Module 2B Flashcards
Dual Origins of the Skin
Epidermis(superficial layer) –develops from surface ectoderm
Dermis(deep layer) –develops from the underlying mesenchyme
Initially, the embryo is covered by a single layer of ectodermal cells. In the beginning of the second month, this epithelium divides, and a layer of flattened cells,__, is laid down on the surface.
the periderm, or epitrichium
With further proliferation of cells in the basal layer during the second month, a third, ___ is formed
intermediate zone
Finally, at the end of the fourth month, the epidermis acquires its definitive arrangement, and four layers can be distinguished, namely:
BASAL LAYER, OR GERMINATIVE LAYER - is responsible for production of new cells. This layer later forms ridges and hollows, which are reflected on the surface of the skin in the fingerprint.
SPINOUS LAYER - consists of large polyhedral cells containing fine tonofibrils.
GRANULAR LAYER - contains small keratohyalin granules in its cells.
HORNY LAYER - forming the tough scalelike surface of the epidermis, is made up of closely packed dead cells containing keratin.
True or False
Cells of the periderm are usually cast off during the second part of intrauterine life and can be found in the amniotic fluid
True
During the first 3 months of development, the epidermis
is invaded by cells arising from the neural crest. These cells synthesize melanin pigment in __
melanosomes
Dermis is derived from mesenchyme that has three sources:
- Lateral plate mesoderm - supplying cells for dermis in the limbs and body wall
- Paraxial mesoderm - supplying cells for dermis in the back
- Neural crest cells - supplying cells for dermis in the face and neck
During the third and fourth months, the corium forms many irregular papillary structures called __ which contain a capillary and sensory nerve organ
dermal papillae
- a deeper layer of the dermis which contains a large amount of fatty tissue
Subcorium
- a whitish paste formed by secretion from sebaceous glands and degenerated epidermal cells and hairs
- it protects the skin against the macerating action of amniotic fluid
vernix caseosa
Hairs begin development as solid epidermal proliferations from the germinative layer that penetrates the underlying dermis. At their terminal ends, ___ invaginate.
hair buds
- are rapidly filled with mesoderm in which vessels and nerve endings develop
hair papillae
cells in the center of the hair buds become spindle-shaped and keratinized, forming the hair shaft, while peripheral cells become cuboidal, giving rise to the __
epithelial hair sheath
The ___ is formed by the surrounding mesenchyme. A small smooth muscle (arrector pili), also derived from mesenchyme, is usually attached to the dermal root sheath.
dermal root sheath
Continuous proliferation of epithelial cells at the base of the
shaft pushes the hair upward, and by the end of the third month, the first hairs appear on the surface in the region of the __.
eyebrow and upper lip
The first hair that appears, __, is shed at about the time of birth and is later replaced by coarser hairs arising from new hair follicles.
lanugo hair
Cells from small bud at epithelial wall of hair follicle form the __
sebaceous glands
Cells from the central region of the gland degenerate, forming a fat-like substance __ secreted into the hair
follicle, and from there, it reaches the skin.
sebum
Two types of Sweat Glands
- Eccrine - Buds from germinative layer of the epidermis
2. Apocrine - From same epidermal buds that produce hair follicles
Sweat glands and mammary glands develop from __
epidermal proliferations
Mammary glands are modified sweat glands and first appear as bilateral bands of thickened epidermis called __
mammary lines or mammary ridges
Development of Nails
- Ectodermal thickening in the dorsum of digits
- Nail fields, surrounded by nail folds
- Largest organ
- 15-20%
- Integument, cutaneous covering
Skin
Functions of the Skin
- Protection
- Excretion
- Sensory
- Thermoregulation
- Metabolic
- Sexual signaling
the skin is composed of:
epidermis - an epithelial layer of ectodermal origin
dermis - a layer of mesodermal connective tissue
At the irregular junction between the dermis and epidermis, projections called __ interdigitate with invaginating epidermal ridges to strengthen adhesion of the two layers.
dermal papillae
Beneath the dermis lies the ___ a loose connective tissue layer usually containing pads of adipocytes.
