atrophyafter they¶re in space for
an extended period of
time. Why?
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Nutritional Effects on Bone
� Normal bone growth/maintenancecannot occur w/o sufficient dietaryintake of calcium and phosphatesalts.
� Calcium and phosphate are not
absorbed in the intestine unless thehormone calcitriol is present.Calcitriol synthesis is dependent onthe availability of the steroidcholecalciferol (a.k.a. Vitamin D)
which may be synthesized in the skinor obtained from the diet.
� Vitamins C, A, K, and B12 are allnecessary for bone growth as well.
Hormonal Effects
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Hormonal Effects
on Bone
� Growth hormone, producedby the pituitary gland, andthyroxine, produced by thethyroid gland, stimulate bonegrowth.
± GH stimulates protein synthesisand cell growth throughout thebody.
± Thyroxine stimulates cellmetabolism and increases therate of osteoblast activity.
± In proper balance, thesehormones maintain normalactivity of the epiphyseal plate(what would you consider normal activity?) until roughlythe time of puberty.
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Hormonal Effects on Bone
� At puberty, the rising levels of sex hormones (estrogens infemales and androgens in males) cause osteoblasts toproduce bone faster than the epiphyseal cartilage candivide. This causes the characteristic growth spurt as wellas the ultimate closure of the epiphyseal plate.
� Estrogens cause faster closure of the epiphyseal growthplate than do androgens.
� Estrogen also acts to stimulate osteoblast activity.
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Hormonal Effects on Bone
� Other hormones that affect bone growth includeinsulin and the glucocorticoids.
± Insulin stimulates bone formation
± Glucocorticoids inhibit osteoclast activity.� Parathyroid hormone and calcitonin are 2
hormones that antagonistically maintain blood[Ca2+] at homeostatic levels.
± Since the skeleton is the body¶s major calciumreservoir, the activity of these 2 hormones affects boneresorption and deposition.
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Calcitonin
� Released by the C cells of the thyroid gland in response to high
blood [Ca2+].
� Calcitonin acts to ³tone down´ blood calcium levels.
� Calcitonin causes decreased osteoclast activity which results indecreased break down of bone matrix and decreased calcium
being released into the blood.� Calcitonin also stimulates osteoblast activity which means
calcium will be taken from the blood and deposited as bonematrix.
Notice the thyroidfollicles on the
right. The arrow
indicates a C cell
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Calcitonin Negative Feedback Loop
Increased Blood [Ca2+] Increased calcitonin release
from thyroid C cells.
Increased osteoblast activity
Decreased osteoclast activity
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ParathyroidHormone
� PTH increases calcitriol synthesis which increases Ca2+
absorption in the small intestine.
� PTH decreases urinary Ca2+ excretion and increases urinaryphosphate excretion.
� Released by the cells of theparathyroid gland in response to lowblood [Ca2+].Causes blood [Ca2+] toincrease.
� PTH will bind to osteoblasts and this
will cause 2 things to occur:� The osteoblasts will decrease their activity
and they will release a chemical known asosteoclast-stimulating factor .
� Osteoclast-stimulating factor will increaseosteoclast activity.
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Increased PTH release
by parathyroid gland
Binds to osteoblast
causing decreased
osteoblast activity and
release of osteoclast-
stimulating factor
OSF causes increased
osteoclast activity
Decreased bone
deposition and increased
bone resorption
Increased calcitriol
synthesis
Increased intestinal
Ca2+ absorption
Decreased Ca2+
excretion
Increased Blood [Ca2+]
Decreased Blood [Ca2+]
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Clinical Conditions
� Osteomalacia± Literally ³soft bones.´
± Includes many disorders in whichosteoid is produced butinadequately mineralized.
� Causes can include insufficientdietary calcium
� Insufficient vitamin D fortificationor insufficient exposure to sunlight.
� Rickets
± Children's form of osteomalacia± More detrimental due to the fact
that their bones are still growing.
± Signs include bowed legs, anddeformities of the pelvis, ribs, andskull.
What about the above x-ray is
indicative of rickets?
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Clinical Conditions
� Osteomyelitis± Osteo=bone +
myelo=marrow +
itis=inflammation.
± Inflammation of bone andbone marrow caused by
pus-forming bacteria that
enter the body via a
wound (e.g., compound
fracture) or migrate from a
nearby infection.
± Fatal before the advent of
antibiotics.
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Clinical Conditions
� Osteoporosis± Group of diseases in which
bone resorption occurs at afaster rate than bone deposition.
± Bone mass drops and bonesbecome increasingly porous.
± Compression fractures of thevertebrae and fractures of thefemur are common.
± Often seen in postmenopausalwomen because theyexperience a rapid decline inestrogen secretion; estrogenstimulates osteoblast andinhibits osteoclast activity.
� Based on the above, whatpreventative measures mightyou suggest?
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Clinical Conditions
� Gigantism± Childhood hypersecretion
of growth hormone by thepituitary gland causesexcessive growth.
� Acromegaly± Adulthood hypersecretion
of GH causes overgrowth of bony areas still responsiveto GH such as the bones of the face, feet, and hands.
� Pituitary dwarfism± GH deficiency in children
resulting in extremely shortlong bones and maximumstature of 4 feet.