Integumentum Flashcards

1
Q

What constitutes to the integumentary system?

A

the skin (cutis) and its derivatives

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2
Q

How many layers does the skin consist of?

A

2 layers

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3
Q

What are the two main layers of the skin?

A

1) the epidermis
- keratinized stratified squamous epithelium
- grows continuously
- maintains normal thickness by desquamation

2) the dermis
- dense connective tissue
- imparts mechanical support, strength and thickness
- derived from the mesoderm

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4
Q

What is the dermis also called?

A

true skin

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5
Q

What is the epidermis composed of?

A

keratenized stratified squamous epithelium

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6
Q

What is the dermis composed of?

A

dense connective tissue

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7
Q

How does the epidermis maintain its thickness?

A
  • grows continuously
  • process: desquamation
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8
Q

What is the dermis derived from?

A

the mesoderm

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9
Q

What does the dermis contain?

A
  • hair follicles
  • glands
  • sweat glands
  • etc.
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10
Q

What lies below the dermis?

A

the hypodermis

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11
Q

What are the different epidermal derivatives of the skin?

A
  • hair follicles
  • hair
  • sweat (sudoriferous) glands
  • sebaceous glands
  • mammary glands
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12
Q

What is the epidermis composed of? What are the distinct layers?

A

composed of: keratinized stratified squamous epithelium

4 distinct layers:
thick skin= 5 distinct layers (outside to inside):
- stratum corneum (keritinized cells)
- stratum lucidum (limited to thick skin!) (subdivision of stratum corneum)
- stratum granulosum (numeous intensely staining granules)
- stratum spinosum (light microscopic appearance of short process extending from cell to cell)
- stratum basale/stratum germinativum (mitotically active cells= stem cells))

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13
Q

What is the easiest way to indentify the different layers of the epidermis?

A

Look for stratum granulosum: darkest, deepest colour.

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14
Q

What epidermis layer is distinct to thick skin only?

A

stratum lucidum (part of stratum corneum)

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15
Q

State the 4 skin layers from the outside to the inside.

A

stratum corneum
stratum granulosum
stratum spinosum
stratum basale

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16
Q

What is the stratum basale? What is represented by? What does it contain?

A

stratum basale: most deepest layer of the dermis

represented by a single layer of cells laying on the basal lamina

contains:
- stem cells from which new cells (keratinocytes) arise by mitotic division.
- melanocytes in cytoplasm (produce melanin) (5% of cells in spidermis)

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17
Q

Where do all the epidermis layers come from?

A

Stratum basale stem cells divide mitotically generating new cells.

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18
Q

What cells arise from the stratum basale stem cells? how?

A

kerinocytes
by mitotic division

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19
Q

What else, except of stem cells, is present in the stratum basale?

A

melanin:
- transferred from neighbouring melanocytes
- intersperced in statum basale

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20
Q

Where are melanocytes located? What is their structure? What percentage do they make up of the epidermis?

A

location: stratum basale; stratum spinosum (processes)
structure: long processes that extend between keratinocytes into the stratum spinosum
5% of cells in the epidermis

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21
Q

What cells reside in the stratum basale?

A

melanocytes

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22
Q

What is the connection of skin colour to melanin?

A

The greater the melanin number the darker the skin colour.

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23
Q

What does melanin do?

A

Keeps all dividing cells protected (shields their nucleus= shielfing their genetic material).

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24
Q

What do the long processes of melanocytes extend into?

