Integumentary System Histology Flashcards

(54 cards)

1
Q

What are the 2 Main Components of the Integumentary System?

A
  1. Skin

2. Epidermal Derivatives

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2
Q

List the epidermal derivatives

A
  • Hair follicles and hair
  • Sweat (sudoriferous) glands
  • Sebaceous (oil) glands
  • Nails
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3
Q

What are the 6 major functions of the Integumentary System?

A
  1. protective (barrier against external factors / forces / biological agents)
  2. immunologic (antigen presenting cells that alert effector cells)
  3. homeostasis (body temperature and water loss)
  4. sensory (convey information about the external environment)
  5. endocrine
  6. exocrine
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4
Q

What are the 2 principle layers of the skin?

& an additional notable layer

A
  1. Epidermis
  2. Dermis

(additionally, the hypodermis or subcutaneous layer / subcutaneous fascia is deep to the skin)

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5
Q

Epidermis

A

1 of the 2 principle layers of the skin

  • superficial layer
  • keratinized stratified squamous epithelium
  • embryologically derived from: ectoderm
  • avascular (receives nourishment from dermis)
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6
Q

Dermis

A

1 of the 2 principle layers of the skin

  • deep layer
  • connective tissue
  • derived from mesoderm
  • highly vascularized
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7
Q

Hypodermis

A

Otherwise known as the subcutaneous layer / subcutaneous fascia

  • deep to the skin (not a principle layer - the “3rd smaller layer”)
  • made of adipose tissue
  • vascularized
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8
Q

What are the histological terms for skin?

A
  • Thick Skin
  • Thin Skin

(these terms really aren’t accurate, because only the epidermis is being considered, while skin really consists of epidermis and dermis)

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9
Q

Thick Skin

A

(only referring to epidermal layer)

  • found on palms of hands and soles of feet (areas that encounter and high degree of abrasive forces)
  • skin is hairless
  • much thicker epidermal layer than skin anywhere else

-5 layers/strata

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10
Q

Thin Skin

A

(only referring to epidermal layer)

  • found everywhere except palms of hands and soles of feet
  • much thinner epidermis
  • hair follicles present in most locations

-4 layers/strata

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11
Q

When considering gross anatomy, where can you find the “thickest skin?”

A

The upper back (thin epidermis, very thick dermis)

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12
Q

List the Layers/Strata of the Epidermis

A

(from deep to superficial)

  1. Stratum Basale (basal layer)
  2. Stratum Spinosum (spinous layer)
  3. Stratum Granulosum (granular layer)
  4. Stratum Lucidum (thick skin only)
  5. Stratum Corneum

mnemonic: Bad Sprinters Get Leg Cramps

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13
Q

List the Cells of the Epidermis

A
  • Keratinocytes (85%)
  • Melanocytes (5%)
  • Langerhans’ Cells (2-5%)
  • Merkel’s Cells (6-10%)
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14
Q

Keratinocytes

A

epidermis cell (1/4)

  • principle cell type of the epidermis
  • produce keratins
  • participate in the formation of epidermal water barrier via production of the lamellar bodies
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15
Q

Keratins

A

produced by keratinocytes

  • a major structural protein of the epidermis
  • form keratin filaments (intermediate filaments, commonly referred to as tonofilaments)
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16
Q

Lamellar Bodies

A
  • produced by keratinocytes in order to form the epidermal water barrier
  • tubular / ovoid-shaped membrane-bound organelle that contain lipids
  • these are extorted into the extracellular space between the stratum granulosum and the stratum Corneum
  • the epidermal water barrier is important for homeostasis and having dry epithelia)
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17
Q

Melanocytes

A

epidermis cell (2/4)

function: produce and secrete the pigment, melanin (synthesized and stored in melanosomes)
- have elongated nuclei surrounded by clear cytoplasm
- dendritic cells (rounded cell bodies in the stratum basle with long dendritic processes that extend upward and between keratinocytes in the stratum spinosum)
- Melanosomes will be transferred into adjacent keratinocytes (when they mature, they travel to the ends of dendritic process, accumulate, then go to the adjacent keratinocytes)