subcutaneous tissue or hypodermis
- consists mainly of a stratified squamous keratinized
epithelium composed of cells called keratinocytes. - forms the major distinction between thick skin and thin skin
- Germinal basal layer mitosis
Epidermis
There are also three much less abundant epidermal cell
types:
pigment-producing melanocytes
antigen-presenting Langerhans cells
tactile epithelial cells called Merkel cells
Rate of mitosis/ Rate of desquamation
15-30 days, 25 to 50 days
epidermis consists of four layers of keratinocytes or five layers in thick skin namely
- Stratum Basale
- Stratum Spinosum
- Stratum granulosum
- Stratum lucidum
- Stratum corneum
- is a single layer of basophilic cuboidal or columnar cells on the basement membrane at the dermal-epidermal junction
- Hemidesmosomes in the basal cell membranes join these cells to the basal lamina, and desmosomes bind the cells of this layer together in their lateral and upper surfaces
- is characterized by intense mitotic activity and contains, along with the deepest part of the next layer, progenitor cells for all the epidermal layers
- basal stem cells for keratinocytes found here
- Nucleus: large; Cytoplasm: basophilic
basal layer (stratum basale)
An important feature of all keratinocytes in the stratum basale is the cytoskeletal __, intermediate filaments about 10 nm in diameter
keratins
- is normally the thickest layer, especially in the epidermal ridges
- Large, cuboidal to polygonal, some flattened cells
- Numerous cytoplasmic prickles bound by desmosomes to adjacent cells
- Central nucleus
- Cytoplasmic basophilia
- Cytokeratin (synthetic fibrillarprotein) aggregates to form tonofibrils (intracellular fibrils)
- Tonofibrils converge upon desmosomes
Stratum spinosum
- 2-3 rows of flattened cells
- Nucleus: central
- Cytoplasm filled with numerous “keratohyalin”, coarse basophilic granules
Stratum granulosum
- found only in thick skin
- consists of a thin, translucent layer of flattened eosinophilic keratinocytes held together by desmosomes
- Nuclei and organelles have been lost, and the cytoplasm consists almost exclusively of packed keratin filaments embedded in an electron-dense matrix
- Few layers of compacted highly refractile eosinophiliccells
- Wavy clear strip
- Cytoplasm contain dense packed filaments in a matrix called “Eleidin”
- Desmosomes are still seen
stratum lucidum
- consists of 15 to 20 layers of squamous, keratinized cells filled with birefringent filamentous keratins. Keratin filaments contain at least six different polypeptides with molecular
- Dead and dying cells
- Flat and cornified cells; anucleated
- Filled with mature keratin
- Squamous plates or scales fused together - Plates are remnants of cells that contain keratin
stratum corneum
- Deeper layers contain cornified cells with desmosomal junctions, orderly pattern of intracellular keratin
- Most superficial layer slough off or “desquamates”
- Desquamation: preceded by disruption of desmososmes and internal structure of cells
stratum corneum
Structural changes in keratinization involve the following:
- Aggregation and arrangement of filaments
- Formation of keratohyaline granules
- Loss of organelles as a result of accumulation of granules
Cells of the Epidermis
Keratinocytes
Melanocytes
Langerhans cells
Merkel cells
- Principal cells/ parenchyma
- Synthesize keratin: a family of polypeptides with 40,000 to 70,000 m.w.
Keratinocytes
- Synthesis and release of the brown pigment “melanin”
- exists in various forms from yellowish brown to black and has a protective function against ultraviolet light
- Located scattered infrequently in the basal layer and junction of dermis
- Round cells with pale-staining cytoplasm
- From cell body –long cytoplasmic processes, run in spaces between keratinocytes of stratum spinosum
- Contain tyrosinase for melanin synthesis
Melanocytes
- antigen-presenting cells (APCs) which are usually most clearly seen in the spinous layer
- represent 2% to 8% of the epidermal cells
- Cytoplasmic processes extend from these dendritic cells between keratinocytes of all the layers, forming a fairly dense network in the epidermis
- bind, process, and present antigens to T lymphocytes in the same manner as immune dendritic cells in other organs
- Birbeck granules: rod-like with regular cross-striations, one end distends in a vesicle (tennis racket)
Langerhans cells
- are sensitive mechanoreceptors essential for light touch sensation
- Joined by desmosomes to keratinocytes of the basal epidermal layer
- resemble the surrounding cells but with few, if any, melanosomes.
