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61 Cards in this Set

  • Front
  • Back
The skin is composed of two major parts
an epithelial epidermis and a connective tissue dermis, which in turn is attached to a subcutaneous areolar/adipose hypodermis, also known in gross anatomy as the superficial fascia
During embryonic development the epidermis and its appendages, the hair follicles, sebaceous glands and sweat glands differentiate
from ectoderm.
Glands that deliver their secretions to an epithelial surface, such as the skin, are called
exocrine
Exocrine glands are classified as
alveolar (a.k.a. "acinar") or tubulo-alveolar (a.k.a. "tubulo-acinar")
There are five distinct epidermal layers
the stratum germinativum (a.k.a. stratum basale); the fairly thick stratum spinosum; the stratum granulosum with the keratohyalin granules; the translucent stratum lucidum; and the scale-like stratum corneum.
In the dermis beneath the epithelium you should identify the dermal papillae, some of which show a
Meissner's Corpuscle.
in the recto anal junction there are yellow-brown melanin granules visible in the deeper layers of of the epithelium (epidermis). These are predominantly
eumelanin (as opposed to phaeomelanin) granules produced by melanocytes that are present in the basal layer of the epidermis
Synthesis of Vitamin D in the skin
In strata basale and spinosum by ultraviolet
irradiation of 7-dehydrocholesterol
Layers of the Skin
Epidermis
Dermis
Hypodermis
(Superficial fascia)
Epidermis characteristics
Stratified squamous
epithelium with four (thin
skin) or five (thick skin)
distinctive strata
• Avascular
2 types of Dermis
Papillary dermis
Reticular dermis
Papillary dermis characteristics
Loose irregular
connective tissue
Reticular dermis characteristics
Dense irregular
connective tissue
Hypodermis
(Superficial fascia) characteristics
• Loose irregular
connective tissue
Epidermal strata
Stratum corneum
• Stratum lucidum
– present only in
thick skin
• Stratum
granulosum
• Stratum spinosum
• Stratum basale
(germinativum)
Stratum basale or
Stratum germinativum
A single cell
layer that resides
on top of the
basement
membrane
• Contains
epidermal stem
cells.
• Contains
melanin
Attachment of the basal cell to
the basement membrane is through
Hemidesmosomes and Desmosomes in the focal adhesion
Stratum spinosum characteristics
• Spinous cells have
spine-like
cytoplasmic
extensions
• Desmosomal
adhesions
Stratum granulosum
Contains
keratohyalin
granules.
• Contains lamella
bodies
Stratum lucidum
• Present only in
thick skin
• Thin clear layer of
dead cells in
between stratum
granulosum and
stratum corneum
• Devoid of nuclei
Stratum corneum
• Devoid of cellular
organelles and
nuclei
• Contain tonofibrils
(keratin fibrils)
• Create a physical
barrier to protect
layers beneath.
• Apical layers are
desquamated
Cells of the epidermis
Keratinocytes
Melanocytes
Merkel cells
Langerhans cells
Keratinocytes
The majority of epidermal cells
Melanocytes
Produce melanin
• Reside in the stratum basale
Merkel cells
Constitute a mechanoreceptor
Langerhans cells
Epidermal dendritic cells
• Reside in the stratum spinosum
• Antigen presenting cells
Keratinocytes from top to bottom
Corneum cells
Lucidum cells
Granular cells
Spinous cells
Basal cells
Mechanism of desquamation
pH-dependent
activation of
KLK (Kallikrein) leads to
desmosome
degradation at
apical layers of
epidermis,
which causes
desquamation. The ph change inactivates the Lymphoepithelial Kazal type inhibitor, KLK is no longer inhibited as a result.
Formation of epidermal permeability barrier is mainly due to the proccesses
Cell envelope
Lipid Envelope
Cell envelope process
Involucrin protein is deposited into the cell membrane. Loricirin is also deposited in the membrane and it cross links with invoulcrin. Granular cells release kerathohyalin granules containing fillagrin and trichohyalin. Fillaggrin helps in the aggregation of keratin fibrills
Lipid Envelope
Lamellar body inside granullar cell released into intracellular space.
