Skin

Skin (Integument) Overview

Objectives

  • Identify skin as an organ

  • Identify different parts of the epidermis, dermis, and hypodermis

  • Identify sebaceous and sweat glands

  • Identify different layers of the hair follicle

  • Discuss structure and functions of different parts of the epidermis and dermis

  • Discuss structure and functions of various cell types in the skin

  • Discuss the role of skin in temperature regulation, ion-water balance, calcium homeostasis, sensory appreciation, and protection against external agents and ultraviolet rays

  • Discuss the process of melanin synthesis and how this process differs among races

  • Discuss possible clinical considerations associated with skin, e.g., Albinism, psoriasis, acne, skin cancer

Functions of the Skin

  • Protection against:

    • External agents

    • Ultraviolet rays

    • Water loss (desiccation)

  • Regulation of:

    • Temperature

    • Ions-water balance

    • Calcium homeostasis (via vitamin D synthesis in the sebaceous gland)

  • Sensory appreciation

  • Fat storage

  • Clinical examination of the skin reveals ectoparasites and internal disease processes linked to endocrine and nutritional disorders.

General Organization of the Skin

  • The skin consists of two main components:

    • Epidermis

    • Dermis

  • Beneath the epidermis lies the hypodermis (subcutaneous tissue), which is a site for subcutaneous injections, consisting of loose connective tissue (CT) filled with fat and not considered part of the skin.

Epidermis

  • Thickness varies among areas of the body; typically thinner in hairy skin.

  • Layers of Epidermis:

    • Stratum (S) basale (germinativum)

    • Stratum spinosum (basale and spinosum combined termed the malpighian layer)

    • Stratum granulosum

    • Stratum lucidum

    • Stratum corneum

Characteristics of Epidermal Layers

  • Stratum Basale:

    • Contains mitotic cells that continuously divide and replenish other epidermal layers.

  • Stratum Spinosum:

    • Contains cells with thick keratin bundles called tonofilaments, terminating at desmosomes.

    • In thick skin, the spinosum layer is thicker with more tonofilaments and desmosomes, providing protection against friction and pressure.

  • Stratum Granulosum:

    • Contains non-membrane bound, basophilic keratohyalin granules that integrate into keratin.

    • Contains membrane-bound lamellar granules that release contents in intercellular space, serving as a seal between skin cells.

  • Stratum Lucidum:

    • Absent in thin skin.

  • Stratum Corneum:

    • The outermost layer formed by the shedding of horny cells.

Epidermal Cell Types

  • Keratinocytes:

    • Synthesize keratin and undergo continuous replacement through mitotic activity in the malpighian layer.

  • Melanocytes:

    • Originating from neural crest cells, they reside in the malpighian layer and hair follicles.

    • Possess dendritic processes that interdigitate with keratinocytes.

    • Synthesize melanin, facilitated by the enzyme tyrosinase, converting tyrosine through several reactions (dopa, dopaquinone) to melanin.

    • Melanin granules are then transferred to keratinocytes. Notably, keratinocytes do not synthesize melanin, but they contain it.

    • The quantity of melanocytes is consistent among races; however, their melanin synthesis capability varies, influencing skin coloration and susceptibility to skin cancer (e.g., Albinos lack tyrosinase, hence cannot synthesize melanin).

  • Langerhans Cells:

    • Function as antigen-presenting cells, originating from monocytes, presenting antigens to T lymphocytes for immune responses in the skin.

  • Merkel’s Cells:

    • Function as sensory mechanoreceptors located in thick skin, richly innervated by free nerve endings.

Dermis

  • Integral to many leather goods.

  • Comprised of two layers:

    • Papillary Layer:

    • Contains loose connective tissue with all CT cell types and a robust blood supply.

    • Constitutes the majority of dermal papillae.