- are abundant in highly sensitive skin like that of fingertips
and at the bases of some hair follicles - originate from the same stem cells as keratinocytes
- Presence of dense cored vesicles in the cytoplasm
- Considered paraneuronsinvolved in sensory reception
Merkel Cells
- is the layer of connective tissue that supports the epidermis and binds it to the subcutaneous
tissue (hypodermis) - thickness varies with the region of the body and reaches its maximum of 4 mm on the back
- is very irregular and has many projections (dermal papillae) that interdigitate with projections of the epidermis
dermis
- an important constituent of both zones
- Black against red stained collagen
- Long and thick in reticular, and follow course of collagen fibers
- Very fine, scanty, scarcely stained in papillary
Elastin
Cellular components of Dermis
- Fibroblasts
- Lymphocytes
- Mast cells
- Tissue macrophages
The dermis contains two sublayers with indistinct boundaries
papillary layer
reticular layer
- thin layer which includes the dermal papillae
- consists of loose connective tissue, with types I and III collagen fibers, fibroblasts and scattered mast cells, macrophages, and other leukocytes
- From this layer, anchoring fibrils of type VII collagen insert into the basal lamina, helping to bind the dermis to the epidermis
- Contains venules, Arterioles, Capillary loops, Lymphatics and Fine nerve twigs from Meissner’s corpuscles (tactile)
papillary layer
- is much thicker, consists of dense irregular connective tissue (mainly bundles of type I collagen), with more fibers and fewer cells than the papillary layer
- A network of elastic fibers is also present, providing elasticity to the skin
- between the collagen and elastic fibers are abundant proteoglycans rich in dermatan sulfate
- Blood vessels are larger and deeper
- Cells are mainly fibroblasts and histiocytes
reticular 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
-also called the hypodermis or superficial fascia, contains
adipocytes that vary in number in different body regions
and vary in size according to nutritional state - has extensive vascular supply which promotes rapid
uptake of insulin or drugs injected into this tissue
subcutaneous layer
Skin Appendages
- Hairs
- Sebaceous glands
- Sweat glands
- Nails
- Highly modified keratinized structures
- Produced by hair follicles
- Hair bulb: a terminal expansion of the follicle where hair growth takes place
- Dermal papilla: vascular tissue
- Arrector pili muscle
Hairs
- One or more associated with a hair follicle
- Secrete an oily substance called sebum
- Embedded in the dermis except in areas lacking hairs
- Holocrine
- Mucous secretion
- Closely applied to hair follicles into which they drain
- Lubricates the epidermis and hair.
- Simple branched alveolar glands
Sebaceous glands
Relationship between hair follicle, sebaceous gland, and arrector pili:
- Smooth muscle form arrectorpilimuscle; obliquely placed in relation to epidermis
- Contraction of muscle = erection of hair shaft (and follicle), producing depressions in the skin (orange peel appearance) known as gooseflesh
- Compression of sebaceousglandsaids in emptying glands into hair follicle, oiling the hair shaft
- Sebum (mixture of triglycerides, waxes, squalene, and cholesterol and its esters and remnants of degenerating/dead cells).
- Act as an excretory organ by eliminating metabolic waste products.
- Secrete watery fluid, ammonia, sodium, chloride, urea, and uric acid by merocrine process
- Discharge directly into the skin surface
- Sudoriferous and simple, coiled tubular glands
- Important in thermoregulation
- React by secreting in stressful situations
Sweat glands
- Secretory portions: Single layer of large cuboidal or columnar cells
- Excretory ducts: Two layers of smaller cuboidal cells; Narrower lumen
- Myoepithelial cells:
Between secretory cells and basement membrane
Contraction expels sweat into ducts
Eccrine sweat glands
- Activated by adrenergic nerves; secretion increased by emotional stress.
- Secretory portion
Coiled tubular type
Widely dilated lumen
Low cuboidal cells
Eosinophilic cytoplasm
Apocrine sweat glands
- A highly specialized appendage
- Consists of dense keratinized plate: Nail plate
- Rests on a stratified squamous epithelium: Nail bed
- Proximal end of the nail: Nail root
Nails
Composition of Nails
Nail matrix:underlying nail root; nail growth occurs
Lunula:white crescent shape at base of nail
Nail fold:skin overlying root of nail
Eponychium:highly keratinized free edge
Hyponychium:skin beneath free end of nail
- keratocytes are typically produced and differentiate at accelerated rates, causing at least slight thickening of the epidermal layers and increased keratinization and desquamation
- caused by overactive T lymphocytes that trigger an autoimmune reaction in the skin, which can also lead to inflammation with redness, irritation, itching, and scaling, with a defective skin barrier
psoriasis
- involves skin depigmentation, often only in affected patches, due to the loss or decreased activity of melanocytes
vitiligo
Melanocytes can normally proliferate in skin to produce
__
moles or benign melanocytic nevi
Central nervous system (CNS) is formed in week 3 of development, during which time the neural plate develops. The neural plate, consisting of neuroectoderm, becomes the ____, which gives rise to the brain and spinal cord.
– closure in craniocaudal function
neural tube
Peripheral nervous system (PNS) is derived from three sources:
- NEURAL CREST CELLS
- NEURAL TUBE, which gives rise to all preganglionic autonomic nerves (sympathetic and parasympathetic) and all nerves (-motoneurons and -motoneurons) that innervate skeletal muscles
- MESODERM, which gives rise to the dura mater and to connective tissue investments of peripheral nerve fibers (endoneurium, perineurium, and epineurium)
refers to the formation and closure of the neural tube
Neurulation
The three primary brain vesicles and two associated flexures develop during __
week 4
Three Primary brain vesicles
a. PROSENCEPHALON (FOREBRAIN) is associated with the appearance of the optic vesicles and gives rise to the telencephalon and diencephalon.
b. MESENCEPHALON (MIDBRAIN) remains as the mesencephalon.
c. RHOMBENCEPHALON (HINDBRAIN) GIVES rise to the metencephalon and myelencephalon.
