Chapter 3&4 Cartilage and Bone Qiong Liu M.D, Ph. D 刘琼 Assoc. Prof. Department of Human Anatomy, Histology and Embryology Shanghai Medical College Fudan University liuqiong@fudan.edu.cn Chapter 3. Cartilage • Widely distributed; e.g. trachea, joints and junction between sternum and ribs etc • Main function: support, shock-absorbing, joint movement, temporary skeleton in embryo, model for long bone development • Resilient: able to withstand compression • Avascular: no vessels, nutrients diffused from the blood supply in perichondrium • Slow in repair in case of damage Cartilage • Embryo – More prevalent than in adult – Skeleton initially mostly cartilage – Bone replaces cartilage in fetal and childhood periods Location of cartilage in adults • External ear • Nose • “Articular” – covering the ends of most bones and movable joints • “Costal” – connecting ribs to sternum • Larynx - voice box • Epiglottis – flap keeping food out of lungs • Cartilaginous rings holding open the air tubes of the respiratory system (trachea and bronchi) • Intervertebral discs • Pubic symphysis • Articular discs such as meniscus in knee joint (1) Form a framework supporting soft tissue. (2) Located in the area for joint. (3) Essetial for the development of long bone. Common Structure cells→chondrocytes (only cell type) Cartilage tissue (no blood vessels) produce collagen/elastin extracellular matrix (cartilage matrix) ground substance Inner layer: rich in osteoprogenitor cells Perichondrium (dense C.T.) Out layer: rich in collagen fibers •Cartilage tissue has no blood vessels, the nutrients are supplied by diffusing from the perichondrium. •Exception (no perichondrium) : articular cartilage Three types of cartilage 1. Hyaline cartilage: flexible and resilient – – – • Elastic cartilage: highly bendable 1. 2. • Chondrocytes appear spherical Lacuna – cavity in matrix holding chondrocyte Collagen the only fiber Matrix with elastic as well as collagen fibers Epiglottis, larynx and outer ear Fibrocartilage: resists compression and tension – – Rows of thick collagen fibers alternating with rows of chondrocytes (in matrix) Knee menisci and intervertebral discs Hyaline cartilage • Characterized by its homogenous glassy matrix • With sparsely distributed cells embedded in matrix • These cells, known as chondrocytes, oval in shape, each is surrounded by a space, lacuna • Often several chondrocytes may be seen forming small aggregates, isogenous groups, representing chondrocytes that have recently divided. • Secretion of new matrix in isogenous group gradually push these cells apart, resulting in interstitial growth • The periphery of cartilage is surrounded by perichondrium • Cells in perichondrium are known as chondroblasts • Conversion of chondroblasts to chondrocytes by secreting matrix, resulting in appositional growth Chondrocytes • only cell type, embedded in the matrix • LM variety in size and shape periphery area: flat and small, immature center area: round and big, mature cytoplasm: weakly basophilic nucleus: eccentrically-located • EM rich in RER, Golgi complex Chondrocytes (e.g. trachea): • Synthesize the matrix • Fill the lacunae completely • Typical of protein secretory cells (elaborate RER, well-developed Golgi complex • Exist in isogenous groups Growth Interstitial growth In the center of cartilage tissue, mitotic division of pre-existing chondrocytes results in the expansion of cartilage from inside. • In early phase of cartilage formation of fetus. • Epiphyseal plate of long bone (responsible for the longitudinal growth). • Articular cartilage (no perichondrium). Appositional growth The osteoprogenitor cells in the inner layer of perichondrium proliferate and transformed into chondrocytes. • In cartilage found elsewhere in the body. Ground substance proteins proteoglycans * hyaluronic acid chondroitin sulfate karatin sulfate glycosaminoglycans (GAGs) glycoproteins: chondronectin Bind to GAGs, collagen and integrins water adherence of chondrocyte to the cartilage matrix Elastic cartilage • Epiglottis, ear auricle, walls of the external auditory canals, auditory tubes • Avascular • Abundant network of elastic fibers in addition to collagen type II • Possesses a perichondrium Elastic cartilage Chondrocytes Elastic fibres in matrix Perichondrium Fibrocartilage • In intervertebral disks, initial segment of ligament attaching to surface of bone, symphysis pubis • Characteristics, intermediate between dense connective tissue and hyaline cartilage • Chondrocytes often arranged in rows between bundles of collagen fibers • Developed from pre-existing fibrous connective tissue, thus contain type I collagen (preexisting) as well as type II collagen (by chondrocytes) • No identifiable perichondrium Fibrocartilage Dense collagen matrix Chondrocyte in lacuna Chapter 4. Bone • • • • One of the hardest tissue in the body Second to cartilage in withstanding stress Support and protection For muscle attachment: locomotion and movement of limbs • Reservoir of calcium and phosphate – Both can be mobilized from bone matrix as needed to maintain appropriate levels in body – Regulated through