A

into stratum spinosum through the keratinocytes

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25
What do melanocytes synthesize? Where?
synthesize **melanin** pigment in *melanosomes*
26
What happens during the process of **pigment donation**?
*melanocytes* **transfer melanin** in melanosomes into adjacent *keratinocytes*.
27
What is the process called when melanin is transferred? In what is it transferred? From what cells? To what cells?
process name: **pigment donation** from: *melanocytes* in: *melanosomes* to: *keratinocytes*
28
How does melanin enter epidermis cells?
1) Melanocyte processes (containing melanin pigment) fit between different keratinocytes. 2) Melanin donation occurs: some cytoplasm parts of the membrane detach from the melanocyte and enters the keratinocyte. 3) The melanin cell part moved throughout the epiermis cell. 4) The melanin cell membrane ruptures, releasing melanin granules into the keratinocyte. 5) Melanin granules create a c-shape/moon shape circle around the keratinocyte nucleus, protecting the nucleus from UV light.
29
How does melanin protect keratinocytes from UV?
- **absorbs** UV light - **refracts** UV light
30
What does UV light also influence?
the genetic material of viruses and bacteria
31
Why can't viruses and bacteria survive in the outside environment for a long time?
They are not protected from UV light by melanin granules. UV light damages their genetic material, causing them to degrade.
32
What is the function of melanin? What happens with it after pigment donation?
- **accumulates above nuclei** of **keratinocytes** - function: **protects nuclear DNA** from *UV radiation* and *damage*
33
What is the thickness of stratum spinosum?
at least several cells thick
34
State the differences in keratinocyte shape of the different epidermal layers.
Stratum basale cells are cuboidal in shape, and then all otehr layers progressively get more flat.
35
What is the reason for the name 'stratum spinosum'?
keratinocytes in stratum spinosum have *spine-like cytoplasmic processes*.
36
What is stratum spinosum composed of? State the structure of these cells.
keratinocytes - larger than stratum basale keratinocytes - have cytoplasmic processes (spines) | not flat, not round, much flatter!
37
What happens as cells mature in the stratum spinosum?
- mature and **move** to the **surface** - **increase** in size - become **flattened** in a *parallel plane* to the surface
38
Where is the maturing of spinous cells most distinctably seen? Why?
**most superficial** spinous cells - **nuclei elongate** (instead of ovoid they match the *squamous shape* of the cell)
39
What is the stratum granulosum? What is its thickness?
- **most superficial** layer of the *non-karatinized epidermis* - **1-3 cells** thick
40
Why is the stratum granulosum epidermal layer much darker than the other layers.
Most of the cells inner volume in occupied by keratohyalin granules.
41
Where do keratohyalin granules begin to form?
stratum spinosum
42
What do keratohyalin granules do?
Bind together all of the keratin fillaments (present in all cells), later accumulating them through the protein **filaggrin**. - important for stratum corneum (cells mostly filled by keratin)
43
What cells is the startum granulosum made up of? What is special about them?
keratinocytes - contain numerous keratohyalin granules
44
What do keratohyalin granules contain? What contains these granules?
keratinocytes in the **stratum granulosum** contain keratohyalin granules. keratohyalin granules contain **precursor proteins of *filaggrin*** (aggregates keratin filaments)
45
What does the precursor protein of fillagrin do? What contains the presursor?
- **aggregate with keratin fillaments** (presnt in the startum corneum cornified cells), - keratinocytes in the stratum granulosum contain **keratohyalin granules**
46
State the shape and size of keratohyalin granules. Where are they located?
in keratinocytes of **stratum granulosum** - **irregular** shape and size
47
Where are there more epidermis layers present? Why?
Parts of the skin which are exposed to more mechanical stress, eg. hands, feet. - epidermis must resist the additional strain
48
How many layers can the epidermis reach in thick skin which is subjected to great mechanical stress?
500+ layers
49
What does skin thickness depend on?
- species - individual (eg. occupation) | occupation- farmer, teacher, etc.