Melanocytes
Reside in the
stratum basale.
• Melanin-
(melanosome)
producing cells
• Thymidine
dinucleotides
from damaged
DNA will trigger
melanogenesis.
The mature melanosomes
are transferred to
neighboring keratinocytes.
The rate of melanin
degradation determines
the
tone of skin clolor.
~60% melanomas
contain a
BRAF
mutation, which
can be targeted
by a specific
inhibitor.
Merkel cells
Neurosecretory
granules+, Keratin+
– Probably of
epidermal origin
Merkel cells form
synapse-like
contacts with
enlarged terminal
endings of
myelinated nerve
fibers "Mechanoreceptor"
Langerhans cells
Bone marrow derived
• Reside in the stratum
spinosum
• Clear cells in the stratum
spinosum stained with
H&E
• Professional antigen
presenting cells
– MHC class II positive
– Motile
• Positive for CD1a, S100
etc.
Dermis papillary layer
Loose irregular
connective tissue
– Capillary vessels
– Meissner's corpuscles
Reticular layer
Dense irregular
connective tissue
– Blood vessels
– Sweat glands
Hypodermis
Adipose tissues
• Loose connective
tissues
• Pacinian corpuscles
• Blood vessels
• Sweat glands
• Hair follicle roots
(thin skin)
Meissnerʼs corpuscle function
Low frequency stimuli
Pacinian corpuscle function
Pressure and vibration
The major sites of thermoregulation
are the arteriovenous shunts
(anastomosis) in the dermis. This anastomosis happens due to
The subpapillary plexus, cutaneous plexus, subcutaneous plexus.
Specializations derived from
the epidermis
Hair follicles
• Sweat glands
• Nail
Hair follicles and associated
structures
Arrector pili
muscle
• Follicular bulb
• Hair bulb
• Hair papilla
• Sebaceous
glands
• Apocrine sweat
glands
Arrector pili muscle innervated by
the
sympathetic
branch of the
autonomic
nervous system
The follicular bulb harvors
epidermal stem cells
Mammary gland secretes milk lipids by
apocrine secretion and the milk protein casein by merocrine secretion
Sebaceous glands
Excrete sebum to
the infundibulum
via holocrine
mechanism.
Merocrine secretion
The secretory vesicle approaches the apical domain of an epithelial cell. The vesicular membrane fuses with the plasma membrane to release its contents into the extracellular space. The fused plasma membrane can be taken back into the cell by endocytosis and recycled for further use by secretory vesicles
Apocrine secretion
some of the apical cytoplasm is pinched off with the contained secretions
Holocrine secretion
the cell produces and accumulates a secretory product in the cytoplasm, such as sebum in sebaceous glands and then it desintegrates to release the secretory material
Eccrine gland characteristics
-Located throughout
skin, both thick and
thin
-Merocrine secretion
watery, smaller lumen
diameter
-Clear cells produce
water & ions and dark
cells the protein
-NaCl reabsorbed in
the excretory duct
Apocrine gland characteristics
Located in axilla, anal
region & mons pubis
• Larger diameter lumen
than eccrine glands
• Merocrine secretion
viscous, activity starts
at puberty
• One cell type
secretes, secretion
not modified in duct
• Pheromones
Dark cells of an eccrine gland
Contain
glycoproteins
– Produce
proteinaceous
secretion
Clear cells of an eccrine gland
Contain glycogen
– Produce watery
components of sweat
• Myoepithelial cells
– Help excrete sweat
Cystic fibrosis- a genetic disorder; affects
epithelial linings in GI & respiratory tracts and
in exocrine glands, eccrine sweat & pancreas;
decreased reabsorption of Cl ion in the duct
results in increase NaCl in the sweat
The nail plate
consists of
hard
keratin, which
corresponds to the
stratum corneum
Nail plate is
surrounded by
nail
matrix, where
keratinocytes
proliferate, make
hard keratin and die
Dermal Repair occurs as follows
Fibrin clot forms,
neutrophils move in,
surface dries (i.e.,
scab)
• Macrophages remove
debris, granulation
tissue fills space
• Reepithelization by
keratinocytes
• Collagen deposition &
scar formation by
fibroblasts