Integumentary System Flashcards
1
Q
Functions of the skin
A
Protection, sensation, thermoregulation, metabolism, sexual signaling
2
Q
General structure
A
Epidermis
Dermis
Subcutaneous layer
3
Q
Epidermis
A
An epithelial layer of ectodermal origin. Includes hairs, nails, sebaceous glands, and sweat glands
4
Q
Epidermis structure
A
Thin and Thick Skin (Epidermis)
Like all epithelia, the epidermis lacks capillaries, and the cells receive
nutrients and O2 by diffusion from the dermis.
Four (or five) layers of epidermis:
Stratum basale
Stratum spinosum
Stratum granulosum
Stratum lucidum (thick skin only)
Stratum corneum
5
Q
Stratum corneum
A
First layer, most superficial
Epidermal layer that is the most superficial; 20-30 layers of dead, flattened, anucleate, keratin-filled keratinocytes; protects against friction and water loss.
Consists of 15-20 layers of squamous, keratinized cells
filled with filamentous keratins. These fully keratinized or cornified cells called squames are continuously shed at the epidermal surface
6
Q
Stratum lucidum
A
Second layer
2-3 layers of anucleate, dead cells; seen only in thick skin
Found only in thick skin, consists of a thin, translucent layer of flattened keratinocytes. Nuclei and organelles have been lost, and the cytoplasm consists almost exclusively of packed keratin filaments.
7
Q
Stratum granulosum
A
Third layer
3-5 layers of keratinocytes with distinct kerato-hyaline granules
Consists of three to five layers of flattened cells undergoing keratinization, a “terminal” process.
8
Q
Stratum spinosum
A
Fourth layer
Several layers of keratinocytes all joined by desmosomes; Langerhans cells present
Normally the thickest layer; the cytoplasm actively synthesizes keratins, like the basal layer.
9
Q
Stratum basale
A
Fifth layer, most deep layer
Deepest, single layer of cuboidal to low columnar cells in contact with basement membrane; mitosis occurs here; melanocytes and Merkel cells also
10
Q
Epidermis cell types
A
Keratinocytes
Melanocytes
Merkel cells
Langerhans cells
11
Q
Keratinocytes
A
The most common–90% of
epidermal cells. These cells produce keratin,
and form a stratified squamous keratinized
epithelium.
12
Q
Melanocytes
A
Pigment-producing cells.
Located in the
epidermal basal layer (stratum basale) and synthesize melanin
granules and transfer them into neighboring keratinocytes. Transfer
occurs through many long,
branching melanocyte processes.
13
Q
Langerhans cells
A
Antigen-presenting cells (APCs)
Form an important defense against pathogens and environmental damage
Develop in the bone marrow from monocytes, move into the blood, and migrate into epidermis
14
Q
Merkel cells
A
Tactile epithelial cells.
Sensitive mechanoreceptors essential for light touch sensation. Abundant in highly sensitive skin like the fingertips.
The basolateral surfaces of
the cells contact expanded
terminal discs of unmyelinated sensory fibers
penetrating the basement
membrane. The complex of
nerve and cells is called a
Merkel disk.
15
Q
Dermal papillae
A
Projections between the dermis and epidermis that interdigitate with epidermal ridges to strengthen adhesion
16
Q
Subcutaneous layer or Hypodermis
A
A loose connective tissue layer with pads of adipocytes. It binds the skin loosely to the underlying tissues
17
Q
What determines most of the physical properties of the epidermis?
A
lipid envelope and keratin-filled cells
18
Q
Friction blisters
A
Lymph-filled spaces created between the epidermis and dermis of thick skin by excessive rubbing. This activity may produce thickening and hardening of the outer epidermal layers, seen as corns and calluses.
19
Q
Psoriasis
A
Keratinocytes differentiate rapidly, causing thickening of the epidermis and increased keratinization and desquamation. Caused by an autoimmune reaction in the skin, which can also lead
to inflammation with redness, irritation, itching, etc.
20
Q
Skin Cancer
A
One-third of all adult cancers originate in the skin. Most are from cells of the basal or spinous layers, producing, respectively, basal cell carcinomas and squamous cell carcinomas. Both types of tumors can be diagnosed and cut out early and are rarely lethal.
