Structure and Function of the Skin Flashcards

1
Q

What are the three layers that form the skin?

A

+ Epidermis
+ Dermis
+ Hypodermis

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2
Q

Describe the epidermis

A

+ Avascular epithelium
+ Undergoes proliferation
+ Synthesises keratin

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3
Q

Describe the dermis

A

+ Vascular, tough
+ Contains blood vessels, lymphatics and cutaneous nerves
+ Collagen and elastic fibres not replaced with age

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4
Q

Describe the hypodermis

A

+ Superficial fascia, varies in thickness
+ Contains blood vessels, lymphatics and cutaneous nerves
+ Contains adipose tissue
+ Contains skin ligaments, loose skin or taut skin implication in scarring and inscisions

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5
Q

What are the multiple functions of skin?

A

+ Temp. regulation

+ Metabolic function

+ Internal homeostasis

+ Protection

+ Psycho-social signals

+ Sensation

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6
Q

What are the 5 layers that form epithelium only found in thick skin areas around body (palms, soles)

A

+ S. Corneum: waterproof cell ghosts

+ S. Lucidum: specialised cell death programme

+ S. Granulosum: keratohyaline granules, keratin aggregation

+ S. Spinosum: IF (keratin) linkage via desmosomes

+ S. Basale: cell division (stem cells)

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7
Q

Describe features of stratum basale

A

+ Hemidesmosomes (junctions) anchor basal cells to the basal lamina

+ Dermis is anchored to basal lamina by Collagen VII (binds epidermis to dermis)

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8
Q

What is it called when Collagen VII can be mutated into forming blisters?

A

Dystrophic epidermolysis bullosa

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9
Q

Describe features of stratum spinosum

A

+ Intermediate filaments (keratin) K1/K10 expressed

+ Linked from cell to cell by desmosomes

+ Hemisdesmosomes also link basal cells with basement membrane

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10
Q

What does filaggrin in keratohyaline granules do?

A

Aids cornification

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11
Q

What is the role of filaggrin and its precursor profilaggrin in the S. granulosum?

A

+ Filaggrin and its precursor profilaggrin maintain the optimal skin barrier

+ Main component of keratohyaline granules in S. granulosum

+ Aids keratin filament aggregation

+ Inhibits water loss (filagrin cleaved into amino acids which aid in maintaining moisture)

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12
Q

What is there to know about mutations associated with filaggrin and keratinisation?

A

+ The most common cause of keratinisation orders; icythyosis vulgaris

+ Cause filaggrin expression and exzema. Implicated in eczema (found in 50% of severe cases)

+ Null mutations associated with asthma

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13
Q

Where are melanocytes found and what do they synthesise and release?

A

+ In the basal layer of the epidermis

+ Synthesise and release brown pigment called melanin

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14
Q

What are some features of melanin?

A

+ Amount varies between different races and individuals

+ Absorbs UV-B and prevents DNA damage to the underlying cells of the hypodermis

+ Lower incidence of skin cancer in individuals with more melanin

+ Melanoma is the tumour of these cells and is caused by exposure to UV radiation

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15
Q

What are some features of melanocytes?

A

+ Derived from neural crest cells that originate near the developing nervous system and spread into the embryo (become mesodermal by nature)

+ Synthesise specialised lysosomes that undergo exocytosis (contain pigment “melanosomes”)

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16
Q

Where do “melanosomes” go?

A

Transferred to keratinocytes

17
Q

What are features of Langerhans cells?

A

+ Derived from monocytes
+ Macrophage-like
+ Dendritic in form
+ Mostly in stratum spinosum
+ Capture, process and present antigens
+ Activated in skin but migrate to lymph nodes
+ Express Langerin which helps degrade viruses such as HIV in specialised endosomes called Birbeck granules

18
Q

Describe features of the dermis

A

+ Dermo-epidermal junction

  • complex to prevent shearing
  • papillae flatten with age, skin becomes more vulnerable

+ Papillary dermis
- comprises of fine collagen and elastin fibres, small blood vessels and nerves

+ Reticular dermis
- comprises coarser collagen and elastic fibres, larger blood vessels and nerves

19
Q

Describe features of the hypodermis

A

+ Consists of loose connective and adipose tissue which varies in thickness in different parts of the body

+ It supports:

  • deepest part of hair follicles
  • eccrine and apocrine glands

+ Vascular: superficial blood vessels and lymphatics

+ Cutaneous nerves

+ Skin ligaments determine the mobility of skin implicated in scarring and incisions

+ Responsible for vitamin D production

20
Q

Describe features of eccrine sweat glands

A

+ Simple, coiled, tubular
+ Secrete a water fluid via a duct which opens onto the surface of the skin
+ Controlled by sympathetic nervous system important in thermoregulation, also response to fear (fight/flight response)

21
Q

Describe features of apocrine sweat glands

A

+ Found in the axillae and genital region
+ Open into the hair follicles
+ Secrete a milky secretion containing pheromones

22
Q

Describe the features of hair follicles

A

+ Cylindrical, epithelial structures anchored in hypodermis

+ Hair shaft grows from bulb

+ Hair shaft composed of keratin

+ Follicle shaft associated with sebaceous glands that open into the follicle

+ Secrete sebum to lubricate the hair and adjacent skin

23
Q

What is the function of arrector pili?

A

+ Contraction of smooth muscle (attached to papillary dermis and sheath of the follicle) pulls the hair upright (goosebumps)

+ Controlled by sympathetiv nervous system

24
Q

What does the pilosebaceous unit consist of?

A

+ Hair follicle
+ Sebaceous glands
+ Hair shaft
+ Arrector pili

25
Q

Mammary glands…

A

+ Modified apocrine sweat glands

+ Lactation under hormonal control

26
Q

Nails…

A

+ Nail plate formed from keratin rests on the nail bed

+ Growth occurs from the nail root which passes deep into the dermis

27
Q

Teeth…

A

+ Enamel of the teeth develops from the epithelium, dentine, pulp
+ Periodontal membrane is mesodermal - fibrous join between the teeth and the skull

28
Q

Sensory receptors for pain?

A

Nociceptors: fire when tissues are being damaged or are close to being damaged (free nerve endings)

29
Q

Sensory receptors for temperature?

A

Separate receptors for cold and heat (free nerve endings0

30
Q

Sensory receptors for touch?

A

+ Meissner’s corpuscles (just beneath the epidermis)

+ Fine touch Merkel cells (Stratum basale)

31
Q

Sensory receptors pressure?

A

Pacinian corpuscles (dermis)

32
Q

Sensory receptors for vibration?

A

+ Meissner’s corpuscles

+ Pacinian corpuscles