Two Associated Flexures
a. CEPHALIC FLEXURE (MIDBRAIN FLEXURE) is located between the prosencephalon and the rhombencephalon.
b. CERVICAL FLEXURE is located between the rhombencephalon and the future spinal cord
Five secondary brain vesicles become visible in week 6 of development and form various adult derivatives of the brain.
- Telencephalon
- Diencephalon
- Mesencephalon
- Metencephalon
- Myelencephalon
gives rise to the cerebral hemispheres, caudate, and putamen
Telencephalon
gives rise to the epithalamus, subthalamus, thalamus, hypothalamus, mammillary bodies, neurohypophysis, pineal gland, globus pallidus, retina, iris, ciliary body, optic nerve (CN II), optic chiasm, and optic tract
Diencephalon
gives rise to the midbrain
Mesencephalon
gives rise to the pons and cerebellum
Metencephalon
gives rise to the medulla
Myelencephalon
Failure of the anterior neuropore to close results in upper neural tube defects like __
anencephaly
The posterior neuropore closes during week 4 (day 27). Failure of the posterior neuropore to close results in lower NTDs like
spina bifida with myeloschisis
As the neural plate folds, some cells differentiate into ___
neural crest cells
The rostral part of the neural tube becomes the adult __
brain
The caudal part of the neural tube becomes the adult __
spinal cord
- Fast-acting control system
- Responds to internal and external change
- Activates muscles and glands
Nervous system
Functions of the Nervous System
SENSORY INPUT - gathering information
INTEGRATION - To process and interpret sensory input and decide if action is needed
MOTOR OUTPUT - A response to integrated stimuli; The response activates muscles or glands
Functional Classification of the Peripheral Nervous System
Sensory (afferent) division - nerve fibers that carry information to the central nervous system
Motor (efferent) division - nerve fibers that carry impulses away from the central nervous system
Motor (efferent) division: Two subdivisions
Somatic nervous system - voluntary
Autonomic nervous system - involuntary
- Also known as the soma and as the perikaryon
- Trophic (nutritive) and genetic center of a neuron
- The nucleus is spherical, usually large, pale staining, centrally located with a prominent nucleolus.
- It is described to have a “fish eye” appearance.
Cell Body
- The cytoplasm contains Nissl’s granules, which are basophilic, due to the abundance of granular reticulum and ribosomes.
- It also contains mitochondria, centrosomes, neurofibrils and inclusions of glycogen, fat and lipofuschin.
Cell Body
- are usually numerous in number
- Short cytoplasmic processes that are specialized in receiving stimuli
- are found close to the soma.
- divide into branches and their surfaces are covered with minute, tiny spines called gemmules, which serve as sites of synaptic contact
- have Nissl’s bodies, neurofibrils , mitochondria, centrosomes and inclusions.
Dendrites
- Also known as the axis cylinder.
- Usually, there is one axon per neuron.
- It is a long cytoplasmic process that is specialized in conduction of action potentials
- It contains neurofibrils and mitochondria.
- It does not contain Nissl’s substance.
Axon
Regions of Axon
- Axon hillock
- Initial segment
- Axon proper
- Terminal arborization
- Terminal end bulb
- Part of the perikaryon that leads directly into the axonal process
- first portion of the axon
Axon hillock
- Part of the myelinated axon between the apex of the axon hillock and the beginning of the myelin sheath
Initial segment
- Main trunk of the axon, excluding the initial segment
Axon proper
- Also known as telodendroglia
- Make synaptic contact
Terminal arborization
- Also known as terminal bouton
- Contains abundant mitochondria and neurosecretory vesicles.
- Forms part of a synapse, the pre-synaptic membrane
- contacts another neuron or non-nerve cell at a synapse to initiate impilse
Terminal end bulb
regions with concentrated RER and other polysomes appear as clumps of basophilic material called __
chromatophilic substance or Nissl substance, Nissl bodies
Classification of Neurons
- Structure (morphology)
- Function
- Size
- Neurotransmitter released
Types of Neurons According to Morphology
- Multipolar
- Bipolar
- Pseudounipolar
- Unipolar
- More than 2 processes, usually with multiple dendrites and a single axon
- Found in motor neurons of the CNS and peripheral autonomic ganglia
Multipolar
- Has 2 processes, consisting of a single axon and a single dendrite
- Found in the retina, spiral (cochlear) and vestibular ganglia
Bipolar
- Single process close to perikaryon but divides into 2 branches, forming a T shape
- Found in cerebrospinal ganglia or sensory ganglia located in the dorsal root of the spinal cord
Pseudounipolar