21
Q
Burns
A
Tissue injuries caused by thermal, electrical, radioactive, or chemical agents
22
Q
First-degree burn
A
A burn in which the damage is limited to the superficial
part of the epidermis.
23
Q
Second-degree burn
A
A burn in which the damage extends through the
epidermis into the superficial part of the dermis. However, except
for their most superficial parts, the sweat glands and hair follicles are not damaged and can provide the source of replacement
cells for the basal layer of the epidermis.
24
Q
Third-degree burn
A
The entire epidermis, dermis, and perhaps
underlying muscle are damaged. A minor degree of healing may occur at the edges, but the damaged portions require skin
grafting. The extent of the burn (percent of total body surface affected) is generally more significant than the degree (severity of
depth) in estimating its effect on the well-being of the victim.
25
What factors contribute to skin color?
Melanin content in keratinocyte
Carotene
Number of blood vessels in the dermis
26
Pigments produced by the melanocyte
Eumelanin and Pheomelanin
27
Eumelanin
Brown or black pigments produced by the melanocyte, a specialized cell of the epidermis found
among the cells of the basal layer and in hair follicles.
28
Pheomelanin
A second, similar, pigment in humans found in red hair.
29
Melanin Synthesis
1. Tyrosinase converts the amino acid tyrosine into different forms of melanin. Melanin pigment is linked to proteins, forming granules called melanosomes.
2. Melanosomes are transported to the tips of the cytoplasmic extensions of the melanocytes. The neighboring keratinocytes absorb and transport the melanosomes toward their nuclei, where they form
a supranuclear cap that absorbs and scatters sunlight, protecting DNA of the living cells from the mutagenic effects of UV radiation.
30
Epidermal-melanin unit
On melanocyte plus its nearby keratinocytes.
31
What cells contain more pigment from melanosomes, keratinocytes or melanocytes?
Keratinocytes
32
Melanosome Formation
1. Melanin formation
2. Granules containing melanin mature. Mature granules are ellipsoid.
3. Melanin granules are
transported to the tips of
the processes of the
melanocyte. Then taken to the neighboring keratinocytes of the basal and spinous layers.
4. In keratinocytes the melanin granules accumulate near the nucleus as a supranuclear cap shading the DNA against UV radiation.
33
Albinism
A congenital disorder producing skin hypopigmentation due to a defect in tyrosinase or
some other component of the melanin-producing
pathway.
34
Moles (benign melanocytic nevi; singular is nevus)
```
Melanocytes can normally proliferate in skin to
produce moles (benign melanocytic nevi; singular
is nevus) of various types.
```
35
Malignant melanocytes
Changes in the size or appearance of moles are
sometimes indicative of dysplasia that can progress
further to malignant melanoma. Malignant
melanocytes often penetrate the basal lamina, enter the dermis, and metastasize into blood and lymphatic vessels.
36
Dermis
Made of papillary layer and reticular layer.
Vascular
A layer of mesodermal connective tissue
37
Papillary layer
More superficial layer of dermis; composed of areolar connective tissue; forms dermal papillae; contains subpapillary vascular plexus.
38
Reticular layer
Thicker layer; Deeper layer of dermis; dense irregular connective tissue surrounding hair follicles, sebaceous glands, sweat glands, nerves, and deep plexus of blood vessels extending into subcutaneous layer.
39
Subcutaneous layer
Not considered part of the integument; deep to dermis; composed of areolar and adipose connective tissue.
40
Fibers of Dermis
Although most of the
protein fibers in dermis
are collagen, there are
also elastic fibers.
41
Subpapillary plexus
Between the papillary and reticular dermal layers
Capillary branches extend
into the dermal papillae and
form a nutritive capillary
network below the epidermis. A deep plexus
with larger blood and
lymphatic vessels lies near
the interface of the dermis
and the subcutaneous
layer
42
Dermis Misc.
Nutrients for epidermal keratinocytes diffuse into the avascular epidermis from the dermal vasculature through the basement
membrane
Both dermal regions contain a rich network of blood and lymphatic vessels. Nutritive vessels form two major plexuses, microvascular subpapillary plexus and deeper plexus
Dermal vasculature also has a thermoregulatory function.
