Function of the skin Flashcards

1
Q

What is one of the main functions of the skin?

A

Thermoregulation.

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2
Q

What does the skin do on a hot day?

A

Shunt vessels constrict to push blood to the skin surface so heat can be lost.

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3
Q

What does the skin do on a cold day?

A

Shunt vessels dilate so blood does not go to the surface of the skin and heat loss is reduced.

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4
Q

How is Vitamin D3 produced in the skin?

A

UVB photons convert 7-dehydrocholesterol to pre-vitamin D3 which is then thermally converted to Vitamin D3.

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5
Q

What is the role of Vitamin D3?

A

It regulates the levels of calcium and phosphate, reduces cell proliferation and increases cell differentiation.

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6
Q

What is the physical purpose of the skin?

A

To prevent water loss and to act as a barrier.

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7
Q

What does TEWL stand for?

A

Trans-epidermal water loss.

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8
Q

What is the microbiota on the skin?

A

The wide range of microorganisms that live on the skin.

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9
Q

What are some of the relationships that might exist between the skin and the microbiota?

A

Cmmensal - one of the partners benefits but the other suffers no harm, mutualistic - both partners benefit or pathogenic - causing or capable of causing disease.

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10
Q

Apart from the physical barrier the skin creates, how else does the barrier function of the skin work?

A

There is secretion of sebum and eccrine sweat, enzymatic breakdown of phospholipids to produce free fatty acids, extrusion of H+ in exchange for Na+ by cells in the stratum granulosum and release of acidic metabolic by-products by microorganisms.

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11
Q

What are AMPs and what is their function?

A

Antimicrobial peptides that are produced rapidly in response to invading pathogens that form a major part of the innate immune response.

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12
Q

What is the innate immune response?

A

Non-specific defense responses.

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13
Q

What antimicrobials do keratinocytes produce?

A

Beta-defensin, cathelicidin and lysozyme.

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14
Q

What role do keratinocytes and langerhan’s cells play in the adaptive immune system?

A

They cooperate in the mobilisation and targeting of cells of the adaptive immune system.

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15
Q

What intracellular chemical messages do keratinocytes and Langerhan’s release?

A

Cytokines and chemokines such as interleukins and CC/CXC-chemokine ligands.

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16
Q

Give examples of interleukins.

A

IL-1, IL-6, Tumour Necrosis Factor (TNF)-alpha.

17
Q

Give examples of chemokines.

A

CCL20, CXCLs8.

18
Q

What other role do keratinocytes and Langerhan’s cells have in the adaptive immune system?

A

Dynamic adjustment of tight junctions that allows Langerhan’s cells to sample antigens in the stratum corneum.

19
Q

What does the rapid activation of the innate immunity lead to?

A

Delayed activation of adaptive immunity.

20
Q

What is epidermal homeostasis?

A

The constant regeneration of skin cells.

21
Q

Where are stem cells located in the human epidermis?

A

In specialised niches within the inter-follicular epidermis and bulge regions of the hair follicle.

22
Q

What happens in eczema or atopic dermatitis?

A

The homeostasis of the skin is not maintained, the skin increases peeling (desquamation) and the barrier is weakened.

23
Q

What does a weakened skin barrier allow?

A

More irritating chemicals can now penetrate the skin.