Structure and function of the skin Flashcards

1
Q

What system is the skin part of?

A

• Integument or Integumentary system

Skin, Hair and Nails

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2
Q

How much of the body does the integumentary system comprise of?

A

Largest and heaviest organ of the body - ~15% of adult body weight

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3
Q

What other features of the human body does the skin encompass?

A

Hair, skin glands, nails and sensory receptors.

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4
Q

What are the functions of the skin?

A
Barrier (protection) against:
•	Dehydration
•	Infection
•	Injury/abrasion
•	Solar radiation
  • Thermoregulation
  • Sensation
  • Repair
  • Vitamin D production
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5
Q

What are the 3 layers of the skin?

A
  1. Epidermis = outer epithelial layer - thin outermst layer
  2. Dermis = Middle connective tissue/collagen layer - nerves and blood vessels
  3. Hypodermis = Inner fatty layer and connective tissue
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6
Q

What are the roles of the epidermis?

A
•	Gives skin its colour
•	Protection from 
 	Pathogens
 	Environment
•	Vitamin D production
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7
Q

What cell type is prominent in the epidermis?

A

Keratinocytes - flat pancake-shaped cells that are named for the keratin -producing capabilities.

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8
Q

What are the 5 main layers of the epidermis?

A

Cornified layer [C] (Stratum corneum)
• The outer protective layer of the epidermis.
• Cell are keratinised (cornified) – cytoplasm full of “horny” keratin (from keratohyalin granules), thus tough and resistant to injury.
• Cells are flattened and have lost their nuclei…
• Nonpolar lipids (waterproof) are between the cells – from lamellar bodies.

• STRATUM LUCIDIUM (Clear layer) [only in thick skin e.g. palms and soles of feet]

Granular layer [G] (Stratum granulosum)
• 1-4 layers of cells containing prominent granules of “keratohyalin” – precursor of the protein keratin. Also contain lamellar bodies containing lipids (seen by TEM). Cells are differentiating to form the outermost layer.
• Stratum Granulosum - Keratinocytes in this layer begin the process of keratinization, which is the process where the keratinocytes flatten out and die, and in the process they create the epidermal skin barrier. To do this, keratinocytes in the stratum granulosum layer produce large amounts of keratin precursor proteins and glycolipid which remain within granules called keratohyalin granules and lamellar granules, respectively. Keratohyalin granules eventually start to aggregate and cross-link forming enormous bundles of keratin within the keratinocyte. Lamellar granules, on the other hand, get secreted and stick to the outer cell surface. It forms a sort of cement between the cells, making them more resistant to external forces and water loss.

Spiny layer [S] (Stratum spinosum)
• Cells (keratinocytes) have many desmosomes, (junctions) here visible as “spines” between the cells. Strong bonds holding the epidermis together.

Basal layer [B] (Stratum basale)
• First single layer, containing stem cells, and attached to dermis.
• Stem cells constantly proliferate.
• Dynamic - Daughter cells constantly move “up” (distally) through the epidermis, differentiating as they go, until they are shed from the outer surface. This takes ~20-50 days.

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9
Q

Give some examples of other epidermal cell types

A
  • Melanocytes (Pigment)
  • Langerhans cells (defense)
  • Merkel cells (sensation)
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10
Q

What forms do melanocytes take and what do they synthesize?

Where are they mainly found?

How do keratinocytes arrange melanin?

What is the function of melanocytes?

A

Synthesizes melanosomes (pigment granules) and transfers them to basal keratinocytes through long dendrites.

Basal layer

Keratinocytes arrange melanin pigment in a cap distal to the nucleus (sunny side)

UV protection

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11
Q

What other cell types are found in the basal layer?

A

Merkel cells - pressure sensors

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12
Q

What is the function of Langerhans cells and describe their structure

How do they appear when stained with H&E?

A

Function: Immune system. Seeks and deals with invading microbes.

Antigen-presenting cells (like macrophages).

They are dendritic cells, forming a network – seen here with immunoperoxidase staining.
H&E appearance: Small, pale cells in non-basal layers of epidermis. Hard to see with H&E only.

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13
Q

Where is vitamin D produced?

What does it require in order to be produced?

A
  • Vitamin D3, made in the epidermis.
  • Mostly basal cells, also stratum spinosum.
  • Requires UV light.
  • Requires more UV light in dark skin (melanin barrier).
  • Converted to active form in liver and kidney: 1,25 dihydroxyvitamin D3.
  • Vitamin D3 (cholecalciferol) is synthesized in the skin by the reaction of 7-dehydrocholesterol with UVB radiation, present in sunlight with an UV index of three or more.
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14
Q

What are the 2 roles of the dermis?

What does it contain?

How many layers has the dermis got?

A
  • Tensile strength & elasticity
  • Blood vessels, skin glands & sensory receptors

2

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15
Q

Describe the structure of the dermis

What is the most prominent cell type?

What gives the dermis high tensile strength and elasticity?

What runs in the dermis?

A

Made up of layers of connective tissue characterized by interconnected mesh of elastin and collagen fibres, produced by dermal fibroblasts.
Fibroblasts are the principal cell of the dermis.