The dermis is also highly innervated.
43
Subcutaneous Tissue
The subcutaneous layer
consists of loose connective tissue that binds the skin loosely to the subjacent organs, making it possible for
the skin to slide over them.
This layer, also called the
hypodermis or superficial
fascia, contains adipocytes
that vary in number and size.
Its vascular supply promotes rapid uptake of drugs injected here.
44
Tactile Sensory Receptors
Unencapsulated receptors:
Merkel cells, free nerve endings, and root hair plexuses
Encapsulated receptors: Meissner corpuscles, lamellated (Pacinian) corpuscles, and Ruffini corpuscles (bulbous corpuscles)
45
Free nerve endings
An unencapsulated tactile sensory receptor in the dermis and lower
epidermal layers, which respond primarily to high
and low temperatures, pain, tickle, itching, but also
function as tactile receptors.
46
Root hair plexuses
An unencapsulated tactile sensory receptor that are a web of sensory fibers at
the bases of hair follicles in the dermis that detects
hair movement.
47
Encapsulated receptors
A type of tactile sensory receptor that are referred to
collectively as low-threshold (or high-sensitivity)
mechanoreceptors because even weak mechanical stimulation of the skin induces them to produce action potentials.
48
Meissner corpuscles
An encapsulated tactile sensory receptor that are formed by a connective tissue capsule that
comprises several lamellae of Schwann cells. They respond to minimal skin depression. Meissner's corpuscles are the most common mechanoreceptors of glabrous (smooth, hairless) skin (e.g., fingertips).
49
Lamellated (Pacinian) corpuscles
An encapsulated tactile sensory receptor that are large structures found deep in the reticular dermis and hypodermis (subcutaneous tissue). The Pacinian
corpuscle has an onion like capsule, with many obvious layers. They are specialized for sensing coarse touch, pressure (sustained touch), and high frequency vibrations.
50
Ruffini corpuscles (bulbous corpuscles)
An encapsulated tactile sensory receptor that are stimulated by stretch or
twisting in the skin. They sense deep touch, grip (long-term touch), and
finger position.
51
Hair
Hairs are elongated keratinized structures
that form within epidermal invaginations, the hair follicles
All skin has at least minimal hair except the glabrous (hairless) skin of the palms, soles, lips, and some regions of genitalia.
52
Skin Glands
Sebaceous glands, eccrine sweat glands, and apocrine sweat glands
53
Sebaceous glands
Embedded in the dermis over most of the body, except in the thick, glabrous skin of the palms and soles.
Branched acinar glands
Holocrine secretion
Secretes sebum
54
Eccrine sweat glands
Merocrine
Widely distributed in the skin and are most numerous on the foot soles.
The secretory components and ducts of eccrine sweat
glands are coiled.
55
Apocrine sweat glands
The glands are misnamed: their cells show merocrine, not apocrine, secretion.
Apocrine sweat glands are largely confined to skin of the axillary and perineal regions.
56
Skin repair process
1. The process begins with blood quickly clotting at the wound site, releasing platelet-derived growth
factors and other substances.
2. Macrophages and neutrophils enter the wound as inflammation begins, and epithelial cells from the
cut edges of the stratum basal migrate beneath and through the blood clot.
3. Under the influence of growth factors and hydrolytic enzymes from
macrophages, fibroblasts proliferate and produce much new collagen to
form “granulation tissue” containing many new, capillaries.
4. The epidermis gradually
reestablishes continuity over the wound site, but excessive collagen
usually remains in the dermis as scar tissue.
57
# Reversed prompt
Protection, sensation, thermoregulation, metabolism, sexual signaling
Functions of the skin
58
# Reversed prompt
Epidermis
Dermis
Subcutaneous layer
General structure
59
# Reversed prompt
An epithelial layer of ectodermal origin. Includes hairs, nails, sebaceous glands, and sweat glands
Epidermis
60
# Reversed prompt
Thin and Thick Skin (Epidermis)
Like all epithelia, the epidermis lacks capillaries, and the cells receive
nutrients and O2 by diffusion from the dermis.
