ANATOMY AND PHYSIOLOGY - The Integumentary System Flashcards
What are the five main functions of the integumentary system?
Protection from physical and pathogenic insults
Thermoregulation
Metabolic functions (i.e. vitamin D3 synthesis)
Enclosure of the body to allow motion while retaining shape
Sensory perception
Give six examples of exogenous factors that can influence the condition of the skin
Nutritional
Microbial
Chemical
Physical
Parasitic
Allergic
Give five examples of endogenous factors that can influence the condition of the skin
Immunologic
Congenital
Hereditary
Hormonal
Metabolic
Age
What are the three histological layers of the skin?
Epidermis
Dermis
Hypodermis
What type of epithelium makes up the epidermal layer of the skin?
Keratinised, stratified, squamous epithelium
What type of connective tissue makes up the dermal layer of the skin?
Dense, irregular connective tissue
Which staining method can be used to highlight collagen and elastic fibres in the dermal layer of the skin?
Masson’s trichrome stain
Which tissues makes up the hypodermic layer of the skin?
Loose connective tissue
Adipose tissue
What are the three adnexal structures of the skin?
Hair follicles
Sebaceous glands
Sweat glands
What is the embryological origin of the epidermis?
The epidermis has an ectodermal embryological origin
What is the embryological origin of the dermis?
The dermis has a mesodermal embryological origin
What are the four principle cell types found in the epidermal layer of the skin?
Basal cells
Melanocytes
Merkel cells
Langerhans cells
What are basal cells and where are they located?
Basal cells are undifferentiated keratinocytes found in the stratum basale of the epidermis
What are melanocytes and where are they located?
Melanocytes are melanin producing cells located in the stratum basale
What is the embryological origin of melanocytes?
Melanocytes are embryologically derived from neural crest cells
Describe briefly how melanocytes are involved in photo-protection of the skin
Melanocytes synthesise and transfer melanin pigment to basal cells resulting in a cap of melanin granules located above the basal cell nuclei. Melanin is photoprotective and as UV exposure increases, melanin production and distribution also increases
What is the function of Merkel cells?
Merkel cells are mechanoreceptors
What is the function of langerhans cells and where are they located?
Langerhans cells have an immunosurveillance function and are located in the stratum spinosum layer of the epidermis
What is keratinisation?
Keratinisation is the proliferation and differentiation of basal cells into terminally differentiated keratin squames which are continuously shed into the environment
What are the five squata layers found in the epidermis?
Stratum basale
Stratum spinosum
Stratum granulosum
Stratum lucidim
Stratum corneum
Describe briefly the stage of keratinisation represented by the stratum basale
The stratum basale is composed of one layer of mitotically active basal cells which are continuously differentiating and producing new cells while pushing older cells towards the surface of the skin as well as synthesising tonofilaments within their cytoplasm
What are tonofilaments?
Tonofilaments are intermediate filaments that combine into bundles to form tonofibrils
Describe briefly the stage of keratinisation represented by the stratum spinosum
The stratum spinosum is composed of differentiated basal cells known as keratinocytes held together by junctional complexes known as desmosomes. The synthesis of tonofilaments continues along with lamellar bodies in the upper spinosum layer
What are lamellar bodies?
Lamellar bodies are lipid filled organelles involved in the formation of the hydrophobic protective barrier in the stratum corneum
Describe briefly the stage of keratinisation represented by the stratum granulosum/stratum lucidim
The stratum granulosum/stratum lucidim are composed of flattened keratinocytes with shrunken nuclei and organelles. Keratohyaline granules have also been synthesised within the cytoplasm
What are contained within keratohyaline granules?
Keratohyaline granules contain filaggrin and loricrin proteins
What is the function of filaggrin proteins?
Filaggrin proteins aggregate and align tonofilaments into tonofibrils
What is the function of loricrin proteins?
Loricrin proteins make up the majority of the thickened protective envelope found in the stratum corneum
Is the stratum lucidim present in thin hairy skin?
No, the stratum lucidim is a feature specific to thick, hairless skin