skin physiology and histology Flashcards

1
Q

what 3 factors make the skin a waterproof barrier?

A
  1. keratin
  2. tight junctions
  3. lipids
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2
Q

what 3 factors make the skin a physical barrier to trauma?

A
  1. tight junctions in keratinocytes to resist frictional forces
  2. stratified epithelium resists abrasive forces
  3. fat in subcutis acts as shock absorber
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3
Q

what are the tissue resident macrophages in skin?

A

langerhans cells

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4
Q

what do langerhans cells do in an immune response?

A

= antigen presenting macrophages

  1. migrate from epidermis to dermis
  2. active a T cell response
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5
Q

what do keratinocytes do in an immune response?

A
  • proliferate

- secrete cytokines

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6
Q

what type of sensation do merkle cells respond to?

A

light touch

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7
Q

what are the 2 types of mechanoreceptors in the dermis? what sensations do they respond to?

A
  1. pacinian corpuscles → pressure/vibration

2. meissner corpuscles → touch

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8
Q

how is the skin an energy store?

A

subcutaneous fat
- acts as an insulator, shock absorber AND energy storer

white adipose connective tissue

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9
Q

how can UV affect skin?

A
  • burns
  • suppress action of langerhans cells
  • damage DNA (skin cancer)
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10
Q

which vitamin is produced and stored in the skin? In which layers?

A

vitamin D

  • produced In the superficial layers of the skin + stored In the deeper layers
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11
Q

How is Vitamin D synthesised?

A

UVB light

cleaves 7-dehydrocholestrol to pre vitamin D3 (cholecalciferol)

Vit D2 from supplements & D3 in diet

hydrolysed in liver into 25-hydroxy vitamin D (ie. calcifediol)

hydrolysed in kidney to 1,25 hydroxy vitamin D (ie. Calcitriol)

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12
Q

how is the skin involved in thermoregulation?

A

The amount of blood flow to the skin determines the degree of heat loss and, therefore, the core body temperature.

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13
Q

how many layers are there of the skin?

A

3

epidermis
dermis
subcutaneous tissue (fat)

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14
Q

what is the epidermis?

A
  • the outer layer of skin

- an epithelial layer resting on a BM made of type 4 collagen

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15
Q

what are the 4 layers of the epidermis?

A
  1. stratum corneum (outermost)
  2. stratum lucidum
  3. stratum granulosum
  4. stratum spinousum
  5. stratum basale (innermost)
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16
Q

what are the epidermal adnexae?

A
  • they are specialised down growths of the epidermis into the dermis
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17
Q

give 4 examples of epidermal adnexae structures?

A
  • hair follicles
  • sebaceous glands
  • eccrine sweat glands
  • apocrine sweat glands
18
Q

what are sebaceous glands?

A
  • accompany hair follicles in dermis

- produce sebaceous secretions which lubricate and waterproofs hairs via HOLOCRINE secretion

19
Q

what are eccrine sweat glands?

A
  • most common sweat glands
  • coiled tubes
  • in dermis
20
Q

what are apocrine sweat glands

A
  • specialised sweat glands found in groin, armpits, genitals, anus, external auditory canal (produce ear wax)
21
Q

describe the shape of the demo-epidermal junction?

A
  • ridged
  • has pegs
  • these act as anchors
22
Q

where is the subcutis layer of skin?

A

beneath the dermis

23
Q

where is melanin synthesised?

A

in the melanosomes of melanocyte cells

found in the stratum basale of the epidermis

24
Q

what are melanocytes derived from.?

A

melanocytes are derived from tyrosine

25
what is the role of melanin?
absorbs UV (A&B) + protects from non-ionising radiation
26
what is the distinguishing feature of the stratum corneum
acellular
27
what is the distinguishing feature of the stratum granulsoum
where keratin forms flattened squames
28
what is the distinguishing feature of the stratum spinosum?
has keratinocytes
29
what is the distinguishing feature of the stratum basale?
melanocytes and stem cells so cell growth only in this layer
30
when is more melanin produced?
when exposed to more UVB ie. tanning
31
what is the purpose of the dermis layer? what is it made of ?
- made of gland and connective tissue (thick and elastic) | - allows for strength and flexibility
32
what are the 2 different pigments produced by melanocytes?
black eumelanin red pheomelanin
33
what hormones are produced by skin?
IGF1 (insulin like growth factor) vit D3 (actually a hormone)
34
define emollients
trap moisture in skin allowing tit to rebuild
35
define humectants
- trap moisture and maintain low pH
36
how is acne caused?
Hypercornification of skin: this blocks the hair follicle entrance (ie. over build up of dead cells ) therefore the sebum (oily substance produced by the sebaceous glands ) gets trapped in the narrow hair cells bacteria multiply in anaerobic conditions cause irritation, inflammation and attract neutrophils
37
what cells make up the skin barrier on the stratum corneum?
corneocytes - dead/termianted keratinocytes
38
what are 3 components that make up the skin barrier?
1. lipid lamellae - water barrier the tallows cells to swell 2. NMF within corneocytes maintains low pH and regulates in/out of cell (water/allergens) 3. corneodesmosomes - link corneocytes together
39
what protein forms NMF?
profilaggrin to fillagrin reaction produces NMF
40
what is desquamation?
when your skin peels as a result of shedding corneocytes
41
why does desquamation happen?
degrading proteases break down the corneodesmosomes that hold the corneocytes together barrier breaks down cells shed
42
how is desquamation prevented?
proteases inhibitors are used to prevent degrading proteases from breaking down the barrier only work at low pH therefore important that pH5/5.5 is maintained by NMF