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order of the layers of the integument
epidermis, basement membrane, dermis, subcutaneous
epidermis epithelium
stratified squamous keratinized epithelium
avascular
keratinocytes function and development
produces keratin and waterproof
initially cuboid or columnar then turns squamous, fills with keratin and loses nucleus and organelles
keratin structure
cytoskeleton made of intermediate filaments
hemidesmosomes anchor to basal lamina
desmosomes have cell-cell adhesions
keratinocyte layers
stratum corneum
stratum lucidum (only in thick skin)
stratum granulosum
stratum spinosum
stratum basale
stratum basale
a single layer of replicating keratinocytes that renews epidermis every 15-30 days
hemidesmosome attachments to basement membrane
accept melanin granules from melanocytes
stratum spinosum
thickest in thick skin
polyhedral shape, central nucleus
active keratin synthesis
spines and desmosomes
stratum granulosum
3-5 layers of rhomboidal cells
completion of keratinization process - decreased organelles in cell, increased keratin
formation of barrier against water loss
contents of cells of stratum granulosum
tonofibrils
keratohyalin granules - forms tight barriers that protect against foreign particles
lamellar granules/bodies exocytose lipids and glycolipids that help with waterproof
stratum lucidum
only in thick skin
cells are translucent
keratinocytes are flat, with no nucleus or organelles, have desmosomes
packed with keratin
stratum corneum
15-20 layers of fully keratinized cells, are squamous shaped with no nucleus or organelles
desquamation - shedding of skin
other cells in the epidermis include:
melanocytes
Langerhan’s cells
Merkel cells
where are melanocytes located and what do they do?
located in the stratum basale
produce eumelanins (black and brown pigments)
what are melanosomes?
vesicles of eumelanins (pigments) that are released from melanocytes and taken up in keratinocytes
what are eumelanins and what do they do?
black and brown pigments that collected above nucleus in keratinocytes
protect DNA by scattering UV light and are degraded over time
Langerhans Cells function, derivation and location
antigen presenting immune system cells that trigger immune response against microorganisms in epidermis
derived from monocytes
located in the cell body in spinosum layer
Merkel cells function, location
tactile cells for light touch, unmyelinated afferent nerve fibers
found in basal layer (basement membrane) of epidermis, numerous in fingertips and hair follicles
carcinomas of epidermis include:
keratinocyte origin - basal cell carcinoma and squamous cell carcinoma (originate spinous layer)
malignant melanoma
Merkel cell carcinoma
dermal-epidermal junction (basement membrane) is composed of…
has epidermal papillae
made of Type IV collagen
PGs and laminin
hemidesmosomes - anchor to type VII collagen
nutrients for epidermis diffuses through the basement membrane
layers of the dermis
papillary (superficial) and reticular (deep)
papillary dermis type of CT, cells, vascular?
LCT
has fibroblasts, macrophages, dendritic cells, mast cells, leukocytes
has capillaries, lymph, nerves
ECM of papillary dermis
fibers include collagen, elastic, and reticular that are disorganized
ground substance contains small PG, GP, proteins
reticular dermis type of CT, cells, vascular
DICT
less cells than LCT, same types as papillary but mostly fibroblasts
blood vessels are near surface and help with thermoregulation
dermal blood vessels function?
support/nourish epidermal and dermal cells
role in regulation of temperature and BP, arteriovenous shunts help with this
subcutaneous (hypodermis) tissue type
LCT with many fat cells, between integument and organs
what are the types of somatic afferent innervation?
nociception
thermal
mechanical/tactile
what structures have sympathetic innervation?
vessels (adrenergic —> vasoconstriction, cholinergic —> vasodilation)
glands
arrector pili muscles
what structures have parasympathetic innervation?
vessels of the skin of the face only
pacinian corpuscle location and function
reticular dermis and subcutaneous layer
responsible for sensing coarse touch, pressure and vibration
Meissner corpuscle location and function
dermal papillae, perpendicular to surface, fingertips, palms, soles of feet
sensory functions include light touch, low frequency
where is the hair bulb located?
indented by dermal papilla - stratum basale progenitor cells
arrector pili muscle
smooth muscle
sebaceous gland function
produce sebum into hair follicle through holocrine secretion (breaking down entire cell/rupture)
nail matrix consists of
proliferative keratinocytes, become keratinized as pushed to nail root
where are sebaceous glands located?
in dermis
epithelial cells- outer mitotic
acne vulgaris
build up of secretions under skin due to increased sebum and blocked hair follicle
eccrine sweat glands location
everywhere
types of cells in eccrine sweat glands
clear cells - transport ions and fluid into duct
dark cells - glycoprotein secretions
eccrine sweat gland function and characteristics
in dermis and extends to basal layer of epidermis
thermal regulation and excretion of nitrogenous wastes and electrolytes
is controlled sympathetically (cholinergic)
glandular portion: has clear and dark cells
surrounded by rich capillary network and myoepithelial cells
ducts reabsorb Na+
is a merocrine secretion
apocrine sweat gland location
in the axillary and perineal regions
apocrine sweat glands function and characteristics
secretory portion is in the dermis and hypodermis
glandular portion secretions are viscous and odiferous via merocrine secretion
pheromones
controlled by sympathetic nervous system (adrenergic) - ex: emotional stress
ducts usually lead to hair follicles