intro to derm 1 Flashcards
Describe how the skin acts as an immunological barrier
Langerhans cells:
‘sentinel’ cells
dendritic processes extend through intercellular tight junctions to reach the stratum corneum
without any danger it upregulates Treg
when it recognises PAMPs it upregulates innate and adaptive immune response
Describe what happens to melanin synthesis in the presence of UV light (
1) increased PAR2 in keratinocytes so increased uptake and distribution of melanosomes 2)increased production of MITF and downstream melanogenic proteins (eg pmel 17, MART 1…) to increase melanin content
Describe the blood supply to the skin
- does NOT cross the epidermis
- in vascular plexuses
name the 2 parts of the dermis and compare and contrast
papillary dermis - superfical, vascularised and less dense connective tissue (contains meissener and pacinin corpuscle)
reticular dermis - deep, and more dense connective tissue
What are the functions of the top middle layer and innermost of the stratum corneun
upper layer - absorbs solutes middle layer - absorbs water innermost - mechanical defence barrier (fatty acids and sterols )
Describe the structure and function of desmosomes
FUNCTION: to anchor keratin to the cell membrane AND to form bridges between adjacent cells
DESCRIPTION: keratin is attached to desmoplakin, which is attached on the RHS to plakophalin. To the LHS of desmoplakin is plakogoblin and on top of that is desmogoblin
think cytoskeleton
To what do adherens junctions engage with
actin cytoskeleton
What is a protein involved in regulating the flatenning of keratinocytes
filagrin
Why are the keratinocytes of the stratum corneum ‘brick like’
no organelles nor nuclei cytoskeleton of intermediate keratin filiaments
Describe Meisseners corpuscles
- non myelinated
- encapsulated
- fine touch
- mechanoreceptors
- in superficial dermis
●Most concentrated in thick hairless skin, (finger pads and lips)
●Light Touch (+slow vibration)
●Senses low-frequency stimulation at level of dermal papilla
lamellated capsule
Whats the function of Merkel Cells and where are they
- mechanoreceptors
- in epidermis
- non encapsulated
What are the dermal papillae and why is it significant
where the epidermis produces into the dermis where the neurovascular supply is
What is the predominant cell in the dermis
fibroblast
Embryologically, from where does the dermis originate. Draw a diagram to show this
from mesoderm
what is the purpose of tight junctions
barrier integrity and cell polarity
Describe Merkel cells and their location in detail
●Non-encapsulated mechanoreceptors
●Light / sustained touch, pressure
●Oval-shaped
●Modified epidermal cells
➢Stratum basale, directly above basement membrane
➢Most populous in fingertips
➢Also in palms, soles, oral & genital mucosa
What is the dermis mostly composed of
connective tissue