The skin has three main layers - the epidermis, dermis and hypodermis. The epidermis contains keratinocytes, melanocytes, Langerhans cells and Merkel cells. The dermis lies below the epidermis and contains hair follicles, sweat and sebaceous glands. The deepest layer, the hypodermis, contains fat and connective tissue. Skin provides protection, regulates temperature, and allows for sensation. Skin cancer and burns affect the different layers of the skin in varying degrees of severity.
2. What are the major
characteristics of the skin?
Waterproof, stretchable, washable, and
permanent-press, that automatically repairs
small cuts, rips and burns and is guaranteed
to last a lifetime
Surface area of up to 2.2 square meters
11 pounds
7% of total body weight
Pliable yet tough
3. What are the 3 major layers of
the skin?
Epidermis (epi-upon)
– Composed of epithelial tissue (stratified squamous)
– Non-vascularized
Dermis – underlies the epidermis
– Tough leathery layer composed of fibrous connective
tissue
– Good supply of blood
Hypodermis (not considered skin)
– Made of adipose and areolar tissue
– Stores fat, anchors skin, protects against blows
6. What are the different types of
cells in the epidermis?
Keratinocytes
– Produce a fibrous protein
called keratin
– Keratinocytes also
regulate calcium
absorption by the
activation of cholesterol
precursors by UVB light
to form vitamin D.
7. What are the different types of
cells in the epidermis?
Melanocytes
– Synthesizes the pigment melanin
– Derived from neural crest cells
– Melanin transferred to neighboring
keratinocytes by “pigment
donation”
melanocyte
Melanin in
keratinocytes
8. What are the different types of
cells in the epidermis?
Langerhans’ cells
– Formed in bone marrow
– Move to the skin
– Macrophages
Langerhans’
cell
9. What are the different types of
cells in the epidermis?
Merkel Cells
– Has a spiked appearance
– Connected to nerve cells from
dermis
– Function as sensory receptors for
touch
10. Layers of the epidermis
Stratum basale: deepest layer of the epidermis, undergoes
rapid cell division
Stratum spinosum: intermediate layer, contain spiny
shaped keratinocytes
Stratum granulosum: flattened cells
Stratum Lucidum: thin, layer of dead cells, translucent
Stratum corneum: outermost layer 20-30 cells thick of
dead keratinized cells
– Dandruff
11.
12.
13.
14. Integumentary system (skin)
Below the epidermis = Dermis
– 2 layers
Stratum papillarosum: in contact with the epidermis
• Papillae are projections of the dermis into the
epidermis…the framework for fingerprints (friction
ridges).
Stratum reticulosum: reticular layer (mesh-like)
– Stretches well, but can be overstretched
• Post-partum stretch marks
16. Characteristics of the dermis
Made up of connective tissue
Richly supplied with blood vessels and lymph
vessels
Has hair follicles, oil and sweat glands and sensory
receptors
Ridges formed from the papillary layer can form
finger prints
17.
18. Hypodermis
Is deep to the dermis and is also called subcutaneous
fascia
It is the deepest layer of skin and contains adipose
lobules along with some skin appendages like the
hair follicles, sensory neurons and blood vessels
19. What causes the color of skin?
3 pigments contribute to skin color
– Melanin- protein pigment (natural sunscreen)
Can range in color from yellow to reddish-brown to black
Everyone has the same number of melanocytes but make
varying amounts and colors (differences in skin color)
Increased melanin production can caused by sunlight
– Carotene-yellow to orange pigment found in carrots
Most commonly found in the palms or soles. Most intense
when large amounts of carotene-rich foods are eaten
– Hemoglobin- Red blood gives a pinkish hue to fair skin
21. Major appendages of the skin
Sweat glands
Sebaceous glands
Hair
Nails
22. Types of glands found in the skin
Sweat glands-sudoriferous
1. Merocrine- common sweat glands
2. Apocrine- produce sweat plus a milky or yellowish substance
composed of fat and protein
Found in the arm pits and genitalia
Thought to be scent glands
3. Ceruminous- produce cerumen (ear wax)
4. Mammary glands- produce milk
Sebaceous glands- oil glands (sebum)
– Softens and lubricates hair and skin
– Slows water loss and kills bacteria
23.
24. Why is hair useful?
Senses insects that land on the skin
Hair on the head protects the head from a blow,
sunlight and heat loss
Eyelashes shield the eye
Nose hairs filter the air
25. What are the parts of nails?
A nail is a scale-like modification of the epidermis
Made of tightly compressed keratinized cells
Nail matrix is the region responsible for nail growth
26.
27.
28. Primary functions : Integumentary System
Protection: provides 3 types of barriers
– Chemical barriers: low pH of skin secretions slows
bacterial growth
– Human defensin is an antimicrobial that destroys bacteria
(produced by human skin)
29. Physical barriers
– Physical barriers: very few substance are able to enter
the skin. Substances able to pass
Lipid-soluble substances: oxygen, carbon dioxide, some
vitamins
Oleoresins- poisons (poison ivy)
Organic solvents- dry-cleaning fluid, paint thinner
Salts of heavy metals- lead, mercury, nickel
Penetration enhancers- drug agents that help substances into
the body
31. Functions cont.
Thermoregulation- skin contains sweat glands that secrete
watery fluid, that when evaporated, cools the body
Sensation- Skin contains sensory receptors that detect cold,
touch, and pain
Vitamin D synthesis- cholesterol in the skin is bombarded
by sunlight and converted to vitamin D
32. Functions cont.
Blood reservoir- blood will be moved from skin to
muscles during strenuous activity
Excretion- Sweating is an important outlet for wastes
such as salt and nitrogen containing compounds
33. Skin Cancer
Benign tumors such as warts and moles are not
serious
Malignant tumors can start on the skin and invade
other body areas
Crucial risk factor- overexposure to UV radiation
34. Types of Skin Cancer
Basal cell carcinoma- most common
Squamous Cell carcinoma- Arise from stratum
spinosum
Melanoma- Cancer of melanocytes (very
dangerous)
38. What are the 3 types of burns?
First-degree burns: only the epidermis is damaged.
Redness, swelling and pain are common (sunburn)
Second-degree burns: epidermis and upper layers
of dermis
Third-degree burns: involves the entire thickness
of the skin
40. Development
Epidermis
– Develops from embryonic ectoderm
Dermis and hypodermis
– Develop from mesoderm
Melanocytes
– Develop from neural crest cells
41. Development
Fetal skin
– Well formed after the fourth month
– At 5-6 months
The fetus is covered with lanugo (downy hairs)
– Fetal sebaceous glands produce vernix caseosa
42. The Skin Throughout Life
Middle to old age
– Skin thins and becomes less elastic
– Shows harmful effects of environmental damage
– Skin inflammations become more common
Langerhans cells, dendritic cells, are the skins first line defenders and play a significant role in antigen presentation. These cells need special stains to visualize, primarily found in the stratum spinosum. These cells are the mesenchymal origin, derived from CD34 positive stem cells of bone marrow and are part of the mononuclear phagocytic system. They contain Birbeck granules, tennis racket shaped cytoplasmic organelles. These cells express both MHC I and MHC II molecules, uptake antigens in skin and transport to the lymph node
Merkel cells are oval-shaped modified epidermal cells found in stratum basale, directly above the basement membrane. These cells serve a sensory function as mechanoreceptors for light touch, and are most populous in fingertips, though also found in the palms, soles, oral, and genital mucosa. They are bound to adjoining keratinocytes by desmosomes and contain intermediate keratin filaments and their membranes interact with free nerve endings in the skin.