w4-L5 intro to dermatology Flashcards

1
Q

how is melanocyte regulated?

A

melanocortin 1 receptor `(MC1R) G protein coupled regulates the quantity and quality of melanin produced

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2
Q

how MC1R is activated?

A

agonist alpha melanocyte stimulating hormone-alphaMSH
agouti signalling protein ASP
ACTH
exposure to UV

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3
Q

mechanism of action of alpha MSH

A

activation of Mc1R by agonist, melanogenic cascade leading to eumelanin

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4
Q

mechanism of action of ASP

A

reverse effects and elicit producition of pheomelanin

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5
Q

mechanism of action of ACTH

A

unregulated the expression of MC1R

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6
Q

mechanism of action of exposure to UV

A

increased expression of transcription factor MITF and downstream melanogenic proteins, increasing melanin content
OR increased PAR2 in keratinocytes increasing uptake and distribution of melanosomes by keratinocytes

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7
Q

structure of skin overview

A
epidermis
basement membrane aka dermal epidermal junction
dermis
connective tissue
subcutaneous fat
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8
Q

epidermis structure

A

composed of keratinocytes
differentiation of layers stratum-spinosum, granulosum, lucidum (palms and soles only) and corneum
take around 30 days

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9
Q

what’s keratinocyte structure and function?

A

actin tubular and intermediate filament-aka keratin

structural properties, cell signalling, wound healing, stress response and apoptosis

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10
Q

function of desmosomes

A

major adhesion complex from keratinocyte to membrane to keratinocyte to keratinocyte
allow ells to withstand trauma

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11
Q

what junction are there between epidermal cells?

A

gap junctions, adheren junction and tight junction

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12
Q

gap junction function

A

Directly form connections between cytoplasm of adjacent keratinocytes
Essential for cell synchronization, cell differentiation, cell growth and metabolic coordination

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13
Q

adhere junction function

A

engage with actin skeleton

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14
Q

tight junction function

A

barrier polarity and integrity

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15
Q

what other type of cells in epidermis and function?

A

melanocyte- distribute melanin pigment to keratinocyte
langerhans cells-antigen presenting
Merkel cells- mechanosensory receptors
mast cells

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16
Q

basement memebrane

A

aka dermal-epidermal junction
contains proteins and glycoproteins such as collagen 4 and 7, laminin and integrin
roles: cell adhesion and migration

17
Q

dermis structure and function

A

papillary dermis-loose CN, vascular and superficial
reticular dermis- deep for bulk of dermis and dense CN
1-proteins: collagen type 1 and 3 and elastic fibres
2-glycoproteins: fibronectin, fibulin, intregrins – facilitate cell adhesion and cell motility
3-ground substance: glycosaminoglycan / proteoglycan
fibroblast primary cells present in the dermis

18
Q

structure of fibroblast

A

normal cell with collagen fibrils

19
Q

features of blood supply

A

does not cross the epidermis