Lecture 21: Skin Structure and Function Flashcards
What are the 3 layers of skin?
Epidermis
Dermis
Hypodermis
What are the differences of the dermis in men and women?
Men - hypodermis thickest in abdomen and shoulders
Women - hypodermis thickest in hips, thighs, and buttocks
Both thick in palms of hands
What is the location of the hypodermis?
Lowest layer of skin
What are the 3 kinds of substances that hypodermis contain?
Mainly adipose tissue, neurovascular bundles, lymphatic
What kind of tissue is the hypodermis?
Loose connective tissue
What are the 5 functions of the hypodermis?
- Energy store
- Insulator
- Shock absorber
- Connects skin to underlying muscles and bones
- Makes hormones
What is the location of the dermis?
Between epidermis and hypodermis
What is corium?
Dermis
What is the cutis?
Dermis and epidermis
What are the 2 layers of dermis?
Papillary and reticular
What is the papillary?
Upper layer of dermis
What is the reticular?
Lower layer of dermis
What are the 3 functions of the dermis?
- Thermoregulation by hairs and sweat glands
- Sensory
- Gives structure to skin
What is the location of epidermis?
Outermost layer of epithelial cells (keratinocytes)
How many layers of cells is in the epidermis?
4-5
What are the cells held together laterally by?
Adherens junctions
What are the cells held together vertically by?
Desmosomes
What are the 6 functions of the epidermis?
- Prevent water loss
- Prevent entry to bacteria and parasites
- Special cells that present pathogens to immune cells
- Synthesis of keratin
- Prevents underlying tissue loss due to abrasion
- Allows gaseous exchange
What are the 5 layers of the epidermis?
- Stratum corneum
- Stratum lucidum
- Stratum granulosum
- Stratum spinosum
- Stratum basale
What is the stratum corneum?
Outermost corny or horny layer made of squamous dead keratinocytes
What is the stratum lucidum?
Transparent layer under stratum corneum only on palms and soles of feet
What is the stratum granulosum?
Granular layer
What kind of epithelial cells does the stratum granulosum have?
Stratified squamous epithelium
What are the 2 components of the stratum granulosum?
Lamellar granules (filament-associated proteins that assemble keratin fibrils and secrete it)
Tonofibrils (bundles of keratin filaments and keratohyalin granules)
What is the stratum spinosum?
Spinous layer
What kind of epithelial does the stratum spinosum have?
Cuboidal epithelium arranged in 3 layers held together by desmosomes
What is the function of stratum spinosum?
Produce lamellar bodies (keratohyalin factories)
What is the stratum basale?
Basal cell layer
What kind of epithelial cell does the stratum basale have?
Tall columnar epithelial cells
What are the 3 functions of stratum basale?
Renew keratinocytes by cell division
Keratinocytes make keratin filaments
Melanocytes produce melanin
What are keratinocytes?
Synthesize keratin that contribute to the strength of epidermis
What is the normal transit time of a keratinocytes from basal layer to stratum corneum?
28-40 days
What happens in psoriasis?
Transit time of keratinocytes from basal layer to stratum corneum reduced to 2-3 days, so stratum corneum is produced in abundance as silvery scales
What is hyperkeratosis?
Too much keratin put on the surface of skin especially on hands and feet
What are mature melanosomes?
Contain melanin, transferred to neighboring keratinocytes by pigment, has dendritic processes that phagocytose things
What is the function of melanocytes?
Produce melanin, not increased in number in dark or tanned skin
What is melanin?
Main pigment that gives the skin its color
What is the function of Langerhans cells?
Highly specialized capacity to present antigens to T lymphocytes to mediate immune reactions
What are Merkel cells?
Mechanoreceptor cells associated with sensory nerve endings
What is the function of Merkel cells?
Measure pressure and sensation
What are the 5 steps of keratinocyte differentiation?
- Stratum basale: stem cells divide to replace superficial keratinocytes
- Stratum spinosum: keratinocytes bound by desmosomes, some continue to divide
- Stratum granulosum: keratinocytes stop dividing and produces large amounts of keratin and keratohyalin
- Stratum lucidum: thin layer of keratin
- Stratum corneum: keratinization (formation of layers of cells filled with keratin)
What are the 4 ways to describe skin?
Hairy
Non hairy
Thin
Thick
What are the 2 classifications of skin?
Hairy skin usually thin
Non hairy skin usually thick
What are 3 exceptions to the hairy=thin and non hairy=thick skin?
Lips
Back of ear
Some areas of external genitalia
What are 3 locations of non-hairy thick skin?
