Immuno Test 1 (Part 2) Flashcards
(114 cards)
Integumentary System
- 2 Components:
1) Skin
2) Epidermal derivatives (nails, hair, sweat and sebaceous glands and mammary glands) - 3 layers:
1) Epidermis (ectoderm)
2) Dermis (mesoderm)
3) Hypodermis aka Subcutaneous layer = Superficial fascia (mesoderm) - Thick skin: greater than 5 mm (palms and bottom of feet)
- Thin skin: 1 to 2 mm (everywhere else)
General Features of Skin
- Differential Diagnosis:
- Jaundice (yellow)
- Cyanosis (blue-gray)
- Anemia (pale)
- General functions:
- Protection
- Water barrier
- Regulation of Body temp
- Defense (mechanical and organisms)
- Excretion of salts
- Synthesis of precursors of Vit D
- Sensation
- Fingerprints are produced by epidermal ridges and underlying dermal papillae and are permanent
- Cut across cleavage lines = decr healing time + scar
- Cut with cleavage lines = Fast healing + less scar
Structure of Skin
1) Epidermis
- Ectoderm
- Epithelial barrier able to regenerate
- Stratified squamous, KERATINIZED EPITHELIUM
2) Dermis
- Mesoderm
- Mechanical Strength
- Reservoir of defensive elements
3) Hypodermis = Subcutaneous layer = Superficial fascia
- Deep Fascia
- Connective tissue between superficial fascia and muscle = epimysium or periosteum
Epidermis
- 5 layers:
1) Stratum Basale (Hemodesmosimes bolt layer down to Dermis)
2) Stratum Spinosum (cells have lots of processes)
3) Stratum Granulosum (Last layer where cells have NUCLEI)
4) Stratum Lucidum (CORNIFIED)
5) Stratum Corneum
General Features
- Display a tight fit interface at epidermal-dermal junction
- Primary epidermal ridge interlocks with subjacent dermal ridge
- Epidermal INTERPAPILLARY PEG interlocks with the dermal ridge
- DERMAL PAPILLAE project upward into the epidermal layer
- Primarily found in thick skin
Structure of Skin
Dermis of thick skin
- Dermal Papillae
- Papillary layer
- Connect the dermal layer with the epidermal layer and fit into pits of the epidermal layer
- Adds strength against mechanical shear forces
- Papillae are highly innervated and vascularized
- Papillary layer
- Reticular Layer
- Collagen bundles and coarse reticular fibers for support
Bullous Pemphigoid Antigens
- Acute or chronic AUTPOIMMUNE SKIN DISEASE, involving blisters (bull) at the space between the skin layers periderms and dermis
- Type II Hypersensitivity reaction
- Bulae formed by initiation of IgG autoantibodies targeting DYSTONIN or BULLOUS PEMPHIGOID ANTIGEN 1 and/or BULLOUS PEMPHIGOID ANTIGEN 2 or TYPE XVII COLLAGEN, which is a component of hemidesmosomes
Structure of Skin (Plexus)
- Subpapillary plexus and cutaneous plexus are in the DERMIS
- Subcutanous plexus is in the HYPODERMIS
- These are important for nutrition because cells in the basal lamina don’t get blood so they have to get nutrients from the Subpapillary plexus
- If want to lose heat, supply more blood to subpapillary plexus
- If want to retain heat, supply blood to subcutaneous plexus
Structure of Skin (Thick vs Thin)
- Thick:
- around 5 mm thick
- Thick, plentiful dermal papillae
- Palms of hands and soles of feet
- Thin:
- 1 to 2 mm thick
- Fewer and flatter dermal papillae
- Most skin of the body
Stratum Basale
- Cuboidal or columnar
- Rest on basement membrane
- HEMIDESMOSOMES
- MITOTIC FIGURES
Stratum Spinosum
- Flattened Polygons
- Oval nuclei
- Lots of Desmosomes
- Spine-like cell processes
- PRICKLE CELLS
Stratum Granulosum
- Flattened cells, flattened nuclei
- KERATOHYALIN GRANULES
- Increased lamellar bodies
- Increased tight junctions
Stratum Lucidum
- KERATONOCYTES have NO NUCLEI
- Intermediate layer between granulocytes and stratum corneum
- FORMS A BARRIER TO WATER
Stratum Corneum
- KERATINOCYTES are flattened, NO NUCLEI
- Contain Keratin filaments cross linked with FILAGGRIN to form a cornfield layer
- Aids in permeability barrier
Keratinized vs Nonkeratinized
Keratinized:
- Epidermal (outside mouth)
- Looks more dense and cells look flattened
Non-Keratinized:
- Oral Mucosal (inside mouth)
- Looks thick and cells look plump
Permeability Barrier
- MULTI-Layered Lipid outside of the Cornfield Cell Envelope
- Has a Kertain-Filaggrin Complex under the Loricrin
- Tight Junctions in stratum granulosum
- Filaggrin is used to aggregate the Keratin filaments
Epithelium Permeability Barrier
1) Stratum Lucidum and Corneum
- Compound cell envelope
2) Stratum Granulosum
- Filaggrin, induces the aggregation of keratins
- Lipids form lamellar bodies
3) Stratum SPinosum
- Keratins 1 and 10 replace
- Keratins 5 and 14 when basal keratinocytes migrate to the stratum spinosum
4) Stratum Basale
- Keratin 5 and 14 are major products of basal keratinocytes
Keratin 5 and 14
- cause of EPIDERMOLYSIS BULLOSA SIMPLEX (EBS)
Keratin 1 and 10
- cause of EPIDERMOLYTIC HYPERKERATOSIS
Keratin 2e
- causes ICHTHYOSIS BULLOSA of SIEMENS
Keratin 9 defect
- EPIDERMOLYTIC PALMOPLANTAR KERATODERMA
Melanocytes (melanin)
- Produce melanin that absorbs the UV rays and attempts to prevent the skin from burning
- Sunburn occurs when your skin cannot produce melanin quickly enough to prevent UV rays from injuring blood vessels close to the skin’s surface
Melanocytes (description)
- Specialized cells found in the stratum basal
- Originate as NEURAL CREST CELLS
- Melanocytes produce melanin (melanosomes) which are transferred to keratinocytes
Melanocytes (mutation)
- MITF (Microphthalemia- associated transcription factor)
- Regulates the differentiation of melanocytes
- Lack of MITF= OCULAR ALBINISM TYPE 1
- Excess of MITF= associated with melanoma