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18
Q

Langerhans’ Cells

A

epidermis cell (3/4)

antigen-presenting cells of the immune system

typically found within stratum spinosum

derived from bone marrow (originate from common lymphoid progenitor cells), then enter the blood stream and migrate into the epidermis, where they encounter and process antigens that enter through the skin

travel through the epidermis through regional lymph nodes where they present processed antigens to the T lymphocytes

in order to ID, must use immunostaining

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19
Q

Merkel’s Cells

A

epidermis cell (4/4)

mechanoreceptor cells associated with sensory nerve endings

location: stratum basale

contains neurosecretory granules (within cytoplasm)

base of these cells associate with expanded, plate-like terminal of afferent nerve fibers (Merkel’s Corpuscle)

have lobed nuclei

most abundant in areas of acute perception (fingertips)

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20
Q

Stratum Basale

A

deepest later of epidermis (located adjacent and superior to dermis)

  • single layer of basophilic cells
  • cells are small and cuboidal / low columnar
  • mitotically active later that contains stem cells that give rise to keratinocytes (note that keratinocytes will migrate upwards and differentiate from here)
  • this is where the production of intermediate (keratin) filaments begins
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21
Q

Stratum Spinosum

A
  • keratinocytes exhibit numerous cytoplasmic processes (“spines”)
  • cell processes are attached to those of adjacent cells via desmosomes (macula adherens)

Intermediate filaments (tonofilaments) are grouped into bundles (tonofibrils)

We see that keratohyalin granules and lamellar bodies will start to be produced here

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22
Q

Cytoplasmic Processes & Histological Prep

A

during histological prep, cells shrink which leaves expanded intercellular space between spines