Four (or five) layers of epidermis:
Stratum basale
Stratum spinosum
Stratum granulosum
Stratum lucidum (thick skin only)
Stratum corneum
Epidermis structure
61
# Reversed prompt
First layer, most superficial
Epidermal layer that is the most superficial; 20-30 layers of dead, flattened, anucleate, keratin-filled keratinocytes; protects against friction and water loss.
Consists of 15-20 layers of squamous, keratinized cells
filled with filamentous keratins. These fully keratinized or cornified cells called squames are continuously shed at the epidermal surface
Stratum corneum
62
# Reversed prompt
Second layer
2-3 layers of anucleate, dead cells; seen only in thick skin
Found only in thick skin, consists of a thin, translucent layer of flattened keratinocytes. Nuclei and organelles have been lost, and the cytoplasm consists almost exclusively of packed keratin filaments.
Stratum lucidum
63
# Reversed prompt
Third layer
3-5 layers of keratinocytes with distinct kerato-hyaline granules
Consists of three to five layers of flattened cells undergoing keratinization, a "terminal" process.
Stratum granulosum
64
# Reversed prompt
Fourth layer
Several layers of keratinocytes all joined by desmosomes; Langerhans cells present
Normally the thickest layer; the cytoplasm actively synthesizes keratins, like the basal layer.
Stratum spinosum
65
# Reversed prompt
Fifth layer, most deep layer
Deepest, single layer of cuboidal to low columnar cells in contact with basement membrane; mitosis occurs here; melanocytes and Merkel cells also
Stratum basale
66
# Reversed prompt
Keratinocytes
Melanocytes
Merkel cells
Langerhans cells
Epidermis cell types
67
# Reversed prompt
The most common--90% of
epidermal cells. These cells produce keratin,
and form a stratified squamous keratinized
epithelium.
Keratinocytes
68
# Reversed prompt
Pigment-producing cells.
Located in the
epidermal basal layer (stratum basale) and synthesize melanin
granules and transfer them into neighboring keratinocytes. Transfer
occurs through many long,
branching melanocyte processes.
Melanocytes
69
# Reversed prompt
Antigen-presenting cells (APCs)
Form an important defense against pathogens and environmental damage
Develop in the bone marrow from monocytes, move into the blood, and migrate into epidermis
Langerhans cells
70
# Reversed prompt
Tactile epithelial cells.
Sensitive mechanoreceptors essential for light touch sensation. Abundant in highly sensitive skin like the fingertips.
The basolateral surfaces of
the cells contact expanded
terminal discs of unmyelinated sensory fibers
penetrating the basement
membrane. The complex of
nerve and cells is called a
Merkel disk.
Merkel cells
71
# Reversed prompt
Projections between the dermis and epidermis that interdigitate with epidermal ridges to strengthen adhesion
Dermal papillae
72
# Reversed prompt
A loose connective tissue layer with pads of adipocytes. It binds the skin loosely to the underlying tissues
Subcutaneous layer or Hypodermis
73
# Reversed prompt
lipid envelope and keratin-filled cells
What determines most of the physical properties of the epidermis?
74
# Reversed prompt
Lymph-filled spaces created between the epidermis and dermis of thick skin by excessive rubbing. This activity may produce thickening and hardening of the outer epidermal layers, seen as corns and calluses.
Friction blisters
75
# Reversed prompt
Keratinocytes differentiate rapidly, causing thickening of the epidermis and increased keratinization and desquamation. Caused by an autoimmune reaction in the skin, which can also lead
to inflammation with redness, irritation, itching, etc.
Psoriasis
76
# Reversed prompt
One-third of all adult cancers originate in the skin. Most are from cells of the basal or spinous layers, producing, respectively, basal cell carcinomas and squamous cell carcinomas. Both types of tumors can be diagnosed and cut out early and are rarely lethal.
Skin Cancer
77
# Reversed prompt
Tissue injuries caused by thermal, electrical, radioactive, or chemical agents
Burns
78
# Reversed prompt
A burn in which the damage is limited to the superficial
part of the epidermis.
