2. • The epidermal thickness, the number
and size of epidermal cells remain
constant, with the rate of cell production
matching the rate of cell loss.
• 3 populations of cells exist in the basal
layer:
-Stem cells.
-Transient amplifying cells
-Post mitotic cells.
3. • Keratinocyte stem cells give rise to all
the layers of the epidermis, with the
majority of these cells committed to
terminal differentiation.
• Stem cells have a large capacity for
proliferation. They are present in the
basal interfollicular epidermis and bulge
region of follicles.
• A transient amplifying cells can
undergo a limited number (up to 5 to 6
times) of mitotic divisions.
4. Cell Cycle
Multiplying cells go through 4 phases
of the cell cycle :
• M - Mitotic phase of division.
• G1- post mitotic
phase or interphase.
• S - phase of DNA synthesis
• G2 - Premitotic phase or
short resting phase.
• G0 - quiescent phase
5. Mitotic index –
Fraction of cells in mitotic phase at
any given time.
Labelling index –
Fraction of basal cells in DNA
synthesis phase
6. • The time taken by keratinocytes to pass
from the basal layer to the stratum
corneum and the skin surface is called
the epidermal turnover time.
• It is approximately 52-75 days.
• The approximate transit time from
the basal layer to stratum
corneum is 12 to 19 days.
• Transit time through the stratum
corneum is 14 days.
7. Regulation of
Epidermopoeisis
A. Stimulatory factors :
Human epidermal growthfactor(EGF)
Transforming growth factor(TGF α)
Amphiregulin
IL-1,IL-2,GM-CSF
BasicFGF
Keratinocyte growthfactor(KGF)
Vitamin A
8. - Epidermal growth is inhibited by
negative feedback mechanism.
B. Inhibitory Factors :
IFN α
IFN γ
TNF α
High calciumlevel
9. C. Apoptosis : programmed cell death
- A major cellular homeostatic mechanism in
the skin.
- Terminal differentiation of epidermal
keratinocytes occurs by modified apoptotic
programs.
10. D. Signal transduction pathways :
- It is a mechanism by which signals from
outside the cells, such as hormones
combine with cell receptors
intracellularly to regulate the cell growth.
- These include growth factors, cyclic
AMP, protein kinase C, inositol
phosphate and protein tyrosine kinase.
11. E. Integrins :
They serve as a physical link between
matrix molecules (collagen, laminin,
fibronectin) and cytoskeleton of
keratinocytes and act as a route of
bidirectional communication that can
result in change of gene expression,
pH and calcium fluxes.
12. Epidermal Differentiation
After detaching from the basal lamina,
epidermal keratinocytes move from
the basal layer towards the skin
surface, undergoing terminal
differentiation to produce the stratum
corneum.
This involves the formation of keratins
(insoluble proteins) by keratinization.
13. Keratin
Filamentous cytoskeleton of all
mammalian cells including epidermal
keratinocytes.
Contains:
• Actin containing microfilaments 7nm
in diameter.
• Tubulin containing microtubules 20-
25 nm in diameter.
• Intermediate filament 7-10nm in
diameter.
More than 30 keratins have been
14. - 54 functional keratingenes.
- Two gene family:-
type 1(basic) - 1 to 8
type 2(acidic) - 9 to 19
- Retinoic acid, growth factors ,hormones
regulate keratingene expression.
16. Keratohyaline granules
They are the distinctive cellular
inclusions in differentiating epidermis.
Seen in keratinocytes of SG.
The granules have amorphous,
phosphate containing material rich in
histidine, which disappears as
keratinocytes enter SC.
The granules are composed of
profilaggrin, keratin filaments and
loricrin.
17. Filaggrin
k/a filament aggregating protein.
Histidine rich, cationic protein.
Filaggrin is degraded into molecules
which further help in hydration of SC
and help filter UV radiation.
Loricrin :
Cysteine rich protein that is a major
component of the cornified envelope.
18. Lamellar granules/ Odland
Bodies
Contain phospholipids, glycolipids and
free sterols.
The lamellar granules fuse with the
plasma membrane to discharge their
contents into intercellular space,
forming a barrier to permeability.
