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Integumentary System (2)

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    Integumentary System

    Dr. Abdul Ahad Shaikh

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    Introduction

    The skin and its accessory structures make upthe integumentary system

    A surface area of 1.5 - 2 square meters

    Weighs approximately 4-5 kg (9-11 lbs.) Forms the boundary between our internal and

    the external environment

    It is a malleable, tough, organ that is constantly

    regenerating Without skin we would succumb to infection,

    water loss, or heat loss

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    Functions

    ProtectionChemical barrier

    Physical or Mechanical barrier

    Biological barrier

    Body Temperature Regulation

    Cutaneous Sensation

    Metabolic Functions

    Blood Reservoir

    Excretion

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    Protection

    Chemical barrier Skin secretions create an acid mantle

    that retard bacteria reproduction

    Sebum from sebaceous glands isbactercidal

    Skin cells secrete a natural antibiotic

    called human defensin

    Melanin shields the skin from UV

    radiation

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    Protection

    Physical or mechanical barrier Hard keratinized cells provide a continuous

    barrier

    Glycolipids of the epidermis block the

    diffusion of water and water solublesubstances from between cells

    Substances that do penetrate the skin in

    limited amounts include

    Lipid soluble substances; oxygen, carbon dioxide

    and fat soluble vitamins (A, D, E, and K)

    Natural and manufactured solvents, salts, and

    drugs

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    Protection

    Biological barrier Langerhans cells of the epidermis

    present foreign substances

    (antigens) to the white blood cells

    (lymphocytes) which in turn activate

    our immune system

    Macrophages of the dermis dispose

    of viruses and bacteria that havepenetrate the epidermis but they also

    work as presenters

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    Body Temperature Regulation

    The body works best when itstemperature remains within homeostatic

    limits

    Cooling occurs through radiation of heatand evaporation of water from the

    surface of the skin

    Heating occurs from metabolism, activity

    and shivering

    Extremes of environmental temperature

    threaten homeostatic balance

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    Cutaneous Sensation The skin is richly supplied with cutaneous

    sensory receptors

    Cutaneous receptors are classified as

    exteroreceptors because they respond to

    external stimuli

    Cutaneous receptors include

    Meissners corpuscles (light touch)

    Pacinian corpuscles (deep pressure

    Root hair plexuses (displacement of

    hair shaft)

    Free nerve endings (pain)

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    Metabolic Functions

    Sunlight bombarding modifiescholesterol molecules in the epidermal

    cells are converted to a precursor of

    vitamin D

    Keratinocyte enzymes can disarm

    many cancer causing carcinogens

    Keratinocytes can also activate steroid

    hormones

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    Blood Reservoir

    The skin can hold about 5% of thebodys entire blood volume

    Blood volume can be diverted from the

    skin to other organs in need

    Blood volume can be diverted to the

    skin for temperature regulation

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    Excretion

    Limited amount of nitrogen-containing

    wastes (ammonia, urea, and uric acid)

    are eliminated from the body in sweat

    Sweating also excretes water and salt

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    omeos a c m a ances o e

    Skin

    Homeostatic imbalances of the skin

    range from mild to life-threatening

    Homeostatic imbalances are readily

    visible

    There are over 1000 different conditions

    and ailments affecting the skin

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    Burns Burns are a devastating threat to the

    individual because of their effect on theskin

    The threat to life severe burns is loss of

    body fluids contain protein and electrolytes Fluid loss can cause dehydration and

    electrolyte imbalances

    These in turn can lead to renal shutdownand circulatory shock

    The amount of fluid volume lost is

    estimated using the rule of nines

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    Burns

    Estimating the area of a burn using the rule of 9s

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    Primary germ layer

    Epidermis, hair, nails, skin gland- Ectoderm

    Dermis (connective tissue)- Mesoderm

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    Structure of the skin

    The superficial portion of the skin is the

    epidermis and is composed of epithelial

    tissue

    The deeper layer of the skin is dermis and

    is composed of connective tissue

    Deep to the dermis is the subcutaneous

    layer or hypodermis (not a part of skin)

