Integument Flashcards
what are the six functions of the skin?
barrier function, immunologic function (antigen processing), homeostasis, sensory function, endocrine function (hormones / conversation into vitamin D precursor), excretory function (sweat, sebaceous, apocrine glands)
What are the three layers of the skin, from top to bottom?
Epidermis, dermis, hypodermis (subcutaneous tissue or fascia)
What are the two types of skin and their characteristics?
- Thick skin - thick epidermis, hairless with no sebaceous glands. Found on palms and soles of feet
- Thin skin - thin epidermis, containing hair and sebaceous glands. Found everywhere else
What is the stratum basale / germinativum?
Single layer of small cuboidal cells resting on basal lamina. Contains mitotically active cells which give rise to keratinocytes, as well as melanocytes. Cells are attached to eachother by desmosomes and basal lamina by hemidesmosomes. They move up to next layer after mitosis
How do cells of the stratum basale appear?
Closely spaced nuclei (single layer of cuboidal epithelium) with basophilic cytoplasms from keratin production. Will contain varying amounts of melanin transferred from neighboring melanocytes.
What is the stratum spinosum?
Layer composed mainly of keratinocytes producing keratin, several cells thick. Cells are attached to eachother by desmosomes. Cells will increase in size and flatten out as they mature and move to surface.
How does the stratum spinosum appear?
Because the keratinocytes are connected by desmosomes, when the cells shrink during the fixation process there is an increase in intercellular space and the appearance of spines or prickles. -> why this is called the spinous or prickle cell layer
What is the most superficial layer of nonkeratinized portion of the epidermis? How do these cells appear?
Stratum granulosum. They appear to have intensely basophilic granules from the keratohyalin granules in the cytoplasm
What are in keratohyalin granules?
precursors of filaggrin and trichohyalin. They help aggregate keratin filaments in the stratum corneum
What is the stratum lucidum?
Layer above stratum granulosum but below stratum corneum seen only in thick skin and only sometimes. Eosinophilic cell layer in which keratinization is well advanced. Now considered a division of the stratum corneum.
What is the stratum corneum?
Outermost layer of epidermis - exposed to external environment. Flattened, desiccated, anucleate cells. Cells have no nucleus or organelles and are almost entirely filled with keratin filaments. Extremely thick layer in thick skin, also have epidermal water barrier
What makes the epidermal water barrier?
keratinocytes of stratum corneum have two components making this barrier:
- Cell envelope: 15 nm thick layer of insoluble proteins on inner surface of plasma membrane providing strength
- Lipid envelop: 5 nm thick layer of lipids extruded by lamellar bodies in stratum granulosum, imparts hydrophobicity
What are the two layers of the dermis?
Papillary layer (highest) and reticular layer
What are fingerprints?
to increase the SA between the epidermis and dermis, there are ridges where the two connect. Epidermal protrusions into the papillary dermis are called epidermal / rete ridges. Dermal protrusions into the epidermis are called dermal papillae. These dermal ridges make fingerprints
What is the papillary layer?
Superficial layer of dermis, consisting of loose connective tissue with Types 1 and 3 collagen and threadlike elastic fibers. Contains vasculation and even some nerve processes that terminate here or in epithelium
What is the reticular layer?
The deep layer of the dermis. It is dense irregular connective tissue -> thick, irregular type 1 collagen bundles and coarse elastic fibers
What are keratinocytes?
predominant cell type in the epidermis, originating from mitosis of stem cells in the stratum basale.
What are the two functions of keratinocytes?
- Produce keratin, which is the major structural protein of the epidermis (~85% of the cell)
- Participate in formation of epidermal water barrier
How do the cytoplasms of immature keratinocytes appear?
Basophilic, because of the numerous free ribosomes synthesizing keratin filaments (tonofilaments)
How do the keratinocytes change their appearance going up the epithelial layers
They become more eosinophilic because of the increasing concentration of keratin. At the level of the stratum granulosum, they have basophilic granules holding filaggrin and trichohyalin which promote the aggregation of keratin filaments to tonofibrils
What is keratinization?
The conversion of granular keratinocytes in the stratum granulosum to cornified cells in the stratum corneum. The keratin fibril formed in this process is called soft keratin
What is desquamation?
The sloughing off of cornified cells on the upper layer of the stratum corneum
What are lamellar bodies?
granules produced in stratum spinosum which lead to the release of lipids for the epidermal water barrier int he stratum granulosum. At the same level, the keratohyalin granules are begun to be produced by free ribosomes
What are the “dendritic cells of the epidermis”
Melanocytes, though they have no immune function. They stain clear with a rounded cytoplasm by H&E, and are scattered around the basal cells at the stratum basale. They have long cytoplasmic processes between keratinocytes which makes them resemble a dendritic cell.
How many melanocytes are there and how do they attach to surroundings?
There is a ratio of 1:4-1:10 melanocytes:keratinocytes across the body which is constant in all races. They do not form desmosomal attachments with neighboring keratinocytes. They can replicate, but slower than keratinocytes
What is the function of melanin and how is it produced?
Protects cells again nonionizing UV radiation.
Produced by oxidation of tyrosine to DOPA by tyrosinase, and transformation of DOPA into melanin. This occurs in melanosomes that are maturing as they go to be phagocytosed
What is a melanosome?
Released by Golgi apparatus as a pre-melanosome, they have lots of tyrosinase for melanin production. They become early and then late melanosomes, getting increasingly darker, as they travel through the melanocyte’s processes to get phagocytosed by keratinocytes.