    • Reticular Layer:

    • Contains dense irregular connective tissue featuring a substantial number of type I collagen fibers, fewer cells compared to the papillary layer, smooth muscle, nerve fibers (vasomotor, pilomotor, sudomotor), and various receptors (touch, heat, cold, pressure).

Hypodermis (Subcutaneous Tissue)

  • Composed of loose connective tissue filled with fat cells, large blood vessels, nerves, and skin glands (particularly prevalent in thick skin like foot pads).

  • Not a part of the skin, this layer serves as a site for subcutaneous injections.

Blood Supply

  • Deep or Subcutaneous Plexus:

    • Located in the hypodermis, formed by large blood vessels.

  • Middle Cutaneous Plexus:

    • Associated with hairs and glands in the dermis.

  • Superficial or Subpapillary Plexus:

    • Supplies blood to the papillary layer and epidermis.

  • Superficial Arterio-Venous Anastomoses:

    • Thermoregulatory structures found in the papillary layer of certain species, absent in others (helps explain why pig skin is a model for studying human skin diseases).

Skin Glands

Sebaceous Glands

  • Scattered across the body except in the foot pads.

  • Typically associated with hair follicles, with exceptions in the lip, penis, and vulva.

  • Comprise alveoli without a visible lumen; base cells divide while apex cells die and release contents (holocrine secretion).

  • Secretion (sebum) lubricates hair shafts, protects skin from drying, reduces water loss, contains vitamin D precursors.

  • Notable locations: infraorbital, inguinal, interdigital regions in sheep; base of goat horns; anal sacs of cats; prepuce and circumanal regions of dogs.

Sweat Glands

  • Located in the lower dermis or hypodermis.

  • Two types:

    • Eccrine (Merocrine):

    • Develops independently from hair follicles, opening via a long duct to the skin surface.

    • Comprises secretory cells that are cuboidal to columnar, encircling a narrow lumen.

    • Active throughout life, secreting a watery solution for heat and ion regulation.

    • Apocrine:

    • Associated with hair follicles, draining above the sebaceous gland opening.

    • Characterized by low cuboidal cells with or without apical protrusions surrounding a wider lumen.

    • Produces viscous secretions, becoming active at puberty.

  • Myoepithelial Cells:

    • Surround secretory cells of sweat glands.

  • Species Variations:

    • Absent in rats, rabbits, and birds; poorly developed in dogs and pigs; predominant in horses for thermoregulation.

    • Apocrine glands secrete significantly in horses, while secretion is minimal in other species, playing roles in temperature regulation and serving as sex attractants.

Hair

  • Composed of thread-like epidermal structures.

  • Distribution: Even in horses, cows; grouped into beds in pigs, dogs, cats.

  • Components of a complete hair:

    • Hair Shaft: Free part above skin, consisting of three layers: medulla, cortex, and cuticle.

    • Hair Root: Portion beneath skin.

    • Hair Follicle: Sheath covering the root, including:

    • CT sheath

    • Glassy membrane

    • External root sheath (continuation of stratum germinativum)

    • Internal root sheath (Henle’s layer, Huxley’s layer with trichohyalin granules, cuticle)

  • Hair Bulb: Expanded terminal part of the hair follicle where hair is rooted, indented by a dermal papilla (housing blood vessels).

  • Arrector Pili:

    • Smooth muscle bundle attached to the CT sheath of hair follicles, responsible for hair elevation in response to cold or emotional stimuli.

Types of Hairs

  • Cover Hair:

    • Most common.

  • Wool Hair:

    • Found in fleece of sheep and goats.

  • Tactile Hairs:

    • Long, thick, and contain blood sinus between CT sheath layers. Highly innervated (e.g., whiskers in carnivores).

Hair Growth and Replacement

  • Hair formation arises from the germinal matrix covering the dermal papilla, characterized by cyclic growth phases:

    • Anagen: Active growth phase.

    • Catagen: Involution phase.

    • Telogen: Resting phase.

  • Hair color is attributed to melanocytes within the germinal matrix.