Skin Physiology Flashcards

1
Q

Outline skin receptors from superficial to deep

A

Free nerve endings
Tactile discs
Tactile corpuscles
Lamellar corpuscles
Bulbous corpuscles

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2
Q

Outline free nerve endings

A
  • Mostly unmyelinated small diameter fibres but also some small diameter fibres.
  • Usually small swellings at distal ends = sensory terminals
  • Respond mainly to thermo, nociceptive, chemical, movement/pressure, itch (histamine), stimuli
  • Some wrap around hair follicles (peritrichial endings) which detect bending of hairs
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3
Q

Outline free nerve ending sensory terminals

A

Sensory terminals have receptors that can respond to various nociception, thermal, and chemical stimuli
Some are cation channels (TRPV1 receptors), others are chemically activated H1 (histamine) receptors.
Activation leads to AP in afferent sensory axons, to CNS somatosensory cortex

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4
Q

Outline tactile (merkel) disks

A
  • Free nerve endings located in deepest layers of epidermis
  • Associated with large disc chapped epidermal (merkel) cells
  • Abundant in fingertips, very small receptive field = good 2 point discrimination
  • Sensitive to an objects physical features (find touch and light pressure, texture, shape, edges)
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5
Q

What allows communication between tactile epithelial cells and nerve endings

A

Serotonin 5HT

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6
Q

Outline tactile (meissner) corpuscles

A
  • Located in papillary layer of dermis (especially hairless skin, lipids, eyelids, finger pads, external genitalia, soles of feet)
  • Encapsulated
  • Sense delicate fine or discriminative touch (sensitive to shape and textural changes, movement of objects over the skin). Light pressure, low frequency vibration (2-80 Hertz)
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7
Q

Outline the capsule of tactile (meissner) corpuscles

A

Spiralling/branching unmyelinated sensory terminals surrounded by modified Schwann cells and then by a thin oval fibrous connective tissue capsule (not wrapped around like myelin, only supportive role)
Deformation of capsule triggers entry of Na+ ions into nerve terminal leading to AP

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8
Q

Outline lamellar (pacinian) corpuscles

A
  • Scattered deep in dermis and hypodermis
  • Single dendrite lying within concentric layers of collagen fibres and specialised fibroblasts (layers separated by gelatinous interstitial fluid)
  • Dendrite essentially isolated from stimuli other than deep pressure
  • Deformation of capsule opens pressure sensitive Na+ channels in sensory axon
  • Stimulated by deep pressure when first applied, as well as vibration
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9
Q

Outline how lamellar corpuscles are rapid adapting

A

Inner layers covering axon terminal relax quickly so AP discontinued
Optimal stimulation frequency is around 250Hz

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10
Q

Outline bulbous corpuscles

A
  • Located in dermis and subcutaneous tissue
  • Network nerve endings intertwined with core of collagen fibres surrounding dermis. Capsule surrounds entire section
  • Sensitive to sustained deep pressure and stretching or distortion of skin
  • Important for signalling continuous states of deformation of tissue (heavy prolonged pressure)
  • Also found in join capsules where help signal degree of join rotation (proprioception)
  • May monitor slippage of objects across surface skin = modulate grip
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11
Q

Outline smooth muscle in skin blood flow

A

Smooth muscle in walls of arteries and pre capillary sphincters innervated by the sympathetic nervous system release of noradrenaline/norepinephrine

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12
Q

Outline noradrenaline in terms of skin blood flow

A

Noradrenaline acts on alpha1 adrenergin receptors on vascular smooth muscle in the skin. GPCRs coupled to intracellular 2nd messenger - increased intracellular Ca+ - constriction - reduced skin blood flow. Reduced SNS activation of alpha1 receptors therefore causes relaxation (dilation) of arteries to skin - increased skin blood flow

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13
Q

What are the 4 primary mechanism of heat transfer

A

Radiation
Evaporation
Convection
Conduction

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14
Q

What mechanisms of heat transfer (cooling )do not work when temperature > body temp

A

Radiation, convection, conduction

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15
Q

Outline SNS activation of eccrine sweat glands

A

Innervated by sympathetic nervous system, releasing acetylcholine onto mAChR (G protein coupled receptor)

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16
Q

What causes nervous sweating

A

Some eccrine sweat glands can also be stimulated by adrenaline in blood acting on beta receptors - nervous sweating esp on palms and soles

17
Q

Outline body responses to increased temperature

A

Behavioural changes
Vasodilation, movement of blood to skin surface
Sweat production
Respiratory loss

18
Q

Outline preoptic area of hypothalamus coordinated response to increased body temp

A

Preoptic area SNS activation of alpha1 receptors on skin blood vessels = vasodilation
SNS cholinergic activation of mAChRs on sweat glands = sweating
Increased respiratory rate (evaporation)
Behavioural changes

19
Q

What activates heat gain centre

A

Central thermoreceptors detect temperature below set point which activates the Heat Gain Centre

20
Q

Outline responses to low body temperature coordinated by heart gain centre to increase generation of body head

A

Non shivering thermogenesis
Shivering thermogenesis

21
Q

Outline responses to low body temperature coordinated by heart gain centre to conserve body heat

A

Vasomotor centre decreases blood flow to dermis, thereby reducing losses by radiation and convection.
Concurrent exchange

22
Q

What is concurrent exchange

A

The crossing over of two opposing blood flows - warm blood capillary passes next to cold capillary, warms cold blood.

23
Q

Outline shivering thermogenesis

A

Oscillatory contractions of agonist and antagonist muscle
ATP - ADP + Pi + movement + heat

24
Q

Outline non shivering thermogenesis

A
  • Increase sympathetic nerve activity increases circulating adrenaline/noradrenaline from adrenal medulla
  • Increased cellular metabolism (eg increased glycogenolysis in liver and muscle)
  • ‘uncoupling’ of oxidative phosphorylation i.e heat production instead of ATP (occurs in ‘brown fat’ particularly infants)
25
Q

Outline Thyroxine in terms of heat generating mechanisms

A

Increased thyroxine in response to TRH and TSH. Increases basal metabolic rate (in adults, multi week exposure may be required to reach new thyroxine secretion levels)

26
Q

Outline erector pili muscles

A
  • Smooth muscle innervated by SNS (alpha1 receptor)
  • Attach hair follicle to upper dermis
  • Contraction pulls hair upright = dimples/goosebumps, consequently compressing sebaceous glands = lubricates skin
  • Traps layer of warm air around skin of hairy mammals
27
Q

Why is it important to hydrate an individual with severe burns

A

Inflammatory mediators in burnt tissue = more leaky capillary’s = water leakage/evaporation.
Secondary and tertiary burns loose waterproof layer