Palmar surface of hand
Plantar surface of foot
Webs between fingers and toes
What are 3 characteristics of non hairy thick skin?
Thicker stratum corneum
Thinner dermis
Increase density of mechanoreceptors
What are 3 functions of non hairy thick skin?
- Prevent tissue loss due to abrasion
- Increased friction between skin and surfaces
- Increased sensation
What are 6 main differences between thick and thin skin?
- No hair follicles in thick, hair follicles in thin
- No sebaceous glands in thick, sebaceous glands in thin
- No arrector pili muscles in thick, arrector pili muscles in thin
- Pronounce ridges and furrows on surface in thick, smaller ridges and furrows in thin
- Regular shaped dermal papillae in thick, irregular dermal papillae in thin
- Stratum lucidum often seen in thick, stratum lucidum absent in thin
What are skin appendages?
Skin associated structures that serve a particular function
What are 5 examples of skin appendages?
Hairs Arrector pili Sebaceous glands Sweat glands Nails
What are 3 types of hair?
Lanugo
Vellum
Terminal
What is lanugo hair?
Covers developing fetus
What is vellus hair?
Replaces lanugo at birth
How does vellus hair look and feel like?
Short, thin, light colored and soft
What is terminal hair?
Hair on head, axillae, external genital region
How does terminal hair feel like?
Long, wide, dark colored and coarse
What is terminal hair produced by?
Actions of testosterone
What are the 4 functions of hair?
Thermoregulation
Sexual attraction
Sensation
Protection
What are the 3 ways hair regulate temperature?
Hair lays flat when body temperature is normal or elevated
Hair stands erect when body temperature is lower than normal (arrector pili muscles contracts when stimulated by sympathetic fibres from ANS)
Partial barrier to UV rays
What are the 2 ways hair cause sexual attraction?
Hairstyles can be alluring
Hairs trap pheromones secreted by apocrine sweat glands that attract the opposite sex and accentuate their pungency
How does hair contribute to sensation?
Hairs have sensory nerve endings within the bulb so it can sense air movement, physical interactions and vibrations and transmit them to CNS, providing sensory awareness
What are 4 ways hair protect the body?
Eyelashes and nasal hair prevents dust and pathogens from entering
Eyebrows reduce amount of light and sweat entering eye
Axilla hair acts to conduct sweat away from body
Oily hair aids escape when predation is imminent
What is the structure of arrector pili muscle?
Smooth muscle fibres attached to papillary region of the dermis and hair bulb
What are the 2 functions of arrector pili muscle?
- Contracts when cold or during flight of fight response
2. Induce sebum release from sebaceous gland
What are the 7 locations of mechanoreceptors?
End bulbs Free nerve endings Tactile discs Meissner corpuscle Pacinian corpuscle Ruffini’s corpuscle Root hair plexus
What does the end bulb sense?
It has thermoreceptors that sense temperature
What do free nerve endings sense?
They have nociceptors that sense pain
What are tactile discs?
Vertical dimpling of skin that attaches to basal layer keratinocyte
Meissen discs in hairy and Merkel discs in non hairy
What do tactile discs sense?
Touch, pressure and texture
What does the Meissner corpuscle sense?
Tapping and flicker movements
What does the Pacinian corpuscle sense?
Vibration and pressure
What does the Ruffini’s corpuscle sense?
Joint movements and tissue stretch
What does the root hair plexus sense?
Vibrations in the hair shaft
What is the location of nails?
Distal surfaces of phalanges
What are nails solely consist of?
Alpha keratin
What is the 4 components of a nail?
Nail plate, nail matrix, nail bed and grooves surrounding nail
What are the 4 functions of nails?
- Protection of distal phalanx
- Enhance precise delicate movements through counter pressure exerted on pulp of finger
- Enhance sensitivity of fingertip
- Enabling extended precision grip
What are the 10 functions of skin?
Protection Repair Thermoregulation Excretion of waste Lubricator Storage Vitamin D synthesis Absorption Aesthetics Sensation
What are the 5 cells that protect and repair the skin?
- Keratinocytes - protect epidermis from abrasion
- Melanocytes - protect epidermis from UV
- Langerhans cells - protect epidermis from invasion
- Fibroblasts - wound healing
- Mast cells and macrophages - prevent infection
Which structure in the skin regulates temperature and excretes waste products?
Sweat glands
What waste products does the sweat glands excrete?
Urea, sodium chloride, water and CO2
Which structure in the skin provides lubrication?
Sebaceous glands release oil onto surface
Which structure in the skin stores energy?
Adipocytes
What are 3 things the skin absorb?
Small amounts of water, O2 and drugs