Chapter 5 Lecture Slides Copyright © The McGraw-Hill Companies, Inc. Permission required for reproduction or display. Chapter 5-Integumentary System • What does integument mean? covering 2 Functions 1. Protection: water loss, microbes, UV light 2. Sensation: hot, cold, pain, pressure 3. Temperature regulation: helps maintain homeostasis 3 4. Excretion and Absorption removes waste, absorbs certain substances 5. Vitamin D production: UV light stimulates production 6. Stores blood 4 Skin Facts • • • • • • Largest organ Used to determine body fat Waterproof Self-conditioning and healing Reflects our emotions Changes in color and appearance 5 2 main regions 1. Epidermis 1. Dermis 6 Epidermis • Superficial, thinner layer • Composed of keratinized stratified squamous epithelium • Keratinization: - process in which new cells (with keratin) push old cells to surface 8 4 main types of cells 1. Keratinocytes produce keratin that protects skin from abrasions, heat, microbes 2. Melanocytes produce melanin that contributes to skin color and protects skin from UV rays 9 3. Langerhan cells help the immune system to recognize invading microbes 4. Merkel cells detect touch sensations 10 Strata of Epidermis • Stratum corneum: - outermost layer of epidermis - 20-30 layers of dead keratinized squamous cells - accounts for 75% of epidermal thickness - dandruff is this layer flaking off scalp • Stratum lucidum - found in thick skin areas - contains keratin and thickened plasma membrane 11 for added toughness • Stratum granulosum - consists of 3-5 layers that are undergoing apoptosis • Stratum spinosum - consists of keratinocytes in 8-10 layers - provides strength and flexibility 12 • Stratum basale - deepest layer of epidermis - single layer of cells - attaches to dermis - stem cells undergo continuous cell division 13 •14 DERMIS • Thicker, deeper layer • Divided into 2 regions: 1. Papillary – upper layer 2. Reticular – deeper layer 15 Papillary layer • thin connective tissue layer that contains blood vessels, elastic fibers, collagen • Dermal Papillae - projections that extend up into the epidermis - ridged on hands and feet – fingerprints - remove wastes and help regulate body temp. - Meissner corpuscles – nerve endings sensitive to touch 16 Reticular layer • Contains: - bundles of thick collagen - hair follicles - sweat and oil glands 17 - Cleavage lines - area where skin is most resistant to stretching - due to the orientation of collagen fibers - important in scarring 18 Hypodermis • • • • • • • • Below dermis Not part of the skin Attaches skin to underlying muscle and bone Contains loose and adipose tissue Storage area for fat Has large blood vessels Functions as padding and insulation Contains Pacinian corpuscles – sensitive to pressure 20 21 Skin Color • Effected by: 1. Melanin - produced by melanocytes - ranges from yellow to black - amount produced is determined by genetics, UV rays, and hormones - All races have the same number of melanocytes. The difference is the amount of pigment that is produced. 22 2. Hemoglobin: - oxygen-carrying pigment that makes blood red 3. Carotene: - yellow-orange pigment found in plants - accumulates in stratum corneum 4. Thickness of the stratum corneum 24 Tanning and Sunburns • Exposure to UV light stimulates melanocytes to increase production of melanin • Melanin builds up to help protect skin against UV radiation (tan) • A sunburn is the skin reacting to UV exposure • UV light causes elastic fibers to clump and become leathery • UV light can alter DNA in cells causing them to mutate (cancer) 25 Temperature Regulation • Body temp. should be 98.6o F • Rate of chemical reactions (metabolism) is altered by changes in temp. • To cool body: blood vessels in dermis dilate and heat is transferred from deep in tissues to skin and sweat is produced • Too heat body: blood vessels constrict to reduce blood flow to skin and heat is retained Skin Color and Disease • Redness: fever, hypertension, inflammation, allergies • Pallor: anemia or low blood pressure • Jaundice: liver disorder (yellow) • Bronzing: Addison’s disease (kidney disease) • Bruising: broken blood vessels 28 Accessory Skin Structures • Includes hair, skin glands, nails HAIR Functions: - limited protection - heat insulation - touch 29 Hair Components • Shaft: - superficial part of hair that projects above the skin surface • Root - below the skin 30 The shaft and root are made up of keratinized cells arranged in 3 concentric layers. 1. Medulla - inner layer - contains pigment 2. Cortex - middle layer 3. Cuticle - outermost layer - arranged like shingles on a roof 31 • Hair follicle - gives hair different shapes - The base of each follicle is an onionshaped structure called a bulb. 32 • Hair Bulb: - contains blood vessels - hair matrix – site of cell division (where hair is made) - sebaceous glands - arrector pili – muscle, when contracted, makes hair stand up (goose bumps) 33 Growth Cycle 1. Growth stage - new cells from the hair matrix are added to the hair root - existing cells are pushed upward and hair grows longer 2. Regression stage - hair follicle atrophies 3. Resting stage - after resting stage, new growth cycle begins 35 Hair Color • Due to the amount and type of melanin in its keratinized cells 36 SKIN GLANDS 1. Sebaceous glands - secrete sebum (oil) - Functions of sebum: - keeps hair/skin moist - prevents excessive evaporation of water from skin - inhibits growth of some bacteria - Acne – inflammation of sebaceous glands 37 2. Sweat glands Types: 1. Eccrine - respond to elevated body temps. - open onto skin surface through sweat pores - start to function soon after birth - release watery secretions 38 2. Apocrine - respond to emotional stress - empty into hair follicles - begin to function at puberty - causes body odor - release lipid-rich secretions 3. Ceruminous - modified sweat gland that secretes cerumen (earwax) 39 Nails Thin plate with layers of dead stratum corneum cells with hard keratin Functions: 1. protect ends of digits 2. ability to grasp 3. scratch 4. enhance manipulation Nail Structure • Nail body: - visual part • Nail root: - covered by skin • Cuticle: - stratum corneum that extends into nail body • Nail matrix: - where cell division occurs • Nail bed: - attaches to nail • Lunula: - part of nail matrix - whitish, crescent shaped area - base of nail • Free edge: - extends past the digit - white due to lack of capillaries Aging and the Integument • Skin becomes thinner due to decreased amounts of collagen • Decreased activity of sweat glands make temp regulation more difficult • Loss of elastic fibers cause skin to sag and wrinkle 44 • Decreased activity of sebaceous glands make skin drier • Loss of pigment in hair • Age spots 45 Classification of Burns • 1st degree: - damages only epidermis - redness, slight swelling, pain - usually no scar • 2nd degree: - damages epidermis and upper dermis - redness, swelling, pain, blisters - some scarring 46 • 3rd degree: - destroys epidermis and dermis - no protection against environment - nerve endings are destroyed - no immediate pain - can’t regulate body temp - excessive fluid loss 47 48 Skin Cancer • • • • Most common cancer Mainly caused by UV light exposure Fair-skinned people more prone Prevented by limiting sun exposure and using sunscreens • UVA rays cause tan and is associated with malignant melanomas • UVB rays cause sunburns • Sunscreens should block UVA and UVB rays 49 Types of Skin Cancer • Basal cell carcinoma: - cells in stratum basale affected - cancer removed by surgery • Squamous cell carcinoma: - cells above stratum basale affected - can cause death 50 • Malignant melanoma - arises from melanocytes in a mole - rare type - metastasis is common (metastasis – the spread of cancer to other parts of the body) - usually fatal 51