2009
DOI: 10.1203/pdr.0b013e3181beaa8c
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Epiphyseal Fusion in the Human Growth Plate Does not Involve Classical Apoptosis

Abstract: By the end of puberty, growth ceases and epiphyseal fusion occurs through mechanisms not yet completely understood. Human growth plate tissues were collected in various pubertal stages including a unique late pubertal growth plate, which was about to fuse. Apoptosis was studied by TUNEL staining, immunolocalization of pro-and antiapoptotic proteins, and electron microscopy (EM). Morphologic analyses of the fusing growth plate revealed disorganized, large chondrocytes surrounded by a border of dense, corticalli… Show more

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Cited by 19 publications
(19 citation statements)
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“…76 This leads to excessive metabolic activity in growth plates and bones, such as increased oxygen consumption with increased hypoxic effects in growth plates. [77][78][79] This helps to explain why areas of bone with late epiphyseal closure and extensive contribution to pubertal length growth, such as long limb bones, are predominantly affected by osteonecrosis. 7 Pubertal epiphyseal maturation and ossification progressively reduce mechanically compliant areas in bone architecture, which might then lose their ability to compensate for increased bone marrow pressure.…”
Section: Adolescencementioning
confidence: 99%
“…76 This leads to excessive metabolic activity in growth plates and bones, such as increased oxygen consumption with increased hypoxic effects in growth plates. [77][78][79] This helps to explain why areas of bone with late epiphyseal closure and extensive contribution to pubertal length growth, such as long limb bones, are predominantly affected by osteonecrosis. 7 Pubertal epiphyseal maturation and ossification progressively reduce mechanically compliant areas in bone architecture, which might then lose their ability to compensate for increased bone marrow pressure.…”
Section: Adolescencementioning
confidence: 99%
“…Cells undergoing apoptosis show intense condensation of chromatin into geometric shapes, and fragmentation of the nucleus and cytoplasm into membrane-bound apoptotic bodies (Kerr et al 1972). A number of careful ultrastructural studies have failed to identify chondrocytes undergoing apoptosis in growth plates of several species (Roach & Clarke 1999, Colnot et al 2001, Roach et al 2004, Emons et al 2009). In fact, light and dark hypertrophic chondrocytes appear to die by cell type-specific (non-apoptotic) mechanisms (Ahmed et al 2007).…”
Section: Chondrocyte Deathmentioning
confidence: 99%
“…However, recent studies have failed to detect typical morphological changes in the apoptosis of terminal hypertrophic chondrocytes (Emons et al, 2009;Caram es et al, 2010). Roach and Clarke (1999) studied the morphological characteristics of the terminal hypertrophic chondrocytes in the growth plate and reported autophagic vacuoles in these cells.…”
Section: Introductionmentioning
confidence: 99%