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    Skin (Integument)

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    Epidermis

    A thick keratinized layer of stratified

    squamous epithelium

    Consists of four distinct cell types

    Arranged in four or five distinct celllayers

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    Cells of the

    Epidermis

    Keratinocytes

    Melanocytes

    Merkel cells Langerhans

    cells

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    Cells of the Epidermis

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    Keratinocyte

    Principle cell

    of the

    epidermis

    Seen heremigrating

    upward

    through

    various layersof the

    epidermis

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    Keratinocytes

    Most of the epidermal cells are keratinocytes The chief role of keratinocytes is to produce

    keratin, the tough fibrous protein that gives the

    epidermis its protective qualities

    Tightly connected by desmosomes

    Keratinocytes arise from constant cell mitosis at

    the deepest layer of the epidermis

    Keratinocyte cells manufacture keratin during theirmigration to the skin surface

    Keratins (cytokeratins) are polymers of type I and

    type II intermediate filaments, found in the

    genomes of vertebrates,

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    Keratinocytes (continued)

    As cells migrate to the surface their contentsbecome dominated by keratin

    The cells will deform to become flattened,

    dead structures that are keratin filled

    Million of cells on the free surface rub off daily

    A totally new epidermis every 25-45 days

    Cell reproduction is higher in areas subject to

    friction (hands, feet)

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    Melanocytes

    Spider

    shaped

    cells found

    in Stratumbasale or

    basal layer

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    Melanocytes

    Specialized epithelial cells that synthesizethe pigment melanin

    Cells are found in the deepest layer of the

    epidermis

    Melancytes have many branching processes

    that touch all keratinocytes in the basal layer

    Processes carry melanin to keratinocytes

    Melanin granules accumulate on the super-

    ficial side of the nucleus of the ketatinocytes

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    Melanocytes Melanin granules form a pigment shield that protects

    the nucleus from ultraviolet (UV) radiation in sunlight

    All humans have the same amount of melanocytes

    Racial differences in skin coloring is thought to reflect

    the kind and amount of melanin made and retained

    Production of melanin is stimulated by DNA damageinduced by UVB-radiation

    The photochemical properties of melanin make it an

    excellent photoprotectant.

    It absorbs harmful UV-radiation and transforms theenergy into harmless heat through a process called

    "ultrafast internal conversion". This property enables

    melanin to dissipate more than 99.9% of the

    absorbed UV radiation as heat

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    Langerhans

    Cells

    Star shaped

    cells amongkeratinocytes

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    Merkel

    Cells

    Spiky shaped

    hemispheres

    found at theepidermal -

    dermal

    junction

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    Merkel Cells

    Each Merkel cell is associated with adisc shaped sensory nerve ending

    The combined structure is called a

    Merkel disc Merkel discs function as a sensory

    nerve receptor for touch

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    Epidermal

    layers

    Four layers

    in thin skin Covers most

    of the body

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    Epidermal

    Layers Five layers

    found in

    thick skin

    Stratum

    lucidum is

    extra layer

    Found onfingertips,

    palms and

    soles of

    feet

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    Stratum

    basale Deep layer

    attached to

    underlying

    dermis

    Singe row

    of

    youngest

    cells

    Ongoing

    cell mitosis

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    Deepest epidermal layer firmly attached to

    the dermis

    Consists of a single row of the youngestkeratinocytes

    Cells undergo rapid division, hence its

    alternate name, stratum germinativum

    Stratum Basale (Basal Layer)

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    Stratum Basale (Basal Layer)

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    Stratum

    spinosum Several cell

    layers thick

    Cells

    contain a

    web-like

    system of

    filaments

    Abundant

    Langerhans

    cells in this

    layer

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    Cells contain a weblike system of

    intermediate filaments attached to

    desmosomes

    Melanin granules and Langerhans cells

    are abundant in this layer

    Stratum Spinosum (Prickly Layer)