50
What are the distinguishable characteristics of thick skin?
- contains 5 epidermis layers - has more individual layers (lines) - does not have hair!
51
What are the distinguishable characteristics of thin skin?
- contains 4 epidermis layers (does not contain *stratum lucidum*) - has less individual layers (100-200 cell lines) - has hair!
52
What is stratum lucidum? What is it a subdivision of? Where is it seen?
- subdivision of **stratum corneum** - seen in **thick skin**
53
What is the structure of stratum lucidum in the light microscope?
refractile appearance stains poorly
54
What does the refractile layer of stratum lucidum contain? What process is advanced in such cells? How is it advanced?
- **eosinophilic cells** - **advanced keratinization** process (nucleus and cytoplasmic organelles become disrupted and dissapear as the cell fills with keratin)
55
What is hairless skin referred to as?
thick skin
56
Where does skin posses a thinner epidermis?
thin skin (with hair)
57
What cells make up stratum corneum? What are they filled with?
- **most differenciated** cells in the skin - loose nucleus and cytoplasmic organelles - filled almost entirely with **keratin fillaments** - dead cells!
58
What epidermis cell layers are made up of dead cells?
2 layers: - stratum lucidum (thick skin only) - stratum corneum
59
What is the thick plasma membrane of the keratinized stratum corneum cells coated in? From which side? What does it form?
layer of **lipids** coated from the **outside** forms the **water barrier** in the epidermis
60
What is the function of keratin?
- **water resistant** - **protects** from pathogens (thickness and pH) - changes physical environemnt (acidic)
61
What system is the skin a part of? Why?
immune system: - barrier - skin and mucosa protects from 98% of pathogen invasions
62
What is the desquamation process? How rapidly does it occur?
The most outside cells (final cells in the stratum corneum) are constantly detatching. - very rapid: 1000 cells are detatched every centimeter, every hour
63
Why is skin thickness always constant?
amount of cells produced = amount of cells lost (desquamation) balance!
64
Approximately how long does total epidermal turnover take?
47 days
65
What other cells are present in the epidermis? What are their functions? What percentage of the epidermis do they make up?
**Langerhans' Cells** (**dendritic cells**): - 2% - 5% - antigen presenting cells - involved in the signaling of the immune system **Merkel's Cells**: - 6% - 10% - mechanoreceptor
66
What are Langerhans' cells? Another name?
**Dendritic Cells**: - **antigen-presenting** cells - involved in the **signaling** of the **immune system**
67
What function do Merkell's cells have?
mechanoreceptor function
68
Where are Merkel's cells abundant?
- highly sensitive skin - eg. human fingertips
69
What do Merkel's cells do?
make **synaptic contacts** with sensory nerve nerve fibers.
70
What type of light damages genetic material?
UV light
71
How do Merkell cells develop?
unknown
72
What is the function of Merkells cells?
- **unknown** - **mechanoreceptors** (making nervous impulses from mechanical impact and vibrations) - gets most impact such as fingerprints, vibrations etc. - transfers signals into sensory neuron ***dendrites***
73
Are Langerhans cells macrophages? What do they do?
NO! They do not digest everything. - they act as **antigen presenting cells** - if small injuries occur in skin, Langerhans cells protect it from pathogens - **catch and digest** some **pathogens** - **move** into the nearest **lymph node** (ability to migrate) - antigens in lymph nodes **activate** ***B-lymphocytes*** and ***T-lymphocytes*** - lymphocytes travel to the infected area, fighting the infection.
74
What is the dermis composed of?
2 layers: - papillary layer - reticular layer
75
What is the papillary layer of the dermis composed of? Where is it located?
- superficial layer composition: - **loose connective tissue** - extensive plexus of blood - lymphatic vessels - sensory never endings
76
What does the epidermal-dermal junction contain?
**dermal papillae**: - numerous finger-like connective tissue protrusions corresponding to similar epidermal protrusions (**epidermal ridges**)
77
What do dermal papillae contain?
- nerve endings - network of blood capillaries - network of lymphatic capillaries
78
What is the effect of location on the epidermal-dermal junction?