hormones, i.e. parathyroid hormone and calcitonin • Harbours the bone marrow, blood forming site Structure Bone tissue Osteoprogenitor cell cells Osteoblast produce Osteocyte ground substance Osteoclast Organic matter bone matrix (25% of bone weight) collagen fibers (90%) (Bone lamellae) (plywood-like) Periosteum Inorganic matter: hydroxyapatite crystal (75% of bone weight) Ca10(PO4)6(OH)2 Inner layer: rich in osteoprogenitor cells Out layer: rich in collagenous fibers Endoosteum: rich in osteoprogenitor cells Bone marrow Bone cells • Osteoblasts – Located over the surface of bone; periosteum and endosteum – Strongly basophilic cytoplasm with well developed RER – Active in synthesis and secretion of collagen and bone matrix, mineralization of bone matrix – Able to undergo cell division and differentiate to osteocytes, maintain contact through gap junctions – Role in bone repair • Osteocytes – Cells entrapped in bone matrix with long processes of cytoplasm making contact with adjacent cells in canaliculi, communicate through gap junctions – Active in secretion bone matrix and maintenance – Unable to undergo cell division – Nourished by diffusion through canaliculi • Osteoclasts – Found in sites of bone resorption and remodelling – Large cells with multiple number of nuclei, cytoplasm with numerous lysosomes – With specialized ruffled borders characterized by extensively folded membrane – Derived from monocytes by fusion Osteoprogenitor cell Stem cells Situation: endosteum inner layer of the periosteum • Structure small and flat or spindle nucleus: ovoid cytoplasm: unremarkble • differentiate into both chondroblast & osteoblasts • arranged as simple cuboidal epithelial layer on the surface of bone tissue • LM: cuboidal/columner Nucleus: large, round Cytoplasm: basophilic • EM: RER and Golgi complex • synthesize and secrete organic components (osteoid) and mediate its mineralization • embed themselves into the bone matrix, and then transform into the osteocytes Osteoblast Osteoid Golgi EMgraph of osteoblast Osteoblast synthesizes and secretes the prebone (osteoid) which is subsequently mineralized (calcified) to form bone. Note the well developed RER and Golgi of osteoblast. Osteoblast also secretes matrix vesicles (50200nm) to osteoid crucial to initiation of mineralization of bone. Osteoblasts and Mineralization • In addition to secretion of organic matrix of bone, including collagen, proteoglycans, glycoproteins, osteonectin, osteopontin and osteocalcin, they also play crucial role in the processes of mineralization (calcification) • At appropriate time, osteoblasts secrete membrane-bound matrix vesicles to bone matrix (osteoid) • These vesicles contain alkaline phosphatase and pyrophosphatase which are important in regulating the initial site of mineral deposition in osteoid • Once the initial crystals of hydroxyapatite have been formed at a matrix vesicle, they grow rapidly until they join neighbouring crystals from other matrix vesicles and eventually throughout the osteoid Osteocyte • the principal cells, located both within and between the bone lamellae. • Terminally differentiated bone cell • LM: Flattened cell with long processes, weakly basophilic plasma, darkly stained nucleus. • EM: rich in RER and Golgi complex. Osteoclast • derived from fusion of monocytes • large and irregularly shaped, multinucleated (2-50 per cell), acidophilic cytoplasm • numerous mitochondria and lysosomes in the cytoplasm • Form ruffled border on the surface facing bone matrix • Clear zone: a site of adheion of osteoclast to bone matrix, surrounding the ruffled border, devoid of organelles, yet rich in microfilament. • secrete acid, collagenase and other lytic enzymes into a microenvironment, break down bone matrix. resorption bays EMgraph of osteoclast Ruffled border of an osteoclast (characterized by extensively folded membrane) facing the resorption surface of bone Ruffled border Bone matrix Inorganic: • Calcified, 50% of dry weight; bone rigidity, primarily hydroxyapatite crystals: Ca10(PO4)6(OH)2 Organic: • Fibrous component (collagen type I) arranged in lamellae • Fibrils of adjacent lamellae are arranged at right angles to each other; allows flexibility and to withstand stress • Proteoglycans and glycoprotein; e.g. osteonectin: binds calcium; osteopontin: attachment of cell to matrix; osteocalcin: capture calcium to stimulate osteoblasts in bone remodelling etc *bone lamella: bone matrix arranged in layers at different direction Periosteum • Layer of connective tissue closely adheres to bone surface • Containing osteoprogenitor cells which form the inner most layer of periosteum on the bone surface • They differentiate to osteoblasts; these are more cuboidal basophilic cells actively involve in bone matrix secretion • Form the outer circumferential lamellae • Vascularized, provide blood supply to bone tissue • Closely adhere to bone surface through course collagen bundles (perforating fibers (Sharpey’s fibers)) embedded in bone matrix Endosteum • Similar to periosteum • Thinner • Lined mainly by osteoblasts separating the bone surface from bone marrow • Form inner circumferential lamellae • No perforating fibers (Sharpey’s fibers) Types of bone (by gross obversation) • Cancellous ( Spongy) bone – Spongy, found in head of long bone – Immature (woven) bone, collagen fibrils more randomly arranged, can be converted to mature bone – No Haversian system, not necessary • Compact bone – Lamellar bone, as the bone matrix is organized in lamellae, fibrils in adjacent lamellae are arranged at right angles to each other – Vascular in nature, provided through vessels in Haversian and Volkmann’s canals – Bone matrix organized in Haversian systems (osteons), consisting of concentric layers of matrix lamellae – Shaft (diaphysis) of long bone Spongy bone Bone marrow Bony trabeculae of spongy bone Architecture of diaphysis of a long bone (compact bone) three patterns: • Circumferential lamella external circumferential lamellae inner circumferential lamellae • Haversian system (osteon) Haversian canal (central canal) Haversian lamellae • Interstitial lamella triangular or irregular (left by old osteon) Perforating canals (Volkmanns canals): the transverse canal connecting with central canal Cross-section of compact bone (ground) ---Circumferential lamella ---Osteon (outlined by a cement line) ---Interstitial lamella Haversian system (osteon) • Structural unit of compact bone, also known as osteon • Characterized by having several concentric layers of bony lamellae as well as osteocytes arranged around a central canal, the Haversian canal, thus Haversian system • Osteocytes are connected through a system of canaliculi, tiny canals, existing within the bony matrix; they communicate with each other through gap junctions • Collagen fibrils in adjacent bony lamellae are arranged at right angles to each other • The outer most lamella is surrounded by a cementing line to mark the outer limit of the osteon • The canal is lined by osteoblasts; contains some connective tissue, blood vessels and nerves • Nutrients diffuse from vessels through canaliculi to reach osteocytes within the osteon Haversian system (osteon) /Harversian canal HC HC Osteogenesis of bone (bone formation) Two manners of ossification: intramembranous ossification - Only a few bones form in this way (frontal and parietal bones of the skull, the mandibal and the maxilla). endochondral ossification -before ossification, firstly form a cartilage model and then a continuously growing which is progressively replaced by bone Comparison of two forms of ossification Intramembranous ossification: Endochondral ossification: • Important for formation of flat bones • Condensation of mesenchymal tissues into membranous structure • Differentiation of mesenchymal cells into bone forming cells (osteoblasts) • Flat bones of skull, mandible • No cartilage model involved • Development of a cartilagenous model • Gradually replacing the cartilagenous model by bony material • Development of long and short bones • Important for elongation (growth) of long bone • Through epiphyseal growth plate Processes of intramembranous ossification • • • • • Groups of mesenchymal cells directly differentiate into osteoblasts New bone matrix is synthesized and mineralized by osteoblasts Osteoblasts become entrapped in matrix to become osteocytes Surrounding connective tissue becomes the periosteum (inner layer - osteogenic) of the newly formed bone Replacement of the newly formed immature bones (primary) to form mature (secondary) bones Endochondral ossification • Development of long and short bones, bones of the limbs • Formation of a hyaline cartilage model • Growth of cartilage model • Gradually replacing the cartilage model with bony structure in an orderly stepwise manner • Often begins at diaphyseal center (primary ossification centre) • Later to epiphyseal centre (secondary ossification centre) • Formation of epiphyseal growth plate, between the two centres • Responsible for further growth of long bones • Regulated by growth hormone Growth in Length 40 Growth in Length zone of ossification osteoblast primary bone marrow cavity osteoblast osteoclast primary bone trabecula 41 Growth in width Thickening of the shaft • Circumferential dposition of bone beneath the periosteum • Formation of the new haversian system added peripherally to the diaphysis Enlargement of the marrow cavity • Resorption of bone on inner surface of marrow cavity. First(red) / second(purple) / third(brown)-generation haversian system Bone remodeling • Osteoclasts – Bone resorption • Osteoblasts – Bone deposition • Triggers – Hormonal: parathyroid hormone – Mechanical stress • Osteocytes are transformed osteoblasts Growth & remodeling of long bone birth adult Formation: osteoprogenitor cell→ osteoblast → osteoid calcification osteocyte + bone matrix formation bone tissue dissolution Dissolution & absorption: osteoclast remodeling Factors influencing bone growth Nutritional factors Vitamin C (collagen synthesis), Vitamin D (aids intestinal absorption ( ( of calcium and reduce renal calcium excretion), Protein and Minerals. Hormones • Growth hormone: growth of epiphyseal cartilage. • Calcitonin • Parathyroid hormone