Lecture 8: Skin structure and function Flashcards

1
Q

Skin layers

A

> 3 layers
-Epidermis (stratified
squamous epithelial layer)
>Made up of keratinocytes
-Dermis (supportive
connective tissue matrix)
>Made up of fibroblasts
and immune cells
-Hypodermis (adipose or
fat layer)
>Made up of adipocytes

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2
Q

Functions

A

> Prevents mechanical abrasion of underlying tissues and coordinated wound healing
Prevents desiccation or water absorption
Prevents injury by chemicals/radiation
Barrier to pathogens
Mechanism of sensation
Some metabolic functions
Mechanism of thermoregulation

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3
Q

The hypodermis

A

> Loose connective tissue and fat
Gives stability to structures above
Reduces heat loss from body (insulation)
Absorbs below to the body
Energy reserve

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4
Q

The epidermis

A

> Made up of:
-Keratinocyes (>90%)
-Melonocytes (5–10%)
-Merkel cells (infrequent)
Rate ridges highly developed in areas exposed to stress e.g. hands/feet
-Increase contact with
dermis to prevent
epidermis falling off
(blister formation)

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5
Q

Why is the epidermis stratified

A

Stratification has advantages over monolayer:
> Stem cell population protection deep inside
> Upper cells provide protection
> Monolayer is more difficult to replace if abraded (barrier function would be lost)
-Dividing population and
protective population are
the same

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6
Q

Stem cells in the epidermis

A

> Stem cells at tips of rete ridges
-Unlimited division possible
Transit amplifying cells make up rest of basal layer
-1-2 divisions possible

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7
Q

Basal layer

A

> Columnar cells anchored to basement membrane
-Henidesmosomes
Proliferative
-Divide every 200-400
hours
Undifferentiated

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8
Q

Spinous layer

A

> Cells larger and flattened
-8-10 cells thick
Differentiation starts
-biochemical markers change –> keratin
Desmosomes
Langerhans’ cells –> allergic reaction response

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9
Q

Granular layer

A

> Keratohyalin granules containing profilaggrin
Lipid-filled lammellar granules

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10
Q

Transition zone

A

> Between granular (living) and cornified (dead) layers
Enzymatic activity and cellular restructuring
Profilaggrin cleared to filaggrin
-causes keratin filaments to be reconstructed
Apoptotis –> controlled cell death –> recycling
Organelles are destroyed by protease, DNase, RNase, acid hydrolases and plasminogen activator
Lamellar granules fuse with the plasma membrane and release lipid into extracellular space
-lipids form sheets for ‘waterproofing’
Cornified envelope forms

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11
Q

How is damage from radiation prevented?

A

> Melanocytes synthesise melanin
Melanin
-absorb UV radiation
-scavenges free radicals
-production increased by
sun exposure
-2 types
&raquo_space;Eumelamin is brown-
black
&raquo_space;Phaemelanin is yellow-
red

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12
Q

Melanocyte function

A

> Melanosomes are vesicles containing melanin
-Move along arm-like structures called dendrites
-Passed to keratinocytes
Form cap over keratinocyte nucleus for protection

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13
Q

How is infection prevented?

A

> Langerhans’ cells migrate from bone marrow to spinous layer in epidermis
-Take up and process
microbial antigens
-become antigen-
presenting cells
-present antigens to T-cells
(lymphocytes)

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14
Q

The dermis

A

> Directly below epidermis
Thickness from 0.6mm on eyelids to 3mm on palms and soles
Contains:
-Most cells (immune cells
involved in inflammation,
allergy and wound healing)
-dermal appendages (hair
follicles, sweat glands,
blood vessels)
-fibroblasts

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15
Q

Functions of fibroblasts

A

> Produce chemicals/stimulants which diffuse to epidermis to control protiferation
Produce collagen for tensile strength for resistance to longitudinal stress
Produce elastin for stretch and recoil for flexibility and movement
Produce structural proteoglycans/ glycosaminoglycans for hydration and burgor
Make extracellular matrix (cells embedded within being in direct contact)

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16
Q

The dermis

A

2 layers
> superficial papillary layer containing sensory nerves and loose conective tissue
> underlying reticular layer contains collagen fibres
> anchors papillary layer to subcutaneous layer

17
Q

Mechanism of sensation

A

> Nerves give perception of sensation
-most common where
sensation important
Sensors in epidermis and dermis
-Merkel cells in basal layer
of epidermis
-Touch
&raquo_space;Meissner’s corpuscle- in
dermal papillary of
hands/feet
-pressure/vibration
&raquo_space;Paccinian corp

18
Q

Metabolic functions

A

> Synthesis of vitamin D3 in dermis
Subcutaneous layer
-lipid metabolism and
storage
-storage of lipid-soluble
vitamins

