Integument Flashcards
Basic layers of skin
epidermis, dermis, hypodermis
Basic functions of integument
Protection Thermoregulation Sensory organ Metabolic Excretion of excess H20, salt, and nitrogenous metabolic wastes through sweating
Thick skin
Palms of hands and soles of feet
No hair follicles
Thin skin
skin other than palms and soles
thinner epidermis, hair follicles —with some exception
Keratinocytes produce
keratin
Epidermis
stratified squamous epithelial cells
Cells accumulate more keratin as they migrate from
basal layer
epidermis requires ______ days for cells to mature and desquamate
25-50
Protection portion of integument functions
mechanical thermal chemical UV radiation dehydration
Thermoregulation portion of integument functions
vascular network in dermis, sweat glands
Sensory portion of integument
touch, temperature, pain
metabolic portion of integument
vitamin D3 synthesis in epidermis. Energy storage (fat-triglycerides-hypodermis)
Name the epidermal layers
Stratum basale (germinativum) Stratum spinosum Stratum granulosum Stratum lucidum Stratum corneum
Stratum basale (germinativum) is compose of a
single layer of columnar to cuboidal cells
Stratum basale contain numerous
intermediate filaments (tonofilaments)
In stratum basale, hemidesmosomes bind cells to
basal lamina
In stratum basale, desmosomes on the
lateral and upper surface
Within the stratum spinosum layer of epidermis, the cells are
cuboidal, polygonal, to slightly flattened
Cell processes of stratum spinosum is filled with
intermediate filaments and terminate with desmosomes
(in stratum spinosum), cells accumulate fibrillar protein (cytokeratin)-aggregate to form
tonofibrils
________ figures are also present in the stratum spinosum layer
“mitotic” figures
This layer is composed of 3-5 layers of flattened polygonal cells
stratum granulosum
cytoplasm of stratum granulosum has what type of granules
basophilic keratohyaline granules
keratinosomes are
lamellar granules formed by lipid bilayers which fuse with cell membrane and discharge contents into intracellular spaces of the S. granulosum
(Stratum granulosum) the glycolipid acylglucoceramide serves as a
penetration barrier to foreign material and to maintain hydration of the body
Stratum lucidum can only be found in
thick skin, but not evident in all thick skin
Stratum lucidum is a thin layer of
eosinophilic, newly keratinized cells
Cells of stratum lucidum contain no organelles but do contain_______
eleidin (transformation product of keratohyalin)
Stratum corneum
15-20 layers of flattened non nucleated cells filled with keratin
Within stratum corneum, dead flattened cells are called
squames
How does skin heal?
If epidermis is injured, surrounding basal cells migrate and divide to cover the wound.
This vitamin is necessary for proper skin healing because it is needed for keratinocyte differentiation
Retinol (Vitamin A)
First degree burns extend to which layer of epidermis
1st degree burns extends down to S. lucidum
Second degree burns extent dow to
S. basale
3rd degree burns go down into
dermis
protein that aggregates keratin filaments
Filaggrin
If epidermis is injured….
surrounding basal cells migrate and divide to cover the wound
Kerationcyte differentiation
Different keratins are expressed as keratinocytes differentiate (from basal layer to s.spinosum to s.granulosum).
In s. granulosum, _________ are secreted to form multilayered lipid layer on the outside of the cell membrane
glycolipids
In the s. corneum, a protein complex of_______-_____ ______-____-_____ complex and keratin-filagrin aggregates link to the cytoplasmic side of the membrane
involucrin-small proline-rich-loricrin complex
(melanocytes) pigment producing cells of S. basal are derived from
neural crest
melanocytes
pigment producing cells of S. basal derived from neural crest
Lack of cortisol from the adrenal cortex causes
overproduction of ACTH—increases skin pigmentation (Addison’s disease)
In albinism, melanocytes do not make
melanin
Melanocyte cytoplasm is _____ dense than neighboring keratinocytes
Melanocyte cytoplasm is less dense than neighboring keratinocytes
What enzyme is needed for melanin synthesis
tyrosinase
Loss of melanocytes
depigmentation (vitiligo)
Melanin formation occurs within
melanosomes
melanosomes are derived from
Golgi Apparatus
melanocytes rest on basal lamina and send cell processes into the
S. spinosum
Melanocytes distribute melanin to other cells and hair via processes. What is this process known as
Cytocrine secretion
In melanocytes, pigment granules are exocytosed and endocytosed by
keratinocytes
star shaped cells– mainly in S. spinosum, occasionally in dermis near blood vessels
Langerhan’s cells
Langerhan’s cells can migrate out of epidermis to ______ _____ and present _______ to T cells and also differentiate into activated endothelial cells