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    Stratum

    granulosum

    Area of 3-5

    cell layers

    Ketatinocytes

    flatten and

    begin to

    disintegrate

    Release ofglycolipid

    slows water

    loss

    Cell binding

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    Thin; three to five cell layers in which

    drastic changes in keratinocyte

    appearance occurs

    Keratohyaline and lamellated granules

    accumulate in the cells of this layer

    Stratum Granulosum (Granular Layer)

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    Stratum

    lucidum Consist of

    a few rows

    of clear,

    flat, deadcells

    Present

    only in

    thick skin

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    Thin, transparent band superficial to the

    stratum granulosum

    Consists of a few rows of flat, dead

    keratinocytes

    Present only in thick skin

    Stratum Lucidum (Clear Layer)

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    Stratum

    corneum Broad zone

    20-30 cell

    layers thick

    3/4 of

    epidermal

    thickness

    Protectsskin from

    abrasion &

    penetration

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    Outermost layer of keratinized cells

    Accounts for three quarters of the epidermal

    thickness

    Functions include:

    Waterproofing

    Protection from abrasion and penetration

    Rendering the body relatively insensitive tobiological, chemical, and physical assaults

    Stratum Corneum (Horny Layer)

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    Dermis

    Second major skin region containing

    strong, flexible connective tissue

    Cell types include fibroblasts,macrophages, and occasionally mast cells

    and white blood cells

    Composed of two layers papillary and

    reticular

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    Layers of the Dermis: Papillary

    Layer Papillary layer Areolar connective tissue with collagen

    and elastic fibers Its superior surface contains peglike

    projections called dermal papillae

    Dermal papillae contain capillary loops,

    Meissners corpuscles, and free nerve

    endings

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    Layers of the Dermis: Reticular

    Layer Reticular layer Accounts for approximately 80% of the

    thickness of the skin Collagen fibers in this layer add strength

    and resiliency to the skin

    Elastin fibers provide stretch-recoil

    properties

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    Hypodermis

    Subcutaneous layer deep to the skin

    Composed of adipose and areolar

    connective tissue

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    Skin Color

    Three pigments contribute to skin color

    Melanin yellow to reddish-brown to black

    pigment, responsible for dark skin colors

    Freckles and pigmented moles result

    from local accumulations of melanin

    Carotene yellow to orange pigment, most

    obvious in the palms and soles of the feet Hemoglobin reddish pigment responsible

    for the pinkish hue of the skin

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    Sweat Glands

    Different types prevent overheating of thebody; secrete cerumen and milk

    Eccrine sweat glands found in palms, soles

    of the feet, and forehead Apocrine sweat glands found in axillary and

    anogenital areas

    Ceruminous glands modified apocrine

    glands in external ear canal that secretecerumen

    Mammary glands specialized sweat glands

    that secrete milk

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    Sebaceous Glands

    Simple alveolar glands found all over the

    body

    Soften skin when stimulated by hormones Secrete an oily secretion called sebum

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    Structure of a Nail

    Scalelike modification of the epidermis on

    the distal, dorsal surface of fingers and

    toes

    Figure 5.4

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    Hair

    Filamentous strands of dead keratinized

    cells produced by hair follicles

    Contains hard keratin which is tougher andmore durable than soft keratin of the skin

    Made up of the shaft projecting from the

    skin, and the root embedded in the skin

    Consists of a core called the medulla, a

    cortex, and an outermost cuticle

    Pigmented by melanocytes at the base of

    the hair

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    Hair Follicle

    Root sheath extending from the epidermal

    surface into the dermis

    Deep end is expanded forming a hair bulb A knot of sensory nerve endings (a root

    hair plexus) wraps around each hair bulb

    Bending a hair stimulates these endings,

    hence our hairs act as sensitive touch

    receptors

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    Hair Follicle

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    Hair Follicle


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