20 - Pigmentation and Melanocyte Biology Flashcards
Specialized cells of the epidermis and hair follicle whose primary function is to synthesize and transfer melanjn to adjacent keratinocytes
Melanocytes
Melanin synthesis occurs in a specialized organelle
Melanosome
Y/N: Melanocyte numbers are different in individuals of different racial backgrounds
No - similar
Location of melanocytes
Basal layer of the epidermis
Hair bulb
Outer root sheath
Melanocytes contain (round/oval) nuclei slightly (larger/smaller) than that of surrounding keratinocytes
Oval
Smaller
Melanocytes are present at about ______ the number of keratinocytes
1/10
Silver stains that rely on the ability of melanin to become impregnated with silver
Fontana-Mason stain
Warthin-Starry stain
Y/N: Silver stains react with melanocytes from eumelanotic, but not pheomelanotic skin tissue
Yes
Immunohistologic identification of melanocytes using antibodies directed against
Tyrosinase
MITF
Melan-A/Mart1
Although less specific for melanocyte lineage, antibodies directed against _____ protein have long been used with great sensitivity to detect melanocytes and melanoma
S100
Immunostaining with antibody _____ is negative in normal adult melanocytes but offers additional specificity for examination of melanocytic neoplasms
HMB-45
Reduced pigmentation of iris and retina Photosensitivity Decreased visual acuity Nystagmus Strabismus Misrouting of optic nerve
Ocular albinism
Cutaneous albinism (pigmentary dilution of skin and hair) Ocular albinsim
Oculocutaneous albinism
OCA: tyrosinase-negative (severe) albinism (complete loss of tyrosinase function)
OCA1A
OCA: tyrosinase-positive (mild to moderate) albinism
OCA1B
OCA: “Brown” albinism
OCA2
OCA: “Rufous albinism”
OCA3
OCA: variable degrees of albinism
OCA4
Piebaldism Congenital deafness Heterochromia irides Synophrys Broad nasal root Dystopia canthorum
Waardenburg syndrome
WS: classic type
WS1
WS: lacks dystopica canthorum
WS2
WS: limb abnormalities (hypoplasia, syndactyly)
WS3
WS: Hirschsprung disease
WS4
Tyrosinase-positive cutaneous albinism
Deafness
Eyebrow hypoplasia
Tietz syndrome
Depigmented forelock and abdominal skin
Piebaldism
Tyrosinase-positive oculocutaneous albinism (melanosome dysfunction) Bleeding diathesis (platelet granule dysfunction)
Hermansky-Pudlak syndrome
HPS: interstitial pulmonary fibrosis
HPS 1, 2, 4
HPS: granulomatous colitis
HPS 1, 4
HPS: neutropenia and cytotoxic T-cell dysfunction
HPS2
Tyrosinase-positive oculocutaneous albinism (melanosome dysfunction) Bleeding diathesis (platelet granule dysfunction) Progressive neurologic dysfunction (mechanism unknown) Severe immunodeficiency (NK cell, cytotoxic T cell, neutrophil dysfunction) Lymphomalike syndrome (overwhelming infiltration of organs by defective white blood cells) Giant lysosome-related organelles (these large granules are visible within leukocytes in PBS)
Chediak-Higashi syndrome
Pigmentary dilution of skin and hair (clumping of melanin within melanocytes)
Griscelli syndrome
GS: neurologic abnormalities
GS1
GS: immunodeficiency
GS2
Generalized patches of hyperpigmentation of skin and mucous membranes without systemic symptoms
Familial progressive hyperpigmentation
Diffuse hyperpigmented and hypopigmented patches without systemic symptoms
Variable penetrance
Familial progressive hyper- and hypopigmentation
Eumalonosome stage: melanosomes are round, approximately 0.3 um in diameter, and contain small intraluminal vesicles reminiscent of multivesicular bodies of the early endosomal compartment
Stage I
Eumalonosome stage: melanosomes are oval in shape and approximately 0.5 um in diameter and exhibit deposition of a parallel fibrillar matrix
Stage II
Eumalonosome stage: melanosomes demonstrate deposition of pigment along the filaments
Stage III
Eumalonosome stage: melanosomes are fully melanized, with the electron-dense melanin completely obscuring the underlying structures
Stage IV
Pheomelanosomes exhibit similar ultrastructural stages of maturation with _____ pheomelansomes exhibiting melanization obscuring underlying structures
Late stage III and IV
(Pheo-/eumelanosomes) are smaller, retain a rounded morphology at all stages, and contain a disorganized and less dense filament network
Pheomelanosomes
Cutaneous interfollicular melanocytes are present at highest density in the _____, and at lower density in the skin of the _____
Facial and genital skin
Trunk and extremities
Characterized by a melanocyte and each of the keratinocytes that it physically contacts
Epidermal melanin unit
Each melanocyte contacts and delivers melanin to approximately _____ keratinocytes
40
Under the pathologic circumstance of nerve injury, _____ may undergo dedifferentiation to generate ectopic melanocytes
Schwann cells
Y/N: Within the hair follicle, the melanocyte population varies by the stage of the hair cycle
Yes
Melanocyte stem cells reside within the
Permanent bulge/secondary hair germ
During the anagen phase of the hair cycle, the McSCs become activated via
Wnt signaling
Differentiated melanocytes of the hair bulb undergo apoptosis during
Late catagen
Y/N: Gradual loss of McSC population occurs through each hair cycle
No - McSC population persists through each hair cycle
Y/N: Gradual loss of McSCs occurs with age
Yes
Has been demonstrated as a niche for McSCs of the acral epidermis
Lower permanent portion of the eccrine gland
Acral melanomas are diagnosed with high sensitivity and specificity as a result of their preferential pigmentation of the eccrine-rich _____ of the dermatoglyphs
Ridges
Synthesize melanin and form melanosomes but these cells are derived from the neuroectoderm and are developmentally unrelated to the neural crest/melanocyte lineage
Retinal pigment epithelium
(Lighter/Darker) eye pigmentation is associated with decreased incidence of age-related macular degeneration
Darker
Autoimmunity directed agains melanocytes can lead to severe CNS inflammation in
Vogt-Koyanagi-Harada syndrome
In the cochlea of the ear, melanocytes are located in and required for the normal development and function of the _____ layer
Stria vascularis
Sensorineural deafness
Pigmentation defects
Waardenburg and Tietz syndromes
Dysfunction of cardiac melanocytes predispose to
Arrhythmias
Melanocytes are exclusively derived from the highly migratiry and multipotent _____ population
Neural crest
Transient cell population that forms at the margin of the early forming neural tube
Neural crest
Neural crest cell migration between the somites and the ectoderm
Dorsolateral migration pathway
Second wave of melanocytes derived from Schwann cell precursors that migrate along developing nerves
Ventromedial migratory pathway
Melanocyte precursors
Melanoblasts
Master melanocyte transcription factor that is first expressed in melanoblasts shortly after exit from neural tube at embryonic day 10.5-11
MITF
Structure between the neural tube and somites where melanoblasts paude before traveling upon the dorsolateral migration pathwayl
Migration staging area