Histology and physiology of cartilage and bone Korakot Nganvongpanit B.Sc. (animal science), Post. grad., D.V.M., Ph.D. Department of Veterinary Preclinical Science Faculty of Veterinary Medicine, Chiang Mai University วัตถุประสงค 1. 2. 3. 4. 5. รูจักและสามารถจําแนกประเภทของ กระดูกออน และกระดูกได บอกลักษณะโครงสรางของกระดูกออน และกระดูกได บอกขบวนการเกิดกระดูกและกระดูกออนได บอกกระบวนการสรางและซอมแซมกระดูกและกระดูกออนได เพื่อใหนกั ศึกษาสามารถประยุกตเอาความรูที่เรียนไปใชใหเกิด ประโยชนในการเรียนวิชาทางคลินิกตอไป Dr. Korakot Nganvongpanit 2 1 Cartilage • Supporting tissue • Avascular tissue • Extracellular metrix – Proteoglycans (glycosaminoglycan, hyaluronan) – Collagen fiber – Elastic fiber • Cartilagenous cell – Chondroblast – Chondrocyte 3 Dr. Korakot Nganvongpanit Cartilage Proteoglycan Articular cartilage Keratan sulfate Link protein Chondroitin sulfate Core protein Hyaluronan Chondrocyte Collagen fiber Dr. Korakot Nganvongpanit Aggrecan Glycoprotein Vet.Med.CMU. 4 2 Type of cartilage • Hyaline cartilage • Elastic cartilage • Fibrocartilage Dr. Korakot Nganvongpanit 5 Hyaline cartilage Found at; • Nasal septum • Larynx • Tracheal ring • Articular surface Composition • Chondrocytes • Collagen type 2 • Proteoglycan Dr. Korakot Nganvongpanit 6 3 Elastic cartilage Found at; • External ear • External auditory canal • Epiglottis • Laryngeal cartilage Composition • Elastic fibers • Collagen fibers • Chondrocytes Dr. Korakot Nganvongpanit 7 Fibrocartilage Found at; • Intervertebral disk • Pelvic symphysis Composition • Dense collagen fiber • Chondrocytes Dr. Korakot Nganvongpanit 8 4 Articular cartilage Articular cartilage Bony end plate 9 Dr. Korakot Nganvongpanit Articular cartilage Hyaluronan receptor Hyaluronan Chondrocyte Link protein Integrin receptor Achorin Type VI collagen COMP Fibronectin Bioglycan Decorin Type IX collagen Aggrecan Chondroitin sulfate Fibromodulin Keratan e sulfate Dr. Korakot Nganvongpanit Type II collagen Type XI collagen Vet.Med.CMU. 10 5 Articular cartilage layer Superficial layer Intermediate layer Chondrocyte Collagen Calcium Deep layer Tidemark Calcified layer Vet.Med.CMU. Dr. Korakot Nganvongpanit 11 Loading of articular cartilage Loaded I Chondrocyte Collagen II I Calcium II III III IV IV Vet.Med.CMU. Dr. Korakot Nganvongpanit 12 6 Bone • Bone is the major structural and supportive connective tissue of the body. • Bone directly or indirectly contributes to some very important body functions that include: 1. supportion - for muscles, organs, and soft tissues 2. leverage and movement - joints 3. protection - for critical organs 4. mineral balance -calcium phosphate storage 5. hemopoitic tissue - formation of blood cells • Bone comprise of cell and extracellular matrix (osteoid) Dr. Korakot Nganvongpanit 13 Cells of bone Osteoprogenitor cells • Osteoblast • Osteocyte Phagocytic cell • Osteoclast Dr. Korakot Nganvongpanit 14 7 Osteoblast • Osteoblasts are specially cells for the formation of bone • The cells are typically oval, with a large eccentric nucleus, and the cytoplasm is fairly basophilic • They line the surfaces of bone Dr. Korakot Nganvongpanit 15 Osteocyte • Mature bone cells that develop from osteoblasts • Osteocytes are housed in lacunae and send long cytoplasmic processes through small tunnels called canaliculi to contact those of