Integument Flashcards
What is the integumentary system?
Skin and its epidermal derivatives
What are the skin (cutis, integument) layers?
Epidermis
Dermis
What are the epidermal derivatives of skin?
Hair follicles and hair
Sebaceous glands
Sweat (sudoriferous) glands - eccrine and apocrine
Nails
Mammary glands
What is the hypodermis made up of?
Subcutaneous fascia
Mostly white fat
Also has CT septa, sensory receptors, vessels, and nerves
What are the functions of the skin?
Barrier that protects the body
Homeostasis - regulates body temperature and water loss
Sensory organ
Excretion of exocrine products
Endocrine organ
Selective absorption
What are the characteristics of thin skin?
Most skin is thin skin
Epidermis is thin and has 4 layers (strata)
Thicker dermis than thick skin
Has eccrine and sometime apocrine sweat gland, sebaceous glands, hair.
Surface lacks alternating ridges and grooves
Fewer nerve endings and fewer sensory receptors than thick skin
What are the characteristics of thick skin?
Skin of palms and soles
Epidermis is thick and has 5 layers. Thinner dermis than thin skin
Only has eccrine sweat glands
Lacks sebaceous glands, hair
Surface has alternating ridges and grooves
Always sensitive - many nerve endings and sensory receptors
What is the function of thick skin?
Protects against damage
Increased ability to grip surfaces and objects
Increased sensitivity for object manipulation and where our body weight contacts ground
What are characteristics about epidermis?
Keratinized stratified squamous epithelium - avascular, from ectoderm, and 4-5 strata
Grows continuously, but thickness is consistent - new cells added to basal layers via mitosis at same rate cells are lost from superficial layers (desquamation)
Contact with dermis is very distinct - locks both layers in place and reduces risk of epidermal delamination
What are the 5 epidermal strata?
Stratum corneum - thin/thick, flaky, superficial layer
Stratum lucidum - thick skin only
Stratum granulosum - thin/thick
Stratum spinosum - thin/thick
Stratum basale - thin/thick, basalmost layer
What are the cells of the epidermis and their function?
Keratinocytes
Synthesize a type of keratin called soft keratin
Help form the epidermal water barrier by synthesizing and secreting lipids and soft keratin also contributes
What are the names and functions of other keratinocytes?
Basal cells - stem cells that generate new keratinocytes (stratum basale)
Prickle cells - synthesize keratin protein (stratum spinosum)
Granular cells - synthesize lipids and undergo keratinization (stratum granulosum)
Keratinized cells - forms a physical barrier of dead cells (stratum lucidum and stratum corneum), in stratum corneum they are called squames
What are the characteristics of the stratum basale?
Single layer of cells in contact with BM
Deepest layer of epidermis
Cells are mainly basal cells - stem cells of epidermis and are cuboidal and divide to create new keratinocytes
Other cells include melanocytes that make melanin and Merkel cells that are mechanoreceptors
What are the characteristics of the stratum spinosum?
second thickest stratum
Several to many layers of tightly linked cells
Spiny appearance
Most cells are prickle cells that make lots of keratin that aggregate into tonofilaments
Intercellular bridges extend between adjacent cells
Other cells include Langerhans cells (dendritic cells) which are antigen presenting cells
What are the characteristics of the stratum granulosum?
3-5 layers of flattened cells - cells in most layers are alive, cells in superficial layer are dying and those that finish dying cross into stratum lucidum/corneum
All cells are granular cells
What is the function of granular cells in the stratum granulosum?
Undergo keratinization - named for intensely basophilic keratohyalin granules in cytoplasm
Synthesize lipid components of epidermal water barrier - has organelles called lamellar bodies that synthesize and store lipids that help waterproof skin
What are the characteristics of stratum lucidum?
Only in thick skin
1-2 indistinct, homogenous layers of cells
Cells lack visible organelles/granules - stains acidophilic or is unstained
All cells in this layer are dead keratinocytes called keratinized cells - fully keratinized with no visible nuclei, granules, or other organelles
What are the characteristics of stratum corneum?
Most superficial stratum
Several to many layers of flattened and desiccated dead cells
Change in pH moving from basal layers to the surface
All cells are dead keratinocytes called keratinized cells or squames (horny cells) that are fully keratinized with no visible nuclei/organelles and no desmosomes
Where is stratum corneum thickest?
Areas subject to higher amounts of friction, shearing forces, or focal pressure (calluses and corns)
What is desquamation or exfoliation?
Cells on surface are sloughed off or worn off by abrasion
Describe the process of keratin synthesis
All living keratinocytes of the epidermis synthesize a type of keratin called soft keratin
Prickle cells synthesize LOTS of keratin protein and aggregate it into bundles called tonofilaments
Granular cells are where keratinization occurs - as apoptosis begins, filaggrin and tricohyalin surrounded and crosslink keratin tonofilaments and form water insoluble tonofibrils
What are keratohyalin granules?
Clusters of proteins filaggrin and tricohyalin in the cytoplasm of granular cells
What is keratinization?
Process of converting all keratin tonofilaments into tonofibrils
Keratinized cell cytoplasm is mostly tonofibrils and other water insoluble proteins that create a mechanically strong barrier
How is the epidermal water barrier formed?
Lamellar bodies synthesize and store lipids that help waterproof skin
Granular cells secrete lamellar body contents into ECM of stratum granulosum and deepest corneum
Lipids form waterproof barrier but also prevent nutrient diffusion to cells so superficial layer of stratum granulosum starve and it initiates apoptosis
Proteases are activated by low pH in superficial layer of stratum corneum which degrades desmosomes and allows desquamation