Langerhan’s cells can migrate out of epidermis to lymph nodes and present antigens to T cells and also differentiate into activated endothelial cells
Langerhans’ cells do not form ________ ___________ with other cells
Langerhans’ cells do not form desmosomal attachments with other cells
Langerhans cells are derived from
bone marrow- macrophage lineage
Contents of Langerhans’ cells
Has unique membrane-bound, rod-like to racquet shaped granules, which contain proteins necessary for antigen uptake
Merkel’s cells are primarily located in
thick skin of palms and soles
Tactile epithelioid cell associated with sensory nerve ending
Merkel’s cells
Merkel cells are also involved in
2pt discrimination
composed of connective tissue— supports epidermis and binds it to the subcutaneous tissue
dermis
cytoplasm of Merkel’s cells contain small dense granules that may be related to
catecholamine containing granules of neurosecretory cells
the base of Merkel’s cells are in contact with the
peripheral neuron terminal
surface of dermis interdigitates with epidermis via
dermal papillae
Epidermal counterpart to dermal papillae =
epidermal ridges or rete ridges
anchoring fibrils extend from the______ ______ and terminate in _______ _______ to bind the dermis to the epidermis
anchoring fibrils extend from the basal lamina and terminate in anchoring plaques to bind the dermis to the epidermis
Basic function of anchoring fibrils
binds the dermis to the epidermis
Reticular layer of dermis is composed of
dense irregular CT— thicker than papillary layer
Dermis has
follicles, sweat and sebaceous glands, and nerves
outermost layer of dermis contains
loose connective tissue( fibroblasts, mast cells, and macrophages may be present)
extensive capillary network in the papillary layer of dermis functions in
thermoregulation
deeper continuation of the dermis
hypodermis
hypodermis is composed primarily by
loose connective tissue and adipose tissue
Pacinian corpuscles
pressure/vibration sensors found near dermis-hypodermis junction
Hair follicle is an invagination of the epidermis that terminates in _____ _____
hair bulb
dermal papilla projects into
hair bulb
epidermal cells covering the dermal papilla form the
hair root
the hair root produces and is continuous with the
hair shaft
Some cells around the papilla differentiate into fusiform. What are fusiform and what do they form?
heavily keratinized cells, form the hair cortex
Cells more peripheral in the hair root produce the
hair cuticle
most peripheral root cells produce the
internal and external root sheath
hair follicles are separated from the dermis by a thickened basal lamina called the
glassy membrane
arrector pili muscles
smooth muscle bundles extending from dermis papillary layer to hair follicle connective tissue sheath
These glands are not found on palms and soles
sebaceous glands
Dead cells + cell contents =
sebum
Eccrine (merocrine) sweat glands
simple coiled tubular gland – duct opens onto skin surface. receive cholinergic nerve fibers
Dark cells secrete
glycoproteins
clear cells secrete
H20 and electrolytes into intercellular canaliculi
Sudoriferous (Sweat) Glands contain
myoepithelial cells (contractile), dark cells (mucoid, pyramidal cells) and clear cells (devoid of secretory granules, but have abundant glycogen)
the ducts of apocrine cells open into
hair follicles
Apocrine glands are present where?
axillary, areolar, and anal regions
What mechanism of secretion do apocrine sweat glands have?
merocrine
what type of nerve fibers do apocrine glands receive?
Apocrine glands receive a adrenergic nerve fibers
Apocrine glands contain only one kind of ______ ____ and produce viscous protein containing secretion
secretory cell
What are nails?
Plates of keratinized epithelial cells
Nail root is embedded in
fold of skin
The stratum corneum of the epithelium over the nail root forms the
eponychium (cuticle)
Nail plate rests on a bed of epidermis called the
nail bed
nail bed contains only a
S. basale and S. spinosum
Where does the nail plate arise from?
Nail plate arises from the nail matrix
the nail matrix extends from the nail root to the
lunula (white crescent and the base of the nail)
Albinism
little melanin production. Vision problems due to abnormal retina development and abnormal nerve connections between eye and brain
melanocytes are destroyed-patchy pigmentation
vitiligo
“liver spots”
freckles due to being in the sun (older individuals)
Actinic keratosis
precancerous condition. thick scaly patches of skin
Basal cell carcinoma
(90% of all skin cancers) slow growing and treatable if found early
Squamous cell carcinoma
often develop from sun damaged areas (actinic keratosis due to sun damage)
Malignant melanoma is derived from
melanocytes and is hard to treat once metastasized
Psoriasis
Immune-mediated, genetic disease. red scaly patches of skin due to inflammation and hyperplasia.
Individuals with psoriasis often have
joint problems (psoriatic arthritis)