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Skeletal structure  125



                                 7.4 Visions for the future

                                 With these new tools and so many unanswered questions about tissue
                                 function and maintenance, the time for mechanobiology has truly arrived.
                                 High-resolution imaging systems will allow us to determine tissue struc-
                                 tures from the highest hierarchy of the organ to the lowest of the genome.
                                 These digital images are ideally suited for analysing physical forces and
                                 linking continuum level tissue stresses to deformation-induced gene acti-
                                 vation in the DNA molecule. Advances in dynamic systems theory and
                                 applied mathematics will play a critical role in explaining the behaviour of
                                 otherwise intractable models.
                                    As the complete genomes of organisms become mapped, functional
                                 genomics will combine with biomechanics to answer questions such as:
                                 what is the regulatory role of mechanics in skeletal gene expression? How
                                 would organisms grow in the microgravity environment of space? Can we
                                 define the mechanical forces needed to culture complete skeletal organs in
                                 the laboratory? Are there genes that code for ‘bone strength’? Orthopaedics
                                 and reconstructive surgery will be completely revolutionised.
                                    The rapid growth of the field has produced an interdisciplinary commu-
                                 nity of engineers, biologists, mathematicians, and physicians who hope to
                                 answer scientific questions of the highest import. These questions will
                                 bridge the boundary between physics and biology – between forces and cells
                                 – to understand how organic forms are shaped by the mechanical world and
                                 how living systems actually ‘extract order from their environment,’ first
                                 posed by Erwin Schrödinger in 1943 in his famous lectures What Is Life?

                                 7.5 Further reading

                                 Carter, D. R. & Beaupré, G. S. 2000 Skeletal Function and Form. Cambridge:
                                    Cambridge University Press.
                                 Currey, J. D. 1984 Mechanical adaptations of bones. Princeton: Princeton
                                    University Press.
                                 Martin, R. B., Burr, D. B. & Sharkey, N. A. 1989 Skeletal tissue mechanics.
                                    New York: Springer Verlag.
                                 Odgaard, A. & Weinans, H. (eds.) 1995 Bone structure and remodeling.
                                    Recent advances in human biology, Volume 2. Singapore: World
                                    Scientific Publishing Co.
                                 Thompson, D. W. 1917 On growth and form. Cambridge: Cambridge
                                    University Press.
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