Week 1 Flashcards
=What are the three main functions of skin and examples?
What is peripheral circulation?
Transport of blood around the body allowing the exchange of nutrients in tissues
Label this diagram:
What is the function of the arrector pili?
Connected to hair follicle, when contracted causes hair to stand on end creating goosebumps
What is the eccrine gland?
Major sweat gland abundant in palms and soles.
What is the dermal papilla of the hair follicle?
Main source of blood for hair follicle, delivers oxygen/nutrients
What is the hair follicle composed of?
Several layers of epithelial cells
Four layers of the epidermis?
Stratum basale, spinosum, granulosum and corneum.
What is the basement membrane composed of?
Extracellular matrix proteins.
S+F of stratum basale?
Cuboidal, mitotically active stem cells that regenerate other layers of epidermis.
Structure of stratum spinosum?
Layer of keratinocytes rich in desmosomes giving spiny appearance.
S+F of stratum granulosum?
Flattened cells contain keratohyalin granules which aggregate keratin filaments
Structure of stratum corneum?
Flattened cells that have lost their nuclei with keratin and lipids.
Function of lipids in epidermis?
Act as water barrier
Where is stratum lucidum found?
Only in thick skin e.g. soles of feet
How often is skin shed?
1x month
How is each layer of epidermis formed?
Daughter cells from basal layer migrate upwards and differentiate to form each layer
What changes in each layer of epidermis?
Type and amount of keratin produced
How many keratin types are there?
30
What is the structure of the dermis?
Connective tissue, fibroblasts and immune cells
What is connective tissue made up of?
Collagen type I, elastin and ground substance
Function of fibroblasts?
Produce collagen and elastin
What fibres allow stretch and what fibres allow tensile strength?
Stretch: elastin
Tensile: collagen
What are the structures of the two dermal layers?
Papillary: thinner and looser, fine collagen fibres, most blood vessels and nerves
Reticular: thicker stronger fibres
Functions of dermo-epidermal junction?
- attachment of epidermis to dermis
- aligns cells of epidermis
- base for re-epithelialization in wound healing
- barrier function to and from epidermis
Structure and function of subcutis?
Adipose tissue
Energy source, shock absorption, insulation
Function and location of meissner’s corpuscles?
Mechanoreceptors for touch, papillary dermis of hands and feet
Function and location of Pacinian corpuscles?
Detect deep pressure and vibration, subcutis
What are adnexal structures?
Hair, nails, glands
What are eccrine glands, location?
Sweat glands, everywhere except nails/lips
What are apocrine glands, location?
Scent glands, axillae and genitals
What are sebaceous glands, location?
Produce sebum, everywhere except palms/soles
What type of epthelium is the epidermis?
Stratified squamous keratinised
Function of keratinocytes?
Protection/barrier against foreign substances, vit D production
Function/location of merkel cell?
Strat basale, sensation
Function/location of langerhans cell?
Epidermis, denditic cell (antigen presentation/phagocytosis)
How do langerhans cell long processes aid function?
Help detect foreign antigens
Function of melanocyte?
Protects from radiation
Results of chronic UV exposure?
Loss of skin elasticity/fragility
Abnormal pigmentation
Wrinkles
How does melanocytes work with keratinocytes to protect cells from UV damage?
Melanin is transferred into keratinocytes via cytoplasmic processes and protects nucleus from UV damafe
What are three keratohyalin granules?
Profillagrin, involucrin, loricrin
Function of profilaggrin?
Converted to filaggrin which aggregates keratin into tight bundles
Function of involucrin?
Forms cell envelope around corneum cells
Function of loricrin?
Cross links to involucrin
Function of lymphocytes?
Immunosurveillance
Function of mast cells?
Produce inflammatory mediators e.g. histamine and chemotactic factors
Which molecules hydrate the dermis?
Proteoglycans, glycosaminoglycans
What is a wound?
Breakdown in protective function of the skin, loss of epithlium continuity with/without loss of underlying connective tissue
What is an erosion injury?
Only epidermis lost
What is an ulceration injury?
Structures deep to epidermis
What is a partial thickness injury?
Epidermis and some dermis
What is a full thickness wound?
Epidermis, dermis and deeper structuresm only wound edge cells left
What cells are involved in wound healing?
Inflammatory cells, keratinocytes are replaced, fibroblasts, endothelial cells for angiogenesis
How long is each phase of wound healing?
Inflammation: 24-48 hrs
Proliferative: 4-21 days
Remodelling: several months
What happens in the inflammatory phase?
Platelets initiate hemostasis/blood clot and healing cascade and attract neutrophils/macrophages to site
Function of neutrophils/macrophages in wound healing?
Phagocytsoe dead tissue and microorganisms
What happens in proliferative phase?
What cells are involved in the proliferative pgase?
Keratinocytes: reepithelialsation
Fibroblasts: ecm formation
Endothelial cells: angiogenesis
2 methods of keratinocyte migration?
What happens in the remodelling phase?
Granulation tissue become mature scar tissue, collagen cross linked to form mature scar, switch from type III to type I collagen
Function of epidermal growth factor signal?
Re-epithelialisation (keratinocyte proliferation and migration)
Function of platelet derived growth factor signal?
Matrix formation (inc number and activiy of fibroblasts)
Function of vascular endothelial growth factor signal?
Angiogenesis (endothelial cell proliferation and migration)
What 3 molecules signal inflammation?
IL-1, IL-6, TNF
Local factors affecting wound healing?
Infection, foreign body, oxygenation, vascular supply
Systemic factors affecting wound healing?
Age, disease, alcohol/smoking, obesity, medication
What is the definition of cells?
Basic structural and functional unit of all living organisms
What are the three points of cell theory?
- all living things are composed of one/more cells
- cells are basic unit of life
- new cells arise from pre-existing cells
What is cytosol?
Intracellular fluid of cytoplasm
What is tissue defined as?
Groups of similar cells working together to carry out common function
What is parenchyma?
Working tissue
What is stroma?
Scaffold and nutritional tissue
What is an organ defined as?
Several tissue types comprised in morphologically recognizable structure performing specific set of functions
What is tissue composed of?
cells +ECM
Four types of tissue and function?
Connective: supports and protects e.g. fat, blood
Epithelial: covers/lines body surfaces
Muscle: cells contract to generate force
Nervous: generate electrical signals in response to environment