First-degree burn
79
# Reversed prompt
A burn in which the damage extends through the
epidermis into the superficial part of the dermis. However, except
for their most superficial parts, the sweat glands and hair follicles are not damaged and can provide the source of replacement
cells for the basal layer of the epidermis.
Second-degree burn
80
# Reversed prompt
The entire epidermis, dermis, and perhaps
underlying muscle are damaged. A minor degree of healing may occur at the edges, but the damaged portions require skin
grafting. The extent of the burn (percent of total body surface affected) is generally more significant than the degree (severity of
depth) in estimating its effect on the well-being of the victim.
Third-degree burn
81
# Reversed prompt
Melanin content in keratinocyte
Carotene
Number of blood vessels in the dermis
What factors contribute to skin color?
82
# Reversed prompt
Eumelanin and Pheomelanin
Pigments produced by the melanocyte
83
# Reversed prompt
Brown or black pigments produced by the melanocyte, a specialized cell of the epidermis found
among the cells of the basal layer and in hair follicles.
Eumelanin
84
# Reversed prompt
A second, similar, pigment in humans found in red hair.
Pheomelanin
85
# Reversed prompt
1. Tyrosinase converts the amino acid tyrosine into different forms of melanin. Melanin pigment is linked to proteins, forming granules called melanosomes.
2. Melanosomes are transported to the tips of the cytoplasmic extensions of the melanocytes. The neighboring keratinocytes absorb and transport the melanosomes toward their nuclei, where they form
a supranuclear cap that absorbs and scatters sunlight, protecting DNA of the living cells from the mutagenic effects of UV radiation.
Melanin Synthesis
86
# Reversed prompt
On melanocyte plus its nearby keratinocytes.
Epidermal-melanin unit
87
# Reversed prompt
Keratinocytes
What cells contain more pigment from melanosomes, keratinocytes or melanocytes?
88
# Reversed prompt
1. Melanin formation
2. Granules containing melanin mature. Mature granules are ellipsoid.
3. Melanin granules are
transported to the tips of
the processes of the
melanocyte. Then taken to the neighboring keratinocytes of the basal and spinous layers.
4. In keratinocytes the melanin granules accumulate near the nucleus as a supranuclear cap shading the DNA against UV radiation.
Melanosome Formation
89
# Reversed prompt
A congenital disorder producing skin hypopigmentation due to a defect in tyrosinase or
some other component of the melanin-producing
pathway.
Albinism
90
# Reversed prompt
```
Melanocytes can normally proliferate in skin to
produce moles (benign melanocytic nevi; singular
is nevus) of various types.
```
Moles (benign melanocytic nevi; singular is nevus)
91
# Reversed prompt
Changes in the size or appearance of moles are
sometimes indicative of dysplasia that can progress
further to malignant melanoma. Malignant
melanocytes often penetrate the basal lamina, enter the dermis, and metastasize into blood and lymphatic vessels.
Malignant melanocytes
92
# Reversed prompt
Made of papillary layer and reticular layer.
Vascular
A layer of mesodermal connective tissue
Dermis
93
# Reversed prompt
More superficial layer of dermis; composed of areolar connective tissue; forms dermal papillae; contains subpapillary vascular plexus.
Papillary layer
94
# Reversed prompt
Thicker layer; Deeper layer of dermis; dense irregular connective tissue surrounding hair follicles, sebaceous glands, sweat glands, nerves, and deep plexus of blood vessels extending into subcutaneous layer.
Reticular layer
95
# Reversed prompt
Not considered part of the integument; deep to dermis; composed of areolar and adipose connective tissue.
Subcutaneous layer
96
# Reversed prompt
Although most of the
protein fibers in dermis
are collagen, there are
also elastic fibers.
Fibers of Dermis
97
# Reversed prompt
Between the papillary and reticular dermal layers
Capillary branches extend
into the dermal papillae and
form a nutritive capillary
network below the epidermis. A deep plexus
with larger blood and
lymphatic vessels lies near
the interface of the dermis
and the subcutaneous
layer
Subpapillary plexus
98
# Reversed prompt
Nutrients for epidermal keratinocytes diffuse into the avascular epidermis from the dermal vasculature through the basement
membrane
Both dermal regions contain a rich network of blood and lymphatic vessels. Nutritive vessels form two major plexuses, microvascular subpapillary plexus and deeper plexus
Dermal vasculature also has a thermoregulatory function.