Functions: Collagen provides tensile strength, (strength when pulled), hence protection against abrasion and impact.

Also contains elastin, a protein complex that provides elasticity.

Dermis also carries blood and nerve supply for epidermis. Rich in blood vessels, sensory receptors and skin glands.

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16
Q

Why is the dermal-epidermal layer wavy?

A

The dermal-epidermal border is often wavy, to resist shear forces (rubbing sideways).

17
Q

What are dermal papilla and rete ridges?

A
  • Dermal papillae – Finger-like protrusions of dermal connective tissue into the epidermal layer.
  • Rete ridges – Extensions of epidermis into the dermal layer
  • More apparent in thick skin of hands = fingerprints, as well as feet
18
Q

Have a look at the dermis under a microscope

A

On image

19
Q

What does the Verhoeff - van Gieson (VVG) stain identify?

A

shows the collagen fibres in red,
• …and elastin fibres in black. These are stretchy and give skin its elasticity.

  • Verhoeff (black) – elastin
  • Van Gieson (red) counterstain - collagen
20
Q

What are the functions of the hypodermis?

What does it attach?

A
  • Helps insulate deeper tissue.

* Anchors skin to the muscle with connective tissue.

21
Q

What is the hypodermis made up of?

A

• Fascia, or subcutis
(Cutis = epidermis + dermis)
• Made up of well-vascularized, loose, areolar connective tissue and adipose tissue, which functions as a mode of fat storage and provides insulation and cushioning for the integument.

22
Q

Describe the function (1) and composition (2) of the hypodermis

A
  • Composed of fat, containing glands, hair follicles, nerves, blood vessels.
  • Often the thickest layer of skin. Thickness varies with age, body site, nutrition etc.
  • Function: provides insulation, cushioning and energy storage.
  • Where you put a hypodermic needle, for a subcutaneous injection.
23
Q

Where is hair found and describe its structure

A
  • Found on nearly every part of skin except the palms, soles and lips.
  • Every strand of hair is composed of the shaft, root, and bulb that sits in a pouch like structure called the hair follicle.
  • The hair follicle is epidermal tissue that dips down into the dermis, and interacts with other structures like apocrine glands, sebaceous glands, the arrector pili muscle, and nerve receptors.
24
Q

What cells types are found in the bulb?

What do keratinocytes form?

Describe the replication of follicular keratinocytes

Why does hair turn white?

A
  • Bulb contains the hair matrix – active site of hair growth and pigmentation.
  • It contains two different cell types – follicular keratinocytes and melanocytes. Follicular keratinocytes produce hard keratin = hair.
  • Keratinocytes filled with hard keratin flatten out and are slowly pushed up the follicle - resulting in root and shaft formation.
  • Follicular keratinocytes at the bulb of the hair replicate only a set number of times, after which the hair follicle stops growing and falls out, which leads to baldness.
  • Over time these melanocytes stop producing melanin, which is why hair turns white as people age.
  • (soft keratin is produced by epidermal keratinocytes in the skin).
  • During keratinization, the hard keratin fills up the entire cell, causing the organelles to flatten out. Eventually, these follicular keratinocytes die - turning into compact little brick-like cells as they slowly get pushed further and further up into the hair follicle. As this process continues different parts of the hair strand are made including the hair root and hair shaft that projects from the surface of skin.
25
Q

What does sebum do and what gland is secreted from?

A

Sebaceeous gland

Secrete oily sebum (“lanolin”) into hair follicle. Conditioner for hair and skin, prevents dryness and flaking. Only present after puberty.

26
Q

What are the 2 types of sweat glands?

A

Eccrine and Apocrine

27
Q

What is the nail fold?

What is the Eponychium?

What is the nail matrix?

A

Nail folds → where the skin seals of the edges of the nail

Eponychium → Proximal skin fold that gives rise to the cuticle, a semi-circular layer of dead skin keratinocytes that covers the junction where the nail enters the skin, preventing the entry of pathogens.

Nail matrix → creates the nail plate, which is the hard part of nail we can see as well as the free edge that hangs over the skin.
Special epidermal tissue that contains nerves, lymphatics, and blood vessels that support the nail.

28
Q

What does the nail matrix contain?

A

Contains modified keratinocytes that replicate and undergo the process of keratinisation. The youngest keratinocytes are in the nail matrix, and older cells keratinize, and form the nail plate

29
Q

What are the types of endings in sensory receptors?

A

Free nerve endings → nociception, thermal sensation, light touch
2. Encapsulated endings
• Pacinian corpuscles (rapidly adapting) → vibration or brief touch
• Merkel’s discs (slowly adapting) → sustained touch/pressure e.g. skin indentation
• Meissner’s corpuscles (rapidly adapting) → moving touch or vibration
• Ruffini endings (slowly adapting) → steady pressure
• Root hair plexus (rapidly adapting) → hair displacement
• Krause end bulbs → touch/pressure, possibly thermoreceptors.

30
Q

Read through the main skin functions

A

On image