19
Q

Hair

A

> Roughly 5 million hairs on the body
-98% on the skin surface
-no hair on parts of genitals or palms/soles
-Dense on scalp
Emerge from follicles
-from deep dermis/subcutis to surface
-2 parts called the root and shaft

20
Q

Hair structure

A

> Dermal papilla formed from connective tissue
-Holds capillaries and nerves
Hair bulb surrounds papilla with epithelial cells
-proliferative cells
3 layers
-inner medulla contains flexible keratin
-outer cortex contains hard keratin
-hair fibre coated in keratin called cuticle
2 layers of epithelial wall
-internal root sheath surrounds the root
-external root sheath covers entire length of follicle

21
Q

Hair colour

A

> Melanocytes at base of hair produce melanin pigment
Overtime, less pigment is made
-Grey colour

22
Q

Hair types

A

> Lanugo hairs
-form at 20 weeks gestation, usually shed before birth
-fine and long
Vellus hairs
-commonest hair type over body surface
-short, fine and light colour
Terminal hairs
-thick and long
-10,000 on scalp, also on eyebrows, bears, pubic areas

23
Q

Hair production

A

> Growth is cyclical at rate of approximately 0.4mm/day
Growth
-hair root firmly attached to matrix
Growth stops
-follice inactive, shrinks so attachment broken down
Growth restarts
-old hair pushed upwards and is shed
Some old drugs can halt hair growth
-cytotoxins, herparin, warfarin, carbimazole, colchicine, vitamin A, poisons e.g. Thallium

24
Q

Nail

A

> Dense plate of cells
Packed with hardened keratin (0.3-0.5mm thick)
Protects finger tip and help grasping
Fingernails grow at 0.1mm/day
-Toenails more slowly

25
Nail structure
> Nail plate from nails matrix (root) overlies Nail bed -pink due to dermal capillaries > Nail bed produces some keratin > Growth in root -keratinocytes divide and mature (keratinize) into nail plate > Epithelial cuticle protects nail
26
Blood vessels and the skin
> Blood supply -deep vessels in subcutaneous layer -superficial vessels in reticular dermis >>capillaries from this to basement membrane -Control dilation or contraction to regulate flow >>Controls heat loss
27
Thermoregulation
> Maintain body temperature ay 37C -Depends on metabolic and physical factors >>Evaporation of sweat >>Diversion of blood from deep to superficial vessels
28
Temperature and forensics
> In hot environment: -Core body temperature rises -More sweat released -Cools the body so that core returns to 37C > Leave latent fingerprints -Mixture of natural secretions from skin
29
Skin glands
> Exocrine (secrete products into ducts leading to environment NOT to bloodstream) -Sebaceous -Sweat > Products keep ski pH between 6-7 -Discourage microbial growth
30
Sebaceous glands
> Derived from epidermal cells > Associated with hair follicles > Produce oily sebum (triglycerides, cholesterol, proteins, electrolytes) -Flows into hair follicles/travels to skin surface -Protects hair and skin from dehydration/cracking -Toxic to bacteria to stop infection > Sensitive to androgens (more active at puberty) > Most in scalp, face, chest, back/non in hairless skin > None on soles or palms
31
Sweat glands
> Within dermis > Roughly 2.5 million over whole body surface > Coiled tubes that secrete watery substance > Two types -Eccrine >>Most numerous on palms, soles, forehead, armpits >>Not in mucous membrane >>Under thermal control for thermoregulation -Apocrine
32
Composition of sweat
> Mainly water, but other chemicals diet-dependent > Minerals -Sodium (0.9 g/L) -Potassium (0.2 g/L) -Calcium (0.015 g/L) -Magnesium (0.0013 g/L) > Trace elements (zinc, copper, iron, nickel, lead, chromium) > Urea and lactate > Fatty acids > Some people also secrete amino acids in sweat > Some people do not secrete sweat from palms -'Non-secretors' -They will rarely leave a latent print on any surface
33
Sweat analysis
> Take sweat swabs -Sterile cotton swabs -Remove water by sublimation (freeze drying) -Leave amino acids and protein matter -Analyse by chromatographic methods
34
Problems of sweat analysis
> Generally no biomarkers -E.g. lactate also in semen and saliva > Difficult to locate with alternative light sources as is dilute substances > Heterogeneity of composition between donors and samples from a single donor -Affected by temperature, beauty products, smoking, medication, alcohol, hand writing, skin pH, age, eating, gender
35
Uses of sweat analysis
> Use to detect incidental impurities e.g. drugs and their metabolites > New biomarker found called dermcidin (human antibiotic) -Identified with antibody
36
Apocrine glands
> Large sweat glands > Ducts empty into hair follicles > Open into hair follicles in armpits, genitals, eyelids > Active at puberty > Produce sticky, odourless, protein-rich secretion (glycogen, water, electrolytes, and sialomucin) -Bacteria cause odour over time