Found adjacent to the upper part of
SS and in the SG.
19.
20. Cornified Envelope
Highly insoluble cell envelope.
Involucrin : best established precursor.
Formation triggered by intracellular Ca.
Present in SC
Other precursors –
i. Loricin
ii. Cornifin
iii. Periplakin
iv. Envoplakin
v. Pancornulin
vi. Elafin
21. Keratinocyte Integrins
These are transmembrane cell surface
glycoproteins that form receptors to
mediate adhesion in both intercellular
and cell substrate interaction.
During differentiation keratinocytes
lose adhesions to the matrix by loss of
integrin expression.
22. Intercellular Junctions
They link adjacent keratinocytes and
are responsible for mechanical,
biochemical and signalling interactions
between cells.
Components are :
a) Desmosomes
b) Adherens junctions
c) Gap junctions
d) Tight junctions
23. Desmosomes
Specialised regions of the plasma
membrane that link cells to each other
and also connect intermediate filaments
(tonofilaments) to plasma membrane.
Provides network of stability in the
epidermis.
Ultrastructure :
cell membrane of two adjacent cells
forms a symmetrical junction with a
central intercellular space of 30 nm
containing a dense line.
24. Components of desmosomes :
a) Cadherins :
1. Desmogleins (Dsg)
2. Desmocollins (Dsc)
They are transmembranous calcium
rich glycoprotein.
b) Plakins – desmoplakin, plakoglobin,
plakophilin, envoplakin and
periplakin
25. • The intercellular parts of glycoproteins are
attached to keratin filament network via
desmoplakin, plakoglobin and other macro
molecules.
• Desmosomal proteins acts as
autoantigen in various immunobullous
blistering disorders.
26. Adherens Junction
Electron dense , transmembrane
structures that engage with actin
skeleton.
The main linkage to actin cytoskeleton
is through α catenin which organizes
the entire multiprotein complexity of
adherens junctions and in determining
actin binding polymerization activities.
27. They contribute to- epithelial
assembly, adhesions, barrier
formation, cell motility and changes in
cell shapes.
Comprise of two basic adhesive units:
I. Nectin – afadin complex.
II. Cadherin complex.
29. Gap Junction
Clusters of intracellular connections
knows as connexins.
Allow transfer of ions and small
molecules (<1000 Da).
Connexons originate following
assembly of six connexin subunits
within the Golgi network that are then
transported to the plasma membrane.
30. Divided into 3 groups - (α, β and γ).
Stability of gap junctions is mediated
by protein kinase C, calmodulin ,
calcium, cyclic adenosine
monophosphate (cAMP) and local pH.
Gap junction communication is
essential for cell synchronization,
differentiation, growth and metabolic
coordination of avascular organs,
including epidermis.
31.
32. Tight Junctions
Major regulators of permeability of
epithelia.
Main component of skin barrier
integrity.
The principal structural proteins of
tight junctions are the claudins,
transmembranous proteins - junctional
adhesion molecules (JAMs) and the
occludin group of proteins.
The main claudins in the epidermis are
claudin 1 and 4.
33. Transmembranous proteins do not
bind to one another but the claudins
and occludins can bind to the
intracellular zonula occudens proteins
ZO-1, ZO-2, ZO-3.
34. Applied Aspects
Pemphigus vulgaris – antibodies
against Dsg 3.
Pemphigus foliaceus – antibodies
against Dsg 1.
SSSS – bacterial exotoxin cleaves the
extracellular domain of Dsg 1.
Harlequin Ichthyosis – filaggrin is
absent and low level expression of
K1/10.
35. Restrictive dermopathies – down
regulation of K1/10 and abnormal
keratohyaline granules.
Keratinocyte culture can be used for
skin grafting in burns and other skin
defects
Psoriasis – epidermal turnover time
reduces to 8-10 days.
Ichthyosis vulgaris – due to defect in
profilaggrin/filaggrin.
36. Non keratinocytes of the
epidermis
Melanocytes and Langherhans cells,
which migrate into the epidermis
during embryonic development.
Merkel cells develop in situ from the
ectoderm.
Melanocytes and merkel cells – basal
layer.
Langerhan cells – suprabasal layer.