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53 Cards in this Set

  • Front
  • Back
what are the layers of the skin
epidermis
epidermo-dermal jcn
dermis (papillary, reticular, hypodermis)
features of epidermo-dermal jcn?
series of interlocking ridges and valleys that increase surface contact for nourishment, sensation, and tight binding
type of tissue of papillary dermis?
location?
blood supply?
dense CT, just deep to epidermis

rich capillary bed arranged mostly parallel to and close to the overlying epidermis

also a second layer of mostly horizontal, larger blood vv is present deeper in papillary dermis
types of cells in papillary dermis?
types of collagen/fibers?
contains fibroblasts, and is infiltrated by mast cells, lymphocytes, melanocytes, macs, and plasma cells

contains collagen III and I, and fine elastic fibers
reticular dermis-- type of tissue, types of fibers

predominant cell type?
dense irregular CT, containing mostly collagen I and a few thick elastic fibers

fibroblast is predominant cell type
hypodermis-- type of tissue, blood supply
adipose tissue or fascia bound to bone

may contain large supplying blood vv
what are the 5 layers of the epidermis
stratum basale
stratum spinosum
stratum granulosum
stratum lucidum
stratum corneum
stratum basale-- type of epithelium
single layer of cuboidal or columnar "committed stem cells" w/high mitotic index (and highest at night)
stratum basale cells are bound to what? via what?
bound to a thick basal lamina via hemidesmosomes, and bound to each other via desmosomes
what organelles to stratum basale cells contain?
SER, free polysomes, bundles of keratin filaments
stratum spinosum--cell shapes? connected via?
many layers of cuboidal to flattened oval cells joined by many desmosomes, linked to masses of cytoplasmic keratin
what else does cytoplasm of spinosum cells contain?
SER, free polysomes, vesicles containing membrane coating granules (rich in glyocolipid acylglucosylcerimide)
stratum granulosum-- main purpose of this layer?

basic structure?
for strength and water resistance

3-5 layers of oval to flattened cells
what makes granulosum water resistant?
membrane coating granules are pushed toward the cell membrane and excreted to form multiple layers of lipid-rich, water-repellent material between the cells
what other granules are in the cytoplasm of granulosum?
keratohyalin granules- contain keratohylain and filaggrin

these granules are not membrane bound- are in close contact w/and penetrated by masses of keratin filaments
stratum lucidum-- locations on body?

types of cells?
usu only seen on skin of palms and soles

several layers of very flat, refractile cells w/deteriorating organelles and nuclei
lucidum cytoplasm contains?
keratohyalin granules and keratin bundles
stratum corneum-- cell characteristics
layers of organelle-less, lifeless squames, very flat & thin-- one cell may span area as much as 15 basal cells
squames are essentially what?
flattened masses of keratin
may be loosely bound in thin layers (scalp, back of hand)
or tightly bound in thick layer (palms or soles)
keratinization is stimulated by ____

is supressed by ____
stimulated by EGF (epidermal growth factor)

supressed by TGF (transforming growth factor)
some of TGF and EGF are made by what?
the keratinocytes themselves-- so they're self-regulating to some extent
how long does it take cells of stratum basale to complete a life cycle?
20-30 days-- then they're shed

mitosis occurs primarily at night
is there one type of keratin?
no-- many types
langerhans cell-- what's its shape, where is it located
a stellate cell, extends processes between cells in the outer stratum spinosum of skin, oral mucosa, vagina, and esophagus
where are langerhans cells derived from?
bone marrow
langerhans represent what % of skin cells?
3-8%
what do langerhans cells contain?
cytoplasmic vermiform (birbeck) granules-- unknown fcn
what do langerhans cells do?

they have been linked to what?
they bind to IgG, IgA, complement 3, phagocytize foreign antigens, migrate to regional nodes, and present antigen to regional lymphocytes

have been linked to contact dermatitis inflammation rxns
merkel cell shape and location

innervation?
stellate cells, found in stratum basale

innervated basale
what does merkel cell cytoplasm contain
dense core granules similar to those in neuroendocrine cells (granule content not known)
where are merkel cells most abundant?
in sensory areas like fingertips, believed to be mechanoreceptors
melanocyte location? shape?
stratum basale or in adjacent dermis

stellate
what do melanocytes synthesize?
melanosomes containing melanin pigment
how is melanin produced?
from tyrosine, by action of tyrosinase, w/in melanosomes
how does tyrosinase work?

what is tyrosinase activity stimulated by?
oxidizes tyrosine to 3,4 dihydrophenalananin (DOPA) and dopaquinone

stimulated by uv light and MSH (melanocyte stimulating hormone)
what two things determine skin color?
tyrosinase activity (determines amt and size of melanin granules)

and rate of degradation of melanin granules
what two things determine skin color?
tyrosinase activity (determines amt and size of melanin granules)

and rate of degradation of melanin granules

NOT melanocyte number
what causes difference between light and dark races?
more lysosomal activity in the keratinocytes in light races, so melanin more rapidly degraded

in dark races melanin may persist to stratum corneum
how do melanosomes get to keratinocytes?
melanosomes are released extracellularly and are phagocytosed by keratinocytes, which place them above their own nuclei
invagination of epidermis yields what?
hair follicles (and their sebaceous glands), sweat glands, and nail beds
what layer of skin is source of all skin accessories/appendages?
stratum basale-- by specialized differentiation and/or specialized keratinization processes
hair bulb formation

hair bulb nourished by what
invagination of an epidermal peg deep into dermis

nourished by vascular dermal papilla
what does the hair matrix consist of?

what portion of matrix synthesizes each portion of hair shaft?
consists of modified stratum basale

medulla synthesizes vacuolated cells
cortex-- keratinized cells
cuticle-- heavily keratinized cells
what holds keratin fibers of hair together?
"glue protein" tricholyaline (similar to filaggrin of keratohyaline granules)

holds fibers together to form the hard keratin forming the hair shaft
layers of sheath of follicle
mimic normal layers of the epidermis

inner root sheath is where stratum corneum would be
outer root sheathis where granulosum, spinosum, and basale would be
how does hair achieve color?
color is added by melanocytes in the hair matrix layer
arrector pili muscle
sm muscle that connects hair follicle to the papillary dermis

contraction tilts hair to more erect position
following a skin abrasion, where is the best place for regeneration to come from?
the region of basale in the hair follicle near the sebaceous gland called the "bulge region"
how are nails formed? what does nail matrix consist of?
invagination of the epidermis forms nail matrix

consists of stratum basale and spinosum
eponychium and hyponychium
where the stratum corneum overlaps the nail at the proximal (epo) and distal (hypo) ends
cells in upper portion of stratum spinosum of nail matrix?
fill w/masses of sulfur-rich, keratin filaments which arebound together by a "keratohyalin-like" substance into a hard plate
nail bed is made of what two layers?
stratum basale and spinosum
nail bed lies on what?
very linear dermal ridges