THE SKIN PHYSIOLOGY Lesson 1 (Slides 1-25) Jesmin Akter Lecturer Department of Pharmacy Bangladesh University Skin is not a simple protective wrap for the body but also a busy frontier between the organism and the environment. Total area ranges from 2500 cm2 at birth to 18000 cm2 in the adult and weight varies from 4.8 kg in men to 3.2 kg in women. Functions: 1. Controls loss of valuable fluid 2. Prevents the penetration of foreign materials 3. Cushions against mechanical shock 4. Regulates heat loss 5. Transduces incoming stimuli 6. Regulates blood pressure. 7. Limits the passage of chemicals into and out of the body. 8. It expresses emotion. 9. It identifies individuals through the characteristics particular to humans, e.g. color, hair, odor and texture. 10. Protects against radiation. 11. Synthesis and metabolism 12. Contains body fluids and tissues. Physiology of skin Human skin comprises three tissue layers: 1. The stratified cellular epidermis 2. Dermis 3. The subcutaneous fat tissue. Epidermis The epidermis is the external layer of the skin, varying in thickness from 0.16 mm on the eyelids to 0.8 mm on the palms and soles. It is stratified and keratinized. It functions as a protective barrier against bacteria, chemical irritant, allergens etc. It is avascular. Free nerve endings are found in it. Layers of Epidermis: Stratum corneum (Horny layer) Stratum lucidum Stratum granulosum Stratum spinosum (Prickle layer) Stratum germinativum (Basal layer) Continued…….. Stratum corneum composed of keratinized cells called corneocytes. The cells are almost filled with keratins. They have lost their nuclei and almost all of their cytoplasmic organelles. The horny cells are continuously shed from the skin surface. Stratum lucidum is considered as a subdivision of the horny layer and can be recognized only in palmar and plantar skin. Stratum granulosum contain numerous granules of a material called keratohyalin. Stratum spinosum or prickle cell layer is termed so because of the numerous desmosomes or Continued……………. attachment plaques at their surfaces which give the cells a shiny appearance. Stratum germinativum or basal cell layer gives rise to all keratinocytes. It is represented by a single layer of cells which are mitotically active. The cells are small and cuboidal or columnar. The cells have large nuclei, ribosomes, mitochondria, tonofilaments and also melanins. Pigmentary system Major determinant of skin color is a dark pigment called melanin. It is the product of a special cell called melanocyte. Melanocytes are derived from the neural crest in the embryo and migrate to many tissues of the body including the basal layers of the epidermis. They differ from other cells of the stratum basale by the possession of dendritic processes by which they transfer pigment to a group of keratinocytes and thus the forming an ‘epidermal melanin unit’. They have no desmosomes. The characteristic feature of melanocytes is a special cytoplasmic organelle known as ‘melanosome’ on which the melanin is produced by the action of the enzyme tyrosinase. Melanosomes are spherical membrane-bound vesicle and arise in the zone of Golgi apparatus. Melanins are of two kinds – Phaeomelanins : Yellow or red , soluble in dilute alkali. Eumelanins : Black and insoluble in dilute alkali. Formation of eumelanins Upon exposure to UV radiation, DNA damage triggers cytokines, growth factors and other inflammatory factors to stimulate melanin production. Both are formed by the same initial steps which involve oxidation of tyrosine to 3,4dihydroxyphenylalanine(DOPA) and its dehydrogenation to DOPA quinone. After several further steps indole-5,6- quinone is produced which is polymerized to produce eumelanine. Components of skin color Skin colour has two components -constitutive i.e. genetic and - facultative i.e. environmental. These factors impart various degrees of pigmentation in different ethnic groups. The differences are in the amount of melanin produced and not in the numbers of melanocytes present. Pigmentation can be enhanced by exposure to sun or by endocrine factors, e.g. in pregnancy and also by certain hormones Major function of melanin is to protect against solar radiation . It may also be activated to a free radical state and eliminate genetically damaged cells by phototoxic mechanism. Langerhans cells This cells are similar in form to melanocytes but free from pigment. They are capable of limited phagocytosis and may be concerned with immune functions. Dermis : Dermis is a tough and resilient tissue and cushions the body against mechanical injury and provides nutrients to the epidermis and cutaneous appendages. It consists of protein fibres and mucopolysaccharide. It contains fibroblasts, mast cells, macrophage, lymphocyte, leucocyte, melanocytes etc. It has blood vessels, lymphatic and nervous system, hair follicles, with its associated glands and the eccrine sweat glands. Continued…………….. Collagen It is the major fibrous constituent of dermis accounting for 75% of the dry weight. Elastin and reticulin Elastic fibres make up about 4% of the dry weight. They can be stretched by 100% or mpre but return to their original length when stretch is removed. Reticulin constitutes only 0.4% of the dermis and made up with fine branching fibres. Ground substances This amorphous substances contain carbohydrates, proteins and lipids mostly mucopolysaccharides. Continued…………… Fibroblasts Fibroblast is an actively secreting cell and secret collagen. Mast cells The cells are characterized by a cytoplasm filled with granules. They contain and release heparin and histamine. Rupture of cells due to skin damage results in release of granules. This histamine is responsible for inflammation, irritation and other skin disorders. Subcutaneous tissue: It is a specialized fat tissue which acts as a cushion and heat insulator. Skin Appendages Sweat gland Sebaceous gland Hair follicle Nail Sweat gland Two types: Eccrine sweat gland Apocrine sweat gland Continued……… Eccrine sweat gland: Most numerous Occurs over the majority of body surface chiefly on palms, soles, forehead etc. Cylindrical spiral duct that extends from their visible opening in the epidermis down into the deep dermis where the duct becomes coiled and convoluted. Manufactures odorless sweat that rises up the duct. The glands respond to environmental temperature and other stimuli. On palms and soles they increase friction. Secretion is watery. The secretion composed of electrolytes, urea, amino acids, lipid etc. Apocrine gland Tubular glands attached to hair follicle Most of them are found in the axillary, anogenital areas and in the areola of the nipple. Become functional at puberty. Secretion of the gland is milky, viscous Secretion is composed of lipid, protein and pheromones. Sebaceous glands Secret sebum Occur throughout the body and normally associated with hair follicles. Greatest concentrations are found on scalp, face, upper chest and shoulders. None on palms and soles Holocrine glands Activity is under hormonal control Output increases during puberty. Composed of glycerides, free fatty acids, wax esters, cholesterol etc. Hair Follicle Tubular inpushings of the epidermis Produced by the keratinization of cells formed by division in the matrix at the base of the follicle. There are about 120000 follicles on human scalp About 100 hairs are normally lost from the scalp each day. Hair shaft Sebaceous gland Hair root Hair bulb Common disorders of the skin Hyperpigmentary disorders Ephelides Lentigens Moles Hypopigmentary disorder Vitiligo Continued…….. Disorders of the sebaceous gland Acne Disorders of the sweat gland Miliaria Skin scaling disorders Psoriasis Dandruff THANK YOU