**increased** mechanical **stress**: - **deeper** *epidermal ridges* (thicker epithelium) - **longer** and **denser** **dermal papillae** **more extensive interfereance** between the epidermis and dermis.
79
What does the papillary layer have direct contact with?
the epidermis
80
In easy words, state the epidermal-dermal junction.
epidermis- infoldings dermis- outfoldings
81
What is the reticular layer composed of? What is its location?
- deeper composition: - ***dense irregular* connective tissue** - collagen - elastic fibers - larger blood vessels
82
How does the reticular and papillary layer compare?
reticular layer: - thicker - less cellular papillary layer: - thinner - more cellular
83
What layer lays deeper to the dermis? What is it composed of?
**hypodermis** composition: - *loose connective tissue* - ***adipose tissue*** (special connective tissue: large cell with large lipid droplet and border nucleus) - highly vascular
84
What is the hypodermis a route for? Why?
drug administration - highly vascular - absorbs drugs quickly | drugs in muscle (deeper) = slower absorption (low vascularisation)
85
What is the 'hypodermis'?
connector layer between: - skin (dermis) - muscles
86
Where is hair situated?
in hair follicles (inner skin infolding)
87
What is a hair follicle?
- inner infolding of the skin - invagination of the epidermis in which a hair is formed
88
What is a hair follicle responsible for?
The production and growth of a hair.
89
How many regions are hair follicles divided into? What are they?
4 regions: - infundibulum - isthmus - suprabulb part - hair bulb
90
What region is the infundibulum? Where is it located? What is it part of?
location: - from the surface opening of the **follicle** - to the level of the opening of the **sebaceous gland** part of: - **pilosebaceous canal** (route of sebum discharge)
91
What is the name of the canal present within a hair follicle?
pilosebaceous canal
92
What is the pilosebaceous canal?
route for the discharge of sebum, an oily substance
93
Where is the isthmus positioned?
from: **infundibulum** to: level of the insertion of the **arrector pilli muscle**
94
What does the sebaceous gland open into?
the hair follicle. not the skin directly!
95
Why does hair stand when scared or in cold temperatures?
mechanism to keep body warm - heater air is trapped between the 'standing' hair
96
What is the end part of the hair follicle called?
hair bulb
97
What is the part of the hair called located between the isthmus and the hair bulb?
the suprabulb part
98
What is the follicular bulge? Where is it located? What does it contain?
- protrudes hair follicle near the **insertion of the arrector pilli muscle** - contains ***epidermal stem cells***
99
What is the diameter of the hair follicle like?
inferior segment: nearly uniform base: forms bulb
100
What is the base of the hair bulb invaginated by?
dermal papilla
101
What cells form the hair bulb?
'**hair matrix**' = ***matrix cells*** - surrounding the dermal papilla connective tissue - fused, all layers from the epidermis and dermis layers = matrix
102
What accounts for the growth of hair?
the division and proliferation of **matrix cells**
103
What is the hair matrix? What layer is most important?
a mixture of layers of the epidermis and dermis located at the end of the hair bulb. most important: stratum basale (stem cells)
104
What is the hair shaft surrounded by?
the *epidermal* and *dermal* **root sheath**
105
What is hair?
Elongated filamentous structures projecting from hair follicles.
106
What is hair composed of?
- heavily cross-linked **hard keratins** - consist of 3 layers
107
What are the layers of the hair?
1) cuticle 2) cortex 3) medulla
108
What is the hair medulla? What does it consist of? Where is it present?
- **central part** of the shaft - column of **large, loosely connected *keratinized* cells** containing ***SOFT keratin*** - only present in **thick hair** | highly keratinized cells = non living (similar to stratum corneum)
109
What is made up of soft keratin? What does that mean?
soft keratin= hair medulla - not as well protected as cortex or stratum corneum of the skin
110
What is the hair cortex? What does it consist of? What are their properties? Where is it present?
- largest layer (80% of total hair mass) - located outside the medulla (all hair) - ***cortical* cells** filled with ***HARD* keratin** HARD KERATIN: highly concentrated, more protective properties, more resistant to environmental factors
