Structure and function of skin Flashcards

1
Q

What are the functions of epithelia cells?

A
  • secretion
  • absorption
  • transport in and out
  • protective barrier
  • selective barrier
  • strength and support
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2
Q

What is the epidermis?

A
  • avascular epithelium layer of skin
  • stratified squamous keratinised epithelium
  • undergoes proliferation
  • synthesises keratin for
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3
Q

What is the function of keratin?

A
  • adheres cells together

- forms a protective layer

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4
Q

How do keratins attach in epithelial cells?

A

keratin proteins inside epithelial cells attach to proteins called desmosomes on the surface

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5
Q

What is the structure of the dermis?

A
  • vascular - blood vessels, lymphatics, cutaneous nerves
  • tough (leather)
  • collagen and elastic fibres not replaced with age
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6
Q

What is the structure of the hypodermis?

A
  • superficial fascia - varies in thickness
  • blood vessels, nerves and lymphatics
  • fatty tissue - adipose tissue
  • skin ligaments, loose skin or taut skin implication in scarring and incisions
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7
Q

Wha is cell proliferation?

A

process that results in an increase in the number of cells

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8
Q

What are the dangers of burns?

A

loss of skin barrier function

  • fluid loss
  • infection
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9
Q

What are the functions of the skin?

A

> homeostasis - temp regulation, internal homeostasis (water, electrolytes), metabolic (fit D, fat store)
sensory information - sensation (pain, temp), psychosocial signals (visual, chemicals)
protection - melanin (UV), keratin (chemicals, water, mechanical), immune (organisms)

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10
Q

What are the layers of the epidermis?

A

> S. corneum - waterproof, dead cells, organised keratin layers, cornfield
S. lucidum - specialised cell death program, few nuclei
S. granulosum - keratin aggregation
S. Spinosum - keratin filaments formed, linkage via desmosomes
S. Basale - cell division

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11
Q

What does cornfield mean?

A

process by which squamous epithelial cells develop into tough protective layers or structures (such as hair, hooves) and the outer layer of skin - final stage of keratinisation

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12
Q

What is the interface of the epidermis with the dermis?

A

stratum basale

  • hemidesmosomes (junctions) anchor basal cells to basal lamina
  • dermis anchored to basal lamina by collagen VII (epidermis binds to dermis)
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13
Q

What causes dystrophic epidermolysis bullosa?

A

a mutation in collagen VII

(interface of basal lamina with dermis - causes blistering

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14
Q

What is filaggrin?

A

a protein that binds keratin fibres in epithelial cells - maintains optimal skin barrier

  • precursor profilaggrin - formed from it during terminal differentiation of epithelial cells
  • inhibits water loss
  • main component of keratohyaline granules in the S.granulosum
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15
Q

What causes most cases of eczema and other keratinisation disorders?

A

mutations such as reduced filaggrin expression (eczema)

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16
Q

What are melanocytes?

A

found in the basal layer of the epidermis

synthesis and release melanin

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17
Q

What is melanin?

A

brown pigment
synthesised and released by melanocytes
- amount varys between races and individuals
- absorbs UV-B
- prevents DNA damage to underlying cells of hypodermis

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18
Q

What are the functions of melanin?

A
  • amount varys between races and individuals
  • absorbs UV-B
  • prevents DNA damage to underlying cells of hypodermis - lower incidence of skin cancer in individuals with more melanin
19
Q

What is melanoma?

A

tumour of melanocytes (melanin forming cells)

20
Q

Where are melanocytes derived from?

A

neural crest cells that originate near the developing nervous system and spread into the embryo - mesodermal

21
Q

What are Langerhans cells?

A

antigen producing cells of the skin

  • contain Birbeck granules
  • present in all layers of epidermis - but mainly stratum spinosum
  • activated in skin but migrate tp lymph nodes
  • express langerin which helps degrade virus (such as HIV) in specialised endoscopes called Birbeck granules
22
Q

Where are Langerhans cells found?

A

in all layers of epidermis - but mainly in the stratum spinosum

23
Q

How do Langerhans cells work?

A

express lantern which degrades virus

  • in special endoscopes called Birbeck granules
  • activated in the epidermis then migrate to the lymph nodes
24
Q

What are dendritic cells?

A

antigen presenting immune cells

25
What does the dermis consist of?
> dermo-epidermal junction - complex to prevent shearing, papillae flatten with age (skin becomes more vulnerable) > papillary dermis - fine collagen and elastic fibres, small blood vessels and nerves > reticular dermis - coarser collagen and elastic fibres, larger blood vessels and nerves
26
What is the hypodermis also known as?
superficial fascia
27
What is the structure of the hypodermis/superficial fascia?
- loose connective and adipose (fat) tissue - varies in thickness at different parts of body - vascular - superficial blood vessels and lymphatics - cutaneous nerves - deepest part of hair follicles - eccrine and apocrine glands
28
What determines the mobility of skin implicated in scarring and incisions?
skin ligaments in the hypodermis/ superficial fascia
29
Where is vitamin D produced?
in the epidermis (some however believe the hypo epidermis)
30
Where are sweat glands found?
dermis and superficial fascia | - duct opens up on to surface of skin
31
Explain eccrine sweat glands?
- secrete watery fluid - lie in dermis and superficial fascia - duct opens up onto surface of skin - controlled by sympathetic nervous system - important in thermoregulation - part of fight or flight response (fear)
32
Explain apocrine sweat glands?
- secrete milky secretions containing pheromones - found in axillae and genital region - open into hair follicles
33
What are hair follicles?
- cylindrical, epithelial structures anchored in the hypodermis - hair shaft grows from bulb - hair shaft composed of keratin - follicle shaft associated with sebaceous glands that open up into the follicle - secrete sebum to lubricate hair and adjacent
34
What makes the pilosebaceous unit?
- hair follicule - sebaceous glands - hair shaft - arrector pili
35
What is the function of the arrector pili muscle?
contraction of smooth muscle attached to the papillary dermis and to the sheath of the follicle pulls the hair upright (goosebumps) - controlled by the sypathetic NS
36
What are mammary glands?
modified apocrine sweat glands | - lactation under hormonal control
37
How are nails formed?
nail plate made from keratin rests on the nail bed | - growth from the nail root which passes deep into the dermis
38
How are teeth formed?
enamel of the teeth develops from the epithelium, dentine, pulp and periodontal membrane is mesodermal
39
Sensory receptors of pain?
nociceptors | - free nerve endings
40
Sensory receptors of temperature?
separate receptors for cold and heat | - free nerve endings
41
Sensory receptors of touch?
meissner's corpuscles / fine touch Merkel cells | - just beneath epidermis
42
Sensory receptors of pressure?
pacinian corpuscles | - dermis
43
Sensory receptors of vibration?
meissner's corpuscle and pacinian corpuscles | - dermis