adjacent osteocytes. • Osteocytes embedded in the dense bone matrix can not divide to produce interstitial (expansile) growth. Dr. Korakot Nganvongpanit 16 8 Osteoclast • Osteoclasts are cells specialized for the removal of bone tissue during the process of bone remodeling • The cells are the largest of the bone cell and multinuclear 9 with up to 50 nuclei • They are recognized on bone surfaces both by their appearance and by the notch of bone tissue adjacent to them which they removed from the bone surface Dr. Korakot Nganvongpanit 17 Cells of bone Dr. Korakot Nganvongpanit 18 9 Composition of bone Wet weight basis • Water • Inorganic or mineral – Calcium – Phosphorus 37% 18.5% – Collagen – Cell – Proteoglycan 90% 5% 5% • Organic matter 25 % 45% 30% Dr. Korakot Nganvongpanit 19 Structure of bone Bone or osseous tissue is found in two different forms: - Dense bone or compact bone - Cancellous bone or spongy bone Dr. Korakot Nganvongpanit 20 10 Structure of bone Dr. Korakot Nganvongpanit 21 Microscopic structure of bone Dr. Korakot Nganvongpanit 22 11 Microscopic structure of bone Mature compact bone is composed of 3 lamellar arrangement: • Haversian systems (Osteone) • Circumferential systems • Interstitial systems Dr. Korakot Nganvongpanit 23 Haversian systems (Osteone) Haversian systems are called osteons: - Concentric lamellae surrounding a haversian canal (central canal) containing blood vessels - Haversian canals are connected by volkman's canals - Osteocytes are embedded in gaps in the lamellae called lacunae. - Cytoplasmic processes from each osteon communicate with others through microscopic channels called canaliculi Dr. Korakot Nganvongpanit 24 12 Haversian systems (Osteone) Dr. Korakot Nganvongpanit 25 Dr. Korakot Nganvongpanit 26 13 27 Dr. Korakot Nganvongpanit Volkmann’s canal Haversian canal Lamellae Dr. Korakot Nganvongpanit 28 14 Circumferential systems Circumferential lamellae; the external and internal borders of cortical bone • Outer circumferential lamellae; occur adjacent to the periosteum • Inner circumferential lamellae; occur adjacent to the endosteum Dr. Korakot Nganvongpanit 29 Interstitial systems Interstitial Lamellae: - Remnants of older haversian lamellae - Not concentrically arranged, but line between the haversian systems Dr. Korakot Nganvongpanit 30 15 Periosteum • Periosteum is dese conective tissue that covers bone, except where it is cover by articular cartilage • Consist of; osteogenic layer (osteoblast or chondroblast cells) and fibrous layer (collagen fiber) 31 Dr. Korakot Nganvongpanit Periosteum Marrow cavity periosteum Fibrous layer Dr. Korakot Nganvongpanit chondrogenic layer 32 16 Osteogenesis • Intramembranous ossification • Endochondral ossification Dr. Korakot Nganvongpanit 33 Intramembranous ossification • • • • • The bone develops from a fibrous membrane Results in the formation of flat bone such as skull Bony spicules Trabecular Spongy Dr. Korakot Nganvongpanit 34 17 Intramembranous ossification Mesenchymal cells Osteoblasts Collagen Other organic matric Osteoid Osteocytes in lacune Dr. Korakot Nganvongpanit 35 Intramembranous ossification Dr. Korakot Nganvongpanit 36 18 Intramembranous ossification Dr. Korakot Nganvongpanit 37 Intramembranous ossification Dr. Korakot Nganvongpanit 38 19 Intramembranous ossification