111
Shortly, state the composition and part function of hair.
1) **Cuticle**: outermost layer protecting the cortex. Hard shingle like layer of overlapping cells, like scales. 2) **Cortex**: provides strength, moisture, colour and texture. 3) **Medulla**: innermost layer, can be absent in fine/blonde hair.
112
What is the hair cuticle? What is it composed of?
- outermost layer of hair - contains several layers of overlapping, ***semitransparent, keratinized*** **squamous cells**
113
What is the function of the cuticle?
- **protects** hair from physical and chemical damage - **determines** hair **porosity**
114
What is the function of the sinus located within the hair follicle? Where is it present?
transport of oxygen and blood to the hair follicle - present only in tactile hair!
115
What are tactile hairs?
receptor hairs responsible for certain actions eg. whiskers to measure distance.
116
What glands are associated with skin? (What do they produce?)
- sebaceous glands (sebum) - apocrine glands - merocrine glands - mammary glands
117
What are sebaceous glands associated with? What do they moisturize?
- hair follicles in the skin - mosturize hair and sometimes skin partially
118
What are apocrine glands? Where are they most active?
- principal animal **sweat** glands - ***coiled tubular* glands** - very active in the **horse**!
119
What are merocrine glands? Where are they located?
- **sweat** glands - ***coiled tubular* glands** located in: - footpad of carnivores - frog of the horse - nasolabial region of ruminants and swine
120
What do secretions of sebaceous and sweat glands do?
- lubricate - moisture - cool the integument
121
What is the difference in the sweat produced by the different glands?
*apocrine gland*: more **solid** sweat (includes parts of cells: proteins) *merocrine gland*: small vesicles in final product, more **watery**
122
Compare the structure of the different sweat glands.
**Both**: - *coiled tubular organs* - secrete sweat **Merocrine gland**: - opens *directly* to the skin surface - most common in apes! **Apocrine gland**: - opens into the *infundibulum* of the hair follicle - most common in all animals (but humans) | apocrine glands open into infundibulum like the sebaceous gland
123
What is a mammary gland? What does it produce? What is it lined by?
type: ***compound tubuloalveolar* gland** produces: milk - *secretory alveoli *are lined by *myoepithelial cells* - myoepithelial cells are lined by ***simple cuboidal epithelium***
124
What are the secretory alveoli of mammary glands lined by?
- *secretory alveoli* are lined by ***myoepithelial cells*** which are lined by ***simple cuboidal epithelium***
125
What cells produce milk in the mammary gland?
simple cuboidal epithelium cells
126
What cells push out the secrete from the mammary glands?
myoepithelial cells
127
How does milk flow in the mammary gland?
alveolus intralobular duct lobular duct lactiferous lobar duct lactiferous sinus (gland sinus) teat sinus papillary duct (teat canal)
128
Where is milk collected in the mammary gland?
lactiferous sinus
129
State the epithelium lining the duct passages of the mammary gland.
transitions from ***simple cuboidal* epithelium** (simple columnar --> stratified columnar) to ***stratified squamous* epithelium**. cannot be stratified cuboidal as it would take too much effort and time for milk to be squeezed through thick layers. stratified squamous- skin like (it has direct contact with the environment (teat))
130
State the types of secretions occuring in the mammary gland. What do they secrete?
*merocrine* secretion: **protein** component of milk *apocrine* secretion: **lipid** component of milk
131
What are glands classified into? What are they made up of? What are mammary glands exceptions?
**active** or **inactive** - made up of the same components (stroma and parenchyma), yet at different ratios. most galnds are active all the time *mammary gland*: only active when an animal has young
132
What is an active gland? What features does it have?
- **parenchyma** takes up most of its volume - **open alveoli**
133
What is an inactive gland? What features does it have?
- **stroma** (loose connective tissue and adipose tissue) takes up most of the volume - **alveoli collapse** | parenchyma is exchanged for stroma