Bones and Homeostasis
- Bone Remodeling: Continuous replacement of old bone tissue
- Involves bone resorption: Removal of minerals and collagen fibers from bone by osteoclasts
- Involves bone
deposition: Addition of minerals and collagen fibers to bone by osteoblasts- Resorption causes destruction of EC-M
- Deposition causes formation of EC-M
- Resorption causes destruction of EC-M
- Takes place at different rates in different regions
- Benefits:
- If new bone is placed under stress it thickness becoming stronger than old bone
- Shape can be altered for proper support based on stress patterns
- More resistant to fracture
- If new bone is placed under stress it thickness becoming stronger than old bone
*Remodeling and Orthodontics*
- Involves bone resorption: Removal of minerals and collagen fibers from bone by osteoclasts
- Orthodontics: Dentistry concerned with prevention and correction of poorly aligned teeth
- Braces
- Places stress on bone that forms the sockets that anchor the teeth
- In response the osteoclast/blasts remodel the sockets so the teeth align
- Osteoclasts attach to bone surface at endosteum and forms a leak-proof seal
- Releases lysosomal enzymes and acids
- Osteoclasts carve a tunnel into bone
- The minerals carved out are resorbed
- The minerals carved out are resorbed
- Osteoclasts leave and osteoblasts come in and rebuild
- Osteoclasts attach to bone surface at endosteum and forms a leak-proof seal
Factors Affecting Bone Growth and Bone Remodeling
- Places stress on bone that forms the sockets that anchor the teeth
- Factors in growth
- Minerals: Calcium and phosphorus needed when bones are growing
- Vitamins: Vitamin C in needed for synthesis of collagen and for differentiation of osteoblasts into osteocytes
- Also needed: K, B12, and A
- Also needed: K, B12, and A
- Hormones:
- Childhood:
- Insulin-like growth factors (IGF)
- Produced by liver and bone tissue
- Stimulate *blasts, promote cell division, and enhance synthesis of proteins
- Produced by liver and bone tissue
- Thyroid hormones also promote bone growth by stimulating *blasts
- Puberty:
- Sex
hormones:- Include: Estrogen and testosterone
- Responsible for increased *blast activity and synthesis of bone EC-M and the 'growth spurt'
- Include: Estrogen and testosterone
- Adulthood:
- Sex hormones:
- Slow resorption of old bone and promotes deposition of new bone
- Slow resorption of old bone and promotes deposition of new bone
Fracture and Repair of Bone
- Minerals: Calcium and phosphorus needed when bones are growing
- Fracture: Break in any bone
- Named for sensitivity, shape, or position of line:
- Open fracture: Broken ends protrude through skin
- Comminuted fracture: Bone splinters at site of impact and smaller bone fragments lie between the two main fragment
- Greenstick fracture: Partial fracture in which one side is broken and other bends
- Impacted fracture: One end is forcefully driven into the interior of other
- Pott's fracture: Fracture of the distal end of the lateral leg bone, with serious injury of the distal tibial articulation
- Colles' Fracture: Fracture of the distal end of the lateral forearm bone in which the distal fragment is displaced posteriorly
- Open fracture: Broken ends protrude through skin
- Stress fracture: Series of microscopic fissures in bone that forms without any evidence of injury to other tissues
- Repairing a bone:
- Formation of Fracture Hematoma
- Blood vessels crossing the fracture line (FL) are broken
- Clots are formed as blood leaks (Fracture hematoma)
- Nearby bone cells die
- Causes swelling and inflammation
- Causes swelling and inflammation
- Blood vessels crossing the fracture line (FL) are broken
- Fibrocartilaginous Callus Formation
- Fibroblasts invade fracture site and produce collagen
- Cells from periosteum develop into chondroblasts and produce fibrocartilage
- Lead to development of fibrocartilaginous
callus- Repair tissue consisting of collagen that bridges broken ends
- Repair tissue consisting of collagen that bridges broken ends
- Fibroblasts invade fracture site and produce collagen
- Bony Callus Formation
- Osteogenic cells develop into osteoblasts which produce spongy bone trabeculae
- Fibrocartilage is converted to spongy bone and callus referred to bony callus
- Osteogenic cells develop into osteoblasts which produce spongy bone trabeculae
- Bone Remodeling
- Dead portion of original fragment is resorbed
- Compact replaces spongy around periphery of the fracture
- Dead portion of original fragment is resorbed
*Treatments for Fracture
- For bones to unite properly the ends must be brought to alignment
- Called reduction
- Closed reduction: Fractured ends of bone brought into alignment by manual manipulation
- Skin remains intact
- Skin remains intact
- Open reduction: Brought together during a surgery
Bone's Role in Calcium Homeostasis
- Small changes in calcium concentration could be fatal
- High=Heart may stop
- Low=Breathing may stop
- High=Heart may stop
- Bone buffers the calcium level
- Releasing when too low
- Absorbing when too high
- Releasing when too low
- Regulated by hormones:
- Parathyroid
hormone (PTH)- Secreted by parathyroid glands
- Increases blood calcium level
- Operates with a negative feedback system
- Acts on kidneys to decrease loss calcium in urine so more stays in the blood
- Stimulates formation of calcitriol
- Inhibits activity of osteoclasts
- Speeds blood calcium uptake by bone
- Accelerates calcium deposits
- Inhibits activity of osteoclasts
- Secreted by parathyroid glands
Exercise and Bone Tissue
- When placed under stress bone tissue becomes stronger through increased deposition of mineral salts
- Without mechanical stress bone does not remodel normally
- Resorption occurs more quickly than formation
- Resorption occurs more quickly than formation
- Walking and weight lifting (weight bearing activities) build and retain bone mass
Aging and Bone Tissue
- More bone tissue is produced than lost
- As levels of sex hormones decrease there is a decrease in bone mass
- Because bone resorption by osteoblasts outpaces deposition of osteoblasts
- Because bone resorption by osteoblasts outpaces deposition of osteoblasts
- Two aging effects
- Loss of bone mass:
- Results from demineralization
- Results from demineralization
- Brittleness
- Results from decreased rate of protein synthesis
- Results from decreased rate of protein synthesis