this is what contributes to the spiny / prickly appearence

23
Q

Keratohyalin Granules

A

Contain proteins that support the aggregation of tonofilaments into tonofibrils

These are produced in Stratum Spinosum, but are also found in other layers

24
Q

Stratum Granulosum

A
  • intensely basophilic
  • varies in thickness (1-3 cell layers)
  • keratinocytes contian keratohyalin granules, which will bundle tonofuilaments into tonofibrils
  • keratinization is happening here (conversion of granular cells into cornfield cells)
  • lamellar bodies are released in the intercellular space b/w stratum granulosum and stratum corneum
25
Stratum Lucidum
- only found in thick skin (palms of hands and soles of the feet) - this is a thin, translucent layer of eosinophiloc cells (that are largely keratinized) - nucleus and cytoplasmic organelles become disputed and disappear (as cells fill with more and more keratin
26
Stratum Corneum
this is the most superficial layer of epidermis - cells lose nuclei and cytoplasmic organelle (flat, desiccated, a-nuclear cells) - filled almost entirely (85%) with keratin - cells of this layer are sloughed off at the surface - this is the most differentiated cell layer
27
Key cell features of the Stratum Corneum
- most superficial layer - most differentiated layer - cells are dead - represented only by flat membranous sacs filled with keratin - glycolipids in extracellular space
28
Key features of the Stratum Granulosum
- cells are flattened and organelle are deteriorating - cytoplasm full of lamellate granules (release lipids) & keratohyaline granules (continue to bundle the tonofilaments into tonofibrils)
29
Key features of the Stratum Spinosum
- cells contain thick bundles of intermediate filaments made of pre-keratin - we start to see the synthesis of keratin, and start to see them bundled into tonifibrils into keritohyaline granules)
30
Key features of the Stratum Basale
- cells are actively mitotic stem cells - some newly formed cells become part of the more superficial layers - where we start to see synthesis of keratin
31
Melanin
within melanosomes, which are produced by melanocytes melanin accumulates over nuclei to protect DNA from UV radiation (think of this as a nuclear umbrella)
32
List 3 types of skin cancer with epidermal origin
1. Basal Cell Carcinoma 2. Squamous Cell Carcinoma 3. Malignant Melanoma
33
Basal Cell Carcinoma
most common and least aggressive type of skin cancer resembles cells of stratum basale slow-growing tumor treatment: surgery
34
Squamous Cell Carcinoma
second most common, slightly more invasive characterized by highly atypical cells at ALL levels of epidermis treatment: varies depending on histological type, size, location
35
Malignant Melanoma
most serious form originates from melanocytes presents as irregularly pigmented, multicolor lesion treatment: surgery and chemotherapy
36
List the two layers of the dermis
1. Papillary Layer | 2. Reticular Layer
37
Papillary Layer
more superficial layer of the dermis loose (areaolar) connective tissue characterized by dermal papillae, which project into the epidermis at the epidermal-dermal junction
38
Dermal Papillae
part of the papillary layer of the dermis finger-like connective tissue protrusions they project into the epidermis at the epidermal-dermal junction has sensory nerve endings and blood vessels
39
Reticular Layer
the deeper layer of the dermis dense irregular connective tissue considerably thicker than papillary layer. but has fewer cells
40
Pacinian Corpuscles
large ovoid structures found in the dermis and the hypodermis an encapsulated, mylenated nerve ending surrounded by a capsule consisting of concentric lamellae inner core is made series of tightly packed, flattened Schwann cell lamellae surrounding unmyelanated axon detects pressure and vibration changes across the skin surface
41
Meissner's Corpuscles
tapered, cylindrical structures located in the dermal papillae of hairless skin (fingertips and lips) - perpendicular to the skin surface flattened Schwann cells form lamellae unmyelinated nerve endings follow s[oroca; paths in corpuscle detect light touch
42
Epidermal Skin Appendages
derived from down-growths fo epidermal epithelium during development Includes: - hair follicles & hair - eccrine sweat (sudoriferous) glands - apocine sweat (sudoriferous) glands - sebaceous (oil) glands
43
Hair
elongated filamentous, keratinized structures that project from hair follicles found along surface of almost the entire body (but NOT thick skin)
44
Hair Follicles
responsible for the production and growth of a hair found along surface of almost the entire body (but NOT thick skin)
45
Arrector Pili Muscle
smooth muscle that extends from connective tissue sheath surrounding hair follicle to papillary layer of dermis contraction of the arrestor pili m. causes hair to "stand at end" (goosebumps) role in insulation (thermogenesis ) & "fright" response receives sympthatic innervation
46
Eccrine Sweat (Sudoriferous) Glands
widely distributed (except the lips and portions of external genetalia) simple coiled tubular gland independent structures, not found in association with hair follicle merocrine secretion (secretory product released via exocytosis) role: thermoregulatory excretes wastes and excess salts has a secretory and a duct portion
47
Eccrine Sweat Glands - Secretory Portion
double layer of epithelial cells secretory cells are larger and appear lighter than cells of the duct located deep in the dermis or upper part of the hypodermis
48
Eccrine Sweat Glands - Duct Portion
narrower outside diameter and lumen than secretory portion double layer of small cuboidal cells (stratified cuboidal epithelium) cells are smaller and darker than cells of secretory potion leads to the epidermal surface
49
Apocrine Sweat (Sudoriferous) Glands
localized to the axillary and perineal regions of the body produce viscous, protein-rich sweat product is secreted into hair follicles merocrine secretion (misnomer) coiled tubular glands with very wide lumens become functional at puberty body odor: bacterial breakdown of sweat
50
Aprocrine Sweat Glands - Secretory Portion
very wide lumen (much wider than eccrine sweat glands) simple cuboidal epitherlium eosinophilic cytpolasm found in upper part of hypodermis (most commonly) or deep in dermis apical portion - bleb-like protrusions, thought to be related to apocrine secretion, but TEM proved merocrin secretion
51
Apocrine Sweat Glands - Duct Portion
stratified cuboidal epithelium (2-3 layers thick) narrow lumen; similar to eccrine sweat glands empties into follicle canal rather than the skin surface
52
Subaceous (Oil) Glands
found everywhere except for thick skin branched acinar gland secretes SEBUM into hair follicles via holocrine secretion Involved in acne development
53
Sebum
lipid-containing substance produced and secreted by sebaceous glands
54
Nails / Nail Plates
plates of keratinized cells rest on nail beds nail is transparent (difficult to stain) epithelium continues with stratum basle and stratum spinous of epidermis