a mixture of aragonite and calcite (polymorphs with the same chemical formula, but different crystal structures) held together by an organic horn-like compound called conchiolin. The combination of aragonite and conchiolin is called nacre, which makes up mother-of-pearl. The commonly held belief that a grain of sand acts as the irritant is in fact rarely the case. Typical stimuli include organic material, parasites, or even damage that displaces mantle tissue to another part of the mollusk's body. These small particles or organisms gain entry when the shell valves are open for feeding or respiration. In cultured pearls, the irritant is typically an introduced piece of the mantle epithelium, with or without a spherical bead (beaded or beadless cultured pearls). Natural pearls Natural pearls are nearly 100% calcium carbonate and conchiolin. It is thought that natural pearls form under a set of accidental conditions when a microscopic intruder or parasite enters a bivalve mollusk and settles inside the shell. The mollusk, irritated by the intruder, forms a pearl sac of external mantle tissue cells and secretes the calcium carbonate and conchiolin to cover the irritant. This secretion process is repeated many times, thus producing a pearl. Natural pearls come in many shapes, with perfectly round ones being comparatively rare. Typically, the build-up of a natural pearl consists of a brown central zone formed by columnar calcium carbonate (usually calcite, sometimes columnar aragonite) and a yellowish to white outer zone consisting of nacre (tabular aragonite). In a pearl cross-section such as the diagram, these two different materials can be seen. The presence of columnar calcium carbonate rich in organic material indicates juvenile mantle tissue that formed during the early stage of pearl development. Displaced living cells with a well-defined task may continue to perform their function in their new location, often resulting in a cyst. Such displacement may occur via an injury. The fragile rim of the shell is exposed and is prone to damage and injury. Crabs, other predators and parasites such as worm larvae may produce traumatic attacks and cause injuries in which some external mantle tissue cells are disconnected from their layer. Embedded in the conjunctive tissue of the mantle, these cells may survive and form a small pocket in which they continue to secrete calcium carbonate, their natural product. The pocket is called a pearl sac, and grows with time by cell division. The juvenile mantle tissue cells,