Dr. Korakot Nganvongpanit 39 Intramembranous ossification Dr. Korakot Nganvongpanit 40 20 Endochondral ossification • Bone is formed on a cartilage model • Such as; long bone, vertebral, pelvic • Consist of; 1. Primary center of ossification 2. Secondary center of ossification Dr. Korakot Nganvongpanit 41 Primary center of ossification • Occurs in the center of hyaline cartilage following extend toward both epiphyses • Chondrogenic layer of perichondrium • Periosteal band (bony collar) • Perichondrium……Periosteum • Periosteal bud • Primary Ossification Centers close around the time of birth. Thereafter, long-bone growth occurs from the secondary ossification centers Dr. Korakot Nganvongpanit 42 21 Primary center of ossification Dr. Korakot Nganvongpanit 43 Secondary center of ossification • Epiphysis • Articular cartilage • Physis or epiphysial plate Dr. Korakot Nganvongpanit 44 22 Secondary center of ossification Dr. Korakot Nganvongpanit 45 Endochondral ossification Dr. Korakot Nganvongpanit 46 23 Epiphysial plate Dr. Korakot Nganvongpanit 47 Dr. Korakot Nganvongpanit 48 24 Epiphysial plate R=Reserve cartilage P= Proliferation M= Maturation H= Hypertrophy and calcification D=degeneration O=Osteogenic zone Dr. Korakot Nganvongpanit 49 Longitudinal growth Dr. Korakot Nganvongpanit 50 25 Factors involved bone growth • • • • • • • Growth hormone Glucocorticoid Parathyroid hormone Calcitonin Estrogen Testosterone Vitamin D 51 Dr. Korakot Nganvongpanit Hormonal controls of blood calcium Tyroid gland Calcitonin Calcium deposit in bone Imbalanc e Calcium homeostasis of blood Calcium release from bone Dr. Korakot Nganvongpanit PTH Imbalanc e Tyroid gland 52 26 End of lecture Dr. Korakot Nganvongpanit 53 มาทดสอบ กันหนอย Dr. Korakot Nganvongpanit 54 27 Hyaline cartilage 5 Chondrocyte 2 Fibrous layer 3 chondrogenic layer in lacuna 4 matrix 1 perichondrium 55 Dr. Korakot Nganvongpanit Elastic cartilage 1 Chondrocyte in lacuna 2 Elastic fiber Dr. Korakot Nganvongpanit 56 28 Elastic cartilage 1 Elastic fiber 2 chondrocyte 57 Dr. Korakot Nganvongpanit Fibrocartilage 3 matrix 2 Collagenous fiber 1 chondrocyte Dr. Korakot Nganvongpanit 4 matrix 58 29 2 Collagenous fiber 2 Fibrocartilage 3 1 chondrocyte 3 matrix 3 1 Dr. Korakot Nganvongpanit 59 Dr. Korakot Nganvongpanit 60 30 4 volkmann’s canal 3 haversian canal 2 lacuna 1 haversian system 61 Dr. Korakot Nganvongpanit 1 Zone of reserve cartilage 2 Zone of multification 3 Zone of hypertrophy 4 Zone of calcification 5 Zone of ossification Epiphyseal disc Dr. Korakot Nganvongpanit 62 31 Have to know • • • • • • • • • • Cartilage Perichondrium Hyaline cartilage Elastic cartilage Fibrocartilage Bone Osteoblasts Osteocytes Osteoclasts Osteoid Dr. Korakot Nganvongpanit • Haversian system • Haversian canal • Lamellae • Volkmann’s canal • Canaliculi • Interstitial system Dr. Korakot Nganvongpanit 63 • Periosteum • Epiphysial growth plate • Articular cartilage •Intramembranous ossification • Endochondral ossification 64 32 Lab Histology of bone and cartilage • Hyaline cartilage • Elastic cartilage • Fibrocartilage • Osteoblasts • Osteoclasts • Haversian system • Haversian canal • Lamellae • Volkmann’s canal • Canaliculi • Interstitial system • Epiphysial growth plate • Articular cartilage Dr. Korakot Nganvongpanit 65 Dr. Korakot Nganvongpanit 66 33