The dermis is also highly innervated.
Dermis Misc.
99
# Reversed prompt
The subcutaneous layer
consists of loose connective tissue that binds the skin loosely to the subjacent organs, making it possible for
the skin to slide over them.
This layer, also called the
hypodermis or superficial
fascia, contains adipocytes
that vary in number and size.
Its vascular supply promotes rapid uptake of drugs injected here.
Subcutaneous Tissue
100
# Reversed prompt
Unencapsulated receptors:
Merkel cells, free nerve endings, and root hair plexuses
Encapsulated receptors: Meissner corpuscles, lamellated (Pacinian) corpuscles, and Ruffini corpuscles (bulbous corpuscles)
Tactile Sensory Receptors
101
# Reversed prompt
An unencapsulated tactile sensory receptor in the dermis and lower
epidermal layers, which respond primarily to high
and low temperatures, pain, tickle, itching, but also
function as tactile receptors.
Free nerve endings
102
# Reversed prompt
An unencapsulated tactile sensory receptor that are a web of sensory fibers at
the bases of hair follicles in the dermis that detects
hair movement.
Root hair plexuses
103
# Reversed prompt
A type of tactile sensory receptor that are referred to
collectively as low-threshold (or high-sensitivity)
mechanoreceptors because even weak mechanical stimulation of the skin induces them to produce action potentials.
Encapsulated receptors
104
# Reversed prompt
An encapsulated tactile sensory receptor that are formed by a connective tissue capsule that
comprises several lamellae of Schwann cells. They respond to minimal skin depression. Meissner's corpuscles are the most common mechanoreceptors of glabrous (smooth, hairless) skin (e.g., fingertips).
Meissner corpuscles
105
# Reversed prompt
An encapsulated tactile sensory receptor that are large structures found deep in the reticular dermis and hypodermis (subcutaneous tissue). The Pacinian
corpuscle has an onion like capsule, with many obvious layers. They are specialized for sensing coarse touch, pressure (sustained touch), and high frequency vibrations.
Lamellated (Pacinian) corpuscles
106
# Reversed prompt
An encapsulated tactile sensory receptor that are stimulated by stretch or
twisting in the skin. They sense deep touch, grip (long-term touch), and
finger position.
Ruffini corpuscles (bulbous corpuscles)
107
# Reversed prompt
Hairs are elongated keratinized structures
that form within epidermal invaginations, the hair follicles
All skin has at least minimal hair except the glabrous (hairless) skin of the palms, soles, lips, and some regions of genitalia.
Hair
108
# Reversed prompt
Sebaceous glands, eccrine sweat glands, and apocrine sweat glands
Skin Glands
109
# Reversed prompt
Embedded in the dermis over most of the body, except in the thick, glabrous skin of the palms and soles.
Branched acinar glands
Holocrine secretion
Secretes sebum
Sebaceous glands
110
# Reversed prompt
Merocrine
Widely distributed in the skin and are most numerous on the foot soles.
The secretory components and ducts of eccrine sweat
glands are coiled.
Eccrine sweat glands
111
# Reversed prompt
The glands are misnamed: their cells show merocrine, not apocrine, secretion.
Apocrine sweat glands are largely confined to skin of the axillary and perineal regions.
Apocrine sweat glands
112
# Reversed prompt
1. The process begins with blood quickly clotting at the wound site, releasing platelet-derived growth
factors and other substances.
2. Macrophages and neutrophils enter the wound as inflammation begins, and epithelial cells from the
cut edges of the stratum basal migrate beneath and through the blood clot.
3. Under the influence of growth factors and hydrolytic enzymes from
macrophages, fibroblasts proliferate and produce much new collagen to
form “granulation tissue” containing many new, capillaries.
4. The epidermis gradually
reestablishes continuity over the wound site, but excessive collagen
usually remains in the dermis as scar tissue.
Skin repair process
